Taiwan(R.O.C.) government had applied the "Rare Disease Control and Orphan Drug Act" since 2000, to protect the peoples. Taiwan is the fifth country that special law, in the word. The government has completed a total on Notice 184 rare disease, 74 rare disease drugs and 40 essential of the special dietary foods, in the past ten years. The government had put rare disease following into catastrophic range, to eliminating the patient medical treatment of some of the burden also. The bureau of health promotion department of health uses the council annual series following the budget subsidy. To supply for rare diseases, in clouding the special nutritional food and emergency medicine, and provide medical cooperation on behalf of the behavior test, cases and Genetic diagnosis and counseling the families of related services to enable access to rare disease patients improve care. However, do the patients and their families receiving services can aware of the Government's efforts? Do they have the expectations and more constructive suggestions, in this ''Rare Disease Control and Orphan Drug Act"? To develop the policies, the researcher be want to understand the thinking of rare disease patients and family members perspective through the study design. According to the results, there is a gap between the "Rare Disease Control and Orphan Drug Act" and the needs of patients. We suggested the government planning policies related to rare diseases, they can consult with patient groups, through rare disease patient groups to understand the patient problems is in life currently, so that it can from a rare disease patient perspective to think about policies and measures.