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.

Kampus Production/Canva

How often do you change your sheets?

If you were to ask a random group of people, "How often do you wash your sheets?" you'd likely get drastically different answers. There are the "Every single Sunday without fail" folks, the "Who on Earth washes their sheets weekly?!?" people and everyone in between.

According to a survey of 1,000 Americans conducted by Mattress Advisor, the average time between sheet changings or washings in the U.S. is 24 days—or every 3 1/2 weeks, approximately. The same survey revealed that 35 days is the average interval at which unwashed sheets are "gross."

Some of you are cringing at those stats while others are thinking, "That sounds about right." But how often should you wash your sheets, according to experts?

Hint: It's a lot more frequent than 24 days.

While there is no definitive number of days or weeks, most experts recommend swapping out used sheets for clean ones every week or two.

Dermatologist Alok Vij, MD told Cleveland Clinic that people should wash their sheets at least every two weeks, but probably more often if you have pets, live in a hot climate, sweat a lot, are recovering from illness, have allergies or asthma or if you sleep naked.

We shed dead skin all the time, and friction helps those dead skin cells slough off, so imagine what's happening every time you roll over and your skin rubs on the sheets. It's normal to sweat in your sleep, too, so that's also getting on your sheets. And then there's dander and dust mites and dirt that we carry around on us just from living in the world, all combining to make for pretty dirty sheets in a fairly short period of time, even if they look "clean."

Maybe if you shower before bed and always wear clean pajamas you could get by with a two-week sheet swap cycle, but weekly sheet cleaning seems to be the general consensus among the experts. The New York Times consulted five books about laundry and cleaning habits, and once a week was what they all recommend.

Sorry, once-a-monthers. You may want to step up your sheet game a bit.

What about the rest of your bedding? Blankets and comforters and whatnot?

Sleep.com recommends washing your duvet cover once a week, but this depends on whether you use a top sheet. Somewhere between the Gen X and Millennial eras, young folks stopped being about the top sheet life, just using their duvet with no top sheet. If that's you, wash that baby once a week. If you do use a top sheet, you can go a couple weeks longer on the duvet cover.

For blankets and comforters and duvet inserts, Sleep.com says every 3 months. And for decorative blankets and quilts that you don't really use, once a year washing will suffice.

What about pillows? Pillowcases should go in with the weekly sheet washing, but pillows themselves should be washed every 3 to 6 months. Washing pillows can be a pain, and if you don't do it right, you can end up with a lumpy pillow, but it's a good idea because between your sweat, saliva and skin cells, pillows can start harboring bacteria.

Finally, how about the mattress itself? Home influencers on TikTok can often be seen stripping their beds, sprinkling their mattress with baking soda, brushing it into the mattress fibers and then vacuuming it all out. Architectural Digest says the longer you leave baking soda on the mattress, the better—at least a few hours, but preferably overnight. Some people add a few drops of essential oil to the baking soda for some extra yummy smell.

If that all sounds like way too much work, maybe just start with the sheets. Pick a day of the week and make it your sheet washing day. You might find that climbing into a clean, fresh set of sheets more often is a nice way to feel pampered without a whole lot of effort.


This article originally appeared last year.

@millennialmatleave/TikTok

"Fill you own cup" is good advice fro nearly every situation, isn't it?

Listen, not every mother-in-law disregards boundaries, questions their kid’s parenting styles, tries to manipulate, and so on and so forth. But there’s a reason why the stereotype exists. Plenty have their own horror stories of being on the receiving end of toxic MIL behavior.

But for those wanting to avoid being that stereotype, Janelle Marie, or @millennialmatleave on TikTok believes that she has found the “key.” And it’s all about “filling your own cup.”

“Fill your dang cup. Something outside of your children that makes you feel good, makes you feel fulfilled, makes you feel happy,” Janelle begins in a TikTok.

That means that besides devoting your identity towards nurturing kids, you should be “nurturing” your marriage, as well as other relationships, like friendships, she notes.

“I unfortunately feel like a number of mothers-in-law that are feeling really confused about this role of mother-in-law or dissatisfied with the role of mother-law, and it ends up meaning that they act in a way that comes across as desperate or controlling or with guilt trips — women who don’t have enough going on outside of their relationship and their role as a mom. And so when their kids grow up, they’re ill-equipped to replace that relationship with other things.”

Janelle concludes by acknowledging it’s “easier said than done,” and reiterates that she isn’t trying to place blame, but rather just point out that “it’s something we need to be aware of.”



Down in the comments, folks seem to clearly resonate with Janell’s stance—many have MILs of their own who could really benefit from a hobby or friend circle.

“My MIL’s hobby was getting into my marriage,” quipped one viewer.

“My toxic mother in law has had zero friends in the 18 years I’ve known her,” said another.

A few MILs even chimed in. One shared, “I noticed I got too involved/emotional/bothered by my son’s relationship and immediately looked in the mirror! Poured that energy into my marriage, friends, and hobbies.”

“OMG, you’re right,” reflected another. “Don’t get me wrong, I’m a good MIL, I don’t meddle or overstep, but boy do I struggle. I definitely need to get a hobby!”

As we know, it can be hard for any mom to not lose themselves in the demands of raising a child. And only up until recently were women allowed by society to see themselves as anything beyond being a mother. Self care is also a fairly new concept for everyone. So it is understandable that many MILs find themselves in this struggle without proper coping mechanisms.

But still, if the goal really is to maintain loving, healthy family relationships, it’s crucial to be mindful of any self sabotaging behaviors, and continuity working through those insecurities. That goes for MILs and non-MILs alike.

For those booking to be the best mother-in-law they can be, here are a few pieces of advice:

Don't make it about you

It can be difficult to accept that you might not be the #1 woman in your kid’s life anymore, but it’s important both for you and the couple that those potential feelings of rejection get reframed. After all, there's truly no love lost.

Use your words to uplift, not criticize

Words are powerful. Use them wisely. A little complement now and then goes a long way.

Back off

Let the couple raise their kids, and solve their problems, as they see fit. Trust that you can let them handle their own. Even when intentions are good, offers of help without being asked for it can be seen as criticism.

Invite and Include

Leaving people out leads to resentment. Always invite kids and their spouses to join performances, graduations, birthday celebrations, and other family events, whether or not you think they want to or can attend.

And, of course…fill your own cup.

This article originally appeared last year.

Parenting

Devastated dad shares why he didn't tell his 10-year-old daughter it was her birthday

“I don’t know if we made the right decision…It’s killing us.”

@kylephilippi/TikTok

“Today’s her birthday, and we’re pretending like it’s just another day."

Kid’s birthdays are both lovely moments of celebration, and potential sources of stress for any parent, for various reasons. For dad Kyle Philippi (whom we’ve previously covered for dressing up as Jafar to cure his friend of an irrational phobia), his daughter’s 10th birthday was particularly full of anguish—since he didn’t tell her it actually was her birthday.

In a video posted to his TikTok that amassed close to 3 million views, the concerned dad shared his unique plight that brought him to this unusual decision: his daughter’s birthday falls on Jan 2, over winter break, meaning most kids wouldn’t be able to attend her birthday party. Two years prior, the Philippi found this out the hard way, when they tried to throw a party on the day, and no one showed.

“She was devastated,” Philippi let out through a sigh.

Then last year, they tried a different approach. Instead of a big social gathering on Jan 2, they had a more intimate environment of just the family and one close friend, followed by a proper party once winter break was finished. At this point Philippi explained that his daughter is on the spectrum and had auditory processing disorder—so even though she had fun at both events, she still couldn’t understand why her friend couldn’t show up on her actual birthday, and was still disappointed. That’s never what any parent wants for their kid.

To make matters more sensitive, Philippi shared that his daughter was beginning to not be invited to other classmates' parties, and suspected that part of why she yearns to have a party with all her friends there was because “she knows she’s not getting to go to everyone else’s birthday.”

Hence why Philippi and his wife decided to try something new by simply not acknowledging the birthday until they can do a party with his daughter’s school friends. Understandably, though the choice was made with the best of intentions, when Jan 2 came, there were tons of conflicting feelings.

Photo credit: Canva

“I don’t know if we made the right decision. But here we are,” Philippi shared. “Today’s her birthday, and we’re pretending like it’s just another day…and it’s killing us.”

Down in the comments people—especially those with special needs kids, or were autistics themselves—were quick to reassure Philippi that he made a tough, but right call.

“As an autistic person who struggles with birthdays, you’re doing the right thing. it’s a little unconventional, but so are kids like us!! keep it up,” one person wrote.

Another added, “these ‘decisions’ are so hard but you are doing great by taking it all into consideration and trying to do what will help her feel great on her birthday.”

It seems the real thing worth noting here is that Philippi and his wife are trying to make their kid’s birthday the best it can be for her, and that’s truly admirable. Odds are nearly every parent can relate to this on some level. And for parents with neurodivergent kiddos, that can often mean navigating uncharted territory. Maybe they’ll try a different approach next year. Maybe not. What matters is they’re trying.

And from the looks of it, the actual birthday wasn’t a total wash. In a follow up video, we see that Philippi’s daughter got her favorite chicken wings for dinner, and got to plan her upcoming birthday…which will apparently be Raggedy Ann themed.

@kylephilippi Replying to @mamamcsorley1 She ate her favorite meal today and we continued to plan out her ultimate birthday party in 9 days 🙂 #birthday #parenting #parentingtips #autism #autismawareness #autismacceptance #auditoryprocessingdisorder #surprisebirthday #birthdayparty ♬ original sound - Kyle Philippi

Naturally, Philippi will be going as Raggedy Andy, per his daughter's request.

Gen Zer asks how people got around without GPS, Gen X responds

It's easy to forget what life was like before cell phones fit in your pocket and Google could tell you the meaning of life in less than .2 seconds. Gen Z is the first generation to be born after technology began to move faster than most people can blink. They never had to deal with the slow speeds and loud noises of dial up internet.

In fact, most people that fall in the Gen Z category have no idea that their parents burned music on a CD thinking that was peak mix tape technology. Oh, how wrong they were. Now songs live in a cloud but somehow come out of your phone without having to purchase the entire album or wait until the radio station plays the song so you can record it.

But Gen Z has never lived that struggle so the idea of things they consider to be basic parts of life not existing are baffling to them. One self professed Gen Zer, Aneisha, took to social media to ask a question that has been burning on her mind–how did people travel before GPS?

Now, if you're older than Gen Z–whose oldest members are just 27 years old–then you likely know the answer to the young whippersnapper's question. But even some Millennials had trouble answering Aneisha's question as several people matter of factly pointed to Mapquest. A service that requires–you guessed it, the internet.

Aneisha asks in her video, "Okay, serious question. How did people get around before the GPS? Like, did you guys actually pull a map and like draw lines to your destination? But then how does that work when you're driving by yourself, trying to hold up the map and drive? I know it's Gen Z of me but I kind of want to know."

@aneishaaaaaaaaaaa I hope this reaches the right people, i want to know
♬ original sound - aneishaaaaaaa

These are legitimate questions for someone who has never known life without GPS. Even when most Millennials were starting to drive, they had some form of internet to download turn-by-turn directions, so it makes sense that the cohort between Gen Z and Gen X would direct Aneisha to Mapquest. But there was a time before imaginary tiny pirates lived inside of computer screens to point you in the right direction and tales from those times are reserved for Gen X.

The generation known for practically raising themselves chimed in, not only to sarcastically tell Millennials to sit down but to set the record straight on what travel was like before the invention of the internet. Someone clearly unamused by younger folks' suggestion shares, "The people saying mapquest. There was a time before the internet kids."

Others are a little more helpful, like one person who writes, "You mentally note landmarks, intersections. Pretty easy actually," they continue. "stop at a gas station, open map in the store, ($4.99), put it back (free)."

"Believe it or not, yes we did use maps back then. We look at it before we leave, then take small glances to see what exits to take," someone says, which leaves Aneisha in disbelief, replying, "That's crazyy, I can't even read a map."

"Pulled over and asked the guy at the gas station," one person writes as another chimes in under the comment, "and then ask the guy down the street to make sure you told me right."

Imagine being a gas station attendant in the 90s while also being directionally challenged. Was that part of the hiring process, memorizing directions for when customers came in angry or crying because they were lost? Not knowing where you were going before the invention of the internet was also a bit of a brain exercise laced with exposure therapy for those with anxiety. There were no cell phones so if you were lost no one who cared about you would know until you could find a payphone to check in.

The world is so overly connected today that the idea of not being able to simply share your location with loved ones and "Ask Siri" when you've gotten turned around on your route seems dystopian. But in actuality, if you took a few teens from 1993 and plopped them into 2024 they'd think they were living inside of a sci-fi movie awaiting aliens to invade.

Technology has made our lives infinitely easier and nearly unrecognizable from the future most could've imagined before the year 2000, so it's not Gen Z's fault that they're unaware of how the "before times" were. They're simply a product of their generation.

This article originally appeared last year.

Heroes

Neo-Nazis slowly realize this small town totally punked them

Local residents came together to fight Nazis a hilariously perfect way.

Image from YouTube video.

Neo-Nazis parade.

In preparation for an upcoming neo-Nazi march in the small Bavarian town of Wunsiedel, local residents decided to fight back in a hilariously perfect way: by sponsoring each of the 250 fascist participants. According to Heeb Magazine, "For every metre they walked, €10 went to a programme called EXIT Deutschland, which helps people escape extremist groups."

The anti-semitic walkers didn't figure out the town's scheme until they had already started their march, and by that time, it was too late to turn back. The end result? The neo-Nazis raised more than $12,000 to fund programs to put an end to neo-Nazis.

Watch the YouTube video below:

This article originally appeared seven years ago.