Taiwan is one of the few countries where citizens enjoy universal health care, which is managed by the Taiwan National Healthcare Insurance (NHI) system. The NHI system, established in March, 1995 by the Taiwan Government, has provided high-quality health care with low insurance premiums. The average monthly insurance premium the typical Taiwanese citizen pays is NT$1377, which is approximately US$42.1 Such a low health-care expense ensures equitable access for all 23 million Taiwanese citizens.