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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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Gen Z is the first generation less cognitively capable than their parents but Denmark has a solution

"Since the late 1800s, every generation has outperformed their parents."

Gen Z; Millennials; technology; cell phones; social media; teens and technology; teens social media
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Gen Z is the first generation less cognitively capable than their parents. Denmark has the solution.

Nearly every parent hopes their child will be better off than they are: smarter, more secure, and more well-adjusted. Many parents see this as a stamp of successful parenting, but something has changed for children growing up today. While younger generations are known for their empathy, their cognitive capabilities seem to be lagging behind those of previous generations for the first time in history.

Dr. Jared Cooney Horvath, a teacher turned cognitive neuroscientist who focuses on human learning, appeared before Congress to discuss concerns about cognitive development in children. In his address to the members of Congress, he says, "A sad fact that our generation has to face is this: our kids are less cognitively capable than we were at their age. Since we've been standardizing and measuring cognitive development since the late 1800s, every generation has outperformed their parents, and that's exactly what we want. We want sharper kids."

kids, intelligence, sharp kids, generations, education, cognitive abilities Student smiling in a classroom, working on a laptop.Photo credit: Canva

Horvath explains that the reason this happens is that each generation has gone to school longer than the previous generation. Gen Z is no exception to the longer duration of time spent in school, but they're the first ones who aren't meeting this normal increase in cognitive development. According to the cognitive neuroscientist, the decline is due to the introduction of screens in the classroom, which started around 2010.

"Across 80 countries, as Jean was just saying, if you look at the data, once countries adopt digital technology widely in schools, performance goes down significantly. To the point where kids who use computers about five hours per day in school for learning purposes will score over two-thirds of a standard deviation less than kids who rarely or never touch tech at school," Horvath reveals.

In most cases, the decline in performance doesn't result in better strategies. The neuroscientist shares that the standardized testing has been adjusted to accommodate lower expectations and shorter attention spans. This is an approach that educators, scientists, and researchers went to Capitol Hill to express wasn't working. But not every country is taking the approach of lowering standards to meet lowered cognitive ability. Denmark went in the opposite direction when it realized their students were slipping behind.

France24 recently interviewed educators in Denmark following their seemingly novel approach to students struggling with cognitive development. Since the beginning of the 2025/2026 school year, Denmark has not only been having students turn in their cellphones, but they've also taken tablets, laptops, and computers out of the classroom. No more digital learning for the majority of the school day. Danes went old school by bringing back physical textbooks, workbooks, and writing assignments. The results have been undeniable. Even the students can't seem to deny the success of the countrywide shift in educational approach.

"I think the biggest issue has been that, because we kind of got rid of the books and started using screens instead, that we've noticed that a lot of the kids have trouble concentrating, so it's pretty easy to swipe with three fingers over to a different screen and have a video game going, for example, in class," Copenhagen English teacher, Islam Dijab tells France24.

Now, instead of computers being part of every lesson, Denmark uses computers very sparingly and with strict supervision. One student says that it has been nice not having screen time at school because she loves to read and write. But it wasn't just the lack of attention span children were developing, they were also developing low self-esteem and poor mental health due to the amount of time spent on devices.

kids, intelligence, sharp kids, generations, education, cognitive abilities Students focused and ready to learn in the classroom.Photo credit: Canva

The data showing the negative impact of screens on teens' brains has prompted a nationwide change in Denmark that extends outside of the classroom. Afterschool activities are eliminating or extremely limiting electronic use. There is also a national No Phone Day that encourages everyone to put away their devices for the day, and Imran Rashid, a physician and digital health expert, is petitioning parliament to ban social media use for children under the age of 15. The no phone movement in Denmark is a nationwide effort that hopes to right the ship before another generation feels the effects.

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Communications expert shares the perfect way to gracefully shut down rude comments

Taking the high ground never felt so good.

upset woman, rude comment, coworkers, conflict, insult
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A woman is insulted at her job.

It came out of nowhere. A coworker made a rude comment that caught you off guard. The hair on the back of your neck stands up, and you want to put them in their place, but you have to stay tactful because you're in a professional setting. Plus, you don't want to stoop to their level.

In situations like these, it helps to have a comeback ready so you can stand up for yourself while making making sure they don't disrespect you again.

Vince Xu, who goes by Lawyer Vince on TikTok, is a personal injury attorney based in Torrance, California, where he shares the communication tips he's learned with his followers. Xu says there are three questions you can ask someone who is being rude that will put them in their place and give you the high ground:

@howtoconvince

3 comebacks to gracefully shutdown disrespect #comeback #clapback #emotionalintelligence #communicationskills

Question 1: "Sorry, can you say that again?"

"This will either make them have to awkwardly say the disrespectful remark one more time, or it'll actually help them clarify what they said and retract their statement," Xu shares.

Question 2: "Did you mean that to be hurtful?"

The next step is to determine if they will repeat the disrespectful comment. "This calls out their disrespect and allows you to learn whether they're trying to be disrespectful or if there's a misunderstanding," Xu continues.

Question 3: "Are you okay?"

"What this does, is actually put you on higher ground, and it's showing empathy for the other person," Xu adds. "It's showing that you care about them genuinely, and this is gonna diffuse any type of disrespect or negative energy coming from them."

confused woman, what, woman upset, insulted women, stunned woman A woman throws her hands up in despair.via Canva/Photos

The interesting thing about Xu's three-step strategy is that by gracefully handling the situation, it puts you in a better position than before the insult. The rude coworker is likely to feel diminished after owning up to what they said, and you get to show them confidence and strength, as well as empathy. This will go a lot further than insulting them back and making the situation even worse.

Xu's technique is similar to that of Amy Gallo, a Harvard University communications expert. She says that you should call out what they just said, but make sure it comes out of their mouth. "You might even ask the person to simply repeat what they said, which may prompt them to think through what they meant and how their words might sound to others," she writes in the Harvard Business Review.

no, insulted, stop, wagging finger, angry woman, no way stop A woman wagging her finger.via Canva/Photos

More of Gallo's suggested comebacks:

“Did I hear you correctly? I think you said…”

“What was your intention when you said…?”

“What specifically did you mean by that? I'm not sure I understood.”

“Could you say more about what you mean by that?”

Ultimately, Xu and Gallo's advice is invaluable because it allows you to overcome a negative comment without stooping to the other person's level. Instead, it elevates you above them without having to resort to name-calling or admitting they got on your nerves. That's the mark of someone confident and composed, even when others are trying to take them down.

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Helicopters dump 6,000 logs into rivers in the Pacific Northwest, fixing a decades-old mistake

Forty years ago, restoration workers thought logs were the problem. They were wrong.

river restoration, washington, river fish, restoration, Yakama Nation, indigenous land, indigenoues tribes, salmon, trout, pacific northwest
Photo credit: Canva

Restoration workers now see how "critical" wood is to the natural habitat.

For decades, river restoration in the Northwestern United States followed a simple rule: if you saw logs in the water, take them out. Clean streams were seen as healthy streams, fast-moving water was seen as optimal, and wood was treated like a "barrier" to natural processes, particularly those of the local fish.

Now, helicopters are flying thousands of tree trunks back into rivers to undo that thinking.

In central Washington, one of the largest river restoration efforts ever attempted in the region is underway. More than 6,000 logs are being placed along roughly 38 kilometers, or 24 miles, of rivers and streams across the Yakama Reservation and surrounding ceded lands.

Nearly 40 years ago, Scott Nicolai was doing the opposite kind of work, all in the name of restoration.

"(Back then) the fish heads — what I call the fisheries folks — we stood on the banks, and we looked at the stream," Nicolai, a Yakama Nation habitat biologist, told Oregon Public Broadcasting. "If we saw a big log jam, we thought, 'Oh, that's a barrier to fish. We want the stream to flow.'"

river restoration, washington, river fish, restoration, Yakama Nation, indigenous land, indigenoues tribes, salmon, trout, pacific northwest Fish find shelter for spawning in the nooks and crannies of wood. Photo credit: Canva

At the time, logs were removed in an effort to simplify the habitat. However, it soon became clear that wood provided vital "complexity," creating sheltered pockets for salmon and bull trout to spawn and supporting algae that feed aquatic insects. Logs also slow water, spread it across floodplains, and allow it to soak into the groundwater. That water is then slowly released back into streams, helping keep them flowing and cooler during hot, dry periods.

The consequences of removing this "critical part of the system" (in addition to overgrazing, railroad construction, and splash dam logging) were made all too clear over the years as the rivers dried up and wildlife populations declined.

"We're trying to learn from our mistakes and find a better way to manage," said Phil Rigdon, director of the Yakama Nation Department of Natural Resources.

That's why Nicolai is now helping lead a project for the Yakama Nation aimed at rebuilding river complexity by returning logs to their rightful place. Many of these streams are now unreachable by road, which is why helicopters are used. Logs are flown from staging areas and carefully placed at precise drop locations marked with pink and blue flagging tape.

river restoration, washington, river fish, restoration, Yakama Nation, indigenous land, indigenoues tribes, salmon, trout, pacific northwest Many of these streams are now unreachable by road, which is why helicopters are used.Photo credit: Canva

The wood comes from forest-thinning projects led by The Nature Conservancy and includes species such as Douglas fir, grand fir, and cedar. Although some of the timber could have been sold, it is instead being used as river infrastructure.

For tribal leaders, the work carries even deeper meaning. During the helicopter flights, they gathered along the Little Naches River for a ceremony and prayer.

river restoration, washington, river fish, restoration, Yakama Nation, indigenous land, indigenoues tribes, salmon, trout, pacific northwest Tribal leaders gathered by the Little Naches River for a ceremony and prayer.Photo credit: Canva

"It was very simple: to bring what was rightfully part of this land back to us," said former tribal chairman Jerry Meninick.

The aftermath of the original restoration project illustrates how human concepts, such as the belief in the superiority of "cleanliness," can be limited and sometimes cause more harm than good. The miracle of nature, however, is that when left to her own devices, she can heal herself.

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Communication experts say highly likable people do 10 things in conversations to build relationships

Make a lasting impression in every chat.

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Likable people say these things during conversations to build better relationships.

Making friends and developing deeper, stronger relationships starts with good conversation. Sometimes that means small talk at work, while other times it's the kind of conversation that really takes off at a party.

Some people are naturals when it comes to easy, flowing conversation—especially highly likable people, who tend to attract others and often hold the key to mastering genuine conversation. From their gestures to the way they articulate questions, there's a lot others can learn from them.

Communication experts who spoke to Upworthy say there are 10 things highly likable people do during conversations to build stronger relationships.

- YouTube www.youtube.com

1. They listen without distraction

Listeners often make the best conversationalists.

"That means not looking at your phone or scanning around the room to see who you want to talk to next," says Kerri Garbis, CEO and founder of Ovation Communication. "Focus on the person in front of you only. Make eye contact. This fosters a relationship because when you are fully present, it signals respect, interest, and helps others feel valued versus like they are competing for your attention."

2. They collect data

Being inquisitive about what people need during conversations is key to building stronger relationships.

"If you take a moment to ask your colleague or even friend, 'What are you worried about? What's the biggest concern facing you right now?' you can get great data on how you can help them - in a way that taps into something urgent and top of mind for them," says Kate Mason, PhD, an executive communications coach and author of Powerfully Likeable: A Woman's Guide to Effective Communication. "They'll remember your thoughtfulness and the actions you took."

3. They balance the conversation

Highly likable people never make it all about themselves.

"Sometimes conversations can be 'lopsided' where it's more about the other person than about you," says Rob Volpe, a communication expert and author of Tell Me More About That: Solving the Empathy Crisis One Conversation at a Time. "While that can be okay, you aren't there to be their therapist. Sometimes the context and topic may make it off balance, but if it continues and you aren't feeling seen yourself, feel free to say something like 'I'd love to share my thoughts on this' or 'May I share something I'm dealing with at the moment?'"

4. They mirror their conversation partner

Taking cues from body language can foster deeper relationships.

"It's a subtle way to make someone comfortable because they recognize themself in your actions," says Jennifer Anderson, a communication expert who works with entrepreneurs. "Your energy should match the energy of your counterpart. Think relaxing-in-lounge-chair energy vs. about-to-deliver-a-presentation energy. Those are two very different conversations. If you paired them up, there's definitely about to be some awkwardness."

- YouTube www.youtube.com

5. They skip pre-planned questions

While coming to conversations prepared with questions may help you feel less anxious, highly likable people usually don't use them.

"Often people have questions in their back pocket, like about the weather or sports, but the most likeable people in the room are those who can be present in conversations and ask follow-ups based on what someone is talking about," Garbis says. "This builds a relationship by making conversations feel relational and not transactional."

6. They are self-aware

Highly likable people are masters of self-awareness, especially during conversations.

"Self-awareness of your judgment is key to building relationships," Volpe says. "We all carry biases which can block our view of the person standing in front of us. When you catch yourself being judgmental, have some grace with yourself and get curious about the other person as well as where your judgment is coming from. This clears one of the biggest obstacles to having empathy with others."

7. They respond with affirmation

Highly likable people make others feel seen and heard.

"No matter what is coming out of the person's mouth, make it clear that you're not judging or competing with them," Garbis notes. "If they say: 'I went skiing this weekend,' don't jump in and say that you also went skiing. Say something like, 'Wow, that sounds exciting, tell me more about that.' You can respond with validating statements like: 'That makes sense, or I can see why you're so good at that, or I can see why that matters to you.' This reduces defensiveness and nervousness, and it makes people feel safe to be themselves and creates relationships faster."

@justaskjefferson

it’s been great catching up! #communicationtips #communicationskills

8. They remain calm

Bringing a sense of calm rather than chaos to a conversation can put everyone at ease.

"Calm is the most powerful communication flex you can do," Mason says. "If you can stay calm, especially in a heated conversation, you actually end up looking trustworthy, reliable and unruffled - all very powerful things to be remembered for."

9. They remember names

Highly likable people personalize conversations by using the other person's name.

"Never ever tell people you are terrible at remembering names," Garbis explains. "This will tank the conversation because it signals you don't matter, nothing you say matters, and that you aren't worth remembering. It makes a person mentally check out of the conversation. Use good tricks like repeating a person's name at the beginning and again at the end. If you forgot by the end, say something like, 'It was so fun to hear about your skiing adventure. By the way, I'm Kerri, it was so nice to meet you, and can you remind me of your name? I don't want to forget it?' They'll be so grateful you repeated your name too!"

10. They use humor where they can

Finally, highly likable people make sure to infuse conversations with laughter.

"It's a great connector," Anderson notes. "Don't try to be a standup comic, just find the lighthearted observations and details that you can share in conversations. Humor is never a weapon; judgy and mean-spirited comments convey weakness, not confidence. You'll risk alienating your conversation partner if you come in with a full roast of your friends or coworkers. If all else fails, everyone loves a Dad Joke."

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Man's perfect parody of 'toxic' manager's vacation guilt-trip is hilariously relatable

"I’m glad you’re back, but it was very busy for the rest of us!"

workplace, workplace comedy, toxic boss, pto, workplace culture, viral video, comedy sketch
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Man's parody of a "toxic" manager is painfully relatable.

Ah, that boss—you know the one. When you return from a hard-earned vacation, using the paid time off you’re legally allowed, he walks over to your cubicle and hits you with a series of passive-aggressive comments. Now, instead of feeling re-energized, you’re walking around with an unfair feeling of guilt and discomfort, as if you’re in the doghouse for breaking a non-existent rule. Not cool.

Actor-comedian Ben Sweeny satirizes this unhealthy workplace dynamic in a hilarious—and hopefully not too relatable—video titled "your toxic manager when you get back from vacation." It’s part of a series starring his character Corporate Sween, aka "CEO of Corporate America," known for his generally unpleasant office behavior. Some of these laughs may sting, but they’re worth it.

"I personally never took vacation when I was in your shoes"

In this clip, Corporate Sween confidently struts into an employee’s office, flashing an enthusiastic smile, and very quickly starts grilling them about how their PTO has affected everyone else. "Wow, look who’s back from PTO! Paid. Time. Off," he says, eyes wide. "How was vacation? Yeah, you got some good rest? You got some color! Yeah, you’re looking great. So, listen, I’m glad you’re back, but it was very busy for the rest of us while you were out lollygagging [sic] last week, okay?"

The guilt-trip is heavy: "So I need a very big week from you now that you’re back from vacation," he says. "I personally never took vacation when I was in your shoes, but I guess we’re of a different generation. I guess we’re built a little bit differently." He then checks the employee’s computer, awkwardly requests that they "lock in," and departs the room after one final, uncomfortable throat clear.

"It's just a skit, it's just a skit"

The video earned a big reaction across social media, especially on Instagram, where people seemed to feel very seen. Here are some of the top comments:

"I endured 20 years of this and eventually just thought it was normal 😂"

"I'm on PTO and I'm not looking forward to this…"

"This happened to me just a few days ago coming back from the Holidays, worst feeling ever"

"Lollygagging must be included in corporate dictionaries around the world 🙌🙌🙌"

"Time to take another vacation"

"The aggressive head nod, the upside down smile and lack of blinking. This man could put Pennywise in a PIP"

"It’s just a skit, it’s just a skit…"

"May God deliver me from ever working for this type of company again 😂"

"'Whatchya got cooking today?' Sir, this is not a Wendys"

"Good time to go back on PTO🤣"

- YouTube www.youtube.com

Sweeny has released a treasure trove of other office-cringe-comedy videos, touching on topics like holiday breaks, exit interviews, pay cuts, and productivity. But the PTO clip may touch an even deeper nerve, given that a lot of people don’t know how to handle a passive-aggressive comments from their real life manager. In 2019, Priceline surveyed more than 1,000 full-time U.S. employees, learning that 24% of Gen Z respondents felt guilty about taking a vacation, followed by Millennials (19%), Gen X (16%), and Baby Boomers (8%).

On LinkedIn, career coach Brittany Bishop wrote that, by doing three key things, we can set ourselves up to enjoy PTO guilt-free: "Give [yourself] permission to take the time off," "prepare for the time away in advance," and "actually [leave] work for others to do" and trust that they can make it happen.

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