KevinMD December 20, 2025
On a winter evening in Taipei, random violence erupted across two of the city’s busiest metro stations. Within minutes, lives were lost, dozens were injured, and a familiar cycle followed: shock, fear, calls for more security, and questions about public safety. But for those of us in health care, this should not be framed as a failure of policing alone. It should be recognized for what it truly is: a failure of the health system long before the first blade was drawn.
Random violence does not emerge from nowhere. It is rarely sudden, and almost never isolated. It is often the final visible collapse of invisible systems (untreated mental illness, social isolation, fragmented care, and repeated missed opportunities for early...
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