Taiwan’s meaningful participation in the World Health Organization would implement, not violate, UN principles

—WHO and governments around the world would benefit from this principled reform.—

By Jerome A. Cohen and Yu-Jie Chen

When SARS traumatized Asia in 2003, Taiwan was the world’s third hardest-hit place after China and Hong Kong. Yet China prevented Taiwan from receiving much-needed assistance from the World Health Organization (WHO). Seventeen years later, as the Covid-19 pandemic rages elsewhere, Taiwan has achieved a remarkable success in containing this virus without imposing any lockdown. Yet Beijing still insists upon Taiwan’s exclusion from WHO, barring the world’s health agency from engaging with Taiwan’s best practices.

On May 18, when WHO’s decision-making body, the World Health Assembly (WHA), opens its 73rd session, its 194 member states have another opportunity to correct this injustice. Will they continue to turn a blind eye to Taiwan’s importance, making a mockery of WHO’s mission to promote “health for all”?

Despite its widely-condemned mishandling of the outbreak of Covid-19, China fiercely objects to even renewal of Taiwan’s former status as a mere observer in the WHA. Beijing has again mobilized the support of a large bloc of authoritarian governments and developing countries that depend on its favor. They are likely to outvote the number of countries that the United States and its allies are urging to back Taiwan’s limited participation in the WHO.

To justify the decision to exclude the 23 million people in Taiwan, WHO, as well as many member states, continues to rely on an erroneous legal argument that Beijing has widely propagated. Last week, for example, when asked about Taiwan’s participation, WHO’s principal legal officer Steven Solomon invoked the 1971 U.N. General Assembly resolution 2758 as well as the WHA resolution 25.1, which reiterated the General Assembly resolution. He stated that “Forty-nine years ago the United Nations and WHO decided that there was only one legitimate representative of China within the UN system, and that is the PRC.”

Citing General Assembly resolution 2758 to deny Taiwan’s international participation is misguided. When U.N. member states adopted the resolution in 1971, they only voted on one issue: which government should sit in China’s seat in the United Nations? Should it be the Republic of China (ROC) government on Taiwan or the People’s Republic of China (PRC) government on the mainland? The resolution “recognize[d] that the representatives of the Government of the People’s Republic of China are the only lawful representatives of China to the United Nations.”

Contrary to Beijing’s propaganda, the resolution did not go beyond that. Indeed, so long as the Taiwan government does not claim China’s U.N. seat, the resolution does not prevent Taiwan’s eventual membership as an independent state in the United Nations and any of its affiliated organizations such as WHO. The United Nations is legally free to recognize that Taiwan has all the characteristics of statehood, as it does, and admit it as a new member, even one called the Republic of China on Taiwan. Surely, there is no barrier to WHO’s grant of mere observer status to Taiwan today.

In fact, every year from 2009 to 2016, China allowed WHO’s Director General to issue an invitation to Taiwan to take part in the WHA as an observer. Neither WHO nor the Chinese government then claimed Taiwan’s observer status to be a violation of any U.N. principles or international law. Beijing accepted it because of Beijing’s political rapprochement with the Taiwan government then dominated by the Nationalist Party.

Unfortunately, that observer status was not translated into the “meaningful participation” sought by Taiwan. Taiwan was not allowed to take part in the majority of WHO’s technical meetings, in which important information and solutions were exchanged. The status also proved vulnerable. Since the people in Taiwan in 2016 elected as president Tsai Ing-wen of the Democratic Progressive Party, which Beijing disfavors, Taiwan has not been invited back to the WHA. This is naked politics masquerading as U.N. law.

To be sure, at this stage of international politics, for WHO purposes flexibility is still needed in tweaking Taiwan’s formal name to avoid Beijing’s hyper-sensitivity to any hint that Taiwan may have achieved independence from China. When Taiwan previously served as observer in WHA it was under the name of “Chinese Taipei”, which can be repeated.

There are significant precedents in which major public international organizations outside the U.N. system have included Taiwan because it is too important to be left out of global governance. As early as 1986, for example, after the PRC joined the Asian Development Bank (ADB), Taiwan was able to stay in the organization due to its fast growing economy and strong economic ties with other countries, although it had to accept the change in title designated by the ADB as “Taipei, China.” In 1991, Taiwan became a full member of the Asia-Pacific Economic Cooperation (APEC) under the name of “Chinese Taipei” at the same time China joined the group. Moreover, the World Trade Organization (WTO), which China entered in 2001, admitted Taiwan the following year under the name “Customs Territory of Taiwan, Penghu, Kinmen and Matsu (Chinese Taipei)." The WTO welcomed Taiwan because the world community realized that the WTO would not be effective or legitimate if it excluded one of the world’s important trading countries.

When it comes to the world’s public health, Taiwan’s role is no less important, especially given its proximity to China, which makes it susceptible to infectious diseases originating from the mainland. Taiwan also offers outstanding health expertise, significant resources and best practices. It is now donating medical masks, developing testing kits and vaccines, and partnering with several countries to exchange solutions about Covid-19. Including Taiwan in WHO’s efforts to fight the coronavirus, if only as observer, will add greatly to these efforts. This is plainly in the self-interest of governments hard hit by the pandemic, regardless of their ties to China. Taiwan’s observer status would not violate any U.N. principles or international law. It would instead begin reforms urgently needed to repair WHO’s damaged credibility and efficacy.

Jerome A. Cohen, adjunct senior fellow at the Council on Foreign Relations, is professor of law at New York University and founding director of its US-Asia Law Institute. Yu-Jie Chen, a Taiwan lawyer, is a global academic fellow at Hong Kong University’s Faculty of Law and an affiliated scholar at the US-Asia Law Institute.

The WHO Has a China Problem. Cutting Funding Isn’t the Answer.

By Jerome A. Cohen

My colleague Yu-Jie Chen and I have just published a piece in The Diplomat, Trump Is Right That the WHO Has a China Problem. Cutting Funding Isn’t the Answer.

We point out that Trump has himself to blame for his administration’s bungled response to COVID-19. But one does not have to agree with Trump’s reckless tirades to condemn the WHO. Those who try to defend the WHO must not overlook WHO's remarkable failings as well as the WHO director-general’s biased and unprincipled position when dealing with China. The world community would benefit from insisting on better performance from the world’s health body, rather than normalizing its failings.

But Trump's decision to halt WHO funding is obviously immoral and cruel. We argue that it is also strategically unwise. Washington should reverse the current disengagement and self-isolation policy and seek to develop broad-based, cross-regional alliances in the international system, which is all the more important at a time when U.S. leadership continues to decline and China’s power is perceived to increase. For the WHO, Washington should join its allies in using collective political and financial leverage to reform the organization to improve its transparency, competence, and integrity. Burying the head in the sand while pointing fingers at others isn’t going to cut!  

Covid-19, WHO and the politics of Chinese Traditional Medicine

By Jerome A. Cohen

I’m delighted to see expert John Fitzgerald’s just-released, learned, objective analysis of the pernicious and dangerous ways in which WHO has helped the PRC to try to convince the world of the virtues of Traditional Chinese Medicine (TCM) for curing Covid-19 and other illnesses and the health benefits to be derived from the killing of endangered species like pangolins. WHO has been siding with the Chinese Government increasingly and for a long time, not only recently since Covid-19. WHO should limit its recommendations to evidence-based scientific methods, not Chinese TCM propaganda. Lives are at stake, not Xi Jinping’s quest for “soft power”.

John, who used to head Ford Foundation’s China office and knows the country well, cogently shows the triple threat of the PRC’s TCM propaganda. It may deceive people in need to place too much faith in the healing powers of TCM. It may encourage worldwide slaughter and consumption of endangered species like pangolin that TCM suggests may have curative potential. And it gives the PRC an unjustified leg-up in its quest for “soft power.” For more discussion, see also this essay on China Policy, Covid-19 and TCM.

Ever since reading last month the China Daily’s big push, under Xi Jinping’s leadership, promoting the virtues of TCM for treating the virus and other ailments, I was genuinely curious about the lack of Western response. When I asked doctors in my family, who are actively engaging the virus daily in New York hospitals, about the extent to which TCM is used or could be useful in the struggle, I only received blank stares. I wondered whether American medical schools teach TCM and whether American physicians are negligent in failing to make use of it. Also it seemed that Western China specialists were oddly not responding to China’s claims for TCM at a time when we are desperately trying to cope with the virus. These essays help to fill a perceived gap in our deliberations.

P.S. My first acquaintance with pangolin came in 1986, when my wife and I, as guests of the Guangdong government, toured Hainan and were treated to this rare delicacy at a small dinner that the island’s Communist Party secretary gave in our honor. I said we were flattered but asked whether eating pangolin was not banned. The host replied with an impishly sly wink!

Why the world should care about Taiwan’s exclusion from the WHO

By Jerome A. Cohen

My colleague Yu-Jie Chen and I have just published a piece in the Council on Foreign Relations’ IN BRIEF on “Why Does the WHO Exclude Taiwan?”. We discuss how Taiwan has done so well in dealing with the pandemic, why the world’s health body continues to exclude Taiwan, what the US government’s position is on Taiwan's WHO participation and why Taiwan’s exclusion is a problem for the world.

This is not a minor issue, nor is it limited to Taiwan. It involves a broader, important conversation about China’s improper influence over the international system and the accountability of international organizations such as WHO. It deserves our greater attention and vigilance as the fight against the pandemic continues.