Since the Taiwan government's passage of the Public Assistance Act in 1980, emergency assistance has been officially considered a part of Taiwan's social assistance system. Because of the social and economic situation changed, people's need may not be satisfied at the same time, the ruling party proposed new emergency assistance programs. An example is the Urgent Care System, which was established in 2008. Village directors and street-level bureaucrats employed by local city councils, as well as executives at district offices and non-governmental organizations, were responsible for implementing the system. As the policy specifications were very detailed, various difficulties were expected to be encountered during the implementation of the Urgent Care System. The key objective of the authors' study was to understand these difficulties and the adaptive solutions for them. First, news reports and the views of scholars were accessed to provide insight into the difficulties faced by the executives running the system. Using this information as background, the authors then interviewed five of these executives to obtain their first-hand perspectives. The study results show that the Urgent Care System has several advantages such as good provision of assistance at the local level, timely interviews, and a good evaluation mechanism. However, there were also problems, such as time pressure on staff, insufficient manpower, difficulties in interacting with the media, poor performance by achievements inspection, and political pressure. The authors recommend increasing the number of social workers because of their professional skills and knowledge. Doing so would prevent the system from devolving into a tool for ”verification and rubber-stamping.”