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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
Pop Culture

Here’s a paycheck for a McDonald’s worker. And here's my jaw dropping to the floor.

So we've all heard the numbers, but what does that mean in reality? Here's one year's wages — yes, *full-time* wages. Woo.

Making a little over 10,000 for a yearly salary.


I've written tons of things about minimum wage, backed up by fact-checkers and economists and scholarly studies. All of them point to raising the minimum wage as a solution to lifting people out of poverty and getting folks off of public assistance. It's slowly happening, and there's much more to be done.

But when it comes right down to it, where the rubber meets the road is what it means for everyday workers who have to live with those wages. I honestly don't know how they do it.

Ask yourself: Could I live on this small of a full-time paycheck? I know what my answer is.

(And note that the minimum wage in many parts of the county is STILL $7.25, so it would be even less than this).

paychecks, McDonalds, corporate power, broken system

One year of work at McDonalds grossed this worker $13,811.18.

assets.rebelmouse.io

This story was written by Brandon Weber and was originally appeared on 02.26.15

From Your Site Articles
Family

Bill Gates explains the ‘safest’ age to give a kid a cellphone

Sorry, kids.

Image from YouTube video/ Creative Commons/Attribution 3.0 Unported.

Bill Gates in conversation with The Times of India

Bill Gates sure is strict on how his children use the very technology he helped bring to the masses.

In a recent interview with the Mirror, the tech mogul said his children were not allowed to own their own cellphone until the age of 14. "We often set a time after which there is no screen time, and in their case that helps them get to sleep at a reasonable hour," he said. Gates added that the children are not allowed to have cellphones at the table, but are allowed to use them for homework or studying.

The Gates children, now 20, 17 and 14, are all above the minimum age requirement to own a phone, but they are still banned from having any Apple products in the house—thanks to Gates' longtime rivalry with Apple founder Steve Jobs.

smartphones, families, responsible parenting, social media

Bill Gates tasting recycled water.

Image from media.giphy.com.

While the parenting choice may seem harsh, the Gates may be onto something with delaying childhood smartphone ownership. According to the 2016 "Kids & Tech: The Evolution of Today's Digital Natives"report, the average age that a child gets their first smartphone is now 10.3 years.

"I think that age is going to trend even younger, because parents are getting tired of handing their smartphones to their kids," Stacy DeBroff, chief executive of Influence Central, told The New York Times.

James P. Steyer, chief executive of Common Sense Media, a nonprofit organization that reviews content and products for families, additionally told the Times that he too has one strict rule for his children when it comes to cellphones: They get one when they start high school and only when they've proven they have restraint. "No two kids are the same, and there's no magic number," he said. "A kid's age is not as important as his or her own responsibility or maturity level."

PBS Parents also provided a list of questions parents should answer before giving their child their first phone. Check out the entire list below:

  • How independent are your kids?
  • Do your children "need" to be in touch for safety reasons—or social ones?
  • How responsible are they?
  • Can they get behind the concept of limits for minutes talked and apps downloaded?
  • Can they be trusted not to text during class, disturb others with their conversations, and to use the text, photo, and video functions responsibly (and not to embarrass or harass others)?
  • Do they really need a smartphone that is also their music device, a portable movie and game player, and portal to the internet?
  • Do they need something that gives their location information to their friends—and maybe some strangers, too—as some of the new apps allow?
  • And do you want to add all the expenses of new data plans? (Try keeping your temper when they announce that their new smartphone got dropped in the toilet...)


This article originally appeared on 05.01.17

From Your Site Articles
parenting
Democracy

This Map Reveals The True Value Of $100 In Each State

Your purchasing power can swing by 30% from state to state.

Image by Tax Foundation.

Map represents the value of 100 dollars.


As the cost of living in large cities continues to rise, more and more people are realizing that the value of a dollar in the United States is a very relative concept. For decades, cost of living indices have sought to address and benchmark the inconsistencies in what money will buy, but they are often so specific as to prevent a holistic picture or the ability to "browse" the data based on geographic location.

The Tax Foundation addressed many of these shortcomings using the most recent (2015) Bureau of Economic Analysis data to provide a familiar map of the United States overlaid with the relative value of what $100 is "worth" in each state. Granted, going state-by-state still introduces a fair amount of "smoothing" into the process — $100 will go farther in Los Angeles than in Fresno, for instance — but it does provide insight into where the value lies.

The map may not subvert one's intuitive assumptions, but it nonetheless quantities and presents the cost of living by geography in a brilliantly simple way. For instance, if you're looking for a beach lifestyle but don't want to pay California prices, try Florida, which is about as close to "average" — in terms of purchasing power, anyway — as any state in the Union. If you happen to find yourself in a "Brewster's Millions"-type situation, head to Hawaii, D.C., or New York. You'll burn through your money in no time.

income, money, economics, national average

The Relative Value of $100 in a state.

Image by Tax Foundation.

If you're quite fond of your cash and would prefer to keep it, get to Mississippi, which boasts a 16.1% premium on your cash from the national average.

The Tax Foundation notes that if you're using this map for a practical purpose, bear in mind that incomes also tend to rise in similar fashion, so one could safely assume that wages in these states are roughly inverse to the purchasing power $100 represents.


This article originally appeared on 08.17.17

From Your Site Articles
money
Joy

It's here: A website that uses an algorithm to match you with the perfect dog for your personality

Not sure what kind of dog is perfect for you? This website kinda is.

via Pinterest

What dog is best for you?


PawsLikeMe might know you better than you know yourself.

Hello from the other siiiiiiiiiiiiiiiiiiiide!!! I'm a dog and I love youuuuuuuu!!!

Because PawsLikeMe knows about your dreams.

Your DOG dreams, that is.

How? A dog-human personality quiz!

A sophisticated one, too! From their website:

"The personality assessment is based on 4 core personality traits that influence the human-canine bond; energy, focus, confidence, and independence."

It also takes into account environmental factors and other special circumstances as well.

It's not uncommon for dogs that are adopted to be returned because they just aren't compatible with their owner's life.


PawsLikeMe aims to stop dog-owner mismatch by playing dog matchmaker! Its goal is to help people find the right dog for them.

Need a dog that's friendly with kids but loves learning tricks and is also house-trained? DONE. Have other specific requirements? DONE!

Ya got options.

When you go on the website, you can opt to just answer the four most important questions in a dog owner's life:

1. What's your energy level?

2. What kind of parties do you like?

3. What kind of dog personality do you want?

4. What is your personality like?

After those four questions, you can begin searching for a doggie match.

Or you can opt for the full questionnaire (you should) ... and basically feel very, VERY understood.

I took the full PawsLikeMe quiz, and when I saw the results I was kindof taken aback:


PawsLikeMe GETS ME!

Then I was the whisked away to dogs who are just ready to love me.

Listen. My apartment in NYC doesn't allow dogs. But if it did? I'd be 91% ready to adopt Carli. She's perfect, and I love her. CUE ADELE and her songs of lost opportunities to love!

With all the 80 gajillion personality quizzes out there in the world, this one is hands down THE BEST.

Take it for yourself! You won't regret it.


This article originally appeared on 11.06.15


From Your Site Articles
dogs
Family

9 astounding photos this mom took to keep herself calm while giving birth.

Birth is intense. It's also beautiful.

Lisa Robinson/Lisa Robinson Photography.

New baby and a happy dad.


When San Francisco photographer Lisa Robinson was about to have her second child, she was both excited and nervous.

Sure, those are the feelings most moms-to-be experience before giving birth, but Lisa's nerves were tied to something different.

She and her husband already had a 9-year-old son but desperately wanted another baby. They spent years trying to get pregnant again, but after countless failed attempts and two miscarriages, they decided to stop trying.

Of course, that's when Lisa ended up becoming pregnant with her daughter, Anora. Since it was such a miraculous pregnancy, Lisa wanted to do something special to commemorate her daughter's birth.

So she turned to her craft — photography — as a way to both commemorate the special day, and keep herself calm and focused throughout the birthing process.

Normally, Lisa takes portraits and does wedding photography, so she knew the logistics of being her own birth photographer would be a somewhat precarious new adventure — to say the least.

pregnancy, hospital, giving birth, POV

She initially suggested the idea to her husband Alec as a joke.

Photo by Lisa Robinson/Lisa Robinson Photography.

"After some thought," she says, "I figured I would try it out and that it could capture some amazing memories for us and our daughter."

In the end, she says, Alec was supportive and thought it would be great if she could pull it off. Her doctors and nurses were all for Lisa taking pictures, too, especially because it really seemed to help her manage the pain and stress.

In the hospital, she realized it was a lot harder to hold her camera steady than she initially thought it would be.

tocodynamometer, labor, selfies

She had labor shakes but would periodically take pictures between contractions.

Photo by Lisa Robinson/Lisa Robinson Photography.

"Eventually when it was time to push and I was able to take the photos as I was pushing, I focused on my daughter and my husband and not so much the camera," she says.

"I didn't know if I was in focus or capturing everything but it was amazing to do.”

The shots she ended up getting speak for themselves:

husbands and wives, intimacy, hospital rooms,

Lisa's husband Alec.

Lisa Robinson/Lisa Robinson Photography.

obstetrician, doctors, hospital rooms

Hello Doc.

Photo by Lisa Robinson/Lisa Robinson Photography.

nurse, strangers, medical care,

Warm and encouraging smiles from the nurse.

Photo by Lisa Robinson/Lisa Robinson Photography.

newborn, insurance, patient rights

Hello, baby Anora!

Lisa Robinson/Lisa Robinson Photography.

love, emotion, mental health, community

An overcome father.

Lisa Robinson/Lisa Robinson Photography.

experiment, images, capture, document, record

Newborn Anora's first experience with breastfeeding.

Photo by Lisa Robinson/Lisa Robinson Photography.

"Everybody was supportive and kind of surprised that I was able to capture things throughout. I even remember laughing along with them at one point as I was pushing," Lisa recalled.

In the end, Lisa was so glad she went through with her experiment. She got incredible pictures — and it actually did make her labor easier.

Would she recommend every mom-to-be document their birth in this way? Absolutely not. What works for one person may not work at all for another.

However, if you do have a hobby that relaxes you, figuring out how to incorporate it into one of the most stressful moments in your life is a pretty good way to keep yourself calm and focused.

Expecting and love the idea of documenting your own birthing process?

Take some advice from Lisa: "Don't put pressure on yourself to get 'the shot'" she says, "and enjoy the moment as much as you can.”

Lisa's mom took this last one.

grandma, hobby, birthing process

Mom and daughter earned the rest.

Photo via Lisa Robinson/Lisa Robinson Photography.

 This article originally appeared on 06.30.16

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