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Beijing’s one-China principle forces countries to choose between having full diplomatic relations with Beijing or Taipei Taiwan has built thousands of homes for the poor in Paraguay, upgraded the country’s health care system, awarded hundreds of scholarships and even helped fund the futuristic Congress building in the capital, spending generously over decades to nurture their diplomatic ties. But the alliance, which makes Paraguay one of only 15 nations to have full diplomatic relations with Taiwan, and the only one in South America, is facing an existential threat as Paraguay’s quest for vaccines becomes increasingly desperate. With its health care system buckling as COVID-19 cases soar, Paraguayan officials across the political spectrum say the time has come to consider dumping Taiwan, which doesn’t export vaccines, in order to establish diplomatic ties with China, which does.

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