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

His Facebook post ignited a firestorm.

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


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

According an American expatriate 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 had that fact in mind when he fell ill while living 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."

Bozeat started vomiting one evening 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. Bozeat was a student and 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 start arriving. 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."

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 start arriving. 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 continued his list:

"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."

And 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. "

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."
And 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."


This article originally appeared on 02.28.19

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Health

Conflict expert shares the 1 phrase you can use to stop an argument from happening

It'll make people agree with you, too.

via Canva/Photos

A guy having a collaborative conversation.

The quickest way to stop having a constructive dialog with someone is when they become defensive. This usually results in them digging in their heels and making you defensive. This can result in a vicious cycle of back-and-forth defensive behavior that can feel impossible to break. Once that happens, the walls go up, the gloves come off and resolving the situation becomes tough.

Amanda Ripley, author of “High Conflict: Why We Get Trapped and How We Get Out,” says in her book that you can prevent someone you disagree with from becoming defensive by being curious about their opinion.

Ripley is a bestselling author and the co-founder of Good Conflict, a media and training company that helps people reimagine conflict.

How to have a constructive conversation

Let’s say you believe the room should be painted red and your spouse says it should be blue. Instead of saying, “I think blue is ugly,” you can say, “It’s interesting that you say that…” and ask them to explain why they chose blue.

The key phrase is: “It’s interesting that you say that…”


conversation, arguments, communication tipsPeople coming to an agreement. via Canva/Photos

When you show the other person that you genuinely care about their thoughts and appreciate their reasoning, they let down their guard. This makes them feel heard and encourages them to hear your side as well. This approach also encourages the person you disagree with to consider coming up with a collaborative solution instead of arguing to defend their position.

It’s important to assume the other person has the best intentions while listening to them make their case. “To be genuinely curious, we need to refrain from judgment and making negative assumptions about others. Assume the other person didn’t intend to annoy you. Assume they are doing the best they can. Assume the very best about them. You’ll appreciate it when others do it for you,” Kaitlyn Skelly at The Ripple Effect Education writes.

Phrases you can use to avoid an argument

The curiosity approach can also involve affirming the other person’s perspective while adding your own, using a phrase like, “On the one hand, I see what you’re saying. On the other hand…”

Here are some other phrases you can use:

“I wonder if…”

“It’s interesting that you say that because I see it differently…”

“I might be wrong, but…”

“How funny! I had a different reaction…”

“I hadn’t thought of it like that! For me, though, it seems…”

“I think I understand your point, though I look at it a little differently…”


conversation, arguments, communication tipsTwo men high-fiving one another.via Canva/Photos

What's the best way to disagree with people?

A 2016 study from Yale University supports Ripley’s ideas. The study found that when people argue to “win,” they take a hard line and only see one correct answer in the conflict. Whereas those who want to “learn” are more likely to see that there is more than one solution to the problem. At that point, competition magically turns into collaboration.

“Being willing to hear out other perspectives and engage in dialogue that isn’t simply meant to convince the other person you’re right can lead to all sorts of unexpected insights,” psychologist and marketing Professor at Southern Methodist University tells CNBC.

In a world of strong opinions and differing perspectives, curiosity can be a superpower that helps you have more constructive conversations with those with whom you disagree. All it takes is a little humility and an open mind, and you can turn conflict into collaboration, building bridges instead of walls.

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Democracy

Newly naturalized citizen breaks down in tears about his experience voting for first time

"You are everything this country was meant to be."

Photo credit: Canva

New citizen breaks down in tears over voting for first time

Every four years there's an election for president of the United States of America. Of course there are other elections taking place for congressional seats, the House of Representatives every two years, Senate every six years. Aside from federal level elections there are a lot of local elections constantly happening that directly impact the lives of American citizens within cities, counties and states.

Every election that takes place allows Americans to have a say in their daily lives by choosing who will directly govern them from city council to school boards, up to state legislatures and beyond. But not everyone living in America can participate in one of the greatest civic duties entrusted on the citizens of this country.

The ability to vote in elections is one thing that many Americans can take for granted but for Vivaldi, it's a privilege he's waited a long time to gain.

Vivaldi who goes by the name Whistling Vivaldi recently shared that he voted for the first time in an emotional video. The Haitian American man has clearly been crying before he turns on his camera to hit record, clearing his throat to say, "I'm going to try my best to get through this. I do not know if natural born citizens know what this feels like."

a hand holding a red button that says i vote Photo by Parker Johnson on Unsplash

Before he could finish his thought he immediately got choked up again. Vivaldi explains that his family came to America when he was a child in 1999 which was followed by several major events, including the towers of the World Trade Center coming down.

"There was nothing you could really do, things were just happening and you were trying to overcome. Be that 9/11, be that Katrina, be that Sandy Hook, be that the overturning of Roe, be the overturning of affirmative action, be that Citizens United, be that the Patriot Act, be that the housing crash, everything, right? These things were occurring, they were altering the trajectory of people's lives and if you weren't a citizen and you couldn't vote, you really just had to suck it up and take what you got," Vivaldi says.

polling station poster on clear glass door Photo by Elliott Stallion on Unsplash

Without a vote there aren't many options to affect change in your city, county or country. Running for office even at local levels are reserved for people who are registered to vote in most places. Outside of speaking at a city council or school board meeting, immigrants have no meaningful way to do their part to make their voices count, whether they're tax paying or not.

For Vivaldi, he says social media was his only way to get people to hear him in an attempt to affect change. That's when he's completely overcome with emotions while trying to finish his announcement.

red and blue building illustration Photo by Clay Banks on Unsplash

"After 20 years, I guess 26 years," the emotional man takes a deep breath. "I finally got to vote today, for the first time," Vivaldi couldn't stop the tears from flowing. "And maybe, just maybe, I was able to affect the trajectory of not just my own life but that of my family, that of millions, probably even billions of people around the world. Hopefully alleviate some sort of suffering."

Once Vivaldi composed himself he directed his attention to Americans who think their votes don't matter to remind them that it does matter.

"But there are people like my family that have left everything behind. That have spent thousands and traveled across oceans for just the maybe, just the possibility," and with that he encourages everyone to go out and vote.


@whistlingvivaldi https://www.vote.org/ #election#politics #dnc #rnc #election2024 ♬ original sound - Whistling Vivaldi 🇭🇹 🇺🇸

The emotional video struck a lot of people including immigrants who were recently naturalized getting to vote for the first time this election cycle. Support for Vivaldi was overwhelmingly positive as his tears reminds others what some Americans take for granted.

"You are everything this country was meant to be. I felt this to my core. I cried with you. I am so glad you and your family are here. Embrace every emotion. Every moment. You are part of the change," one person praises.

A fellow immigrant shares, "after 19 years in America, I became a citizen 1 year ago. On Teusday[sic] I will be voting for the 1st time. I feel this deep."

Vote Voting GIF by The Drew Barrymore ShowGiphy

"THIS is what being American means. You’re amazing and I’m so happy you’re here and we should all be proud and grateful you and your family are here," another shares.

"You made me cry like a baby! Thank you for taking this right and responsibility so seriously. Congratulations," someone else chimes in.

"I feel this in my soul. I’m 47 just became a citizen last year and voted this week for the first time and it is an emotional experience. Thank you for sharing this message," another person shares in the emotion.

This year millions of people across America will be exercising their right to vote and for those recently naturalized participating for the first time, may you feel immensely proud of the ballot you cast.

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Modern Families

Do you have a "living room family" or a "bedroom family"?

This 'debate' is all the rage on TikTok. But one is not better than the other.

alexxx1915/TikTok

TikTok user alexxx1915 recently posted a short video with the caption: "I just learned the term 'living room family' and I never understood why my kids never played in their rooms when I always did as a kid."

She briefly shows her kids hanging out in the living room with their pet dog and some toys scattered around the floor, before panning to her own face and giving a sort of sentimental look. The simple, ten-second clip struck a huge nerve with parents, racking up over 25 million views and thousands of heartfelt comments.





@alexxx1915

#livingroomfamily #fypシ

What are "living room families" and "bedroom families"?

This idea has been going around for a while on social media.

Simply put, a living room family is a family that congregates in the living room, or any common space in the household. Kids play in the same space where the adults relax — and things are often messy, as a result. Everyone interacts with each other and spends lots of time together. Bedrooms are reserved mostly for sleeping and dressing.

A bedroom family, on the other hand, is where the kids spend more time in their rooms. They play there, watch TV, and maybe even eat meals. Typically, the main rooms of the house are kept neat and tidy — you won't find a lot of toys scattered about — and family time spent together is more structured and planned ahead rather than casual.

"Living room families" has become the latest aspirational term on TikTok. Everyone wants to be a living room family!

The implication of being a bedroom family, or having 'room kids', is that perhaps they don't feel safe or comfortable or even allowed to take up room in the rest of the house, or to be around the adults.

"I remember my brother coming round once and he just sat in silence while watching my kids play in livingroom. After a while he looked at me and said 'It's so nice that your kids want to be around you'" one commenter said on alexxx1915's video.

"I thought my kids hated their rooms 🥺 turns out they like me more" said another.

"You broke a generational curse. Good job mama!" said yet another.

There's so much that's great about having a family that lives out in the open — especially if you were raised feeling like you had to hide in your room.

In my own household, we're definitely a living room family. We're around each other constantly, and the house is often a mess because of it. Learning about this term makes me feel a little better that my kids want to be around us and feel comfortable enough to get their 'play mess' all over the living room.

The mess is a sign of the love and comfort we all share together.

But the big twist is that it's also perfectly fine if your kids — and you! — like a little more solitary time.

boy playing with toys on the floorGavyn Alejandro/Unsplash

Being a 'bedroom family' is actually perfectly OK.

There's a similar discourse that took place last year about living room parents vs bedroom parents. The general consensus seemed to be that it was better to be a living room parent, who relaxed out in the open versus taking alone time behind closed doors.

But it really doesn't have to be one or the other, and neither is necessarily better.

Making your kids feel relegated to their room is, obviously, not great. It's not a good thing if they feel like they're not allowed to exist in and play in the rest of the house.

But if they just like hanging out in their room? Nothing wrong with that at all! And same goes for parents.

Alone time is important for parents and kids alike, and everyone needs different amounts of it to thrive.

Kids with certain special needs, like being on the autism spectrum, may be absolutely thrilled to spend lots of time in their rooms, for example.

So are you a living room family or a bedroom family? Turns out, it doesn't really matter, as long as your family loves each other and allows everyone to be exactly who they are.

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Democracy

Big study finds conservatives are happier, but liberals enjoy this aspect of life more

The way we see the world has a significant effect on our psyche.

via Jeremiah Schultz/Flickr and Miki Jourdan/Flickr

Some Trump supporters and a Harris voter.

Identifying as a liberal or conservative means a lot more than simply voting Democrat or Republican. These views stem from a difference in worldview and values and they significantly affect how satisfied we are with our lives.

Generally speaking, American conservatives believe the political system is fair and provides a stable foundation for people to pursue their dreams. They also value tradition, stability, conformity and safety. American liberals, on the other hand, are concerned about the political system's fairness and are more comfortable with ambiguity, nuance, diversity and new experiences.

This difference is evident in the places where liberals and conservatives choose to live. You’re much more likely to find liberals residing in metropolitan areas full of diversity and culture. In contrast, conservatives prefer rural areas that are culturally homogeneous and steeped in traditional values.


conservatives, liberals, studiesA farmer and his hay.via Canva/Photos

Who’s happier, conservatives or liberals?

Multiple studies, including a new one published in the Journal of Personality, have found that happiness and meaning are more associated with conservative views because they believe in the system and are satisfied by hard work.

The Journal of Personality is the American Psychological Association’s top-ranked peer-reviewed journal on personality and social psychology.

“Across six studies, we largely replicate earlier findings that happiness was associated with slightly more political conservatism,” the researchers wrote. “Happiness was also associated with system justification, or the tendency to see the current political, economic, and societal systems to be fair and defendable. Meanwhile, meaning in life was consistently associated with Protestant work ethic, or the view that hard work will lead to success in life.”

Why are conservatives happier than liberals?

Simply put, conservatives believe that America is a meritocracy where anybody who works hard can make it, giving them a sense of happiness. This also means that they feel less responsible for those who do not make it because they believe it is due to their own choices or a lack of work ethic.

However, liberals are more likely to think that the system isn’t a meritocracy because there isn’t an equal playing field for women, people of color, those with disabilities, immigrants, or people who are born into economically disadvantaged families. The feeling that you live in an unfair world, whether you are a member of a privileged group or not, can create a sense of constant unease.

So, it makes sense those who think the system is fair are happier than those who do not.

conservatives, liberals, studiesA couple protesting for free healthcare.via Elvert Barnes/Flickr

How are liberals different from conservatives?

On the other hand, the researchers found that liberals live a much more psychologically rich life than conservatives, mainly because they are more open to new experiences. Liberals are likelier to live abroad, experience different cultures and read fiction. The researchers note that liberals are much more open to broadening their perspectives than conservatives and see it as an opportunity for personal growth. Conservatives may see new experiences as threatening to their safety or traditional beliefs.

The study makes an interesting point: People who believe they live and work in a fair system are bound to be happier than those who feel it’s unjust. However, it also shows that those who value tradition and stability highly may miss out on much of the richness life offers.

“We are not claiming that a psychologically rich life is by any means better than a happy life or a meaningful life,” the researchers concluded. “Indeed, it is clear that a happy life and a meaningful life are desirable lives, associated with stable social relationships, prosocial behaviors, and health.”

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Community

People share small acts of kindness that can be used every day, and some are brilliantly simple

Being spatially aware has a surprisingly profound effect.

Canva

Small actions lead to big movements.

Acts of kindness—we know they’re important not only for others, but for ourselves. They can contribute to a more positive community and help us feel more connected, happier even. But in our incessantly busy and hectic lives, performing good deeds can feel like an unattainable goal. Or perhaps we equate generosity with monetary contribution, which can feel like an impossible task depending on a person’s financial situation.

Perhaps surprisingly, the main reason people don’t offer more acts of kindness is the fear of being misunderstood. That is, at least, according to The Kindness Test—an online questionnaire about being nice to others that more than 60,000 people from 144 countries completed. It does make sense—having your good intentions be viewed as an awkward source of discomfort is not exactly fun for either party.

However, the results of The Kindness Test also indicated those fears were perhaps unfounded. The most common words people used were "happy," "grateful," "loved," "relieved" and "pleased" to describe their feelings after receiving kindness. Less than 1% of people said they felt embarrassed, according to the BBC.


So, maybe with kindness, we need to put our social anxieties away and act without overthinking (to a certain point, of course). Perhaps it’s best to find the simplest actions we can commit to on a daily basis, rather than formulating some grandiose gesture.

Reddit user u/tacoabouttoeat asked the online forum “what’s a small act of kindness that literally anyone can do/practice everyday?” and people gave some brilliantly simple ideas.

Here are eight easy-to-accomplish crowdsourced answers that might bring us one step closer to a more peaceful world:

1. Be aware of your surroundings.

reddit

It takes zero effort.

Giphy

“Either move with the flow of traffic or get to the side if you have to situate yourself.” – @JoeMorgue

2. Use headphones when taking public transport.

jimmy fallon

A tune we can all groove to.

Giphy

“If you don’t have them - you can go 20 minutes without making excessive noise while sharing a small space with other people.” – @cynthiayeo

3. Give compliments.

abbott elementary

Does anyone not like feeling appreciated? Anyone?

Giphy

“If you have a charitable thought about someone, even a stranger, say it out loud to their face. It is free, it is easy, and it might be the best thing that has happened to that person all week. Nothing creepy or overtly sexual or flirty, just kind words. ‘That shirt is really your color! Your haircut is beautiful. I appreciate your help, you were a real lifesaver!’ It doesn't cost you anything and it means the world to the people you are talking to.” – @Comments_Wyoming

4. Hold doors open for people.

how to be kind

An instant warm welcome no matter where you are.

Giphy

“Makes a big difference in one's day.” – @sconnie64

5. Don’t act on “road rage."

acts of kindness

Be like bond. Keep it cool.

Giphy

“After several years of commuting I came to the realization that with a few exceptional days, I always got home at the same time. Regardless of how many people ‘cut me off’ or drove too slowly and whatever. I started to just ‘go with the flow’ and always let people in when needed, always give extra room, and just enjoy my music/podcast. Life changing.” – @CPCOpposesAbortion

6. Have patience.

happier

You never know what someone is going through.

Giphy

“You never know what someone else is going through. Could be a breakup, their dog just died, granny finally made it to heaven, or maybe mom just broke the news that she's got end stage cervical cancer and has weeks left to live. You never know, so be patient. After all, wouldn't you want someone to be patient with you?” – @mamalion12

7. Thank the people you live with for taking care of things around the house.

happiness

No, thank YOU for the "thank you."

Giphy

“It doesn’t have to be over the top, but everyone feels better about doing chores when it is noticed and appreciated. ‘Thanks for folding my laundry’ or ‘thanks for always keeping track of our bills, you’re awesome at managing money!’” – @Mrshaydee

8. Leave a place you visit just a little bit nicer than when you found it.

pursuit of happiness

Your future self will thank you for it.

Giphy

“Pick up a piece of litter at the park. Give that mat with a pucker ready to trip someone a little tug to get it to lay flat in the business you're at. Let an employee know when you spot a leaky dairy product on the shelves so they can deal with it. Return someone else's grocery cart.” – @BlueberryPiano


This article originally appeared on 10.4.22

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