Here are the arguments presented by Legislator Chen Chao-chi(陳昭姿) in the video:

1. Misappropriation of National Health Insurance (NHI) Funds:

   • Chen Chao-chi(陳昭姿) argues that since the NHI's inception in 1995, public health and policy expenditures that should be budgeted by the government have long been covered by the NHI, questioning whether it is "the government swiping the card, and taxpayers paying the bill."
   • She cites examples such as rabies vaccines, kidney disease education programs, and the Hepatitis C mega-treatment program from 2014-2019, claiming that these should not be funded by the NHI.
   • Chen Chao-chi(陳昭姿) criticizes the government for failing to substantially increase the public investment ratio in public health and the NHI, and even incorporating various welfare policies into the statistics, resulting in nominal compliance but a systemic hollowing out of the NHI.
   • She demands that the Executive Yuan explain the amount and time period of past inflated figures.

2. Amendment to the Enforcement Rules of the National Health Insurance Act:

   • Chen Chao-chi(陳昭姿) points out that the Executive Yuan pre-announced the amendment of the Enforcement Rules of the National Health Insurance Act on September 24, removing the 36% employer contribution for employees on parental leave, questioning the propriety of past practices.

3. NHI Premium Base and Rate:

   • Chen Chao-chi(陳昭姿) believes that the NHI should first address the fairness of the premium base and then review the reasonableness of the premium rate.
   • She argues for expanding the structure of NHI premiums to include capital gains, in order to respond to the country's economic transformation.

4. Physician Shortage in Specific Departments:

   • Chen Chao-chi(陳昭姿) points out that young resident doctors prioritize choosing plastic surgery and otolaryngology, leading to a crisis of extinction in acute and critical care departments.
   • She quotes acute and critical care physicians, describing the current situation as "an entire wall has disappeared."
   • Chen Chao-chi(陳昭姿) cites the example of the National Cheng Kung University Hospital's pediatric emergency department not having a young doctor join for 15 consecutive years.
   • She believes that the uneven distribution of doctors is not only about salary and overtime pay, but also structural incentives.
   • Chen Chao-chi(陳昭姿) suggests that difficult departments should have retention bonuses and night-time tax-free schemes.
   • She emphasizes that the NHI needs to review the rationality of payments and update the point value of specific departments in a timely manner.
   • Chen Chao-chi(陳昭姿) points out that the President of the Taiwan Society of Pulmonary and Critical Care Medicine stated that the payments for ventilator care and bronchoscopy are insufficient, leading young doctors to be unwilling to invest in pulmonology.
   • She suggests providing holiday and night-time income tax exemptions for departments seeking difficult-to-find talent.
   • Chen Chao-chi(陳昭姿) believes that internal medicine, surgery, obstetrics and gynecology, pediatrics, and acute, critical and difficult departments lack doctors willing to fully commit and that different pay should be given for different levels of effort.

5. Loss of Pediatric Physicians:

   • Chen Chao-chi(陳昭姿) points out that there are few pediatric resident doctors, and even fewer are willing to stay after training, leading to a surge in workload and creating a vicious cycle.
   • She quotes the Director of Obstetrics and Gynecology at Mackay Memorial Hospital, pointing out that the current obstetrics market is shrinking, while the number of high-risk cases is increasing, leading young doctors to be unwilling to invest.
   • Chen Chao-chi(陳昭姿) believes that primary care clinics do not require subspecialty qualifications, reducing the willingness of physicians to pursue further education.
   • She reiterates that the National Cheng Kung University Hospital's pediatric emergency department has not had a young doctor join for 15 consecutive years, a serious situation.
   • Chen Chao-chi(陳昭姿) reminds the government to pay attention to and solve the problem of the same payment point value for simple and difficult surgical procedures, causing doctors to hesitate.
   • Although the government has relevant subsidy programs for pediatrics, the effect is not significant and the reasons should be re-examined.