Abstract
National health insurance took effect since 1995 in Taiwan and the medicine expense increased year by year. This study is to discover a series of manage strategies under controlling overall national medicine expense by national health insurance administration. Global budget system is the only one to put into practice, and that means hospitals may face the crisis of profits descending because hospitals might not gain enough government subsidy if hospitals’ yearly medicine expense exceed the quota which is made from national health insurance administration. Hence, self-pays services of high-quality health check and aesthetic medicine are developed and considered in the most hospitals. However, medical self-pays services is not necessary and it depends on limited market and economy status. Taiwan government highly respected on aging society in the present, and comprehended about caring of aging population is a valuable issue. With policies in the different stages, long-term healthcare insurance will be presented ideally in the end. Hospital is a professional organization with medicine/nurse care with exploring self-pays market, rising profits, and developing manage strategies, long-term healthcare is a considerable strategy to struggle against global budget system restrictions of national health insurance.