+
A PERSONAL MESSAGE FROM UPWORTHY
We are a small, independent media company on a mission to share the best of humanity with the world.
If you think the work we do matters, pre-ordering a copy of our first book would make a huge difference in helping us succeed.
GOOD PEOPLE Book
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

From Your Site Articles
healthcare
Science

Researchers dumped tons of coffee waste into a forest. This is what it looks like now.

30 dump truck loads and two years later, the forest looks totally different.

assets.rebelmouse.io

One of the biggest problems with coffee production is that it generates an incredible amount of waste. Once coffee beans are separated from cherries, about 45% of the entire biomass is discarded.

So for every pound of roasted coffee we enjoy, an equivalent amount of coffee pulp is discarded into massive landfills across the globe. That means that approximately 10 million tons of coffee pulp is discarded into the environment every year.


When disposed of improperly, the waste can cause serious damage soil and water sources.

However, a new study published in the British Ecological Society journal Ecological Solutions and Evidence has found that coffee pulp isn't just a nuisance to be discarded. It can have an incredibly positive impact on regrowing deforested areas of the planet.

via British Ecological Society

In 2018, researchers from ETH-Zurich and the University of Hawaii spread 30 dump trucks worth of coffee pulp over a roughly 100' x 130' area of degraded land in Costa Rica. The experiment took place on a former coffee farm that underwent rapid deforestation in the 1950s.

The coffee pulp was spread three-feet thick over the entire area.

Another plot of land near the coffee pulp dump was left alone to act as a control for the experiment.

"The results were dramatic." Dr. Rebecca Cole, lead author of the study, said. "The area treated with a thick layer of coffee pulp turned into a small forest in only two years while the control plot remained dominated by non-native pasture grasses."

In just two years, the area treated with coffee pulp had an 80% canopy cover, compared to just 20% of the control area. So, the coffee-pulp-treated area grew four times more rapidly. Like a jolt of caffeine, it reinvigorated biological activity in the area.

The canopy was also four times taller than that of the control.

Before and after images of the forest

The forest experienced a radical, positive change

via British Ecological Society

The coffee-treated area also eliminated an invasive species of grass that took over the land and prevented forest succession. Its elimination allowed for other native species to take over and recolonize the area.

"This case study suggests that agricultural by-products can be used to speed up forest recovery on degraded tropical lands. In situations where processing these by-products incurs a cost to agricultural industries, using them for restoration to meet global reforestation objectives can represent a 'win-win' scenario," Dr. Cole said.

If the results are repeatable it's a win-win for coffee drinkers and the environment.

Researchers believe that coffee treatments can be a cost-effective way to reforest degraded land. They may also work to reverse the effects of climate change by supporting the growth of forests across the globe.

The 2016 Paris Agreement made reforestation an important part of the fight against climate change. The agreement incentivizes developing countries to reduce deforestation and forest degradation, promote forest conservation and sustainable management, and enhance forest carbon stocks in developing countries.

"We hope our study is a jumping off point for other researchers and industries to take a look at how they might make their production more efficient by creating links to the global restoration movement," Dr. Cole said.


This article originally appeared on 03.29.21

From Your Site Articles
climate change
Pop Culture

Woman's goes on relatable, accurate rant about directions that require you to carry a compass

"I have spent no time in a crow's nest on a pirate ship."

Photo credit: Canva

Woman's rant about 'pirate' directions is going viral

There are some people that are more directionally aware than others and that's fine. Others of us, not so much. North, south, east and west—what are those words outside of the names of one of Kim Kardashian's kids and an airline? They certainly aren't directions for people in the 21st century.

Taryn Delanie Smith took to Instagram to ask people to stop with the madness. Smith is not lost in the woods looking for what side of the tree moss is growing on to hopefully lead her to the nearest stream. The woman needs landmarks, and she's letting everyone know that they need to get with the directionally challenged program.

"If I'm trying to meet up with you, do not tell me that you are north, south, east or west of something. Respectfully, I don't know what that is and I'm tired of being ashamed that I don't have...I have spent no time in a crow's nest of a pirate ship," Smith jokes.

It may be hard to believe, but there is a portion of the population that has no idea what those words mean while standing on a sidewalk trying to meet a friend for lunch. Are you north of the interstate or south? Is this some sort of grown up quiz everyone is supposed to pass because it seems to have skipped a few folks.

In the caption of the video, Smith reiterated that she is not aware of these directional words, "I do not own a compass. Before y'all say 'use the compass app on your phone!' Literally why would I do that, I refuse."

Maybe a public service announcement of television would reach a wider audience, because other commenters were in agreement with her rant.

"I’ve never felt so seen," one person says.

"LOL!!!!!! AND DONT TALK TO ME IN ARMY TIME EITHER LOL TALKIN BOUT ILL BE THERE IN 1800 hours," another writes.

"Ma’am I’ve never related to something as much as I have this," a commenter reveals.

"I missed that lesson in grade 5 and to this day I believe North is directly in front of me no matter what," someone else shares.

Smith is clearly not alone in her aimless wandering as she looks for a flag with skull and crossbones to locate friends. Not everyone can be a pirate. It probably takes some sort of special training that involves parrot talk and making a compass out of sea water and a leaf. Be kind to the directionally challenged folks in your life and just include landmarks that are hard to miss.

From Your Site Articles
relatable humor
Family

Naming twins is an art. Here are some twin names people say are the best they've ever heard.

With twins, all the regular pressures of having a baby are doubled, including choosing a name.

Photo credit: Canva

Are you in favor of rhyming twin names? Or is it too cutesy?

Having twins means double the fun, and double the pressure. It’s a fairly known rule to name twins in a way that honors their unique bond, but that can lead to overly cutesy pairings that feel more appropriate for nursery rhyme characters than actual people. Plus, it’s equally important for the names to acknowledge each twin’s individuality. Again, these are people—not a matching set of dolls. Finding the twin baby name balance is easier said than done, for sure.

Luckily, there are several ways to do this. Names can be linked by style, sound or meaning, according to the baby name website Nameberry. For example, two names that share a classic style would be Elizabeth and Edward, whereas Ione and Lionel share a similar rhythm. And Frederica and Milo seem to share nothing in common, but both mean “peaceful.”

Over on the /NameNerds subreddit, one person asked folks to share their favorite twin name pairings, and the answers did not disappoint.

One person wrote “Honestly, for me it’s hard to beat the Rugrats combo of Phillip and Lillian (Phil and Lil) 💕”

A few parents who gave their twin’s names that didn’t inherently rhyme until nicknames got involved:

"It's the perfect way! Christmas cards can be signed cutely with matching names, but when they act out you can still use their full name without getting tripped up.😂"

"The parents of a good friend of mine did this: her name is Allison and her sister is Callie. Their names don’t match on the surface, but they were Alli and Callie at home."

“Alice and Celia, because they’re anagrams! Sound super different but have a not-so-obvious implicit connection.”

This incited an avalanche of other anagram ideas: Aidan and Nadia, Lucas and Claus, Liam and Mila, Noel and Leon, Ira and Ria, Amy and May, Ira and Ari, Cole and Cleo…even Alice, Celia, and Lacie for triplets.

Others remembered name pairs that managed to sound lovely together without going into cutesy territory.

twin names, twins, babies, baby namesThese matching bunny ears though. Photo credit: Canva

“I know twin toddler boys named Charlie and Archie and they go so well together,” one person commented.

Another wrote, “Tamia and Aziza. I love how they follow the same sound pattern with the syllable endings (-uh, -ee, -uh) without being obnoxiously matchy matchy.”

Still another said, “Lucy and Logan, fraternal girl/boy twins. I think the names sound so nice together, and definitely have the same 'vibe' and even though they have the same first letter they aren't too matchy-matchy.”

Other honorable mentions included: Colton and Calista, Caitlin and Carson, Amaya and Ameera, Alora and Luella, River and Rosie, and Eleanor and Elias.

One person cast a vote for shared style names, saying, “If I had twins, I would honestly just pick two different names that I like separately. I tend to like classic names, so I’d probably pick Daniel and Benjamin for boys. For girls my two favorites right now are Valerie and Tessa. I think Val and Tess would be cute together!”

Overall though, it seems that most folks were fans of names that focused on shared meaning over shared sound. Even better if there’s a literary or movie reference thrown in there.

twin names, twins, babies, baby namesMany adult twins regret that their names are so closely linked together. Photo credit: Canva

“My mom works in insurance, so I asked her. She’s seen a lot of unique ones, but the only twins she remembers are Gwenivere [sic] and Lancelot... bonus points... little brother was Merlin,” one person recalled.

Another shared, “If I had twin girls, I would name them Ada and Hedy for Ada Lovelace and Hedy Lamarr, both very early computer/tech pioneers. Not that I’m that into tech, I just thought it was a brilliant combination.”

Other great ones: Susan and Sharon (think the original “Parent Trap”), Clementine and Cara (types of oranges), Esme and Etienne (French descent), Luna and Stella (moon and stars), Dawn and Eve, plus various plant pairings like Lily and Fern, Heather and Holly, and Juniper and Laurel.

Perhaps the cleverest name pairing goes to “Aubrey and Zoe,” since…wait for it… “they’re A to Z.”

It’s easy to see how naming twins really is a cool opportunity for parents to get creative and intentional with their baby naming. It might be a challenge, sure, but the potential reward is having the most iconic set of twins ever. Totally worth it!

From Your Site Articles
babies
Family

People who choose to be child-free are just as happy at 70 as those with kids, study finds

What about all the regret they were supposed to feel?

via Jens Lindner/Unsplash

A woman looking content with her child-free life.

Every couple that has ever considered being child-free has had to deal with people who have children telling them they will regret their decision. They're often told that they’ll be lonely when they get older and never understand the joy and fulfillment of having a child.

Even though there is so much pressure for couples to have kids, more and more people are deciding to live child-free lives. A recent study found that 47% of adults under 50 without kids say they're unlikely to have them — up 10 percentage points from 2018.

There are many different reasons why people don’t want to have kids, whether it’s affordability, the state of the world and the environment, or they just don’t feel like it. The child-free movement gets even stronger as people get younger.

Sixty-seven percent of young women and 50% of young men say they just don’t want children. So, are all of these people setting themselves up for a lifetime of regret because they choose not to have kids? A recent study out of Michigan says no, they probably won’t.

The Institute for Public Policy and Social Research at Michigan State University studied 1,000 Michiganders, asking whether they have or want children. The study separated those who wish to be child-free from those who want children but can’t have them.

The study found that by the time people reach the age of 70, people who have children and those who decided not to are just as satisfied with their lives.

child-free, no kids, childrenA couple enjoying coffeevia MART PRODUCTION/Pexels

“Childfree people, especially women, are often told they’ll be dissatisfied with life or regret their decision later,” Jennifer Watling Neal, one of the study’s authors, told PsyPost. “In this study, we compared how much adults age 70 and older said they’d want to change something about their life — in other words, whether they had any regrets about how their life had gone. We didn’t see any difference between child-free people and parents. This suggests that child-free people are similar to others in terms of life satisfaction and often don’t regret their decision later.”

The researchers found that child-free people may be happier than those with kids.“In fact, older parents were slightly more likely to want to change something about their life,” Neal said in a statement.

The study was conducted on 1,000 people; times change and everyone’s experience is different, so there’s no telling who will or will not have regrets about their decision to have children. But the study should bring some peace of mind to those who are tired of hearing that they may regret their choice to be child-free, whether from friends, family or the little voice in their heads.

The discussion also raises a deeper question: How do we create a society where people are excited about having children? What changes could be made to make it affordable for people to have families? How can we create a brighter future so that parents can feel confident that the children born today will be able to thrive as adults?

From Your Site Articles
child-free
Family

Woman sparks dialogue after saying she doesn't take advice from men no matter how successful

"I tend to take their advice with a grain of salt," says Paige Connell.

Courtesy of Paige Connell

Woman says she doesn't take advice from men.

Being a woman comes with certain expectations, no matter where in the world you live. Becoming a mother adds another layer to those expectations, with traditional society often not considering the impact on the woman experiencing that shift. For instance, many women work outside of the home and are still expected to be the one who figures out which childcare center would be best.

Women are also often expected to put their careers on hold to stay at home if it's decided that outside childcare isn't feasible. Sure, some dads may do the heavy lifting in this area, but that's not a societally expected thing. Because these things are typically expected of women, men don't generally have to consider many of the logistics of children if they're partnered with a woman.

Paige Connell sparked a conversation when she shared on social media that she doesn't take advice from men, even if it's their job. On the surface that sounds harsh, even though she clarifies that she considers the advice but takes it with a big grain of salt, and her reasoning involves the invisible labor aspect.

"I do not tend to take a lot of advice from men, even the most successful men. And I mean advice in the form of self-help books, podcasts from successful men or just men in general. I tend to take their advice with a grain of salt because I do not think it is applicable to women and mothers in particular," Connell share before revealing her reasoning.

In the video she shares that she was recently listening to "The Diary of a CEO" podcast where the man talked about all the risks he took, including moving from Connecticut where his young child and ex-girlfriend live to New York. Connell pointed out through the entire episode detailing his risks and upward mobility, he never mentioned his child, which caused her to surmise that it was because childcare concerns weren't a part of his journey.


@sheisapaigeturner I do not often take advice from men, even the most successful of men, because the common thread is usually that they were able to become successful, because there was a woman standing beside them, or behind them, supporting them. Without acknowledging this, the advice means very little because women often don’t have men standing besides them, or behind them to support them. #caseyneistat #diaryofaceo #millennialmom #workingmom #wfhmom #corporatemom #successfulwomen ♬ original sound - Paige


She continued explaining how the burden of childcare tends to fall on women, working and nonworking, allowing the male parent to be free to corporate climb uninhibited by the worry. Connell shares that she prefers to listen to professionally successful moms because they share the help needed with childcare and how they navigated these spaces being the default parent. Others agreed to much of what she was saying.

"I came to a similar conclusion…I have read quite a few books of men going on their 'hero’s journey' where they did all these extravagant endeavors and eventually found success or enlightenment. But nothing about how a mother deep in the trenches of child raising is the [true] hero’s journey. Motherhood can chew you up and spit you out. A mother dies a million deaths and finds strength to continue to show up for her child day and night. Motherhood changes and refines us. No mother goes unchanged after motherhood. It is late nights and isolation. The flames of motherhood, the true hero’s journey," one person revealed, describing her own experience of realization.

"I love that you talk about it. Also all the so called geniuses, poets, writers, great personalities were able to accomplish all they did because their wives babysat their 8 kids at that time," someone else sighed in frustration.

"Couldn’t agree more. It’s the equivalent of men being able to work late, work weekends, put in the face time, to get ahead - whilst someone else is looking after their children," another wrote.

"I remember reading one comment in the daily routine of a successful writer. He had four kids and yet he could write for 6 hours daily during the day. Never once mentions his household manager, cook, cleaner, nanny—his wife," a commenter pointed out.

What do you think? Should more women be talking about this reality when it comes to the success of their male partners?

From Your Site Articles
women's issues
Trending Stories