On May 23rd of 2000, the Natural Death Act was passed in Taiwan,, which was the first law in Taiwan to respect medical wills and protect the rights of terminally ill patients. In 2006, the Department of Health of Taiwan began encouraging Taiwanese citizens to record their will of intent to DNR on their National Health Insurance (NHI) smart (IC) cards. In 2011, the signing of a DNR letter of intent in NHI IC card with the force of law when Natural Death Act was amended.In 2006, Department of Health began to promote marking the will of hospice palliative of patients on National Health Insurance IC Card while taking medical treatment. The amount of people who completed marking each year increased gradually. In 2012, there were 145,921 people in total completing the pre-marking of hospice palliative care will on National Health Insurance IC Card, which 44,335 (30.9%) were males and 101,587 (69.1%) were females, and in group of ages between 50 and 59 had the highest proportion of people who signed up the system reached 12924 (26.0%), followed by group of ages between 60 and 69 reached 11103 (22.4%). People received the information of hospice and palliative care from relatives and friends mostly, followed by newspapers and magazines.Through the increase of amount of people in pre-marking hospice palliative care will with National Health Insurance IC Card each year, we can tell that people are gradually accepting the concept of hospice palliative care. In the future, the promotion of the system will be operated in a more diverse way. We aim to let all the patients can express their expectations and choice in advance and pre-mark their hospice palliative and medical care on their National Health Insurance IC Card while they are still capable to do it, to help last phase patients die with dignity.