Showing posts with label coronavirus. Show all posts
Showing posts with label coronavirus. Show all posts

Monday, July 25, 2022

In quarantine, who can hear you scream?

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My teeth are like these chairs


My teeth and I have a somewhat adversarial relationship. I just want teeth that work and don't disintegrate. If they stayed in my mouth and met that most basic criteria, they could be brushed twice a day with a sustainable toothbrush and fancy Italian toothpaste that gives one's breath a whiff of sweet jasmine. 

Sadly, it was not meant to be. I don't like my teeth, mostly because they don't like me. The devils just won't stop acting up. They develop problems at the worst possible times: in Singapore on vacation, while I have COVID, in the middle of proficiency test examining.

So, I just wanted to write a little about my experience in quarantine -- specifically, what happens if you develop a bit of a dental drama at a time when no one can help you.


It seems I've developed a severe toothache. This tooth has bothered me for awhile; I actually need an implant, but the dentist says to keep on keepin' on until there's no alternative. Implants are expensive and the procedure takes awhile to complete. That, and every time I think about a screw going into my jawbone I squirm and tear up and he sees it. I know it's not supposed to hurt, but tell my lizard brain that. 

This round of tooth pain is so unbearable that I am afraid to take more painkillers, as I've already reached the 24-hour hard limit. Ice helps but only briefly. I have numbing gel and clove oil and they do not work. I can barely eat and I'm sleeping poorly.

Knowing that they will let you out of quarantine for medical emergencies, I called 1922. They gave me the city government phone number, which I called this morning. 

The city government worker who answered said that the whole "emergency quarantine leave" thing is only for the actual emergency room. If there's one thing I know from my dental troubles, it's that emergency rooms do not include dental care unless you've been in, say, a major car accident and your face is messed up in a very urgent way. 

"Nobody's going to be able to treat you," she said, not unsympathetically. "The best they'll do is give you more pain medication."

You mean the pain medication I am quite literally in danger of overdosing on, which still doesn't work? 

Yep.

Even though I tested myself this morning and at the 10-minute mark stated by the testing procedures, it came up negative? (After another 15 minutes a faint T-line appeared; perhaps I am not as COVID-free as I'd thought when the timer went off). 

Yep.

I understood the minute she said permission to leave was only for emergency room services. Like in the US, the health system acts as though your teeth are somehow not part of your body -- any other pain might be an emergency but nobody will help you with your teeth. Taiwan's health insurance covers fillings and root canals, but not crowns or implants. Teeth, apparently, don't matter and tooth pain doesn't really count. 

I couldn't really be angry about this. Upset, unhappy and in pain? Sure. But "angry" isn't fair: if you were still under a government-mandated quarantine anywhere in the world, would a dentist see you? I mean, that's the kind of doctor you breathe on the most!

The only real differences between Taiwan and the US in this regard seem to be that Taiwan enforces quarantine a lot more strictly, and in Taiwan you can actually call someone to ask what your options are. If you're lucky, you might even get help in English -- I no longer need this, but there was a time when I did. I feel for newcomers who are now in the same position. I feel even more for the majority of foreigners whose native language isn't English, who may have even more difficulty accessing information and help. 

An American friend said it seemed unfair: if I wanted treatment it should be my right to break quarantine and seek it. I understand that perspective, but the Taiwanese perspective that I could cause the dentist to fall ill and potentially create an outbreak in a medical office made sense. Taiwan wasn't going to let me die of a brain infection, but I would potentially have to endure some pain for a few days longer than I'd like. 

I did not want that pain, but I understood the general principle. I'd also learned that naproxen, or a combination of ibuprofen and acetaminophen, were more effective than either ibuprofen or acetaminophen alone, that sucking on whole cloves worked better than the oil, and that if I iced it for longer I could calm the pain somewhat. It wouldn't be fun but it would be survivable. 

I made an appointment at a hospital for Wednesday morning, the minute I am out of quarantine. No private clinic would see me until 14 days after a positive test. I could make it until Wednesday, but not the week after. 

And then...a miracle. 

When I reported to Ren'ai Hospital that my tooth pain was severe enough that I wanted to see a specialist and could not easily wait, I thought the phone number they gave me was a dead end unless I actually developed sepsis. 

But no! A hospital staffer unexpectedly called me today to say they'd gotten a report of my situation and asked if I wanted to go to the emergency room. I said I would be willing to, but if a dentist wouldn't see me, what would be the point? 

So she looked around and found a dentist willing to do online consultation. It's not perfect -- dentistry really requires a better examination of one's teeth than a phone can provide -- but it's someone, willing to do something. She even added me on her own Line to help me set up the consultation with the dentist.

That all worked out (though the process was a little confusing). I still haven't figured out how to get pharmacies to deliver to my home, so a friend came by, picked up my NHI card and some money, ran it up to the dentist, got my drugs and ran them back, all without coming face-to-face with anyone in the House of Plague.

I don't know if it would have rolled out differently if I'd been anything other than a white woman. Would a local have gotten such help? (Would they have needed it, knowing the language and having better connections than I ever could?) How about a foreigner who wasn't obviously Western? I have no way of knowing, I can only relate the experience I had. 

Perhaps I was helped because I happened to go through Ren'ai Hospital, and someone there happened to take my issue seriously enough to step in. Would I have gotten care if I'd reported another way? I have no way of knowing. 

Honestly, this was better than anything I could have pulled off in the US (without lying about my COVID status there). I understand worry about putting your health in the hands of a big government system -- what if they prohibit the path that's best for you? Yet, I can't say that's what happened. Yes, Taiwan can force you to stay in quarantine and the US can't. But would anyone in the US have thought to call me up and get me what I need like that? Doubt it. I'd have been on my own.

This isn't to say I prefer all-powerful, paternalistic or authoritarian governments. I don't. I would not have gotten what I needed in most such governments. Could you imagine things working out this way in China? I can't. 

Rather, I prefer governments that at least make an effort, even two years into a pandemic. I know that's hard to do in larger countries like the US, but the US also has more resources. They could try to meet residents' needs while having stronger policies to fight COVID. They just...don't. Maybe it's a cultural thing -- I feel like in the US the service you'd get would be very much dependent on your ZIP code. But from here, it looks like giving up.

My experience didn't deliver a perfect solution, but now I have what I need to make it to an appointment. I'm still in pain but I hope it will start subsiding. I feel pressure in my tooth from swelling or (not to get too gross about it) pus. But I got necessary drugs, and I won't be putting any doctors at risk.

Sunday, July 24, 2022

What to do if you get COVID as a foreigner in Taiwan

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I don't have a relevant cover photo, so enjoy this pretty tile from Portugal.


Other than having "I've finally bagged me the 'rona!" stuck in my head for the past few days, I've been thinking about how to help other foreigners in Taiwan with the whole process of it all, once you've tested positive.

It's not particularly straightforward, even if your Mandarin is pretty strong, and most of the guidance online is inadequate. "Find a clinic or hospital near you for a telehealth appointment!" is not useful if you feel terrible and are not up to searching online to find one. "You can get medication delivered to your home!" is similarly unhelpful without clear directions as to how, especially if you're not feeling well and don't have the energy to figure it out on your own. 1922 varies depending on who's available to talk to you at any given time: one friend got immediate help, the other got asked her name and phone number in Mandarin and was told someone would call her (fine if your Mandarin is okay, not great if you don't speak it.) 

So, I thought I'd do my best to write a guide. This is specifically aimed at people whose Mandarin is worse than mine, who don't have, say, a local significant other to help. Mine's not perfect, but it exists -- if yours is better, you probably don't need my help! 


Before you test

I strongly recommend, before you even feel sick, to have a plan in place. I didn't -- unwisely kept putting it off as non-urgent -- and had to figure all this out while sick. Learn from my mistake! What sort of plan? Well, you'll want to: 

1.) Download the EUCare app and register, if you have National Health Insurance (you can't use it if you don't). The registration is offered in English, and it doesn't obligate you to make an appointment. You'll need to verify your phone number and possibly e-mail.

Be sure to enjoy the "Congratulations, you are now part of us!" message you get when your registration is successful! I had a little trouble registering, but when I swiped the app closed then re-opened it, it worked.

2.) Figure out where you'll do your telemedicine appointment in advance (which may or may not be through EUCare). If you plan to use the Taipei City Hospital system and don't have anyone to pay the registration fee for you, then you may want to download a relevant app such as Taipei Pass in advance, as they have to review your account before you can use it. 

3.) Have a plan in place for paying the registration fee and picking up any medicine -- this can be done through online payment and home delivery, or having a trusted person be able to take your health insurance card to the hospital or clinic and pick it up for you. I strongly recommend discussing/agreeing in advance with those close to you regarding who will help whom if you suddenly can't leave the house. Even if you have a partner, they may get sick too. It is so much easier to have someone you can call at the ready to go pick up what you need.

4.) Keep a supply of painkillers, cough medicine and diarrhea medicine at home (just trust me on that last one). Some of those flu drink packets don't hurt, either. I also recommend having some citrus or sour candy or lemon drink mix on hand if you think you might be taking Paxlovid. 

Other items my friends or I have felt useful to already have at home:

Extra pet food, if you have pets (have a plan if you have a dog who needs to go out); extra garbage bags; sufficient toilet paper; lip balm, toothpaste and lotion; seasonings to make your food appetizing; and a stash of something you like that's not perishable so you don't need to immediately order grocery delivery -- for me that's frozen dumplings but it can be anything you can survive on for a day or two. 

5.) Figure out in advance if you qualify for Paxlovid (here's an FDA guide from the US and another guide regarding what Paxlovid is and who should take it). In Taiwan, I don't know every regulation, but chronic issues such as asthma or high BI qualify you, among others. There are also risk factors (such as liver or kidney issues and certain contraindicated drugs). I'm not a doctor; if you think you qualify, be ready to ask at your appointment. They may not ask you; you'll need to bring it up. 

Not everyone needs Paxlovid, so don't ask for doses you don't actually need. I qualified and received it, Brendan didn't, and he's doing fine. If you do need it, however, be prepared.

6.) Have some idea how you will get food delivery, especially if you have, say, a fobbed elevator and delivery people cannot get to your door. This may mean talking to your doorperson, making arrangements with friends or stocking up in advance on non-perishables.


Testing positive

You no longer need a PCR confirmation; an at-home rapid test is sufficient. You will need your health insurance card, positive test result, and a pen/marker

Now you'll need a confirmation appointment. You can do this in person, but you can't take public transportation, so if you don't have a vehicle (or are too sick to drive) and there's no one to take you, you'll have to walk. 

I strongly recommend that you do this online instead. 

Using EUCare

You can do so through the EUCare app. I'll link to some other resources after the screenshots below.

Once you register, there is a button for making an online appointment -- it's the "Rapid Test Positive Confirmation" button with the bell. 



They only have one clinic (located in Tainan) that does confirmations all day, so if you can't find anything near you, select "Tainan": 


The other options to the right are, in order: Taipei City, New Taipei, Taoyuan, Taichung, Tainan, Yilan, Hualien and Taitung. 

I don't know why it doesn't include every county, but this is an online confirmation, so it doesn't really matter. 

If you've selected Tainan because it's the only one open, choose Chimei, the first option:





I can't promise you'll only be given this option, so if there are several, choose this one: 






Choose a doctor and time (this is just one option, from what was available when a friend tested positive):






You may be asked to upload a picture of your health insurance card and positive result, and you may also be asked if there's anything else the doctor should know. You can type this in English. 

If the system acts up, just close the app and try again. It's a little buggy but it usually works at least on the second try. If you choose an option other than Tainan Chimei, and can't read what the choices are, I recommend getting Google's Translate app, which allows you to upload photos, including screenshots, to tell you what they say. 

If you don't get those options when you register, contact them via Line (the Help icon at the bottom -- make sure you have Line installed as it will take you over there.)  

Or just sign out and in again: pink button to sign out, yellow to get back in, and the circled option once you do that.





You can also use the Help function other issues with the app, and if you tell them in the beginning you prefer English they'll do their best (I didn't use EUCare but a friend did, and this is what he told me.) When you add their Line you'll get a bunch of messages -- these just tell you that the Help service is for using the EUCare platform, not actual medical attention, a rapid test confirmation or a COVID taxi, and that it's illegal to insult or abuse them or send pornography. 

You'll get a notification when it's time to join. Just open the app and press the button.

The doctor you get should be able to speak English (most doctors in Taiwan do, even if service or support staff do not). If you have any concerns such as picking up medicine you can ask at this time. Have your address ready -- if your confirmation appointment is not close to you, they can send any medicine to a nearby pharmacy.

According to another friend this can get difficult if you don't speak Mandarin -- if you don't, it's best to have someone who does on hand to help you. You'll have to choose the pharmacy and then have someone pick it up for you, or call to have it delivered. 

However, there doesn't appear to be a charge to use EUCare -- at least, my friend wasn't asked for any money.



Taipei City Hospital (for Taipei residents)

If you live in Taipei City, you can make an appointment through the city hospital system. This is what I used. The page tells you about how to do this -- I checked it in Translate mode for you all, and I can confirm it's pretty readable. You'll need the same items as above: National Health Insurance card (if you have one -- if you don't, have a photo ID ready), positive test and a marker. Click on one of the options in green: 



The options, in order are:

Chunghsiao/Zhongxiao (near MRT Houshanpi)
Ren'ai (at Ren'ai-Da'an intersection, near Zhongxiao Fuxing)
Chunghsing/Zhongxing (near Dihua Street)
Heping (near Longshan Temple)
Women's and Children's (on Nanhai Road near Freedom Square)

Choose whatever is most convenient for you and -- hopefully -- the person you have lined up to pick up your medicine and pay your fee. Actually inputting the information is not very hard: 



Choose a date (usually the same day or next day). 上午 is the morning clinic, 下午 is afternoon. It asks for your full name, date of birth, ARC number, phone number and address as well as a captcha. I put in my address in Mandarin, so I don't know if it will accept English. If you're worried about this, have your address in Mandarin ready to copy and paste. These are just examples of choices if you click "Ren'ai".

Click the blue button at the bottom to get your number. Then add the relevant Line ID and change your account display name.

You'll also need a method of payment for the NT50 registration fee if nobody can go to the relevant hospital for you. You'll need to download one of the the relevant apps such as Taipei Pass or the city hospital app (the latter in Chinese, for you to copy and paste: 臺北市立聯合醫院行動掛號). 

Taipei Pass takes awhile to activate as they have to review your registration. The city hospital app is only in Mandarin, and even though I can read everything on it, I can't figure out how to register. So, I strongly recommend you have an agreement with someone in advance. 

I used Ren'ai. I was asked to add the relevant Line ID and change my display name to my name and appointment number (an example is given on the information page.) They sent a message a few minutes before with a link, which I clicked on. A button appeared to enter the conference room and I did. The appointment was efficient, professional and in English. I didn't see that they actually used Line at all!

My husband was asked to add a different Line account when he tested positive (yes, we are a COVID House now) -- mine was tpechra9, his was tpechra8. His appointment actually was through Line, so just stay by your phone and wait for a notification. Have a picture of your ID/NHI card and positive test ready. I was asked to show mine -- all the appointments are recorded -- but he was asked for a photo upload. 

There are specific pickup windows for medicine, which is handled outside the main hospital. Ask your doctor which window your pickup buddy will need. If you need it delivered, ask at this time. I am not sure how to actually do this, as we had someone pick it up for us both times (Brendan did mine, and a friend did Brendan's). 

If you think you qualify for Paxlovid, be sure to proactively ask about it. It does not cost extra.


Local Clinics

You can also confirm your positive result through a local clinic. However, when I attempted to find one, I found that feeling like absolute garbage did not improve my ability to find that information and make phone calls in Mandarin. Turns out, being barely able to sit upright makes it difficult to do something in a foreign language. Who would've thought!

If you do want to go this route, here is a page listing all clinics which do positive result confirmation so you don't have to root around on Google Maps, like I tried to do. Again, learn from my mistakes!

Each link will take you to a city government page with some PDF links. These are all in Chinese but they translate to English fairly well (again, I checked for you). The PDFs are what contain the actual clinic and hospital contact information; you have to call yourself. 

In Taipei, the city hospital system is certainly easier to deal with, but this may be of help if you are outside Taipei. It doesn't translate well, as the links disappear. If you don't have even a little Mandarin, I recommend you at least be able to recognize the characters for where you live if you want to use this method.

Lienchiang (Matsu) and Kinmen just list the clinics with no links -- it's up to you to look them up and call them. No, they probably don't speak English, so if that's a problem you'll want to stick with EUCare.

Keep in mind that while the doctors usually speak English, the staff often don't. If you feel comfortable calling around while you are sick, then you probably didn't need my help in the first place! However, I wanted to include this option.


After confirmation

The confirmed case form

Soon after you are a confirmed case, you'll receive a text message with a link to a form which is helpfully all in Mandarin. Unfortunately, I had not thought to write this post when I received it, so I filled it out and sent it off without taking screenshots. 

If you can read Mandarin, it won't be that hard (though the information for close contacts -- that's family and workplaces only -- can get a bit lengthy. It's not required, but if you do have close contacts who aren't aware that you're positive you do need to fill it out.) 

If you don't, my best recommendation is to take screenshots and open them in the Translate app. Some difficult sections, such as asking you your neighborhood or 里, are actually optional. I happen to know my li but not every foreigner does, and it's a pain to look up.

Soon after, you'll receive a bilingual notification of quarantine, which will tell you what day you can leave home. This should be sent to you by text, with the last six numbers of your ID as the password. The link does expire after a few days, so I suggest you download this. I had to email it to myself and open it on my desktop to do so. 


The phone calls

You should receive two phone calls on your first official day: one from your district health office and one from whoever is designated with checking on you for the national government (for me, someone from Ren'ai Hospital calls daily). At least, that's true for me -- Brendan says he didn't get a call today, but I did. 

The district health office is your friend -- if you need help with something like garbage service, tell them so. If you're unsure, take down their number. You can always call them later to ask for help, as they'll only call you once. 

Depending on where you are, the district health office may not speak English. I don't know what to tell you except to be ready for this. 

The daily call checks on your symptoms for the national database. I usually talk to them in Mandarin, and you get all types. The first one confidently spoke English before I even tried to break out my language skills. The next day, the caller offered, but seemed happy she didn't need to. The third caller was clearly terrified of talking to a foreigner at all, even though I assured her she didn't need to use English. So, you know, you get all kinds.

If you don't speak Mandarin and make it clear in the beginning that you need English, they may make sure someone who speaks it will call you daily, or transfer you. I can't promise that, but that's how these things usually shake out. 


I'm quarantined but need to see a doctor for something else!

If you get sick with some other thing while in quarantine, you can make an appointment through EUCare (go to the button that says "Specialist" and choose from the options (it will again be a list of hospitals and clinics by location in the same order as above). In Taipei your best option is Mackay (台北馬偕紀念醫院), which is second on the list if you click "臺北". Choose your preferred clinic by the photos -- for example, for persistent cough, click on the lungs. Choose the last one, Family Medicine, if you're unsure what you need.  Input your information and a photo of your NHI card, and specify what you need in the box. You can do this in English. Then book the appointment and wait for the notification. 

The only part that may be confusing is the "Unified ID" (統一編號). That's usually a term for a business ID, but it's used here. Input your regular ARC/APRC ID number. 

You can also call 1922 for help, though their ability to do much will depend on who's staffing it at that time. Some people I know have gotten excellent service, some have gotten a gruff request for a phone number in Mandarin, so someone could call them back in English. 

I personally have developed a toothache in quarantine, and will probably call 1922 about it tomorrow, so I'll update with any useful information (there is no dental icon on EUCare). 


Other advice

These are just some tips I have from being in quarantine. 

First, I cannot stress enough to prepare in advance. I had done some of the not-yet-positive things I suggested above, but not all of them. Be smarter than me. Agreeing in advance with multiple friends that you'll all help each other will especially make everything so much easier. 

Secondly, if you do get Paxlovid and develop Paxlovid Mouth, the secret to killing that awful taste long enough to eat is citrus. It could be lemonade, lemon water, sour candies, Vitamin C tablets (the kind that come in the yellow and green tube, or the Korean ones in the moon-shaped plastic dispenser work great.) It could even be Pocari Sweat, which is mildly citrusy. But you'll want something -- eat a sour candy or drink lemon water if the taste becomes unbearable or you want to eat a meal that doesn't remind you of battery acid upchuck. It kind of tastes like a bitter chemical sewage; I really cannot emphasize enough how awful it is. 

But lemon and citrus kill it! It's kind of the big secret to surviving those five days while eating somewhat normally. Stock up. 

Drink massive amounts of water. We're talking as much as you can take. Be ready to pee it all out, but just keep drinking. 

Brendan says coffee every morning helps his symptoms. I drink it too, but haven't noticed that it makes them much better. It's worth trying, however. 

Rest even if you feel okay, at least for the first few days. Use this as an excuse to do nothing. 

There is no need to test daily. You can't leave for a week anyway, so it's not worth testing until you're close to your quarantine end date. Save your tests!

If you've read this far, there's a fair chance you're sick. If not, stay healthy!


Monday, June 6, 2022

All the unfounded "evidence" Ma Ying-jeou used to attack the DPP on 6/4 (Part Two!)



Does this look like the face of a liar to you?
(Yes.)


It's easy to spout bullshit. It's easy to lie, or take a kernel of truth and present a slanted and ultimately inaccurate perspective on it, calling your take the real truth. It's been done since the birth of political discourse because it's efficient, it's simple, and people will believe you.

What takes a long time? Refuting someone else's lies and bad takes. That requires reams of free time and tracts of verbiage. 

Fortunately, I type fast and am in quarantine, and a blog has no word limits. Why not debunk every accusation Ma Ying-jeou hurled at the DPP in his offensive post on June 4th? Sure, he briefly mentioned the Tiananmen Square Massacre, but it's clear what he really wanted to do was compliment Xi Jinping and trash his own country's democracy and elected leader. 

At least, he wanted to trash Taiwan's democracy. I'm reasonably sure he believes that China is his country and Xi Jinping currently leads it. 

Regardless, the crux of his argument is worth refuting point-by-point. Much of what he references was barely covered in English-language media, if at all. He uses specific terms even the most fluent second-language Mandarin speakers might be unfamiliar with (I know I was). And there are people who will believe it. 

I discuss the entirety of his statement in my previous post. Here, I'll address the specifics, starting with the middle of the post where he goes into detail.


Although Taiwan still flies the banner of democracy, under the Democratic Progressive Party's governance, it has gradually slid into "unfree democracy":  closing television news stations, liquidating opposition parties, "checking the water meter" of the people [this is a slang term], interfering with the judiciary,  an all-around 'greening' [turning pro-DPP] of independent agencies, revising the law to exonerate the corrupt former president [Chen Shui-bian], using internal propaganda to mislead citizens and sowing hatred simply to follow the 'political correctness' of the so-called 'anti-China protection of Taiwan'. International public opinion turns a blind eye to these initiatives, which harm Taiwan's freedom and democracy, but I am deeply concerned.


There's a lot to cover here, so let's go point-by-point, news item by news item.


"Closing television news stations"

The television station in question is CTiTV, which has severe editorial integrity issues and has been known to broadcast disinformation.  

It was done because they breached regulations several times and were routinely broadcasting false information without fact-checking. They were also found to lack editorial independence from their owner, pro-China Tsai tycoon Tsai Eng-meng, whose Want Want group receives funding from China. Want Want China Times Media Group (of which CTiTV is/was a part) was also accused of taking orders directly from the Chinese government. The original Financial Times piece is here, but paywalled.

Even if you oppose the closing of CTiTV, it wasn't done to crush dissenting voices. Plenty of pan-blue networks are still on television, and CTiTV is still alive on 
Youtube. While other networks may have fact-checking, editorial and general quality issues (including pan-green ones, which are hardly a bastion of fantastic journalism), CTiTV is the only one the NCC has actually refused a license renewal to. Typically a network won't fall afoul of the NCC if they plausibly believed false information was true at the time it was broadcast.

Some critical responses to this incident described Taiwan's media environment as being solidly "green" -- Han Kuo-yu even stated that "90% of media is pan-green" during the 2020 election -- and taken CTiTV's downfall as a harbinger of some sort of authoritarian DPP crackdown. That's simply not the case. It's true that by viewership the pan-green channels dominate (at about 66% as per the above link), but that doesn't mean that pro-DPP news channels are the only choice; it means more people choose to watch them.

In other words, it's possible to sincerely disagree on the NCC's decision, but it's not possible to credibly call this a grab to dominate the media or a sign of "Green Terror". 


"Liquidating opposition parties"

This probably has to do with transitional justice. Essentially, Ma is saying here that money the KMT can be credibly accused of stealing over the decades of its brutal, corrupt, totalitarian rule should not be taken from the KMT and given back to the nation it was stolen from. Not great.


"Checking the water meter"

This is Internet slang for the police entering a home on false pretexts, for example, to say that the home's water meter needs to be checked when it doesn't. It's also a catch-all for general intimidation of anyone who opposes you -- usually through a real-life visit -- while making excuses for your presence. 

The KMT likes to complain about this -- Alex Tsai at one point said it would lead to a modern Wuchang Uprising which...what? At first I thought it was pure projection: one thing I've learned in life is that people who make preposterous accusations against others either have engaged in those actions themselves, or want to. If someone (or a group) is screaming "all these bad actors are doing this to me!" but offers little evidence that it's happening, chances are they're the ones actually doing it, and trying to deflect scrutiny. 

Certainly, when I think of police intimidation to quell political dissent, the KMT has far more of a historical legacy. There is flimsy evidence for the existence of a "Green Terror", but the "White Terror" is a matter of historical fact. And frankly, even in modern times the KMT is not blameless.

However, a few cases did pop up after a search. Apparently some police showed up at a KMT think tank symposium saying protests could break out as the discussions were related to upcoming referendums, and protests were happening elsewhere. The KMT insists it wasn't a public event and only the press was notified, calling the excuse for the police presence "farfetched". In another incident, an elderly woman was visited by police after posting disinformation about the then-upcoming 2020 election.

Neither of these incidents, if true, looks great. However, the symposium was not stopped and no one was arrested or harmed. (I also couldn't find any proof that there's some DPP-led crackdown on freedom of expression). The woman was asked to explain her post at a police station in accordance with the Social Order Maintenance Act -- not great, as authorities paying someone a personal visit over something they've said sends a specific kind of message given Taiwan's political history -- but as far as I can tell was not arrested or further troubled. 

While the DPP is hardly perfect and their methods of handling disinformation potentially problematic, neither of these incidents definitively proves that the DPP is turning Taiwan into an "unfree democracy" or instituting a reign of "Green Terror". 


"Interfering with the judiciary" and "turning independent agencies green"

These accusations are more vague, but seem to refer to a variety of issues. This KMT News Network post is barely readable (no, it's not a machine translation) but provides little actual evidence of judicial interference, stopping at an insistence that it is happening. The KMT took a comment about the "Political Investigation Office" out of context in regards to the recent by-election between gangter Yen Ching-piao's son and DPP candidate Lin Jingyi -- there appears to be a lot of booming anger but very little actual evidence that anything illegal took place.

In terms of that "all-around greening of independent agencies", there have been a few accusations of nepotistic activity in various agencies, and an insistence that the NCC (the agency that revoked CTiTV's license, discussed above) has been "turned green" -- all with very little proof. 

I'm not saying that the DPP is perfect and incorruptible; that would be risible. All parties do unsavory things. However, when it comes to these specific accusations, I don't see much there.


"Revising the law to exonerate the corrupt former president"

This is getting very long, so I recommend reading the Taipei Times coverage of this issue if you want to know more. I'm not going to opine on whether the law being amended is actually unclear, or the types public funds in question are functionally the same, as I'm not an expert in that area. I'm also not going to spend a lot of time discussing Chen Shui-bian, as that's old news. 

Sure, it doesn't look great to change a law in a way that would exonerate someone convicted of corruption from your own party, although the KMT hardly has a spotless history when it comes to corruption and inappropriate use of funds (that's why the Ill-Gotten Assets Committee exists), and the article notes that they've done the same thing:


While saying that the KMT set a bad legal precedent in 2013 by amending the same article to exonerate former KMT legislator Yen Ching-piao (顏清標) from allegations of misappropriating public funds, the NPP said the DPP yesterday again set a bad precedent by forcibly passing the bill at the legislature.

 

Think what you like about Ma's accusation here, but remember that he's probably not too interested in discussing the KMT's similar political maneuvers.


"Using internal propaganda to mislead citizens and sowing hatred simply to follow the 'political correctness' of the so-called 'anti-China protection of Taiwan"

Look, honestly, this just sounds like mad ranting. There's no actual accusation here: Ma is just mad that society rejects his and the KMT's insistence that Taiwan is Chinese and should embrace a Chinese identity. They don't want to admit that the CCP is a threat to Taiwan and attempts at warming relations with them will only hand them opportunities to render Taiwan economically dependent on and politically tied to China, making a move away from unification more difficult. 

They simply cannot accept that Taiwanese do not think they are Taiwanese and that this angers China, and the DPP acknowledges and works with these facts. Acknowledging the general consensus on Taiwanese identity is apparently "propaganda" and being pragmatic on the threat of invasion from China is "politically correct" maneuvering to make Taiwan "anti-China". 

The KMT will never admit that their own forcing of Chinese identity -- including the attempted destruction of the Taiwanese language in favor of Mandarin -- onto an island they occupied was the "internal propaganda" they speak of. They'll never admit that the social change toward Taiwanese identity took place before the DPP took power in 2016, and in fact spiked when Taiwan fully democratized and grew throughout Ma's own administration. They'll never admit that China is a threat, not a friend. And certainly they'll never admit that Taiwanese by and large do not want to be part of China. They'll never admit that their own attempts to force Taiwanese to identify as Chinese failed, and are unlikely to succeed in the future.

There is literally nothing else there, so let's move on.


Furthermore, the coronavirus pandemic has shown over the past two years that the government has not done enough to procure vaccines, and their chaotic 'rapid screening' policies show that the government's "proactive deployment" is a falsehood.  DPP leaders and the so-called "1450" [the so-called DPP "Internet army", named for an amount of money said to be allocated toward cultivating it] attack and discredit any critics [the actual phrase is "smear red"].  


I discussed these particular distortions in my previous post, but I think they belong here as well, so I'll quote myself in green:

 

I'll admit that Taiwan's pandemic response has not been perfect in every aspect, at all times. There have been poor decisions, politically-motivated choices and lags. However, I'd describe the overall pandemic response as sterling -- no, gold standard. Anyone who thinks that Taiwan did a poor job handling the pandemic is straight-up full of it. All you need to do is look at how the entire rest of the world save possibly New Zealand handled it. Most accusations to the contrary distort what actually went on with the early vaccine purchases or blow up small mistakes into catastrophic ones. Most of it is based on lies.

As for the "1450" Internet troll army, well, I'm sure every party has people working on influencing public conversation. I won't pretend it's beyond the pale to say the DPP has one (and the KMT surely has one too -- I recall an ad surfacing years ago promising free bento boxes to attendees of a seminar on how to post online to bolster the KMT's image, but can't find a link).

That said, I can't find any proof that the "1450" army actually exists, and it would be very weird to allocate such funds through the Council of Agriculture, no? What's more, people decrying the "1450" have been known to misattribute the origin of the phrase to mean NT$1,450 paid to each Internet troll working for the DPP. 

Basically, there are a lot of accusations and very little proof here.

In sum, Taiwan actually has done an overall excellent job handling the pandemic. When you see people online praising that, it's because there's good reason to do so. If the KMT is sore that it's not very popular now, perhaps they should look at their own poor governance and attempts to force Taiwan toward closer relations with China. 


That is to say, there's nothing here but more distortion, including some statements that I suspect are outright lies.

When we shouted that the opposition should be treated kindly in order to establish core values in common on both sides of the strait, the ruling party is suppressing or even eliminating dissidents, while falling into "unfree democracy" and "elected dictatorship." 

 

Ah yes, because the KMT is renowned for always being so kind to the opposition. They were so friendly when they threw the Tangwai in jail. Their torture and interrogation techniques were employed in an attempt to establish core values in common! The KMT has never, ever attempted to "suppress or even eliminate dissidents", the White Terror is called that because it was just very bright outside for decades!

Obviously, there is no evidence -- I don't even have a link -- that the DPP is doing this. I discussed the inclusion of "cross strait common values" and the impossibility of an "elected dictatorship" in my previous post and won't repeat them here. 

Needless to say, this is the part of his argument that slides from plausible, debatable issue into lies and hokum.

Not just hokum, but more projection. Didn't the KMT spend decades during Martial Law lying about how the ideals of the Republic of China included democracy, while not instituting democracy beyond the local level in which every candidate was KMT-approved?

When someone like Ma bangs on and on about what the other guy is doing, you can be pretty sure he's done it, or he's aware that the KMT has. What was it that someone said on Twitter? Every KMT accusation is a confession? Like that.

Liars like Ma follow a second pattern, in my experience: they start out with claims that, while refutable, are based on real events or issues. You have to take time and energy to actually refute them. So if you know they're garbage, you ignore them, but if you don't, you might well believe it. In any case, at least some of them might be up for some kind of real debate, even if the actual claim made by that person is fundamentally flawed. 

Then, after you've been tired out, they go for vague accusations and outright bullshit. In other words, there's a veneer of plausibility to start out, which gradually drops as the case being made grows more and more deranged. 

If you ever find yourself reading something that starts out sounding pretty good, makes a few questionable claims that are nevertheless worthy of discussion, and then devolves down the road to Crazytown, be suspicious. This is a perfect example.


🎵 Ma Ying-jeou is a sack of trash 🎶 (Part One!)

Untitled


This is the first of a two-parter. You can read the deep dive into Ma's actual claims here.

I was going to write a post going after an issue I'm angry about in a sort of general, ambient sense. But this other morsel of news I'm also angry about is timely, so at the risk of blogging only when I'm angry about something, here goes.

Yesterday was June 4th, the 33rd anniversary of the Tiananmen Square Massacre. Certainly, in Taiwan and around the world, politicians who put out statements about Tiananmen anniversaries generally avoid the overtly offensive. Some are sharp criticisms, whereas the worst of them are simply too anodyne. 

Take President Tsai's Facebook post for example. She touched on how Taiwanese people and their leaders, as in any democracy, hold a variety of opinions that don't always agree, but can hopefully be united through transparency, sincerity and communication. She touched on the crackdowns in Hong Kong, saying they won't destroy the memories of the people. Perhaps it wasn't necessary to talk about the pandemic and vaccines, but overall it's a perfectly acceptable statement.




Then there's former president and human dingleberry Ma Ying-jeou. I started out calling him a "garbage person" but honestly, I don't want to insult Taiwan's hardworking sanitation professionals by implying their necessary and respectable jobs might also describe such a man.

Ma spent most of it trashing the democratically-elected government of his own country, and included some brief praise -- yes, praise -- of genocidal dictator Xi Jinping. In this swash of effluent, he added a few admonitions that June 4th should be recognized and "rehabilitated", with vaguely-defined addressees. In other words, there are a few okay sentences in a big ol' gurgle of vomit. 

I'm not a professional translator and Mandarin isn't my first language, but I'll take a stab at parsing what he said in English. I think this is important because, having checked the machine translations available from Facebook and Google, the former is unreadable and the latter, while okay, will be unclear to anyone unfamiliar with the issues Ma touches on.

I've broken his words down into chunks for analysis. It's easier this way, and anyway "chunks" are a good descriptor of what Ma is spewing. At the end we'll look at why his post matters at all. 


Today marks the 33rd anniversary of the June 4th Incident. On the one hand, I once again call on the mainland authorities to courageously face history and accept responsibility so as to move forward. On the other hand, I also feel the need to use this opportunity to reflect on the fact that although Taiwan claims to be a "democracy", it is slipping step by step into "unfree democracy." It's highly worthy of vigilance.


This paragraph is hardly the worst. Note however that Ma calls on "the mainland authorities" to recognize the Tiananmen Square massacre. Yes, the use of "mainland authorities" is a huge eye-roll -- not the Chinese government, and nobody in particular -- but is expected coming from him. He'll continue the trend of calling China "the mainland" throughout the post. 

I can't imagine why he would think the Tiananmen Square Massacre deserves to be "one hand" of a larger argument -- it stands alone as its own issue -- but this is Ma Ying-jeou. 

I noticed that he couldn't even use the words "Tiananmen Square", let alone "massacre." Tsai also calls what happened an "incident" (a common way of naming historical atrocities in Mandarin), but at least she uses the word "Tiananmen." That's nothing, however, compared to the straight-up offensiveness of using June 4th as an opportunity to rant about how "on the other hand" Taiwan is so "undemocratic" that it deserves more space in a post about Tiananmen Square than the actual Tiananmen Square! 

As a quick reminder, Taiwan is consistently near the top of democracy rankings in Asia and the world. Ma alone is screaming into the wind that Taiwan is somehow unfree. 

Note as well that this "unfree democracy" tripe is one of Ma's common refrains; this isn't nearly the first time he's used it. It's pretty ironic, isn't it, that Ma is able to go online on social media from Taiwan and say whatever he likes about Taiwan, including scathing (if untrue) criticisms about its government, overall level of freedom, and ruling party. It's almost as if he has the freedom to talk about this issue. Huh! 


The world is unsettled lately. The trade war launched by the US against the mainland in 2018, the explosion of the COVID-19 outbreak in 2020, and the Russia-Ukraine War that began in February affect global peace and stability at each step. Therefore, I would like to remind the mainland that although the so-called "anti-China" trend initiated by the United States has complicated the situation, that the mainland can turn passivity into action and send a more positive message to the rest of the world.


So instead of talking about Tiananmen Square in a post ostensibly about Tiananmen Square, Ma decides in the second paragraph to attack the United States for starting a "trade war". I don't want to throw the Trump administration even the tiniest of bones, but was it a trade war, or was it the US finally standing up to China's unsavory trade practices, IP theft, tendency to tear up any agreements it doesn't like and realization that dealing with genocidaires is maybe a bad thing?

What's more, isn't his own party trying to rebuild friendly ties in the United States by opening a representative office, after ceding so much political ground to the DPP there? Isn't KMT chair Eric Chu there right now? It's not just offensive (and parroting the language of the CCP on US-China ties) but politically unwise to write a post about Tiananmen, and then use it to attack the United States right now. Is he trying to sabotage his own party, or does he assume this is vitriol for a purely domestic market -- that nobody in the US will pay attention to his words?

Anti-Asian hate crimes against individuals are indeed a problem, and certainly Trump harmed rather than helped in this regard. That said, the Chinese government bears responsibility for its own poor image as an institution in the United States and beyond.

Notice as well that he addresses this to unnamed authorities "on the mainland", not any specific leader or government body. Rather than scathing criticism, it reads as "c'mon you guys, all you gotta do is just recognize this so you can put a positive image out there!

Commentators kinder than me might call this diplomatic. I call it overly-gentle and downright delusional.


In October last year, Mr. Xi Jinping, the mainland leader, spoke of democracy at Central People's Congress Work Conference, extolling the principle that the people hold all the power in the country, and that as masters of the country they rule it to the greatest extent possible.  I sincerely believe this is the right direction to build a society with rule of law. If the trauma of June 4th can be truly faced and dealt with [rehabilitated], not only will it project a good image internationally, but it will cause the two sides of the strait to cease moving further and further apart.


By the third paragraph, he's praising Xi Jinping for his words and "the right direction" he's taking. This compliment is the only time he will address Xi by name in the entire post.

Nevermind that Xi's words are a straight-up lie: people in China hold none of the power, they are not the masters of their country and they don't rule it to any extent. Ma surely knows this, but he never lets an opportunity to bestow some compliments on Xi no matter how inappropriate the timing, and how inaccurate the compliment. This can't be the "right direction" if Xi literally isn't doing what he says here, and is straight-up lying! Which he of course is, and Ma knows he is. Indeed, taking the time in a post about Tiananmen Square to praise Xi Jinping is easily the most offensive part of this whole thing.

Not only that, he's praising Xi Jinping for talking about democracy and governance by the people! In a post about the anniversary of Tiananmen Square! What in the actual name of Jesus is going on here?

To quote respected activist figure Chou I-cheng, Ma can praise Xi and denounce Taiwan's democracy if he wants, but it's particularly disgusting to do so on such a significant day.

He adds at the end that such a recognition might bring "the two sides of the strait" (note: not "China and Taiwan" because he doesn't recognize Taiwan's sovereignty) closer together. Which perhaps it could, but the gulf between the two nations exists not just because of June 4th, and not just because China isn't a democracy, but because China wants to subjugate Taiwan -- and Taiwan does not and will never want to be annexed by China. 


Nevertheless, what does democracy mean when the two sides of the strait have different systems, their narratives and practices are different. Beyond appealing to the mainland, we should also turn inward and examine our own democratic development more carefully.


Democracy means the thing that Taiwan has where the people elect their leaders and have human rights, including the freedom to criticize and remove those leaders. It also means the thing China doesn't have. 

It's inappropriate and offensive to attack Taiwan in a post that purports to be about events that took place in China, especially as Taiwan is indeed democratic and China is not. 

Reading it, you'd almost think China wasn't so bad but Taiwan was a mess, when the opposite is true. 


Although Taiwan still flies the banner of democracy, under the Democratic Progressive Party's governance, it has gradually slid into "unfree democracy":  closing television news stations, liquidating opposition parties, "checking the water meter" of the people [this is a slang term], interfering with the judiciary,  an all-around 'greening' [turning pro-DPP] of independent agencies, revising the law to exonerate the corrupt former president [Chen Shui-bian], using internal propaganda to mislead citizens and sowing hatred simply to follow the 'political correctness' of the so-called 'anti-China protection of Taiwan'. International public opinion turns a blind eye to these initiatives, which harm Taiwan's freedom and democracy, but I am deeply concerned.


I have so much to say about this litany of accusations against the DPP.  In fact, I dive into it here.

Each is worth diving into for several reasons: they provide the "evidence" for Ma's perspective and case against the DPP in the most detail, they're commonly reported in Chinese-language media but not so much in English, and they form the backbone of the DPP's argument for why they're better leaders than the DPP.


They're mostly bullshit -- though the most plausible ones are listed first -- but breaking down why each one is indeed its own uniquely-shaped steaming turd will take a lot of time and verbiage.

It's fascinating how Ma tries to claim the high ground and make it look like he has a detailed and multi-faceted case against the Tsai administration, which is mostly founded on a heaping pile of garbage.

Finally, he seems upset that the international community has a generally positive view of Taiwan (or that understanding of and sympathy for Taiwan is growing among Western nations). Why? Does he want the world to think Taiwan is a shithole? Does he want everyone to disparage Taiwanese democracy the way he does? 


Furthermore, the coronavirus pandemic has shown over the past two years that the government has not done enough to procure vaccines, and their chaotic 'rapid screening' policies show that the government's "proactive deployment" is a falsehood.  DPP leaders and the so-called "1450" [the so-called DPP "Internet army", named for an amount of money said to be allocated toward cultivating it] attack and discredit any critics [the actual phrase is "smear red"].  


I'll admit that Taiwan's pandemic response has not been perfect in every aspect, at all times. There have been poor decisions, politically-motivated choices and lags. However, I'd describe the overall pandemic response as sterling -- no, gold standard. Anyone who thinks that Taiwan did a poor job handling the pandemic is straight-up full of it. All you need to do is look at how the entire rest of the world save possibly New Zealand handled it. Most accusations to the contrary distort what actually went on with the early vaccine purchases or blow up small mistakes into catastrophic ones. Most of it is based on lies.

As for the "1450" Internet troll army, well, I'm sure every party has people working on influencing public conversation. I won't pretend it's beyond the pale to say the DPP has one (and the KMT surely has one too -- I recall an ad surfacing years ago promising free bento boxes to attendees of a seminar on how to post online to bolster the KMT's image, but can't find a link).

That said, I can't find any proof that the "1450" army actually exists, and it would be very weird to allocate such funds through the Council of Agriculture, no? What's more, people decrying the "1450" have been known to misattribute the origin of the phrase to mean NT$1,450 paid to each Internet troll working for the DPP. 

Basically, there are a lot of accusations and very little proof here.

In sum, Taiwan actually has done an overall excellent job handling the pandemic. When you see people online praising that, it's because there's good reason to do so. If the KMT is sore that it's not very popular now, perhaps they should look at their own poor governance and attempts to force Taiwan toward closer relations with China. 

When we shouted that the opposition should be treated kindly in order to establish core values in common on both sides of the strait, the ruling party is suppressing or even eliminating dissidents, while falling into "unfree democracy" and "elected dictatorship." 


I have more to say here, but I'll save that for my next post.

Obviously, there is no evidence -- I don't even have a link -- that the DPP is doing this. Name one dissident who has been "suppressed" or "eliminated" by the DPP. 

Now, how many dissidents has the KMT suppressed or eliminated in its history?

There ya go.

There are two more points worth making here: first, tying "finding common core values" to "cross-strait relations". This implies that Ma's complaint isn't that the DPP hasn't tried to find common ground with the KMT -- it's hard to say whether they have or not, as the KMT doesn't seem very interested in finding common ground with them -- but rather that they haven't tried to find common ground with the Chinese government.

This is, of course, a euphemism for refusing to engage in talks that are aimed at eventual unification between Taiwan and China, or a recognition of the (fabricated) 1992 Consensus. It means that the DPP can't and won't work with China's insistence that all negotiations and discussions must begin with mutual agreement that Taiwan is part of China and Taiwanese people are Chinese.

Which they can't -- Taiwan isn't part of China, Taiwanese mostly don't identify as Chinese, and it goes against both the public consensus and the DPP's ethos. That's literally the whole point.

That line about "elected dictatorship" is another howler, barely worth acknowledging: there is no such thing as an elected dictatorship. It's possible for democracies to be less free or even unfree -- and there is such a thing as a sham democracy (I mean, even Vladimir Putin gets "elected"). But there is no such thing as an elected dictator. If you are elected and you can be removed, you might have authoritarian tendencies, but you are not a "dictator". 


On the 33rd anniversary of June 4th, we hope that the mainland will face history and move forward, but we cannot sit idly by and watch Taiwan's democracy fall backward, or advance toward "unfree democracy" and "elected dictatorship." We must begin with ourselves and defend Taiwan's true democracy.


There's not much to analyze here: this paragraph just concludes the post and re-iterates the justification for using a post about Tiananmen Square to attack the Tsai government, Taiwanese democracy and the general trend away from identification with Chinese nationhood and ideals in Taiwan.

It is worth discussing why this matters, however. Who cares about this old fuckbucket's post? 

Well, first of all, because the media is paying attention. New Talk posted Su Tseng-chang's response calling his words a "laughingstock". KMT-friendly outlet United Daily News, widely seen as reputable, simply reposted it without comment. People predisposed towards pan-blue sentiments will read that and not see all the problems inherent in his post, or question whether it's appropriate to use the anniversary of the Tiananmen Square Massacre to attack their own government, implying that China might move in the right direction (and indeed is, according to Ma, already doing so) and Taiwan is the real authoritarian state. 

What's more, Ma still unfortunately holds a hell of a lot of power in the KMT, keeping it from reforming into a party Taiwanese might actually want to vote for (that is, one not so laser-focused on insisting Taiwan is Chinese and the CCP is a friendly government and good-faith negotiator when it is clearly neither). He's very good at rhetoric -- I might think his post is a steaming turdpile, but I have to admit it's a well-written turdpile -- he's pulling a hell of a lot of strings in the KMT, and he's probably not going away. He almost certainly has a hand in the general tenor and perspective the KMT wants to project into the world and Taiwan.

That's a shame, as he seems to have nothing useful, inspirational, thoughtful or even truthful to offer.

Saturday, June 4, 2022

Everything I've learned about leaving and returning to Taiwan during a COVID outbreak


I wanna be where the people are...


We've just arrived back in Taiwan after a month in the United States. I'd read a lot about what it would be like to return, and had some idea of what our arrival and quarantine experience would be like. However, most of those posts were written before the big outbreak in Taiwan; coming back now feels fundamentally different than I suspect it would have just a few months ago. So, I thought I'd write about it. 

The rules regarding who can quarantine at home -- which differ between local cases and incoming travelers -- are not particularly clear. Yes, incoming travelers can quarantine at home if they have a residence with no other non-quarantine people, and their residence isn't subdivided into multiple addresses. Brendan and I are quarantining together, so yes, two travelers returning on the same day can stay in the same residence. No, you do not need two separate bathrooms. 

In fact, nobody will even check your apartment. I already kind of knew this from a friend in a position to know these things -- if your apartment meets the "one person per residence" requirements, I was told that "the CECC doesn't care about how many bathrooms you have." Somehow, however, I had this idea in my head that upon arrival or perhaps the day after, someone would come and inspect our quarantine quarters. That didn't happen (and thinking about it now, I don't see how it could have). I'd spent a lot of time fretting about this, when it amounted to nothing at all. 

But let's rewind a bit and talk about the requirements both to leave and return. Many people insisted that to board the plane in either direction you'd need a PCR test, which would be a considerable financial outlay. That turned out not to be true: to leave, you need whatever the airline and arrival country require. For us, that was a rapid antigen test done at a lab. We did this at minimal cost at Taiwan Adventist Hospital, which we chose for proximity as well as ease of registration (of all hospitals offering tests, theirs was the only one with a website that made sense.) It was also one of the few offering antigen tests, not just PCRs, and didn't extort foreigners (Tzu Chi, I'm looking at you -- your discriminatory fees should be illegal and I'm thinking of filing a complaint.)  Choose something nearby as you'll have to return for your results. 

We also thought travel insurance would be smart. Unfortunately, affordable Taiwan-based plans require you to pay up-front and then make a claim, which I didn't want to deal with. US-based plans are based on residency, not citizenship, so aren't available to us as they only cover international trips out of the United States and back. I called Allianz to ask about this and got horrible customer service ("well, I think we have an office in China," they told me. "But I don't live in China," I said. "It's the Republic of China!" You can guess how I replied.) Other plans like World Nomads would cover us but were far too expensive. We ended up going with IMG as they have a network in the US, offer COVID coverage and trip+health insurance, and had the lowest prices. 

You'll need the antigen test results and a travel declaration (generally available through your airline's website) to fly out, as well as proof of vaccination. Leaving Taiwan turned out to be the only time we had to prove our vaccination status; I'm still happy I obtained an international yellow card at Taipei Medical University Hospital. The digital certificate also works and is free (the WHO-issued yellow card costs about NT$900), but what can I say? I'm analog. Again, hospitals have very unclear procedures for registering for this service. At Taipei Medical, in theory you can register online for "family medicine". In practice, none of the doctors on the menu seem to have any availability -- it's better to call (no, the receptionist won't necessarily speak English.)

Arriving in the US is nothing at all -- there's no quarantine, nobody checks who you are or where you're going, you're just released into the country as though there is no pandemic. Returning to Taiwan, of course, is a different story. 

We ended our visit in New York City, where in theory you can get a free PCR test. However, there's a bit of an outbreak there now, and results are not guaranteed within the required 48-hour window. You might get lucky, but if you don't, you'll need a last-minute appointment and that'll cost you (the place we booked was charging $389 for same-day results). We made appointments in advance for next-day results at $175 -- the test itself is still free, but the guaranteed turnaround will cost you. Fortunately, we were able to cancel our quarantine hotel, and the returned deposits on our rooms more than covered the cost of the tests. The results will generally be emailed to you, and showing the document on your phone is fine.


          


Nick Kembel has an excellent post which discusses the Quarantine Entry Form, so I won't go into too much detail. The automatic screenshot system didn't work for me (it kept blipping out), but it turns out the only thing anyone will look at is that first page saying you've submitted it with a bar code. A few of the questions on the form are confusing, however. Here's a quick redux:


1.) For "purpose of coming to Taiwan", we selected "back home" even though we're not Taiwanese, as none of the other options applied. 

2.) Even though we were quarantining together, we each selected quarantining at home with "one person per residence". At no point does the form clarify that two people on the same flight can choose this. 

3.) For the test results, as we were coming from the US, we selected that we did want the saliva test, and did want the results. 

4.) On my phone, the field for my APRC number kept reverting to my passport number, so check that before you hit "next". The form also kept switching my day of birth to the 1st, even though I wasn't born on the first of the month. Fortunately, you can go back and edit the form before you submit. 

5. When noting transportation from the airport to your quarantine location, the two options are not very clear. Choose the one that is not "arrange your own vehicle". 

6.) When you're done, the system's screenshot may or may not work (it worked for Brendan but not for me). Make sure you have your own screenshot too. You can do it on your phone -- a process I found frustrating as it kept blipping out -- or on your computer, if you send yourself screenshots.


You can complete this form once you have a quarantine location and negative test result. We did ours the night before.

Upon checking in for our flight, we learned that if you don't have a Taiwanese passport, you can't do it in advance as you need to show proof of a visa (yes, APRCs obviously count). The automatic check-in machines at the airport also stop you at this point, and it took awhile for us to flag a clerk and get all of our documents approved -- negative test result, quarantine entry form submission screenshot, APRCs. This delay caused us to be in the last boarding group, which was somewhat annoying as flights are no longer as empty as they once were. 

Even with far stricter entry requirements, Taoyuan airport offered a smoother, better-organized process than Newark (or any US airport, really). Generally speaking, all you have to do is follow everyone else. I strongly recommend using the bathroom as soon as possible, if you need it, as it may be awhile before you can use one again. 

On arrival, there are two lines: one for those who received a confirmation text from the MOHW that their quarantine form was approved (check your texts when you arrive!), and one for those who have no confirmation and need it manually checked. If you have the text, click the link to open your approval page and screenshot that. 

You'll be handed your spit cup and a piece of paper with your information on it; hold onto this. You don't actually do the spit test until you exit the airport. This is slightly annoying as it means you have to carry it through baggage claim, but the process is now much faster -- you no longer have to wait at the airport for your results. 

For the first time in years, we had to actually go to an immigration counter to be let in the country, and received a passport stamp. This part was fairly easy, though I could imagine the lines getting quite long. 

At that point you'll pass through customs and follow the lines to the spit test location. Nobody will ask you if you need to use an ATM, so if you need one, speak up (I ended up having to run back into the terminal, which was allowed). I didn't need a SIM card, but it seemed like those who did were in for a long-ish wait at Chunghwa Telecom. Notably, none of the other providers' booths were still open when we arrived. That was irritating for me as I had to pay my phone bill after being away for a month, but I was able to ask a friend to do it for me. 

At some point in this process you'll be handed a sticker to wear that indicates you're transferring to quarantine, and two home test kits -- one to take on your last day of quarantine, and one to be used if you experience symptoms.

Once you leave the terminal you are sent outside to do your spit test. There's a video on how to do this set to adorable guitar music on Youtube, and instructions in the booth. You don't actually need to stand there for a full minute -- you just need to be sure you have sufficient saliva in your mouth. 

Finally, you'll be sent to the quarantine taxi line. They'll take a photo of your health declaration certificate on your phone (that's the approval text you get from the MOHW on arrival and use the last six digits of your passport number to open, or have done manually if you don't have a text message approval -- not a new document). By the time you get to the front, you'll have been sprayed down in a bit of hygiene theater, and be put into a taxi which already knows your destination. 

The next day, we each got calls from the CECC. (No visit and no snacks unfortunately. I'd been looking forward to the snacks.) They asked us if we needed help with food, water or garbage disposal during our quarantine, and let us know that we'd receive a daily text about our health -- "press 1 if you feel fine, press 2 if you don't". Nobody asked us to take our daily temperature, but of course we're keeping an eye on it anyway. This seems like a smart way to handle thinly-spread resources: someone is keeping an eye on us, but it's not as intense or scrutinizing as I'd imagined from reports of quarantining people back when Taiwan had few or no cases. 

We were lucky enough to have one of our cat sitters fill our fridge with fresh groceries using money we'd left behind, so quarantine for us is mostly just chillin' at home. Here's one thing I hadn't realized, though: I get over jet lag much faster when I can go outside, or have things to do and places to be. Without that -- especially without direct access to sunlight -- I'm feeling the effects much more strongly. I've fallen asleep both afternoons that we've been back, and just felt generally discombobulated in my new time zone. For the first time ever, I got over jet lag in the US faster than I am managing it in Taiwan; usually it's the opposite. My sleep cycle is a straight-up mess right now. We have good natural light in our living room, but I need sun. I might stick my head out the window for awhile tomorrow.

This morning we received our test results and got our first text. Otherwise, honestly, quarantine is just like chilling at home. 

All in all, despite the recent outbreak, my impression is that the government is doing a solid job allocating its resources well. The quarantine entry form is still confusing, but the arrival process is pretty smooth, and they seem to have streamlined their focus on inbound travel quarantiners.