+
upworthy
Health

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

Community

How to end hunger, according to the people who face it daily

Here’s what people facing food insecurity want you to know about solving the hunger problem in America

True

Even though America is the world’s wealthiest nation, about 1 in 6 of our neighbors turned to food banks and community programs in order to feed themselves and their families last year. Think about it: More than 9 million children faced hunger in 2021 (1 in 8 children).

In order to solve a problem, we must first understand it. Feeding America, the nation’s largest domestic hunger-relief organization, released its second annual Elevating Voices: Insights Report and turned to the experts—people experiencing hunger—to find out how this issue can be solved once and for all.

Here are the four most important things people facing hunger want you to know.

Keep ReadingShow less
Pets

Family brings home the wrong dog from daycare until their cats saved the day

A quick trip to the vet confirmed the cats' and family's suspicions.

Family accidentally brings wrong dog home but their cats knew

It's not a secret that nearly all golden retrievers are identical. Honestly, magic has to be involved for owners to know which one belongs to them when more than one golden retriever is around. Seriously, how do they all seem have the same face? It's like someone fell asleep on the copy machine when they were being created.

Outside of collars, harnesses and bandanas, immediately identifying the dog that belongs to you has to be a secret skill because at first glance, their personalities are also super similar. That's why it's not surprising when one family dropped off their sweet golden pooch at daycare and to be groomed, they didn't notice the daycare sent out the wrong dog.

See, not even their human parents can tell them apart because when the swapped dog got home, nothing seemed odd to the owners at first. She was freshly groomed so any small differences were quickly brushed off. But this accidental doppelgänger wasn't fooling her feline siblings.

Keep ReadingShow less
Image via Amanda Ripley/PopTech.

Map demonstrating scores of the Program for International Student Assessment for each state compared to a country that has similar scores.


This is not news: America does pretty badly when it goes up against other countries academically.

This is true even if we take it one state at a time—no single state, no matter how wealthy or small, matches the top scoring countries. And yet, the U.S. spends more per student than many other countries in the world.

Keep ReadingShow less

A boy doing the dishes.

A 41-year-old mom with 3 boys, 12-year-old twins, and a 10-year-old, pays them $10 daily to do their chores. However, their pay is deducted $10 if they miss a day. The boys have to do their tasks 5 days a week, although it doesn’t matter which days they choose to work.

“This system has worked swimmingly for us since it started, the boys have always complied with completing their chores,” the mom wrote on Reddit.

Her 12-year-old son was getting ready to play Fortnite with a friend and told him he’d be ready in 15 minutes once he finished his chores. When the boys started playing the game, he told the friend he was in charge of dusting and sweeping the stairs, to which the friend responded, “It’s a good thing my parents don’t make me do girl chores.”

After learning what the friend said, the mom told her son that chores are genderless.

Keep ReadingShow less
Joy

Her boyfriend asked her to draw a comic about their relationship. Hilarity ensued.

The series combines humor and playful drawings with spot-on depictions of the intense familiarity that long-standing coupledom often brings.

All images by Catana Chetwynd


"It was all his idea."

An offhand suggestion from her boyfriend of two years coupled with her own lifelong love of comic strips like "Calvin and Hobbes" and "Get Fuzzy" gave 22-year-old Catana Chetwynd the push she needed to start drawing an illustrated series about long-term relationships.

Specifically, her own relationship.

Keep ReadingShow less

A guy passes out on his bed eating pizza.

A 29-year-old woman had a baby girl, and after a brief maternity leave, she had to return to work. She couldn't afford childcare, so her husband, 35, reluctantly agreed to watch the baby while she was at work.

“It’s important to know that he’s been unemployed since 2021,” the woman wrote on Reddit’s AITA subforum. “He receives benefits. It’s also important to know that he’s extremely lazy. He doesn’t cook, clean, or help out in any way. I was nervous about leaving her home with her father, but I had no choice.”

The mother had reason to be worried about leaving her baby home alone with her husband, but in the beginning, things seemed fine. “When I came back from work, she was clean and sleeping. The next few times I came home, he was either playing with her, feeding her, or out for a walk with her. I was happy,” she wrote.

Keep ReadingShow less
Photo by Omar Lopez on Unsplash

Women do better when they have female friends.

Madeleine Albright once said, "There is a special place in hell for women who don't help other women." It turns out that might actually be a hell on Earth, because women just do better when they have other women to rely on, and there's research that backs it up.

A study published in the Harvard Business Review found that women who have a strong circle of friends are more likely to get executive positions with higher pay. "Women who were in the top quartile of centrality and had a female-dominated inner circle of 1-3 women landed leadership positions that were 2.5 times higher in authority and pay than those of their female peers lacking this combination," Brian Uzzi writes in the Harvard Business Review.

Part of the reason why women with strong women backing them up are more successful is because they can turn to their tribe for advice. Women have to face different challenges than men, such as unconscious bias, and being able to turn to other women who have had similar experiences can help you navigate a difficult situation. It's like having a road map for your goals.

Keep ReadingShow less