Showing posts with label taiwanese_media. Show all posts
Showing posts with label taiwanese_media. Show all posts

Thursday, September 28, 2023

Good commentary about bad eggs

There's no reason for using this photo. I just like it.


I've been trying to write something about Artsakh but just can't seem to get my head in the right place. In the meantime, I wanted to share some commentary from others on my last post about the ridiculous egg "scandal". I don't necessarily agree with every comment, so I'll offer some thoughts about each. 

First up, we have my favorite comment, which clarified an idea that had been bouncing around in my head but I couldn't seem to articulate properly (plus, I didn't know all of the details). This was a comment (on my public Facebook post, so not anonymous) by political scientist and blogger Nathan Batto, whom you might know as Frozen Garlic. 

What drives me nuts is that everyone seems to be saying that this is corruption because it didn't match regular market efficiencies. Thing is, there was a huge international market failure, so the markets weren't efficient to start with. [Emphasis mine].  

International chicken feed was very expensive for several reasons including climate crises in several locales and the Ukrainian crisis. , so chicken farmers stopped producing so many eggs across the globe. There's a reason they had to source eggs from Brazil, which is not the normal place that Taiwan buys eggs. I might be wrong but I don't think Taiwan usually imports many eggs at all. I don't think Taiwan has a whole lot of companies with expertise in importing eggs who were clamoring for this particular contract. The government was trying to make sure that there were eggs on supermarket shelves at a reasonable price in short order in the midst of a fucked up international market. And you know what, they managed to do that. Was the process perfect? No. But All in all, this should be seen as a policy success, not a calamitous failure. [Again, emphasis mine]. 

It's the same sort of thing for the Medigen vaccine. At the time, governments across the world were not worried about getting best value for their investment . They wanted a vaccine immediately, and they didn't really care how much it cost. Remember, the United states program was called "warp speed," not "don't waste a penny." Taiwan wanted a vaccine, and it was willing to invest some money to get one. And they got one that worked pretty well . It wasn't as good as Moderna or Pfizer, but if you remember those were unbelievably effective vaccines by most common vaccine metrics. Lots of big pharmaceutical companies and countries tried to produce a vaccine and either failed or came up with something pretty lousy. Taiwan, which didn't have a huge pharmaceutical industry to start with and was using this in part as an opportunity to kick start an industry, produced a reasonably good product in a reasonably short time. This is a policy success!

If you're looking for institutionalized corruption, these are not examples you want.


Yes, exactly. As far as I know importing eggs at all is unusual; they're a delicate product, prone to breakage, and they do expire. I'm no agriculture expert, though, so that's just an educated guess. I have felt in the past that Taiwanese voters have high expectations, and international observers tend to adopt that stance as well. That is, when Taiwan performs well -- or outperforms just about everyone else -- if there is some small imperfection or fault in said performance, it's cause for heavy criticism. Medigen is a great example; Taiwan succeeded where most countries failed. They kept COVID at bay long enough to develop a vaccine, and then developed a pretty good vaccine! And yet, because KMT-led media scares and lack of international approval (thanks, you WHO fuckers) kept people from accepting the domestic vaccines, suddenly it was a bad idea? China was praised for rolling out mass vaccinations with a formula that does not work, but Taiwan developed an effective one, yet got hit with a fake news cyclone? Give me a goddamn break. 

With the egg shortage, Taiwan actually did what a lot of wealthier countries failed to do; it got eggs on shelves at reasonable prices. Given that eggs are an affordable source of protein and a great deal of them are consumed in Taiwan daily, we can speculate that they're an important source of nutrition especially for low-income families. The "reasonable prices" thing is actually central to that issue. 

This brings me to the next comment, which I don't agree with.  There's a little more to this conversation, and you can read it here if you like

The egg problem is easily solved. Simply remove the price cap. That’s one of the principal reasons these shortages happened to begin with.


I have libertarian friends who would agree with this. Without arguing about price caps and their role in the market in general, I don't think this would have been a good solution to the egg shortage specifically. Besides, the shortage was due to a screwed up market, high chicken feed prices and bird flu outbreaks, not low prices per se. Most of the world has suffered egg shortages in the last few years, and not all of those countries have price caps. 

First, this would have allowed egg prices to skyrocket, perhaps to double or more. If eggs matter to low-income families (and I believe they do), then all this does is get a few more eggs on shelves, but at a cost beyond the reach of the consumers who need them most. So unless the goal is to "let them eat steak", I don't really see how this solves the central problem. 

There is one thing I do agree with: the shortage might have been somewhat alleviated -- just somewhat! -- by higher prices only insofar as it might have dissuaded the higher-income egg hoarders. Remember when supermarkets were putting limits on the number of cartons of eggs each individual could buy? Well, at least in my area, families would send different household members separately to buy their "share", resulting in egg gluts for some, and no eggs for others. Then, of course, social media was flooded with posts asking what to do with all the hoarded eggs that were about to expire. 

I understand the impulse to stock up on eggs, but this is behavior is both selfish and stupid, in the long run. Fortunately, plenty of people recognized the very good reasons not to hoard eggs, so not everyone engaged in it. 

But as with Medigen, where the objective was "fast, effective vaccines", not 'saving money", people misunderstood the goal. The goal wasn't just "eggs back on shelves", it was "eggs on shelves at prices low-income families could afford". If that matters -- and I believe it does in this case -- then removing price caps isn't a solution. 

My libertarian friends would argue that price caps push purchasing power down in the long run. I won't comment on the general argument as I'm not an economist, but for this particular shortage, I disagree. 

A friend of mine pointed this out in a Facebook message -- I'll keep them anonymous as it wasn't a public post: 

I don't get it either, the government prevents any mislabeled or bad eggs from getting into the food supply, and that is somehow a sign of incompetence? Meanwhile, in the past our past administrations let us eat gutter oil and that's not a bad thing?

The gutter oil, as far as I know, was from private food companies, and this policy was from the government. However, I otherwise agree completely. It was the government's job to regulate food safety and ensure something like 'gutter oil' would never be used in food. They failed -- and that was the Ma administration, so it was a KMT failure. 

And yet the KMT have the absolute bloody stones to yell at the DPP for averting any food safety catastrophes? 

The lot of 'em can bite me. 

Finally, although I'm working towards quitting Twitter (or only posting blog links), an interesting comment

I don't think DPP are so faultless. There's been egg shortages for 2 years now. They've been in power for 8 years.  Taiwan is a rich country. It should be able to supply itself with such a basic commodity as eggs.


Sure, though again, the entire world was struggling to supply itself with eggs. Wealthier countries than Taiwan had egg shortages that persisted far longer, or had eggs, but they cost astronomical sums (which isn't that much better). However, I agree that the DPP could have done more of this successful policy.

I do worry that this is another case of criticizing Taiwan for not performing perfectly, when it's actually outperformed most of the world. Beyond that, in local media (not from this particular commenter) I feel again that the two-party double standard seems to be in hyperdrive. 

The KMT fucks up so much. They couldn't conduct reasonable trade relations with China. They let Taiwan's defenses fall into disarray. They let people eat gutter oil. The last time they did anything major for Taiwan's infrastructure was...well, I can't remember when, but it might just have been the Ten Big Projects.

And yet, they attack DPP successes -- for being not enough of a success, or not a success in the exact way they insist it should have been (which they're usually wrong about). Or, they paint a DPP success as a failure, and the media runs with it, and suddenly people think DPP domestic policy is terrible and the KMT are better administrators. They are not -- at best, the two parties are about the same on domestic policy and local development, and the DPP has a clear edge in international relations and the general consensus about Taiwan's sovereignty. 

When this is pointed out to light blues (people who might be willing to concede that the KMT isn't perfect, but will vote for them), one often gets a "yeah, well, the DPP sold themselves on being idealists but they're just as corrupt!" Nobody thinks the DPP is free of corruption, but this is a very weak argument. It doesn't prove that the KMT runs Taiwan better. "The other guy sucks too" arguments don't stand up well, especially when the other guy actually sucks a lot less, but you want to make their successes look like failures to win elections. 

Wednesday, June 9, 2021

I re-wrote Focus Taiwan's crap article on foreign blue-collar workers

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I'm sorry, but pro-establishment reporting that refuses to question the legality (let alone the humanity) of what the Miaoli government is doing positively enrages me. Other counties, such as Changhua, are considering similar measures and we must put a stop to it before they can do so.

To that end, I've written the absolute flaming garbage heap that Focus Taiwan put out on this issue and included a few ways you can perhaps make a difference at the end.


HUMAN RIGHTS VIOLATIONS/Over 20 foreign blue-collar workers mistreated for violating Miaoli's dehumanizing stay-at-home order

Taipei, June 8 (CNA) Over 20 foreign blue-collar workers in Miaoli have been questioned and had their details taken by police for being outside after the county government violated their human rights by ordering them to remain indoors due to a surge of COVID-19 infections in the county.

Miaoli issued an order one day earlier forbidding foreign blue-collar workers from going outside, with the exception of traveling to and from work, after four electronic companies in the county that employ foreign workers reported cluster infections. Some lawyers have pointed out that such an order is likely unconstitutional.

This is despite the fact that residents of other outbreak centers, such as the one in Wanhua, were not locked in their homes against their will. Such treatment has only been visited on foreign blue-collar workers, who remain one of the most marginalized groups in Taiwan, due to ongoing issues of abuse and mistreatment 

Despite the fact that Taiwan is supposed to be a democratic nation where human rights are respected, the order also states that workers can only travel to and from work using transport arranged by their employers or labor brokers, and that shopping for necessities must be done by a dormitory manager or designated personnel.

As of Tuesday, 21 migrant workers had been mistreated and had their details taken, including age and resident certificate number, for refusing to be treated like animals, Lin Chien-min (林建民), a section chief at Miaoli County Police Bureau's Foreign Affairs Section, told CNA.

The information provided by the questioned workers will be passed on to the county's Labor and Youth Development Department, Lin said. However, it ought to be passed on to a human rights lawyer.

The 21 migrant workers were from Vietnam, Indonesia, the Philippines and Thailand, according to the department.

Rather than re-examining its undemocratic and likely illegal actions, Tu Jung-hui (涂榮輝), deputy department head, said that the employers or brokers of the 21 workers will receive a warning on this occasion, but the department will start issuing fines of between NT$60,000 (US$2,165) and NT$300,000 based on the Employment Service Act to those who repeatedly fail to keep their migrant workers off the streets. The government who issued this order does not appear to be facing any punishment at this time.

"In accordance with the Employment Service Act, it is the responsibility of the employer or broker to give guidance and manage their workers," Tu said. "The workers are foreigners and may not know the regulations, so their brokers or employers are obligated to inform them."

Perhaps the workers in question were simply aware that they were being singled out for human rights violations despite many cluster infections occurring in Taiwanese communities. On this, Tu apparently did not comment.

A Miaoli-based Filipino factory worker, who declined to be named, had mixed feelings about the order because it makes it difficult to buy groceries and food, but had been told that it was also to protect them from the coronavirus. 

Tu said the department is not targeting migrant workers -- even though they very obviously are doing so -- and is asking for everyone to please just accept that the county government gets to act like a tinpot dictatorship unbecoming of a democracy and frankly embarrassing to the nation.

It is unclear whether the inspiration for this rule came from the way the Chinese Communist Party sealed people in their homes against their will, or their treatment of ethnic minorities. 

"We just want migrant workers to stay put for 14 days, because we want to break the chain of transmission. It is a critical period right now, and if after two weeks the situation improves we may ease up on the regulations," Tu said.

There appears to be no similar attempt to ask Taiwanese citizens to stay put for 14 days, so it's unclear why this "critical period" would affect just one group. One likely explanation is racism.

As of Tuesday, over 240 cases, including 196 migrant workers, linked to cluster infections at tech companies in Miaoli have been confirmed, according to the Central Epidemic Command Center. 

Foreign blue-collar employees are considered to be at higher risk of cluster infection because many are forced to live in crowded dormitories provided by companies. 

Humane and thoughtful to stop the spread among this community is to improve their accommodations, including crowdedness and ventilation, and to put them on the vaccine priority list. These options do not seem to have been considered by either the authoritarian Miaoli government, or the national government. This is because of racism.

In addition to foreign blue-collar worker cluster infections in Miaoli, there have also been allegations of these workers being asked to sign a declaration stating they will bear sole legal responsibility and cover treatment expenses if they are infected with COVID-19.

This is as illegal as sealing them in their dormitories.

In response, Taiwan's Ministry of Labor (MOL) said any such document will not exempt employers or brokers from their management responsibilities and fines.

Paul Su (蘇裕國), deputy head of Workforce Development Agency's Cross-Border Workforce Management Division under the MOL, said migrant workers should report to the 1955 Counseling and Protection Hotline for foreign workers if they have been asked by their employers to sign such a declaration.

Although it's difficult for everyday citizens to do something about the autocratic turn of the Miaoli national government, there are several ways to help. The first is to contact your elected representatives. The second is to sign a petition currently circulating to end this discriminatory and illegal practice. Finally, you can donate to foreign blue-collar worker organizations here, here or here.

Wednesday, June 2, 2021

Introducing Terry Gou, China's vaccine gamepiece

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Are those claws real? Does it matter, if the purpose is the show?

I really didn't want to write about vaccines even one more time, but it feels somehow necessary. Sigh.

You've probably heard the news that Terry Gou -- Foxconn billionaire and guy who called Taiwan independence supporters "garbage" -- has applied to the Taiwan FDA to import 5 million doses of BNT. More accurately, a New Taipei-based biomedical firm is the official applicant, Gou's role is basically to write the check and talk to the press. Notably, Shanghai Fosun is not a part of this deal (perhaps there are some fees paid to waive distribution rights). 

Health Minister Chen Shih-chung has confirmed that the application is under review, but apparently the original authorization letter from BioNTech (BNT) does not seem to be included. From my understanding, that letter is essentially the proof that BNT is going to deliver what it says it will -- BNT doses imported straight from Germany.

I'll be quite interested to see how that story develops in the coming days. As it stands now, it seems clear that without that document, the planned purchase and distribution cannot go through. (If it doesn't, however, prepare to hear Gou scream about it and blame "the DPP" for the paper he doesn't have). 

One could say that Terry Gou might have been able to get around Shanghai Fosun by paying them off, and perhaps this is true. However, the government refusing to pay those fees was not the reason given for BNT's contract with the Taiwanese government falling through. Unless the Tsai government and Ministry of Health and Welfare (MOHW) are both telling some massive lies to the public, the reason was related to the use of the word "country" (and then "Taiwan") in the contract.

So, Shanghai Fosun -- whose owners certainly have close ties to the CCP -- is willing to step aside for Terry Gou, but not the Taiwanese government? Why?

Here's the best explanation I can provide: essentially, it's all politics on China's part, where they've set up a game that it will be very hard for Taiwan to win.

How does the game work?

First, China blocks the Taiwan government’s negotiations with BNT. Then China claims ”only” Shanghai Fosun has the right to sell BNT to Taiwan. Taiwan rejects this “offer” as Shanghai Fosun never applied for distribution approval in Taiwan

Then Terry Gou submits the application that Fosun couldn't be bothered to attempt. Terry says the vaccines will come straight from Germany — not through Shanghai Fosun.

Suddenly Shanghai Fosun’s inalienable “rights” to the Taiwan market no longer seem to matter. Which means they were never the reason why Taiwan's own negotiations were abruptly cut off even after a contract had been agreed upon.

This time, nobody in China, the media or the pan-blue camp claim Gou is “circumventing” Fosun or “trying to obtain independence through vaccines”, even though he is doing exactly what the Taiwanese government tried to do earlier (which, again, was completely acceptable).

China wants the DPP to look bad, so they won’t stand in the way of pro-China Terry Gou (remember just whom he called "garbage"!) obtaining these doses.

As there are some questions about this authorization letter, it is unclear to me if BNT has actually agreed to sell him the vaccines or not. There are also a few other lingering questions. If China is refusing to let Taiwan access vaccines because Taiwan insists on doing so without abrogating its sovereignty, how will China react if these BNT doses are approved in Taiwan without the Chinese government's involvement? (Remember, BNT is still not approved in China proper, only Hong Kong and Macau).

The MOHW will still have to go through quite a bit of documentation to obtain these 'donated' vaccines -- what name will they use for Taiwan? If their use of "Taiwan", "Republic of China" or "country" stops the deal dead, will China, the KMT and Gou scream "politics!" at the DPP? (Yes.) 

If the original authorization letter is required before this can go through, will Gou and the KMT still scream "politics"? (Yes.) 

It's also not clear to me if BNT is actually approved for use in Taiwan yet. If it isn't, that will have to happen. Approval for emergency use is possible, but in those cases typically the government itself assumes legal liability if any problems arise. If Gou donates the vaccines through this biomedical firm, how does the legal liability for that work? If that's the reason they are rejected, will these same parties scream "politics"? (Yes.) 

Therefore, if Gou doesn’t secure the vaccines, he can blame the DPP. This looks good for both the KMT and China.

If he does secure them, the government looks bad: incompetent, unable to get this done themselves, when the truth is China blocked their attempt to do exactly what Gou is doing now. The media will have a field day, and nobody will stop to think that these 5 million vaccines were specifically intended to embarrass the government. I say this without making a value judgment on whether we should or shouldn't import them (although I absolutely would refuse one, and I willingly took AZ). 

In either scenario, China wins. The KMT looks good. The current government looks bad. If this is a game, China is winning. Again, I say this with no value judgment on whether 5 million German-made BNT doses in Taiwan would be a good thing. Of course, if they came with no political strings, they would be. But they do come with political strings which are worth interrogating.

It also hands another victory to China: whether the vaccines actually get here or not, the CCP is sending a message. Cooperate with us. Call independence "garbage". Be pro-China. If you do, and are willing to play by our rules, we'll clear the path to life-saving vaccines for you. If you don't, then we'll put you in as many chokeholds as possible. So you'd better vote for the party we prefer, got it?

In other words, nice countr---er, province you got there, Taiwan. It'd be a shame if something happened to it.

Through it all, China pulls the levers. And perhaps this helps Gou with plans for a 2024 presidential run, a race the KMT could conceivably win despite their China stance being deeply unpopular.

So they are playing politics with vaccines, while accusing the DPP of exactly what they are doing. That's usually their strategy, to be honest. It's easy to see through once you know how it works.

(If I'm missing anything in this rundown of exactly what's going on, please feel free to comment in the spirit of sharing information. Troll comments, however, will not be accepted.)

I won't end with a fist-pump and reassurance that Taiwan will win this game. Right now, if this is Monopoly, China has too many properties. But there is some reason to hope. 

First, the government is responding with dignity, truly the only way that they can -- by not turning their noses up at these doses, and even taking Gou's calls to show they're not obstructing the process. From the Focus Taiwan link above:

In response, Health Minister Chen Shih-chung (陳時中) thanked Gou for his efforts to help Taiwan obtain vaccines during a daily press briefing, adding that the application was already under review.

Meanwhile, an official at the Ministry of Economic Affairs told CNA that Economics Minister Wang Mei-hua (王美花) had taken a call from Gou on Monday, to make sure he had the necessary information and contacts prior to completing the application.

The government, which initially expressed strong reservations about local governments and private enterprises attempting to procure COVID-19 vaccines, has lately softened its position, on the condition that it remains firmly in control of the process.


I'm no political strategist, but this is how I'd handle it. 

What I think they're really doing: the government knows this is a game, and they know vaccine procurement is no joke. They're aware Gou is highly unlikely to succeed. Better to just let him try and let the problem take care of itself, so the inevitable accusations of "blocking" him won't look credible -- because they won't be. 

Secondly, I don't claim to have data regarding how Taiwanese feel about these vaccines. However, from my students (everyday office workers -- generally just normal people, not political activists), there seems to be an understanding that this is indeed a game, and it was started not by the Tsai government, but China and the KMT. Many are filtering out news like this, choosing to only watch the 2pm CECC press conference because they're "sick of the rumors and bad reporting". Online it seems the world's gone haywire, but in the meatspace, there are still plenty of sensible people. The game hasn't turned everyone into a disinformation zombie. And China's "better vote for who we want or you'll suffer!" tactics have been backfiring since 2014.

I've also not heard anyone from this admittedly anecdotal group express any misgivings that Taiwan isn't good enough, can't manage this, or is somehow incompetent or unable to run itself as a country. Quite the opposite, in fact: they're staying home and talking about getting through this together as a country. That's good news.

Finally, this won't last forever. It can't. More vaccines will come; we'll get through this outbreak. Taiwan has proven itself a competent nation, as much as if not more so than any other developed democracy. China and the KMT are using this window of time between the outbreak occurring and vaccine availability to launch an attack, but this attack is time-limited. It will end. It's just unclear how much damage there will be.

Will Terry Gou actually procure these vaccines? Will they make it into Taiwanese arms? I honestly don't know, though I highly doubt it. It's almost irrelevant, however. To the orchestrators of this circus, the theater is all that matters.

Friday, May 28, 2021

A Taxonomy of Lies about Taiwan's Vaccine Situation

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Razor blades in candy were always an urban legend, but I wouldn't take China's candy


Trust me, nobody wants to talk about a different topic more than me, but as long as disinformation is permeating discussions about vaccine access in Taiwan, it's important to make sure reasonable clarifications are available in English. 


I want to start by saying that I understand there is a lot of fear and anxiety right now. There's an outbreak in Taiwan that, while not growing exponentially, is still growing. It is probably controllable over a period of months, but that still means several months of worry, doubt, admonitions to stay home, and yes, some deaths. Hospitals are strained. There's a global vaccine shortage in most countries, while the US is flush with doses, and other countries have struggled to obtain them. 

That's a worrying situation to be in, and I don't want to diminish it even as I repeat my message to not freak out

It also presents a window: a time when Taiwan is trying to manage its outbreak while attempting to obtain vaccines which are in short supply globally. Eventually, Taiwan will get this under control and vaccines will be available, but we're looking at a timeline of months. That gives malicious actors plenty of time to disseminate disinformation, and for those lies to fester. And some unsavory political elements are trying to use that window to sow distrust in the Taiwanese government -- specifically Tsai and the DPP -- while calling for cooperation on the surface. These same elements turn and point fingers at the Tsai government for "playing politics". 

Anxious people may believe things that give them an outlet for their stress, so I'm not writing this to belittle anyone. It's pretty normal human behavior, and not all believers in disinformation are ill-intentioned. I do believe people are glomming on to this "we want BNT" storyline because it represents a type of hope. They want vaccines and these seem available. They're not, but that doesn't mean those who misplace their hope in these vaccines are bad, or wrong, and I don't intend to imply otherwise.

Rather, I just want to create a clear record in English to prevent further misdirection.


Let's take a look at each of these false claims about Taiwan's vaccine situation in turn, and then hopefully leave the topic behind for good. 


The national government is unfairly blocking local governments from obtaining vaccines on their own

The story here is that the CECC said earlier in May that cities and municipalities could procure vaccines on their own if they wished, and people are complaining that the CECC is "now" insisting that only the national government can procure vaccines.

This is genuinely confusing, so I don't blame anyone who perhaps skimmed this news believes that this is  a course reversal or about-face meant to take power away from local governments. 

The key point, however, is that the vaccines these local governments could potentially buy, and the distributors that sell them, still need to have been approved by the central government before the purchases can take place, and the batches themselves also need to be tested. This is usually done by the central government, and then after given the all-clear, a municipality could theoretically purchase these drugs on their own.

The central government noted, however, that the procurement procedures were complex and cumbersome, and would probably be challenging for a city to pull off on their own. Imagine if, say, Nantou City approached BioNTech, which rebuffed the Taiwanese government, or called up Moderna, which sold doses to Taiwan which are coming late due to a global shortage. What leverage does Nantou City have that Taiwan doesn't? Why would those companies sell to Nantou, not Taiwan? Do they have the resources to get through the procedure in the first place?

However unlikely, in theory, I suppose it could be done. 

The issue here is that the local governments trying to "buy their own doses" now aren't talking about buying approved batches from approved distributors. They're talking about the Shanghai Fosun doses, and Shanghai Fosun has not applied for approval to distribute their product in Taiwan. Therefore, they're not approved, and municipal governments cannot buy from them.

Hence, the government is clarifying that locally-procured doses and the brokers who sell them still have to go through the same Taiwan FDA approval process as everyone else. 

This limitation also applies to Terry Gou, who says he wants to purchase ten million vaccine doses. If he can do that through an approved channel and get those doses to the government for the required batch testing, then fine. It'd prove that the government could just throw around cold, hard cash -- but fine. 

However, if he thinks he can just buy whatever from any channel he likes and get those doses in Taiwanese arms without the usual approval process, he's dreaming.

By the way, there's an update to the Terry Gou story: the game continues. It turns out manufacturers don't want to sell to these various non-government-affiliated parties.

If these municipalities truly wanted to approach approved channels to purchase more vaccines on their own, I'd be very interested to hear the whether the CECC's answer might change given recent political hassles. It would actually make sense to centralize one's vaccine strategy given the current crisis to ensure the fairest possible distribution, but I hope the CECC would make that clear.


Tsai and the DPP are trying to keep out foreign vaccines to 'protect' the market for the Taiwanese-made vaccine 

This is obviously untrue. In fact, I'll go ahead and say it's a blatant lie. 

If it were true, why has Taiwan spent the better part of a year trying to negotiate for every foreign vaccine they can get their hands on, from AstraZeneca to Moderna to BioNTech -- millions of doses in all?

If uptake on these doses has been slow, it's because there's a global vaccine shortage and massive inequities in availability (the US, for example, clearly has plenty), and ordered shipments are taking longer to fulfill. Plus, it is absolutely plausible that China has been blocking Taiwan's attempts to secure vaccines. Taiwan only implied this before; now they've come right out and said it's the case. It has nothing to do with trying to 'protect' a local product. 

If the government were trying to 'protect' the market to ensure the domestically-produced Taiwan vaccine has enough takers, first, that would entail endangering lives and a full-blown COVID health system breakdown to possibly make money later on.

The Taiwanese government isn't perfect, but I highly doubt they'd do that -- you'd have to think of them as monsters. They're imperfect, but they're not monsters. (China, on the other hand, absolutely would do that to Taiwan and the CCP is indeed run by monstrous people). 

This "insider trading on the local vaccine" accusation likely arises from the extremely confusing story of Tungyang 東洋, a Taiwanese pharmaceutical company, which had been in talks with BioNTech and possibly, Shanghai Fosun as well (though I'm unclear on this). but pulled out for unclear reasons. Some say the amount of product offered for the price made for a poor business decision. It has been reported that at that time, the drug wasn't far enough along in clinical trials for the company to feel confident in the deal, whereas others say Tungyang dithered too long. Still others say that the government wasn't adequately supporting them (one would expect the government to commit to purchasing those doses from Tungyang, once approved). 

I don't know what happened, but it seems clear that if the Taiwanese government turned its back on these BioNTech doses to protect their own profits from local vaccine sales, then they wouldn't have tried so hard to procure millions of other foreign vaccines. Whatever is going on here, it isn't that.

In fact, it sure sounds like the sort of thing people who stand to make a lot of money on the Shanghai Fosun doses would say to divert attention from their own activities. (I can't prove that, however.)



But China can't block Taiwan's access to vaccines!

Yes, they can. 

I'll talk more below about how people came to believe that the only way Taiwan can access BioNTech vaccines must be through Shanghai Fosun, the Chinese company that claims it has rights to "Greater China". 

But first, Taiwan has every right to seek another distribution channel from the manufacturer, which can accept or reject this. Taiwan has now directly stated that China intervened in Taiwan's own negotiation with BioNTech, which again, it had every right to engage in.

This wouldn't even be close to the first time China has pressured an international organization or company to change how it deals with Taiwan, from excluding Taiwan from the WHO, trying to block international aid to Taiwan after major disasters, to pressuring airlines and IELTS and other English proficiency exams to call Taiwan "Taiwan, China".

The vaccine issue is no different.

If you think China can't do the exact same thing to a vaccine distribution contract, please think again.


Shanghai Fosun has the "right" to claim distribution for BioNTech in Taiwan, and the government is trying to circumvent them

This has a veneer of truth, but is ultimately false. 

Drugs available in Taiwan need to be approved by the Taiwan FDA, and are often batch-tested as well (this is certainly the case with coronavirus vaccines). Brokers and agents -- who may have the right to produce the same drug, or sell an already-produced drug from the original manufacturer -- also require approval. 

Fosun doesn't have this approval in Taiwan itself, so its "rights" don't exist here -- it can't just barge into the market at will. It still needs that TFDA approval.

For many drugs, multiple avenues of purchase are approved in Taiwan. If you're on any long-term medication, you might have noticed that the packaging and even 'look' of the drug changes, despite the actual drug being the same. For example, my main anxiety medication is lorazepam. It's usually branded as "Silence" -- small, white pills in bubble sheets. Then my hospital changed distributors and I still got lorazepam, but they were larger, yellow pills dosed out into sealed plastic packets (I don't remember the name, but it had changed). Now they're back to the familiar Silence. Once, I was given Ativan: tiny blue pills in gold foil sheets that are half as strong, and was told I can take two. Ativan is lorazepam in a smaller dose. Why? The hospital changed suppliers, but it's all the same drug.

It's very common, and a highly competitive business.

Approval, however, remains crucial. Even if the drug is not fake, if it's sold through an unauthorized channel, the government considers it to be "counterfeit". It doesn't matter if that distributor has an agreement with a manufacturer whose drug is approved in your country; the distributor also requires approval. Any pre-approval agreements are contingent on that process being completed.

What does this mean for Shanghai Fosun? That they may have "secured the rights for Greater China" including Taiwan from BioNTech, but there is absolutely no law or regulation stopping Taiwan from seeking out an alternative method of acquisition. BioNTech could always refuse, but they always have the right to authorize another distributor that is not Fosun.

It's not even that rare, and it sure doesn't seem to be a problem for Fosun or the CCP if the buyer is pro-China billionaire Terry Gou, who once called independence supporters "garbage".

That's why they talked to Taiwan in the first place, before backing out -- after pressuring Taiwan to remove the word "country" from the contract -- under what I can only assume was some sort of pressure or (ahem) aggressive incentivization. 

In fact, what Fosun has are the rights to sell a drug called "Fubitai", which is BioNTech's drug with a Chinese name. As far as BioNTech is concerned, it has no official Chinese name for its drug, that's a name Fosun is authorized to use. Taiwan has every right to seek out the same drug, not branded as "Fubitai". Another distributor for this drug is Pfizer, and Pfizer has no agreement with Shanghai Fosun. Although BioNTech might object -- meaning perhaps the contract would be rejected or there would be a fee -- there is no law prohibiting Pfizer and Taiwan from working together. 

Even Tungyang,  the Taiwanese company which tried to secure BioNTech rights but ultimately didn't (a long convoluted story that could be its own post), was not doing anything wrong by ultimately not working with Fosun. They might have made other mistakes, but talking to BioNTech was not one of them. Companies do it all the time. The only real issue here is that the government's messaging could have been clearer.

And this isn't even getting into the timeline of when Taiwan was or wasn't specified in the "Greater China" contract with Shanghai Fosun. I'm quite aware there's a story here and have my sources, but it's become increasingly clear that it doesn't matter. 


Taiwan "rejected" Fosun's offer of vaccines

Imagine if I applied to do a PhD at Harvard, but before I could even send in my application and proposal, the Dean of my preferred school called me up to tell me personally that she intended to reject me. 

That sounds like the sort of nightmare I'd have, but in the waking world it would be preposterous.

Well, so is this myth. 

The cold hard fact is that Fosun never applied to distribute those vaccines in Taiwan. I offered one possible reason why in my last post: basically, it would require a level of submission commensurate with approval by a national government. So by making such a submission, Fosun would in essence be admitting it is dealing with a national-level government. In other words, that Taiwan is a country. 

People have been complaining that Tungyang (mentioned above) didn't seem to think this was a problem, and that the approval should be fairly easy. However, Tungyang is a Taiwanese company that would be quite familiar with the approval process and regulations. Shanghai Fosun has never applied for such approval because Chinese drugs are banned in Taiwan. In fact, I'm not sure any Chinese drug company has gone through this process in Taiwan. 

Therefore, there's probably another reason Fosun hasn't applied: these doses are said to have been produced in Germany, so in theory, a Chinese company could apply to distribute them in Taiwan. However, Fosun has said they intend to start domestic production of "Fubitai" soon. As they would be Chinese-made, Fosun would not be able to sell them here. They'd be going through all that work for a one-time shipment of vaccines. 

So what is the incentive for Fosun to go through that process for a one-off sale?

Far more likely that it was a political ploy all along to attack the Taiwanese government in the window they have open to them -- when Taiwan is facing a crisis, and vaccine uptake has been slow.

That said, I would actually understand why the government wouldn't want to deal with Fosun. They seem dodgy at best -- complaining about not having rights they never applied for -- and I wouldn't want to deal with them either. It's likely Tungyang got spooked by them too. This might be the reason why the government now insists it will only talk to manufacturers directly: perhaps it got burned in these previous negotiations.

That doesn't mean, however, that Fosun was "pre-emptively" rejected.

I don't really know the full story behind why Tungyang's deal with BioNTech fell through, but it doesn't really matter. Perhaps the government could have supported Tungyang more. Perhaps it seemed wise in the moment to decide against the deal, as the vaccine hadn't been through all clinical trials. The government's own messaging on this could be a lot clearer.

Regardless, the company kicking up a fuss now is Fosun. And yet, they don't seem to be any closer to actually applying for distribution approval. 


You can just buy vaccines at Costco in the US, so why not do that?


This one is the funniest, but fortunately doesn't seem to be widely believed. And yet, there's always someone.

KMT Chair Johnny Chiang recently tweeted out a picture of a vaccination center available at Costco in the US, and KMT city councilor (and person who perhaps needs an intervention) Wang Hong-wei 王鴻薇 posted that if vaccines were so easy to get in the US that you could just buy them at Costco, shouldn't Chen Shih-chung just head to the US and buy out the stock?

I hope that I don't need to post a lengthy explanation of why you cannot, in fact, just go buy vaccine doses in bulk at Costco, right next to the Einstein's Bagels, tubs of oregano and massive graduation cakes.

Perhaps Wang is really that ignorant, but it's more likely that she's smart enough to know how ridiculous she sounds, but doesn't think her constituents are smart enough to see it.

I don't want to put every preposterous statement by every KMTer on the party as a whole. Wang is one city councilor. However, that's hard to do that when it's not just the grunts but the caucus whip saying Chen Shih-chung should be "executed" -- a method of governance the KMT is intimately familiar with, though you'd think they would have figured out was wrong by now. It's even harder when KMTers below him echo that sentiment.

However, with the KMT calling for cooperation with the government while continuing to undermine them at all levels, I have to wonder whether they're truly striving for cooperation or they're just a bunch of backstabbing Mean Girls.



It is possible for Shanghai Fosun to distribute their doses of German-made BioNTech in Taiwan quickly, but the government is blocking them

No.

It's not even clear these particular doses could make it to Taiwan. The approval process takes months, as you can see by the lengths of time some of these contract dramas have played out. At the latest, the doses in question expire by September. There's a very good chance they'd be expired by the time they were even shipped. Plus, it seems odd that Shanghai Fosun would just have all those doses sitting in a warehouse, knowing full well they can't sell them to Taiwan without going through the proper channels. There's a fair chance what they have is the option to buy the doses, not the drugs themselves. I can't prove that, however.

And by then, Taiwan would have other options available, including AZ, Moderna and the domestic vaccine.

Changing that timeline to get the doses here quickly would require changing the law to allow Chinese drugs into the Taiwanese market, and I know very few people who aren't deep blue unificationist extremists who think that's a good idea.

In any case, the main point here is that Fosun never applied to distribute its doses in Taiwanbut is complaining that it can't distribute its doses in Taiwan! The only way around this if Fosun continues its obstinacy is for Taiwan to just...pretend it doesn't have laws and allow Fosun to operate here the way it can in Hong Kong and Macau. 

Essentially, you can have these doses but the price is your sovereignty.

In other words, if you want those German doses of BioNTech, then pressure Fosun to submit the necessary data, samples and paperwork. 

They're the ones holding it up. But even then, it's a daydream to think these doses could possibly make it to Taiwan in time.

Chen Shih-chung is not being transparent about Taiwan's attempts to obtain vaccines

It's true that sometimes the information from the CECC on what vaccines are coming, where they're coming from and when seems unclear. By June, by July, some are coming, we're awaiting the next shipment, they're on order. It would be reassuring to hear something more concrete. The disparity between the number of shipments actually received and what Taiwan says it's ordered seem huge.

However, this doesn't appear to me to be a lack of "transparency". Again, there is a global vaccine shortage. Many countries likely have similar issues: millions of doses on order, but shipments coming frustratingly late. 

I don't have as much of a window into this world as I do into pharmaceutical approval processes (which I know a surprising amount about despite not working in the field, because I've listened to dozens of presentations on just this issue). I would imagine, however, that there are a lot of harried phone calls, negotiations and favors, wheedling and requesting, cases being made, and back-and-forth in order to ensure that at least some of what's on order is received in a timeframe that can ensure the government seems to have the issue under control. 

It's very hard to put this sort of constant negotiation into palatable words for the public. Nobody really wants to see how sausages are made. Information is great, and we need as much as possible. Said in just the wrong way, however, too much information provides fodder for the KMT to call you weak, bureaucratic, slow or ineffective. They're probably just trying to maintain public trust by not raising a fuss (and everyone's blood pressure) about the actual mechanics of vaccine procurement in a time of crisis and shortage. 

One thing I do think they could do better isn't so much transparency, but messaging. The Tsai government still has one key weakness: they don't announce their victories clearly enough. This feels very cultural to me, in a particularly Taiwanese (and perhaps Japanese) way. The KMT seems to have no issue announcing successes regarding things they haven't even done all that well! Clearer messaging on how hard they are working to get all of this to happen without showing the whole sausage might help, but it has to be done carefully.

Chen Shih-chung is not trying hard enough to obtain vaccines (and is satisfied with 'second-rate' ones)

See above. Pay attention to the actual numbers involved when the CECC talks about what it's been trying to order, and how they waited quite some time to go from "implying" that China blocked their access to BioNTech to outright stating it. 

It's quite clear that this is a monumental, difficult and frustrating task. AZ came first because that's what we could get, not because Chen thinks Taiwanese don't deserve the best vaccines. The shipments are slow, again, because of a global vaccine shortage and access inequities. 

I'm not even sure Chen sleeps at this point. That's how hard he is clearly working.

The outbreak is in part due to the Tsai government being 'complacent' about vaccination drives

This is completely backwards. 

The government procured the vaccines it could, and tried to get them out to frontline workers and other priority groups. It was the lack of local transmission at the time that stymied the drive, not complacency. (The area where they made the big mistake was the shortened flight staff quarantine and not ensuring adequate security at quarantine hotels.) 

People didn't want the shots because they didn't think they needed them. 

So, rather than be complacent about that, the government opened it up to just about everyone. It's true that many people who could have simply signed up for a self-paid shot didn't because they didn't realize that nobody was going to follow up on their "reason", but at the time, it made sense to create a small barrier to ensure there wasn't a stampede for vaccines, to ensure that doses would still be available for the priority groups should they change their mind. 

Once it became clear that the local outbreak was a real problem, the government immediately changed course, and now those vaccines have been given to priority candidates. 

That is not government complacency. It's the government trying to include normal human behavior into their vaccination strategy.


A new study on Sinopharm offers evidence that it's more effective than previously thought, therefore it definitely is (and thus we should consider allowing it into Taiwan)

I don't want to spend a lot of time on this, but as the most reprehensible unificationists in the KMT are trying to use the "let the German BNT doses in!" talk as a gateway to calling for Sinopharm (and other Chinese drugs) to be allowed into Taiwan. This would essentially mean changing the law. 

Not that unificationists and malicious CCP actors see it that way. Having helped create Taiwan's vaccine problem -- and make it seem like more of a failure than it really is in the media -- they offer a "solution": use our Shanghai Fosun/BioNTech vaccines, and here are some Sinopharm ones too! Just issue a "permit". Forget that you have your own FDA and approval process. Forget that Chinese drugs are banned by law in Taiwan. Let us treat you like Hong Kong and Macau! 

It's a poison apple: take it, and watch your citizens' willingness to get vaccinated plummet and pay for it with your sovereignty. Or refuse it, and we continue to attack you for not doing "enough" to procure vaccines.

At around the same time this attack started up, a study came out showing Sinopharm may be more effective than previously thought. However, it is unclear how much protection it provides against severe symptomatic cases or how well it works for older patients. At the same time, the Seychelles, which has the most vaccinated population in the world (it helps that it's a small population), is seeing a fresh outbreak. About 60% of vaccinated individuals in Seychelles received Sinopharm; the rest received AstraZeneca. Although most cases were among the unvaccinated or those who'd only received their first dose, it's still troubling that vaccinating most of a country's citizens with Sinopharm does not appear to be enough to reach herd immunity. 

Generously, I would call this data inconclusive. That one study is fantastic. It's one study. I'd like to see some replication, especially given the situation in the Seychelles.

Now, I actually want Sinopharm to work. In so many countries, it's the only option, or one of the only ones. China, Thailand, Seychelles, half of all available doses in Hong Kong: Sinopharm. With WHO emergency approval, the number of people who will receive Sinopharm will only rise. Those people deserve to be safely vaccinated as much as anyone else. I do hope the doses they have received are effective, as any human would.

That said, I accepted AZ but would refuse Sinopharm. I personally do not trust any drugs from China, nor the government under which they are produced. 

I also do not think the law should be changed or temporarily suspended to allow Chinese vaccines (or any drugs) into Taiwan. I honestly do believe the CCP is evil enough to tamper with the supply, because China is an existential threat to Taiwan. It is in their best interest for Taiwan to suffer. 

As such, I don't even really think the Shanghai Fosun doses should be let into Taiwan. But certainly, whatever data might say about Sinopharm, Taiwan should never, ever trust the CCP or any drugs it attempts to bring into Taiwan.

I don't know the percentage of Taiwanese who'd be willing to take the Fosun-brokered BioNTech doses made in Germany if they could. There's no data. But we do know that willingness to take Chinese vaccines is very low: less than 2%. All those Chinese business executives claiming "Taiwan compatriots" want Chinese vaccines -- and not clarifying the doses in question -- are deliberately dodging this clear fact. 

In fact, if the Taiwanese government were to allow Fosun's German doses in, they'd probably have to ensure they remain separate from any supply where patients don't get to choose which vaccine they receive, as it may impact willingness to make an appointment at all. If the allowed Chinese-made vaccines in, that would cause even more of a problem. Afraid they'd be injected with a Chinese-made vaccine against their will, registrations might well plummet. If they went ahead with the procurements anyway, they'd have to be very clear about messaging: that you'll only get these shots if you specifically sign up for them

It's smart for the government to refuse to play this game.

Yes, this is political. But the threat is real, and unique to Taiwan.

Tuesday, May 25, 2021

Vaccines, Sovereignty and the Hanging Thread

Untitled


In my last post, I explored how Taiwan safeguarding its sovereignty was a major reason why it could not simply accept vaccines from Shanghai Fosun, a Chinese company. Something about that storyline has continued to bug me, though: 

The other thing this article doesn't mention: according to Chen Shih-chung, the Taiwanese government hasn't received any official application to sell these vaccines in Taiwan. How can the government agree to offer a product if the company that wants to provide it hasn't even asked the Ministry of Health and Welfare if they can do so?


It's a bit of a loose thread. Why haven't they applied?

They say they've been "promoting these vaccines since last year" for Taiwan, but this is the first we've heard of them. I find it very hard to believe that this due to the Taiwanese media and government keeping quiet. What is there to keep quiet if Fosun never went through the proper channels to offer the doses here in the first place?

Although anyone with a healthy distrust of the CCP -- which ought to be everyone -- might be tempted to automatically reject any notion that vaccines of any kind from China are acceptable, it bears at least asking: should Taiwan accept this offer of vaccines given the very real threat facing the country?

This is a legitimate question, especially as the vaccines in question are not the ineffective Sinovac/Sinopharm vaccines, but the highly-regarded Pfizer/BioNTech ones. 

After considering that question -- not dismissing it out of hand -- I still believe we should not play China's game.

So let's start with the application that the Taiwanese government said it never received. Couldn't this all simply be fixed if Fosun were to go through the process as it's meant to be done? Why didn't they?

A partial answer is contained in a post I came across while writing my last piece, from an executive at Pfizer (it doesn't say that in his Facebook bio but it's easy enough to find out.) I didn't think about it much until today, but perhaps I should have: 

其實复星從德國進口的BNT162b2,可以循正常管道向台灣TFDA申請BNT162b2在台EUA,复星已經花錢買了輝瑞half-ownership 的data ,為查驗登記用的,不過一旦送了,复星和中國處心積慮吃台灣豆腐的政治操弄,一個中國的泡泡就會被吹破⋯⋯因為台灣「另一個國家」和港澳「地區」不同,所以biologic license submissions (BLA)   送案的程級不一樣,复星幾乎可以在港澳,經過較簡單的流程,很快直接送上市。但在台灣必須有各種疫苗(生物製劑)進口審查規範。基本上:复星BLA送案等同「外商」。 也就是說:中國复星=外商 ⋯⋯面對台灣是一個國家,獨立自主審查,那复星和中國辛辛苦苦經營吃台灣豆腐(一中泡泡)的目的就被吹破了!

不知道复星背後的大人態度如何?不過如果台灣要買,复星就得送。但是送了,「一個中國」泡泡就破了,所以复星不知道敢不敢送? 



Note: the original post has since been deleted (it probably got too popular for a pharma exec's comfort zone) but I think the snippet is useful, so I'm keeping it here.

I don't think I'm quite capable of a good translation so let me summarize the key relevant point. Basically, according to the contractual relationship between BioNTech and Fosun, the vaccine is an imported product from Germany, not a domestically-produced drug, so getting government approval requires the contracting company to purchase global research data that it can include in its application.

So far, China hasn't actually approved it for use in their own "mainland" even though Fosun has (presumably?) paid for this data already. However, it was a relatively simple process to offer it in Macau and Hong Kong, as those are territories of China. So, the licensing agreements and approval processes are at the regional/territorial level. 

Taiwan, on the other hand, has its own application procedures, which Fosun would have to go through to get it approved and distributed here. In addition, as Taiwan is a country, the licensing level -- the level of approval needed for biologics -- is different from Hong Kong and Macau. From Taiwan's perspective, not only is the vaccine itself an imported product, but Fosun is a foreign business, and has to go through the approval process as a foreign entity, not a domestic one.

Even if the BioNTech vaccine itself had already been approved, this particular batch would need to be tested as we can't be 100% sure it's not defective, and distributors need to be approved as well. This is why importing 'in parallel' (importing a real drug that has been approved, but not through an approved distribution channel) is considered the same as selling counterfeit drugs, even if the product itself is 'real'. 

Obviously Taiwan thinks this application procedure is quite normal, but to China, it might well be unacceptable.

If Fosun actually applied in good faith through the regular channels, it would be tantamount to admitting that they recognize that Taiwan is a nation with its own licensing and approval procedures, as evidenced by the level of submission required. There would be no way to do this while still pushing a "one China" narrative. 

That isn't great for China, which allegedly blocked the initial Taiwan/BioNTech deal, almost certainly so that it could then push BioNTech to include Taiwan in the deal it made with Fosun regarding Hong Kong, Macau and China. 

Taiwan never had any say in this deal, so as far as the Taiwanese government is concerned, it's meaningless. 

So rather than apply through regular channels to distribute these doses in Taiwan, China has chosen to kick up a media and disinformation firestorm to make the current government look bad.

Put another way, Fosun claims to be the distributor for Taiwan, yet never applied to distribute this drug in Taiwan. And yet the CCP is pushing the media and KMT to make a big stink about Taiwan not 'accepting' it.

It's convincing, too.  You're too passive! Don't Taiwanese deserve the best vaccines? Why should we settle for second-rate AZ doses? This is all political, you just don't want to buy from China! are all extremely persuasive arguments in a time when people are anxious and stressed out. 

Much better to not apply, wait until the expiration dates are near to create a sense of anxiety -- you know, hurry now or you'll lose this hot deal! Your window of opportunity is closing fast! -- then get your media and KMT muppets in Taiwan to kick up a fuss that precious time is being wasted and Fosun has been "promoting" these doses "since last year", even though nobody in Taiwan has heard anything (?) about them until recently. 

That's highly suspicious. Would you trust doses offered to Taiwan under those conditions? Because although I do speak from a place of privilege (I've had my first dose of AZ), I wouldn't. 

Why, then, doesn't Taiwan reach out to Fosun and invite them to apply? Then we could test the product here and decide if it's safe. 

There are a few reasons why that's not a good idea: 

First, regarding vaccines, Taiwan doesn't approach brokers (I also believe this is a general rule, but don't take my word for it). They approach original manufacturers such as BioNTech. 

These processes aren't particularly fast, and they're difficult to expedite. The laws are quite clear (I've spent enough time with pharma people in Taiwan to know that, and that the Taiwan FDA does not play around with drug approvals.) Approvals take months, not weeks; companies celebrate if they can shave such approvals down even by a fairly small margin, and doing so takes a very convincing case. 

With rumors flying that these particular doses are defective -- again, I can't verify this so please don't take my word for it -- there's no convincing reason to expedite approval. In fact, there's a very good case for applying extra caution. 

In other words, ignoring all of China and Fosun's political games, by the time those doses could possibly get approved, they'll be expired.  The only way to avoid that is to circumvent the approval process completely. 

This is exactly what China wants, because China's approved them in Hong Kong and Macau -- their territories. Allowing that approval to include Taiwan (which I believe is what the China-negotiated contract with Fosun says) without Taiwan doing its own legwork is functionally the same as allowing China to treat Taiwan as a region or territory under its control. 

What's more, by the time they get approved, all of the other vaccines Taiwan has coming its way will already be here. The sense of urgency to get these particular shipments is fabricated. Yes, we need vaccines as soon as possible, but we were never going to get these particular ones faster.

In other words, if you believe Taiwan should do everything in its power to get those doses, congratulations, you've just sold out Taiwan's sovereignty.

It also raises the question of whether approval now would allow Fosun to sell this vaccine in Taiwan long-term; short-term approvals do not exist as far as I know. With Fosun claiming it intends to manufacture this drug in China at some point, it's worth considering whether we want to take the risk that a China-produced vaccine could end up in Taiwanese arms.

And this is leaving aside the fact that this is only an issue because China decided to make it one. Taiwan had a deal with BioNTech, and China wrecked it just so it could pull this stunt. Even if we ignore that playing China's game means letting China win, you can't ignore the very clear national-level processes that make this deal a non-starter. 

Another reason not to trust these doses is that accepting "one time only" that China can push Taiwan around opens the door for them to do it again. China believes this is the way it should be; they won't treat it as a special circumstance. They'll go back to all their international business partners and point out that they've successfully negotiated for Taiwan before -- which would be true if we allowed this -- and convince them it's acceptable to do again. International businesses are already quite happy to bend over for China, so this won't be difficult. There is absolutely no way to win this: the only way to win is not to play. 

The final reason is quite simple: Taiwan has its own vaccines coming, either domestically or through foreign agreements.

The Fosun/BioNTech doses were never going to make it here in time, and other options will be available soon. This was never anything more than a chimaera, a disinformation attack. Don't fall for it. 

So, again, here's what I think is going on: 

China doesn't care whether Taiwan gets them or not. If Taiwan accepts them on China's terms, then China wins. If Taiwan rejects them and the outbreak rages, China still wins.  They waited for an opportune moment to make it seem like China is trying to "help" Taiwan, and allow the media to again attack Taiwan for obstinately refusing this "help" with an issue that only exists because China helped create it. 

If China did genuinely intend for Taiwan to receive vaccines, rather than playing politics, it should have just applied to do so properly. Or it could have simply not stood in the way of Taiwan acquiring vaccines on its own.

China didn't do either of those things, and that tells you all you need to know. It's playing with smoke and mirrors, not making a genuine offer. 

This is all a media stunt -- block Taiwan's own vaccine acquisition efforts, and then allow the media to do what it does best, and blame Taiwan for problems China foisted on it.

I don't think China intentionally let a stockpile of vaccines near their expiration date as some sort of deep-level conspiracy to smear Taiwan's reputation. Rather, I think some of the more competent hatemongers in the CCP saw an opportunity and ran with it: Taiwan's outbreak, its currently rather low supply of unpopular vaccines and the fact that more vaccines might not arrive until later this summer at the earliest all provided them with a window to attack Taiwan right when it was weakest, and use something it already had on hand -- expiring doses that Hong Kongers don't want -- to make the government look bad. 

In other words, China and their various allied sellouts in Taiwan are making it look like Taiwan is faced with a closing window of opportunity -- act fast or these vaccines will be GONE GONE GONE! -- when in fact China's the one with the closing window. 

Anyone in marketing knows this game: the false sense of urgency created to get you to ACT NOW! is actually fulfilling a need on the creator's part, not the customer's. 

Taiwan will get this outbreak under control, and it will gain access to vaccines, either domestically or through other foreign partnerships. The only time China could have possibly acted was now, and they did. This opportunity will soon disappear, and they know it. 

China is also foisting the "playing politics" smear on Taiwan to cover for its own actions. China's attempts to block Taiwan's own vaccine acquisition programs not only endanger Taiwanese and international public health, they are intensely political. They're using any leverage they can find to try and discredit the Taiwanese government. When the government pushes back and refuses to budge on critical issues of drug safety and national sovereignty, the CCP and their associated mouthpieces (including the KMT) use that to accuse Taiwan of being the one to "play politics". 

But of course, it is precisely the opposite. It's gaslighting to the utmost degree. They make it sound like Taiwan is playing with people's lives, when China's the one doing that.

To sum up, the question of whether these Fosun vaccines should be acquired by Taiwan is legitimate. It deserves some inquiry.

But ultimately, I strongly believe the answer is "no". In fact, I don't even believe it would be possible to do so if we wanted to. 

All that's left, then, is the media stunt. The attack on Taiwan's government, to make it look "passive". 

In short, and highlighted for emphasis:

I'm highlighting this for emphasis:

China created the problem by blocking BioNTech's deal with Taiwan. It then allowed a Chinese company to negotiate with BioNTech for "rights" to Taiwan distribution, without asking Taiwan.

Then China stepped in to offer a solution to the problem it created: allow us to treat you just like Hong Kong and Macau and circumvent your own government's regulations and approval processes, and you can have these vaccines which we blocked you from obtaining independently.


Then China created an extra sense of urgency, got their political and media puppets in Taiwan to scream at the government over it, and put all the blame on Tsai and the CECC.

It was always a game. Don't fall for it. 

Saturday, May 15, 2021

Self-funded vaccine program suspended: here's everything I know



Update 5/19/2021: Every person who has reported back to me has said they are being turned away for vaccine appointments. This is true for every hospital I've heard reports about. This is to be expected, and in my opinion nothing to be upset about. The vaccines are being redistributed to where they are needed, and we should support this. As of now, if you have a vaccine appointment before June 8th, you may as well assume it is cancelled. If you are not sure or want a clear confirmation, call the hospital where you made the appointment.


Update 5/17/2021: According to the Liberty Times, even people with vaccine appointments before June 8th are "strongly encouraged" to reschedule them for after that date. Hospitals are also beginning to suspend all non-essential medical clinics.


At least two people have reported to me that people they know either showed up for a previously-booked vaccine appointment today and were turned away, or had their appointments cancelled by the hospital. For those with appointments after June 8th, we'll just have to wait and see. 

Do you have a vaccine appointment between now and June 8th? Leave comments here or on my Facebook page to tell me your experience, especially if you tried to actually get the shot. Were you turned away? Was it cancelled by the hospital?



It's not often that I go into "basically translate an article in Mandarin-language news into English" mode, but I think this is important. Some of it, however, is my own commentary.

As the number of new cases increased exponentially today, the CECC has suspended self-funded AstraZeneca vaccine appointments (previously you could get one "with a reason", but pretty much anyone could claim one, with no need to prove it).

Health Minister Chen Shih-chung announced a few hours ago that the self-funded appointment systems would be suspended, however, anyone who already has an appointment can keep it and will get their shot. I do recommend you check with the hospital where you booked, however. This is true for dose 1 or dose 2. 

With new vaccine shipments arriving soon, Chen said that while the self-funded program would be suspended for at least a week -- in other words, those seeking appointments can't make them this week, but may be able to try again next week -- they do believe they will have enough vaccine supply to ensure everyone with an appointment can get a shot, and "not to worry". 

If you are in one of the categories who is eligible for the publicly-funded vaccine program, you can still make appointments. If you are eligible, I suggest you attempt to do so.

This surely means that all those healthcare and emergency workers who'd thought there was no rush to get vaccinated are going to be lining up now, and the elderly and those with medical conditions may still qualify (as I don't qualify, I never looked very deeply into the tiered eligibility system). This is good policy, and it should be supported without complaint. 

To this end, although Chen himself should be getting his second dose next week, he's not intending to, saying he'll wait for the next shipment. This is surely a PR move intended to calm those who are worried about the escalating situation. 

The big question is the dose 1/dose 2 appointment system. The issue is that it's different for every hospital. 

In Taipei, at NTUH I was handed automatic appointment for 8 weeks later to return for dose 2, and other friends had a similar experience. If you have such an appointment, by all accounts you should be able to keep it.

However, not every hospital follows this protocol: friends in Taitung or who had appointments at Mackay Memorial Hospital (in Taipei) were told by the hospital there to make an appointment for the 2nd dose on their own. It wasn't done automatically. Operators on the 1922 hotline also reported that they simply did not know. 

There is no news on whether such people will be able to book their 2nd appointments, and I suppose the government itself doesn't know yet. If the government intends for the suspension to last one week, it should be quite possible but, as one friend put it, the situation is...well, "dynamic". 

There is a silver lining to this stormy cloud: people will take vaccination seriously, and accept the shot they can get, not the shot they want. When the locally-made vaccine becomes available in large quantities, it should be quite easy to convince residents of Taiwan to come get their shot in a fashion about as orderly as a night market line -- that is, there will be a shape and order to it, despite very high demand and quite some wait time. 

What I want to know is this: what are your vaccine and vaccine appointment experiences like? Are you getting an appointment for a 2nd dose automatically, or not? If not, has anyone offered up answers on whether or not you'll be able to get an appointment? Are you eligible for the publicly-funded vaccine, and if so, how was it to navigate that? How are the wait times?

I'm not fishing for comments -- well okay, I am, but for a good cause! -- I just think more anecdata will help paint a clearer picture of what's going to happen in the next few weeks regarding vaccines and how we get them. 

By the way, there's been some question about the Level 3 restrictions in Taipei and New Taipei, and what they mean. Here's a slightly edited version of what I said about that on Facebook:

Taipei and Xinbei have announced Level 3 restrictions as there have been 180 new confirmed domestic cases in a day. (that's in the whole country, not one city). 

That's a huge escalation from the teens, to 29 (yesterday) to more than 6 times that number today. Most of these seem to be in the tea house/Novotel/China Airlines clusters but still that's a huge uptick. The coronavirus going around now is the UK variant, not the original strain. 

This Level 3 is unique as it does not apply to work or school, which are still in session (though I bet most workplaces are online now). Cram schools can also remain open. While travel is allowed, Taipei and Xinbei residents are urged not to travel unless absolutely necessary. You must wear a mask at all times when you leave your home, and you should wash/sanitize your hands as much as possible.

Level 3 is not a lockdown, but it's close. Public venues and adult entertainment will all close (sports centers, libraries, bars, KTVs) and essential businesses can remain open but need to register visitors. I was outside earlier, and even non-essential businesses were still open. Grocery and convenience stores are all open, but night markets and traditional markets seem to be closing for the time being.

Indoor gatherings are limited to 5, outdoor to 10. Masks must be worn at all times outside the home. Restaurants may remain open but open businesses must register customers. 

So you can still go to the grocery store and leave your house, 711 will still be there etc. Even cram schools may remain open. But if you are in Taipei or Xinbei, you should stay home as much as possible and try not to travel.  

There may be restrictions on movements of people in certain areas such as the Wanhua 萬華 Trapezoid of Doom where outbreaks have been clustered, but I'm not sure yet. 

The new regulations are in effect until May 28th.


I'd like to add that there is truly no reason to panic. The Ministry of Health and Welfare has clarified that there are sufficient medical supplies, including masks. Because businesses can remain open, you don't need to rush out and pick the supermarkets clean. Although there is a possibility that there will be a stronger lockdown in the future, it's highly unlikely to be tomorrow, or even the next day. Even in the strictest lockdown, I am fairly sure essential services such as grocery stores will still be open, though they'll surely have strict entry policies. 

Stay home as much as you can, don't freak out, and you can still go out for now, just mask up. I trust the government to get us through this unprecedented escalation (although I'm quite mad that they didn't quarantine pilots carefully enough for business concerns). I still think this is a safer country to be in than pretty much any other right now.  

Although it does feel like we're just now experienced what has terrorized rest of the world for a year, let's remember that the actual situation is not as terrifying as it is or was in many other countries. 180 cases seems high for Taiwan, and does demonstrate how this particular crisis can blossom at an exponential rate, but it's actually a fairly small per capita number. If we actually take the Level 3 warnings seriously and stay home, we can get through this. Plus we have a year of knowledge and incoming vaccine shipments on our side. 

In other words, this is bad. It sucks. But don't freak out. 

Although I do want to explore the various ways coronavirus in Taiwan has impacted women in particular, I do promise that my next post won't be about this. How about some lovely pictures of my trip to Green Island, or a book review of A New Illustrated History of Taiwan? Something like that.

Wednesday, May 6, 2020

CECC speaks out on discrimination against foreigners by businesses in Taiwan due to COVID19

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I don't have a good cover photo so enjoy this picture of an interesting gate. 


Since it became apparent that some businesses in Taiwan were discriminating against foreigners due to COVID19, many have discussed what could be done about it. Foreigners and Taiwanese incensed by unfair and irrational policies by these businesses - stepped up and called these businesses out on their behavior.

Publicly laying into such businesses was less effective than messaging them privately and asking them to change their policies, pointing out both the discrimination issue and the irrationality of the policies. I'd guesstimate that roughly 8 out of 10 businesses I messaged were willing to change their policies. I don't know the success rate of others - certainly I wasn't the only person doing this. That speaks well of Taiwan: it's not a perfect country, but there are a lot of countries where the majority of businesses would simply ignore such requests and continue discriminating.

This was also great as it meant local businesses rarely had to be called out publicly. When it did happen, I was pleased to see plenty of local support.

There was talk of getting local media reporting on it, or having a local reporter ask the CECC at their press conference about the issue. People respect Chen Shih-chung (陳時中). If they say it's not okay to discriminate, businesses will listen. I can say that this idea came from a local, not a foreigner.

Taiwan News eventually reported on the issue. That report focused on a single nightclub, but drew attention to a wider problem.

From there, the issue made its way to the CECC. I won't give details, but there are many Taiwanese committed to fighting discrimination who deserve credit. This isn't just angry foreigners with torches and pitchforks - it was a group effort with local support.

And today, this happened, reported in ETToday:



中央流行疫情指揮中心指揮官陳時中今(6日)特別強調,病毒攻擊不分什麼樣的人,不要因疫情造成人與人間的對抗,大家多有點同理心,抗疫一定做得更好。 
Chen Shih-chung, leader of the Central Epidemic Epidemic Command Center [and current Minister of Health and Welfare], emphasized today (the 6th of May) that the virus does not distinguish between different kinds of people. The epidemic should not cause person-to-person confrontation. It would be better for everyone to have a little empathy. [Translation mine].

People do respect Chen, and generally have been happy with the CECC's handling of COVID19. So, I do think this will have an effect. Addressing this issue publicly, at a national level, will hopefully cause businesses to abandon discriminatory policies or, if they were considering them, scrap their plans.

Chen is respected in great part because he's got class, saying a little to accomplish a lot without mocking or scolding. Some foreign residents might have been hoping for more of a ‘rebuke’ or ‘reprimand’ in his statement. However, while Chen's language might sound mild to foreigners, but the meaning of those words - the illocutionary force of a reprimand: don’t do this! - will be understood in Taiwanese society. And he will be respected because he didn’t act like a scolding father, but a leader. Trust me, his meaning is clear in this cultural context.

For those that don't, we can point to Chen's statement as a potent antidote to the poison of discrimination - what can a business say when the CECC itself is asking them not to discriminate?

That this was able to happen - the right wheels turned, the right gears ground, people came together - speaks well of Taiwan.


Now, if we can that kind of effort together to fight discrimination against non-white foreigners (predominantly Southeast Asians), that will really be cause to celebrate. Let's keep fighting.