upworthy
Health

He went to the ER in Taiwan, then his "Horrors of Socialized Medicine" post went viral

His Facebook post ignited a firestorm.

a person's hand stuck with an IV beneath a comment.

An ER trip in Taiwan is how much?


We all know that Americans pay more for healthcare than every other country in the world. But how much more?

According to an American student who shared the story of his ER visit in a Taiwanese hospital, Americans are being taken to the cleaners when we go to the doctor. We live in a country that claims to be the greatest in the world, but where an emergency trip to the hospital can easily bankrupt someone.

Kevin Bozeat, a 25-year-old student at the time, had that fact in mind when he fell ill while studying in Taiwan and needed to go to the hospital. He didn't have insurance and he had no idea how much it was going to cost him. He shared the experience in a now-viral Facebook post he called "The Horrors of Socialized Medicine: A first hand experience."

It started with a stomach ache

Bozeat's stomach began to hurt. Not thinking much of it, he went home to rest. Then, he started vomiting and couldn't stop, unable to even keep water down. "My symptoms showed no signs of abating," he wrote. "At this point I had to seek medical treatment, I knew I had to go to the hospital."

"I wanted to avoid it," he added. "I had no idea how different Taiwanese hospitals would be, whether I would be able to find an English speaking doctor, or what it would cost me (my US health insurance has lapsed and I don't qualify for Taiwanese NHI)."

Taiwan's National Health Insurance (NHI) is a single-payer system that covers all residents of Taiwan. Foreigners can take part in the system immediately upon obtaining a work permit, or after six months of living in the country. As a student, Bozeat hadn't lived there long enough to be eligible yet.

But he needn't have worried.

Bozeat's bill for his entire hospital stay was a fraction of many insured American's copays for emergency services.

And it's not like he received substandard service for what he paid.

"My Taiwanese roommate called a taxi and took me to the ER at NTU Hospital," Bozeat wrote. "I was immediately checked-in by an English speaking nurse. Within 20 minutes I was given IV fluids and anti-emetics. They took blood tests and did an ultrasound to ensure it wasn't gall stones or appendicitis. From there I was given a diagnosis: a particularly severe case of Acute Viral Gastroenteritis (aka the stomach flu). After about 3 hours on an IV, I began to feel slightly better, my nausea disappeared and my stomach began to calm down."

Bozeat was discharged with a prescription for anti-emetics and pain medication, and after a few days he was back to normal. This is when most of us would start panicking as we wait for the hospital bills to arrive. But Bozeat was pleasantly surprised:

"The bill for the ER visit?...US $80.00. Eighty. American. Dollars. Out of pocket. Full cost. No discounts. No insurance. At one of the best hospitals in Taiwan. And if I had NHI, it would have been a fraction of that. This could have easily cost me hundreds or even thousands in the US without insurance. But here in Taiwan I was able to receive speedy, quality care comparable to what I would have gotten in a US hospital for relatively small amount of money."

I did some research, and the cost of living overall in Taiwan is about half what it is here. There is not a hospital that I know of in the U.S. where you can be admitted and discharged for anything close to $160, even for something as simple as a bee sting. (Seriously, an ER visit for a bee sting can set you back $12,000 in the U.S.)

Bozeat also pointed out that the taxes that pay for Taiwan's health system are not that high.

Responding to the common complaint that we'd have to raise taxes to pay for universal healthcare, Bozeat addressed that with a listicle:

"5: Yes, taxes pay for the healthcare here. No, they are not high. Try for yourself: The formula for the NHI monthly premium contribution for a single employed adult is: [your monthly income] x 0.0469 (4.69%) x 0.3 (30%) = Your monthly out-of-pocket healthcare premium."

I did the math for a $60,000 per year income—it comes to $70.53/month. [Sigh.]

But Bozeat wasn't done:

"6: It's not perfect. Not everything is 100% covered. I had a good experience, but Im sure many people have had [non-financial] medical horror stories here.

7: This system exists because the Taiwanese government believes that healthcare is a right for all of its citizens, rather than a privilege for those who can afford it. Those aren't my words, thats what the Ministry of Health said in its English language brochure. Every Taiwanese citizen and foreign permanent resident is entitled to, and required to enroll in the National Health Insurance Program (NHI). Everyone is covered, regardless of employment status, no one is uninsured, no one ever goes bankrupt due to medical bills."

The quality of care does not appear to be compromised in this system, either.

"I have yet to meet a Taiwanese person who wasn't satisfied with, or even outright proud of their healthcare system," Bozeat wrote. "My expat friends praise it, even those from countries with universal healthcare systems of their own. "

Well, there you have it. This certainly gives us a lot to think about.


This article originally appeared on five years ago.

Blink, a new documentary from NatGeo, is now streaming on Disney+ and Hulu.

True

It’s December, and we’re all currently in the thick of it: Wrapping presents, baking cookies, and scouring the toy aisles for that must-have gift of the season. But in the middle of all the holiday chaos, it’s easy to lose sight on what the season is really about: making meaningful memories with our loved ones.

From volunteering to building a bucket list to watching maybe the most uplifting documentary we’ve ever seen, we’ve put together five simple and wholesome activities that will leave you and the entire family a little more connected and a whole lot happier. Ready to make memories that last? Let’s dive in.

Make a difference close to home

littlefreepantry.org

A 2023 analysis from the journal Frontiers in Psychology showed that people who regularly volunteered in their communities had greater self-esteem, more self-reported happiness, and a greater sense of personal fulfillment. (Um, yes, please.) If that sounds like something you want to experience as well, then you're in luck: There's no better time to lend a helping hand than during the holiday season. You could shovel a neighbor's driveway, buy presents for kids in need, or—who knows? You might want to be super ambitious, like setting up a food pantry or volunteering as an "interim parent" like this woman, who cares for babies and young children while their adoptions are being finalized. The sky is the limit.

Watch this feel-good, family flick

Get the tissues ready: This is maybe the most uplifting documentary you’re ever going to see. The film, “Blink,” follows a family with four children, three of whom have a rare genetic disease called retinitis pigmentosa (RP). With RP, the cells of the retina slowly die off, leaving a person with tunnel vision that shrinks until they are nearly—or totally—blind.

The parents, Edith Lemay and Sébastien Pelletier, decide to gift their children with incredible sights and experiences so that they can treasure them forever, even after their sight is gone. The film follows the Pelletier family as they make a bucket list and set out on a year-long journey across 24 countries to make some incredible memories.

For some seriously wholesome holiday goodness, stream "Blink," now on Disney+ and Hulu.

Make your very own bucket list

person writing bucket list on bookPhoto by Glenn Carstens-Peters on Unsplash

To fulfill their dreams, the Pelletier family in the National Geographic documentary "Blink" created a bucket list with every kind of memory they wanted to fulfill, from seeing a sunrise on a mountain to "drink[ing] juice on a camel." (Because, sure. Why not?) Spend some time thinking of your own dreams you'd like to fufill. This is the perfect activity if you're looking for something creative and family-friendly—just gather the kids around for a brainstorming sesh and let the ideas fly. You might not actually complete all of these items (or any of them), but dreaming them up and spending time together is half the fun.

Spread some holiday cheer


Whatever your family’s ages and interests, there are a thousand different ways to spread holiday cheer this season, whether you’re singing Christmas carols door-to-door or just exchanging a warm holiday greeting. If you need inspiration, look no further than John Reichart, 74, who (just like the Pelletier kids) wants to create new memories for his family while he's still able to. Following his wife Joan’s Alzheimer’s diagnosis, Reichart set out to decorate every house in their neighborhood with lights and decorations purchased out of his own pocket. Simply inspirational.

Make someone's life a little easier. 

I need this goober in my life.
byu/kenistod inMadeMeSmile

The holiday season is all about giving and togetherness, but let’s be real, it’s no easy feat. Sometimes we can get stressed, overwhelmed, and exhausted. One surefire way to make this world a better place is to think of ways to make someone’s life just a little easier, like this mom who picks up her teenager’s bedroom every morning after he goes to school. You could even send a note of encouragement to someone who needs it, or bake some treats and leave them out for a hangry delivery driver.

It’s probably easier than you think to spread the love and leave the world a little happier than you found it.

A mother is shocked by her daughter's newfound artistic talents.

One of the big myths surrounding ADHD medication is that it turns kids into “zombies” who lose their personality, creativity and emotions. According to an article reviewed by clinical expert Roy Boorady, MD, ADHD medications should not change a child’s personality. “If a child taking a stimulant seems sedated or zombie-like, or tearful and irritable, it usually means that the dose is too high and the clinician needs to adjust the prescription to find the right dose,” the article says.

ADHD is caused by a lack of the neurotransmitter dopamine, which plays a significant role in attention and focus. When someone with ADHD takes a stimulant such as Ritalin or Adderall, their brain reaches the dopamine level of someone who doesn't have ADHD. Child Mind warns that if a child has a dramatic personality swing after taking ADHD medication, the dosage may be too high.

A recent video on TikTok by a mother and musician named Harlie, shows the dramatic effect that can happen when a child takes ADHD medication and can finally concentrate on their art. “I need to show you something that has been just been absolutely crazy,” Harlie said in a video with over 1.1 million views.

@thisisharlie

Has anyone had this happen to them or their kids? Like why did my daughter’s drawings change this much after adhd meds? #adhdtiktok #adhdmedication #adhdartist #neurodivergent #neurospicy

Harlie then flipped through a book of art that her daughter made before starting ADHD medication. She referred to it as "standard kid drawings" of shapes and a flower in sunlight. But then, after taking 10 mg of Vyvanse for four days, Harlie couldn't believe her new drawings that closely resembled classic Japanese anime characters. Harlie told Upworthy she had been a fan of Japanese art since she was 5 but had just now had the concentration to create it herself.

"A switch flipped in her brain," a shocked Harlie said. "You just don't go from like that to this. Is this normal?" she asked her followers. “This is the first time she’s ever been able to show a drawing and not have someone ask ‘What did you draw?’ she told Upworthy. “So she’s very excited that commenters were recognizing the characters.”

In a follow-up video, Harlie explained that she put a lot of thought into the decision to put her daughter on ADHD medications. A big reason for her trying the medication was to hopefully overcome the disorder. “After doing more research there are multiple studies out there that are showing that early intervention actually helps correct brain development,” she said. “So if we get her on these medications now, there is a percent chance that she can grow out of it.”

@thisisharlie

Replying to @hi_sma here’s a before & after of her handwriting, as well as symptoms and why we chose to medicate! ♥️ #adhdtiktok #adhdmedication #neurodivergent #neurospicy #adhdmom

She added that when people start ADHD medications as children, they have a lower chance of developing substance abuse and that the medications expand life expectancy.

Ultimately, the final decision was her daughter’s. “I am a very firm believer that this should be her decision. Her dad and I have sat with her and we've had conversations about how she can expect to see a lot of positive feedback," Harlie said. "We talked about how her friends might be complimenting her being able to sit still. We talked about how TikTok is complimenting her drawing abilities now and we also talked about how none of that should be a reason to stay on the medication. We are raising a happy kid and not a productive kid.”

Arjun Mahadevan's life pro tip Twitter thread

Arjun Mahadevan gave the world a gift when he crowdsourced the best “life pro tips” from nearly 22 million people. He shared the top 20 in a Twitter thread that’s got over 619,000 views. Mahadevan sourced the tips from the Life Pro Tips subforum on Reddit, which has been running since 2010.

Mahadevan is the CEO of doolaHQ which he calls the “business-in-a-box” for LLCs.

Mahadevan labeled his advice “20 life tips you wish you knew when you were 20,” but they are helpful for everyone regardless of age. They’re useful for anyone who is in a relationship, has a job, or wants to stay sane in an aggravating world.


Many ideas involve reframing how we judge others to see them with more compassion. Mahadevan also has some advice for professionals to prevent them from making embarrassing mistakes or wasting other people’s time.

Sometimes the simplest change in behavior or perspective can drastically affect our lives. Here are Arjun Mahadevan’s 20 life tips you wish you knew when you were 20:

1. "If you’re stuck on an annoying call, put your phone on airplane mode instead of just hanging up. The other person will see 'call failed' instead of 'call ended.'"

2. "When you sign up for anything online, put the website’s name as your middle name. That way when you receive spam/advert emails, you will know who sold your info."

3. "Always tell a child who is wearing a helmet how cool you think their helmet is. It will encourage them to always wear it in the future."

4. "When you don't have all the facts, try to give people the most generous reason you can for their behavior. Annoyingly slow driver? Maybe it's a mom with a birthday cake in the back. This mindset will gradually make you less reactive and more compassionate."

5. "Do not try to be the man your father would want you to be. Be the man you would like your son to be. It more clearly defines your own convictions, desires, goals and motivates you to be your best."

6. "When a friend is upset, ask them one simple question before saying anything else: 'Do you want to talk about it or do you want to be distracted from it?'"

7. "After a bad breakup, do 10 things that your ex would never do with you. You'll feel better and realize how much of yourself was being held back."

8. "Before you give your child a unique name, try it out first. Use it on food orders, reservations, appointments where applicable, etc. It’ll give you a glimpse of what they’ll deal with when they’re older and could prevent future issues."

9. "If you need to cancel a hotel reservation but are unable to because of a 24-hour policy, call the company and move your reservation to a later date. Call back within a few days and cancel for no charge."

10. "If you tell someone you need to talk to them, for the love of God give some indication of what you need to talk about, or at least that it's not bad news."

11. "Never send a work email when you’re emotionally compromised. Type it up, save it as a draft, and walk away. Ideally, sleep on it. You’ll make a smarter choice when you're not heated."

12. "Don't just let kids win at games. You can slow it down, you can teach them strategy, but keep it real. Someday, they will beat you fair and square, and it will be a moment they always remember with pride."

13. "When cooking things on aluminum foil, first scrunch the foil up, then lay it loosely flat again out on your baking tray. The juices will stay put—and the food will not stick to the foil half as much, if at all."

14. "If you think of a good idea, write it down. Your brain will try to trick you into thinking you will remember it later, but it's a liar! Therefore: Write it down!"

15. "It takes 4 minutes a day and almost no cost to maintain dental hygiene. It takes a lifetime and a lot of money to correct it. 2-minute brush and mouthwash in the AM, 2-minute brush and floss in the PM."

16. "Don’t wait until you have 'time' to start a fitness program. Because then when you get busy again, you’ll stop. The best time to start is actually when you’re busy. Learning how to fit it in when times are tough means you’ll stick with it over the long haul."

17. "When using text messages or IMs for business, say everything you need to say in the first message. Don’t just say 'hi' or 'hey' or 'are you there' or 'are you busy.'"

18. "Instead of feeling that you've blown the day and thinking, 'I'll get back on track tomorrow, think of each day as a set of four quarters:

• Morning• Midday• Afternoon• Evening

If you blow one quarter, you get back on track for the next quarter."

19. "Many problems in marriage are really just problems with being a bad roommate. Learn how to be a good roommate, and it will solve many of the main issues that plague marriages. This includes communicating about something bothering you before you get too angry."

20. "Ask yourself 'what does it matter to me' the next time you find yourself judging someone for their clothing or hobbies. The more you train yourself to not care about the personal preferences of other people, the more relaxed and nicer you become as a person."

This article originally appeared last year.

Pop Culture

Big Bird is soon to be homeless as the cancellation of 'Sesame Street' is likely imminent

"Sesame Street has been teaching kids and celebrating the power of community for over 50 years."

Photo credit: Wikimedia

Big Bird is homeless as HBO cancels beloved 'Sesame Street'

Everybody's favorite bird is about to be without a home, along with all of his friends. The characters of "Sesame Street" have been a part of people's childhoods for multiple generations now, with it's first episode airing in 1969. It was a way that "television could help prepare disadvantaged children for school," according to Sesame Workshop.

"Sesame Street" teaches everything from letter and number recognition, counting, emotional regulation and what it means to be in a community. The show tackles difficult topics on a level that young children can understand. There have been episodes about autism, homelessness, even breast feeding. "Sesame Street" has been a massive family classic for more than 50 years, with all the educational goodness available for free on local PBS channels.

But with the rise of streaming, it became difficult for the preschool staple to maintain being on PBS due to licensing fees once DVD and video sales tapered off. "Sesame Street" simply couldn't maintain staying on PBS without the revenue needed to produce the show, which is when HBO stepped in. But after completing their five-year deal, HBO, now known as Max, is shifting its focus to content for adults and families according to Variety.

Sesame Street Fainting GIF by MOODMANGiphy

The 55th season of the children's classic will be the last new season premiered on the streaming service, which is set to air in 2025, though Max will host episodes from the "Sesame Street" episodes library until 2027.

“It has been a wonderful, creative experience working with everyone at ‘Sesame Street’ on the iconic children’s series, and we are thrilled to be able to keep some of the library series on Max in the U.S,” said a spokesperson for Max in a statement. “As we’ve launched Max though and based on consumer usage and feedback, we’ve had to prioritize our focus on stories for adults and families, and so new episodes from ‘Sesame Street,’ at this time, are not as core to our strategy.”

Happy Its Friday GIF by Sesame StreetGiphy

And just like that, the beloved characters of "Sesame Street" are homeless, looking for a new place to rest their feet. Being aware of the change in children's viewing habits, the legendary preschool staple is hoping to give the show a little update in the 56th season. The organization is hopeful it will get picked up by a streaming giant or be able to make its way back to PBS somehow so generations of kids can continue to benefit from the programming.

The news of the show's cancellation even got the attention of former secretary of state and former first lady Hilary Clinton, who shared it with her audience. People are struggling with the idea of such a beneficial show like "Sesame Street" getting cancelled.

Sesame Street Oscar GIFGiphy

"Sesame Street was such a big part of my childhood, along with the other PBS shows like Mr. Rogers Neighborhood and Reading Rainbow. My kids are teens so I haven't actively watched in a long time, and had no idea that HBO bought it! I am in the field of early childhood education though, and I know how important equal access to high quality programs is for children. I just donated, and I hope Sesame Street and Big Bird find a deserving home and continue to spread love, kindness, and education for generations to come," one person shares.

"This is so sad and wrong. Sesame Street has been the source of learning for millions of children. That show taught letters, numbers, character traits like kindness, compassion, and it made learning fun. Bring it back to PBS, find a way to make it happen. The money is there, corporations just don't want to invest in children," another commenter adds.

Sesame Street Reaction GIF by Muppet WikiGiphy

To be clear, Max does not own "Sesame Street," they were licensed to produce new episodes of the beloved show, which still air on PBS several months after they air on Max. It allowed for the show to make new shows behind a paywall while still being able to provide free episodes to underserved youth. PBS is funded by donations from private foundations and citizens, as well as membership dues and Corporation for Public Broadcasting (CPB) in order to keep shows on the air. Mr. Rogers once famously spoke in front of Congress to advocate for funding for children's programming on public broadcasting.

While "Sesame Street" is currently without a permanent home, there seems to be something that can be done that is within the power of regular citizens—contact members of Congress to ensure they fight to keep funding the CPB and increase the funding provided and donate to PBS and Sesame Workshop, which is the nonprofit that funds "Sesame Street."

A man asking a woman for forgiveness

Yasmina Elmerkaoui, a beauty influencer and founder of Merkau, is getting a lot of love on TikTok because she reminds everyone that there is more than one way to respond to an apology. Sometimes, all you have to do is say, “Thank you.” If you were the one who was wronged, why does someone get to control your reaction just because they apologized?

Her thoughts were eye-opening to many people conditioned to give a knee-jerk “It’s okay” response when someone apologizes, even though what they ask forgiveness for probably isn’t “okay.” Elmerkaoui shared her thoughts on a September 2024 episode of the “Hanging for More” podcast she hosts with Maggie Younan.

What's the best way to respond to an apology?

“I’ve taught my kids to say, ‘Thank you for apologizing,’ rather than, ‘That’s OK,’ because the behavior isn’t OK,” Elmerkaoui says. “The apology is welcomed, so it also draws a line and reminds you, no, no, no, that isn’t OK.”

@hangingformorepodcast

How to respond to “sorry” 🙏

Elmerkaoui’s response provides a solid distinction between thanking someone for admitting they were wrong without going so far as condoning their actions. The “thank you” response is also a way to prevent people from acting out of line again. If you tell someone their bad behavior is “okay, " they are more likely to do it again, causing a terrible cycle of poor behavior and apologies. “It reminds everyone else in their life as well that the apology is welcome, but the behavior isn’t okay and I won’t accept it,” she continues.

Elmerkaoui doesn’t expect an “It’s okay” even from her own son because she believes it teaches him poor boundaries. “They say the same to me, like, ‘Thank you for apologizing,’” she goes on. “I’ll even pull them up if they say, ‘That’s okay.’ Noah, especially, he’s such a mama’s boy, he’s like, ‘Mom, that’s okay, you did nothing wrong.’ And I’m like, “No, I did.”


“This is so important. It’s not ok to mistreat others and hide behind an apology. It becomes a cycle,” Rafaela wrote in the comments. “There’s power in saying ‘I forgive you’ too when you genuinely do, but absolutely never ‘it’s fine,’” Allison added.

Some people had never even considered simply saying thank you. “Why have I never thought of this? I've been actively thinking of what a better response would be. I'm trying to stop saying "it's okay,’” Kaitlin wrote.

Karina Schumann, a psychology professor who studies conflict resolution, apologies, and forgiveness at the University of Pittsburgh, agrees with Elmerkaoui’s approach but stresses that we respond to the apology authentically. “It’s important to be genuine without being hostile,” says Schumann. “Research shows that using a ‘constructive voice’ — where you voice your concerns in a positive, calm way — is the most effective way to invite behavioral changes and better relationships. Sweeping things under the rug and pretending to forgive when you’re not ready are not going to fix the problem.”

Yasmina Elmerkaoui’s simple yet powerful apology approach brought up a meaningful conversation about authenticity and boundaries. Her advice to shift from saying “It’s okay” to “Thank you” encourages a healthier dynamic that doesn’t condone bad behavior but places a high value on accountability. It acknowledges the hurt while bringing things to a sincere resolution. Elmerkaoui’s advice reminds us that we may not be able to control how people treat us, but we have complete power over how we respond.

Joy

Homeless man catches family's two children and dogs dropped from burning apartment building

"He was right underneath and he was like 'Yes, throw your daughters out, I'm going to catch them, I'm going to get them.'"

Man catches entire family as they jump from burning building.

House fires are devastating for families. In a matter of minutes, you could lose all of your belongings and a place to live. Even worse, you could lose loved ones. A family in Phoenix, Arizona, recently found themselves facing the reality of their own home in flames. Claudia Jimenez told CBS News that she woke up trapped in her burning apartment with her two daughters, with nothing to do but yell for help in the hopes that someone would hear her.

The mom's screams were answered by Joe Hollins, a homeless man who was camping nearby with his wife. Hollins didn't hesitate to try to find a way to help. With no way out and the fire department still nowhere on the scene, Jimenez had to trust the stranger who was standing below.

"He was right underneath and he was like 'Yes, throw your daughters out, I'm going to catch them, I'm going to get them,'" Jimenez told CBS.


So, the terrified mom did what any mom would've done to save her babies—she tossed them one at a time out the window. And just as he promised, Hollins caught them. Valerie, who is just a year old, was dropped to safety first, then 8-year-old Natalie made the two-story fall into Hollins' arms. The family dogs were next out the window before it was time for Jimenez to make the jump herself.

After some coaxing, the mom made the leap, and Hollins again made the catch saving everyone in the house. When everything was said and done, Hollins saved the entire family and the dogs. Soon after Jimenez jumped to safety, the fire department showed up to put out the blaze.

Multiple families lost their home that night, but thanks to Hollins, the Jimenez family didn't lose their lives. In an effort to help Hollins after saving this family, a GiveSendGo was created. A GoFundMe was also created for the young mom and her daughters which raised nearly $12,000.

If you ask the hero, he's no hero at all. He told CBS News that anyone in his shoes would've done the same thing. Hollins was in the right place at the right time, and because of his willingness to help, he saved an entire family. You can watch the entire interview below.

This article originally appeared last year.