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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.

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

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Research shows why you should always pet your dog before leaving the house

via Pixabay

One of the most wonderful things about having a dog is how attached they become to their owners. I work from home and my Jack Russel terrier, Scout, lies next to me on his bed for most of the day. The only time he leaves my office is for a sip of water or to go outside and sun his belly on the porch.

That's why whenever I leave the house and can't take Scout with me, I wonder, "Does he miss me? Is he sad that he's alone?" Studies show that our dogs miss us the moment we leave the house and that feeling slowly intensifies until we are gone for about four hours and they have a "plateau of melancholy." That's why the longer you're away, the more excited your dog is when you return home.

The moment I pull up in my car Scout begins to howl like a wolf trying to contact someone who's miles away. It's like, "Dude, I'm 30 feet away. Give me a second to grab the groceries out of the trunk."

Researchers from the Universities of Pisa and Perugia, Italy have found that if you give your dog some affection before you leave the house they'll have less anxiety while you're away.

They conducted experiments with 10 dogs between the ages of one and 11 without attachment issues. The group was composed of seven mixed-breed dogs, one Labrador retriever, one Hovawart, and one Chihuahua.

Participants in the study walked their leashed dogs into a fenced area where they were greeted by a researcher who took their dog's heart rate. In the first test, after the owners walked their dogs into the area, they talked with a researcher for one minute then left without giving the dog any special attention.

In the second test, the dog owners petted the dog during their interaction with the researcher.

In both tests, the owners left the fenced area and hid far enough away so that the dog couldn't smell them.

After the owners left, the dogs looked for them for about three minutes on average. After the owners returned, the researchers measured the dogs' levels of the stress hormone cortisol as well as their heart rates.

The researchers found that whether the dogs were petted or not, their cortisol levels were unchanged. But their heart rate showed a marked decrease if the owners petted them before leaving. Researchers later watched videos of the dogs and found that the ones that were petted showed " behaviors indicative of calmness for a longer period while waiting for the owner's return."

Next time I'm ready to leave the house and Scout follows me to the front door after saying, "Sorry bud, you can't go with me on this trip," I'll kneel down and give him a little extra love and attention.

Maybe that way he won't howl like the house is on fire when I pull up in my car after a trip to the grocery store.

This article originally appeared four years ago.

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25-year-old U.S. mom is shocked after receiving an astronomical bill from baby's NICU stay

For starters, the hospital charged it cost $4,337 every time they moved the baby's room.

via Canva/Photos

A woman looks at a massive medical bill.

Twenty-five-year-old Janice Hernandez, who goes by @JaniceHeartss on TikTok, has her hands and heart full after her baby, born in late October, was diagnosed with Prader-Willi syndrome (PWS). PWS is a rare genetic condition that leads to physical, mental, and behavioral problems. A key feature of Prader-Willi syndrome is a sense of always being hungry. It also results in poor muscle tone, distinct facial features, and a poor sucking reflex. It can also lead to behavioral problems down the line.

To make things worse for Hernandez, after her baby spent 7 weeks in the NICU, she received a bill in the mail, and it’s the cost of two to three houses in some parts of the United States. “I just got the bill for my daughter's NICU stay,” she said in a video with over 3.5 million views. "Do you guys wanna know how much it is? Do you wanna converse or have a conversation about the price? $738,360 freaking dollars. Almost a million dollars.”

That’s right, $738,360 freaking dollars.

@janiceheartss

Anyone actually pay their medical debt ooooorrrrrrrrr??? #nicumama #nicubaby #nicuwarrior

Hernandez then looked at the itemized bill and found she was charged astronomical amounts for everyday items and services. “For example, I noticed on the bill that there is a little tiny tube of Aquafor that they gave me that I actually still have $25. $25 for a tiny tube of Aquaphor that I thought the nurse was just giving me to be cute and give it for free. No, ma'am, they made sure to charge every single little thing,” Hernandez continued.

In a follow-up video, she shared that it cost $4,337 every time the staff switched her baby’s room. “Imagine if I didn't have insurance," she said according to Daily Mail, I'd have to pay all of this. 'Here in America, just to breathe costs money, and so, of course, when you step foot into a hospital, they start charging you automatically.”

How much money do Americans owe in medical debt?

Hernandez’s piece struck a chord with many Americans who have also received huge medical bills. A 2021 study found that Americans owe at least $220 billion in medical debt. Approximately 14 million people (6% of adults) owe at least $1,000, and 3 million (1% of adults) owe more than $10,000.

"Damn, how long was she in for? Our daughter was in the NICU for three weeks, and ours was $147k," Kristina asked in the comments. "My son died in the NICU after 4.5 months, and our bill was $6 million," Kaori added. "They charged me $2500 a night for the nursery that my baby never even went to. They also didn’t have a nursery," another user wrote.

Many people who live in developed countries where healthcare is free found the three-quarters-of-a-million-dollar bill astonishing. "In Saudi Arabia, all medical bills are covered by the government," one user wrote. "As a Canadian, I genuinely can not understand this," another added. "Genuine question from someone not located in the US: How on Earth do people pay these massive costs? What happens if you need medical care but have no insurance? Do you just not get treated?" Lola K asked.

media1.giphy.com

In another follow-up video, Hernandez shared that she got an update from her insurance company, and her daughter’s stay may not be fully covered. Insurance said it would pay $442,2918.75 of the $739,416.00 bill, leaving her owing $302,741.51. But she hopes that insurance will eventually kick in more. “They don't know if they're gonna be able to cover it yet,” Hernandez said. “It literally says pending or not payable. Charges that are either not covered or need more review by us.”

@janiceheartss

Replying to @Roman BIGGGG update! Guess it’s time for more waiting 🚶‍♀️🚶‍♀️#hospitalbill #insurance #nicu #hospital

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Pop Culture

Brit shares the one-word 'dead giveaway' that American actors are doing an English accent

There's one word they never get right.

via Warner Bros Discovery

Peter Dinklage on "Game of Thrones?

When it comes to actors doing accents across the pond, some Americans are known for their great British accents, such as Natalie Portman ("The Other Boleyn Girl"), Robert Downey, Jr. ("Sherlock Homes"), and Meryl Streep ("The Iron Lady").

Some have taken a lot of heat for their cartoonish or just plain weird-sounding British accents, Dick Van Dyke ("Mary Poppins"), Kevin Costner ("Robin Hood: Prince of Thieves") and Keanu Reeves ("Bram Stoker's Dracula").

Some actors, such as Tom Hardy (“The Drop”) and Hugh Laurie (“House”), have American accents so good that people have no idea they are British.

Benedict Townsend, a London-based comedian and host of the “Scroll Deep” podcast, says there is one word that American actors playing characters with a British accent never get right. And no, it’s not the word “Schedule,” which British people pronounce the entire first 3 letters, and Americans boil down to 2. And it’s not “aluminum,” which British and American people seem to pronounce every stinking letter differently.

@benedicttown

The one word American actors aways get wrong when doing an English accent

What word do American actors always get wrong when they do British accents?

“There is one word that is a dead giveaway that an English character in a movie or a TV show is being played by an American. One word that always trips them up. And once you notice it, you can't stop noticing it,” Townsend says. “You would see this lot in ‘Game of Thrones’ and the word that would always trip them up was ‘daughter.’”

Townsend adds that when British people say “daughter,” they pronounce it like the word “door” or “door-tah.” Meanwhile, Americans, even when they are putting on a British accent, say it like “dah-ter.”

“So top tip if you are an actor trying to do an English accent, daughter like a door. Like you're opening a door,” Townsend says.



What word do British actors always get wrong when doing American accents?

Some American commenters returned the favor by sharing the word that British actors never get right when using American accents: “Anything.”

"I can always tell a Brit playing an American by the word anything. An American would say en-ee-thing. Brits say it ena-thing,” Dreaming_of_Gaea wrote. "The dead giveaway for English people playing Americans: ‘Anything.’ Brits always say ‘EH-nuh-thin,’” marliemagill added.

"I can always tell an actor is English playing an American when they say ‘anything.’ English people always say it like ‘enny-thin,’” mkmason wrote.



What is the cot-caught merger?

One commenter noted that the problem goes back to the cot-caught merger, when Americans in the western US and Canadians began to merge different sounds into one. People on the East Coast and in Britain pronounce them as different sounds.

“Depending on where you live, you might be thinking one of two things right now: Of course, ‘cot’ and ‘caught’ sound exactly the same! or There’s no way that ‘cot’ and ‘caught’ sound the same!” Laura McGrath writes at DoYouReadMe. “As a result, although the different spellings remain, the vowel sounds in the words cot/caught, nod/gnawed, stock/stalk are identical for some English speakers and not for others.”

American actors owe Townsend a debt of gratitude for pointing out the one thing that even the best can’t seem to get right. He should also give the commenters a tip of the cap for sharing the big word that British people have trouble with when doing an American accent. Now, if we could just get through to Ewan McGregor and tell him that even though he is fantastic in so many films, his American accent still needs a lot of work.

This article originally appeared last year.

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Modern Families

Seasoned grandma reveals 3 crucial rules all new grandparents must follow

"Can someone send this to my MIL please?"

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Conflict between parents and grandparents is hard to avoid. A lot of the time, it comes down to generational differences. When our parents were raising us, there weren't smartphones and there was no Disney+ or Netflix (well, at least not the streaming version). In general, kids had more freedom and less supervision in the 80s and 90s. Parenting styles like gentle parenting or conscious parenting weren't things people thought about as frequently. Again, there was no Instagram shoving it in your face over and over! In some cases, research and data gathered over time have shown us a better way, even though previous generations of parents were doing the best with the information they had.

So it's natural for grandparents to have, um, opinions about how their grandchildren are being raised at times. According to the AARP, most disagreements center on how children are disciplined, what they eat, and how much screen time they get. The sad thing is that when these conflicts become too common, or escalate too far, grandparents can start to miss out on time with their grandkids. There's got to be a way to avoid or mediate these conflicts before they get to that point.

One grandma just laid out her three simple rules for new grandparents who want better relationships with their kids and grandkids.

Giphy

Maria, who goes by MomMom Maria online, took to Instagram to offer the blunt advice for new or expecting grandmas — though they can definitely apply to any grandparent.

Rule number one. You are not the parent.

"That is crucial. You're not this child's parent," Maria says in a selfie-style video filmed in her car. "You're privileged to be a grandmother. You're not the mother."

It sounds obvious, but Maria's absolutely right about this one. The parents get to make the decisions on how their kids are raised, how they are disciplined, what they eat, what they can and can't watch on TV, and more. As a grandparent you're not the decision-maker and you're not the one who's ultimately responsible. You can have your own thoughts and opinions, but you don't really get a say. Harsh but true!

Rule number two: Respect the parents' boundaries.

"And guess what? You don't have to understand them," says Maria. "'I don't understand why she doesn't want us to kiss the baby!' You don't have to understand, respect their boundaries."

Conflict doesn't have to come from disagreements about parenting. Some parents butt heads with grandparents over their kids being spoiled and showered with gifts (and other junk that parents then have to find a place for in crowded houses). It can be tough for grandparents to understand or agree with a boundary like "Please don't buy them anything without asking me first," but Maria argues that grandparents must respect boundaries even if they don't understand or agree with them.

Number three, a corollary to rule number two: It's not about you.

"You're not a victim," Maria says. “You're not a pushover. You're just being respectful of their role as parents and realizing that your role is a grandmother. I love it."

Just because you're keeping critical thoughts and opinions and disagreements on how the children are being parented to yourself doesn't mean you're being weak. That's just being respectful of the parents' boundaries and decisions. It's a good thing that you're working to ensure a positive relationship with your children and grandchildren! That's an investment that will reap more and more dividends as the kids get older.

Maria's tips united people from across the aisle — both parents and grandparents agreed the guidelines could make for better relationships.

Maria's video struck a cord with a huge audience of over 300,000 viewers on Instagram. Most were fully on board with the 'new rules.'

"Grandmother to a 7-month-old and two-week-old. Absolutely agree. And I remember how it was when I was a young mother and my MIL made unsolicited comments," one fellow grandma chimed in.

"And remember things have changed since you were a mom: swaddling, no blankets, back sleeping, etc. Just nod and say ok!" offered another user.

Another user mentioned that she'd had a similar conversation with their therapist, who said: "grandparents are used to being *the* parents in the room. They often times don’t know how to or otherwise refuse to fall into a secondary role.” ... "And that hit hard," the user added. "I think a lot of these grandparents are not understanding that they don’t get to parent our kids. They need to step back and let us parent. It’s time for them to relax and step into that secondary role."

Giphy

But not everyone agreed with Maria's advice. Some grandparents, in particular, resented the fact that they should feel privileged just to be involved in a child's life at all, or they lamented not feeling connected to the family when their wisdom and experience wasn't being valued.

"I had one child. He grew up , got married, and is now a dad. I have one grandson," one person commented. "They live on the other side of the country. I keep my mouth shut about EVERYTHING. I text to get permission to call or be lucky enough to FT. I don’t send my grandson ANYTHING , not even so much as a cookie, unless I get their permission first. I struggle to have any conversation with him or his wife because I am not a part of their life. I keep my mouth shut, offer no opinions on anything . It is very hard to be so disconnected from them and it hurts but there is nothing I can do about."

Another commenter was upset by feeling like they knew better, but not being able to voice it:

"This is so hard to do as a GP. I want all organic. . Parents do not care. I want no sugar. They give lots of sugar . I want no screen time . Parents do lots of screen time . I want no cell phone scrolling. Parents scrolll constantly in front of baby. I’m trying so hard to not say anything."

Parents aren't "always right" when it comes to these conflicts, for the record. Ideally, there would be open and honest communication, and a relationship where grandparents' experience and wisdom was valued and taken into consideration, while also allowing space and boundaries for the parents to make the final decisions. Of course, communication is hard. It takes a lot of work and it requires multiple different parties to manage their emotions and egos. Learning to communicate about boundaries, rules, and differences in philosophy takes time — but Maria's three rules are a pretty good starting point for new grandparents who want to get off on the right foot.

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The biggest fan of Kendrick Lamar's halftime show is a cockatoo, and he is rocking out

Even if you couldn't care less about this Lamar & Drake beef, this is so fun to watch.

NFL/Youtube, @banditthecockatoo/TikTok

Bandit is a Lamar fan through and through.

While there were certainly many folks at home bopping along to Kendrick Lamar’s epic halftime show, no one did it quite like an internet famous white cockatoo named Bandit—who seriously needs to be hired as one of Lamar’s back-up dancers post haste.

In the video below, we get to see the entire journey Bandit takes while listening to the performance— curiosity, intrigue, trying to find the beat, feather-raised excitement as he attempts his own dance moves, followed by full on hand banging, the works!

One thing is abundantly clear. In this infamous feud between Lamar and Drake, Bandit is definitely “Team Lamar.” Watch:

@banditthecockatoo Bandit discovers @Kendrick Lamar and he likes it. #BanditTheCockatoo #kendricklamar #tvoff #kendrick #parrotsoftiktok #talkingparrot #cockatoo #umbrellacockatoosoftiktok #umbrellacockatoo #talkingbird #parrot #attitude #personality #bird #birb ##birdsoftiktok #birbtiktok #birbturd #birbtok #birdsofinsta #cockatoosofinstagram #parrotsofinstagram #tiktokfamous ##dancing #dancingbird #dancingparrot ♬ tv off - Kendrick Lamar

Of course, this spurred a lot of fun comments from viewers, especially folks referencing said feud.

“Even animals are feeling this diss track,” one person wrote, while another said “He’s feeling the power of KDot!” referencing one of Lamar’s earlier stage names.

Another commented, “I was waiting for him to yell MUSSSSSSTARRRRD!” which Lamar himself yelled in the song "TV Off" as a nod to Mustard, his co-producer, which also became a rather famous internet meme.

While Bandit had no actuarial awareness of the diss lyrics Lamar was spitting out, he, like many avians in the parrot family, was responding to the rhythm and beat of the music. Much about how and why these birds react to music remains a bit of a mystery, but they do seem to have their individual preferences. While Bandit clearly enjoys hip hop and rap, another might prefer classical music. One funny thing to note however—it’s been said that on the whole, parrots aren’t electronica fans. So no raves for them.

Of course, cockatoos and parrots can have eclectic tastes too! As we can see below, Bandit also has a soft spot for Billy Idol.

@banditthecockatoo Bandit discovers @Billy Idol (Running with the Ghost Live at the Stateline at Hoover Dam - which is literally just down the road from our house) #BanditTheCockatoo #billyidol #stevestevens #hooverdam #stateline #concert#parrotsoftiktok #talkingparrot #cockatoo #umbrellacockatoosoftiktok #umbrellacockatoo #talkingbird #parrot #attitude #personality #bird #birb ##birdsoftiktok #birbtiktok #birbturd #birbtok #birdsofinsta #cockatoosofinstagram #parrotsofinstagram #tiktokfamous #singing #singingparrot #singingbird #dancing #dancingbird #dancingparrot ♬ original sound - BanditTheCockatoo

This charming bird has been a TikTok star for years now, entering his 300K followers with dance moves, food antics, and his own beef with “mean ol’ dad,” who has the audacity to touch his stuff. But Upworthy has encountered other cheeky cockatoos before, including one that maniacally chased its family around the house and a feathered anarchist who made headlines after uprooting anti-bird spikes.

All of these stories make sense, considering the cockatoos general penchant for attention seeking, which can lead to erratic and destructive behavior when ignored. But, as we can see, they are also incredibly intelligent, playful, and loyal to boot, making them excellent pets…as well as entertaining content creators, apparently. So bird parents, keep those video comin’.

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