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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.

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

via Pixabay

A sad-looking Labrador Retriever

The sweet-faced, loveable Labrador Retriever is no longer America’s favorite dog breed. The breed best known for having a heart of gold has been replaced by the smaller, more urban-friendly French Bulldog.

According to the American Kennel Club, for the past 31 years, the Labrador Retriever was America’s favorite dog, but it was eclipsed in 2022 by the Frenchie. The rankings are based on nearly 716,500 dogs newly registered in 2022, of which about 1 in 7 were Frenchies. Around 108,000 French Bulldogs were recorded in the U.S. in 2022, surpassing Labrador Retrievers by over 21,000.


The French Bulldog’s popularity has grown exponentially over the past decade. They were the #14 most popular breed in 2012, and since then, registrations have gone up 1,000%, bringing them to the top of the breed popularity rankings.

The AKC says that the American Hairless Terrier, Gordon Setter, Italian Greyhound and Anatolian Shepherd Dog also grew in popularity between 2021 and 2022.

The French Bulldog was famous among America’s upper class around the turn of the 20th century but then fell out of favor. Their resurgence is partly based on several celebrities who have gone public with their Frenchie love. Leonardo DiCaprio, Megan Thee Stallion, Alexandra Ocasio-Cortez, Reese Witherspoon and Lady Gaga all own French Bulldogs.

The breed earned a lot of attention as show dogs last year when a Frenchie named Winston took second place at the Westminster Kennel Club Dog Show and first in the National Dog Show.

The breed made national news in early 2021 when Gaga’s dog walker was shot in the chest while walking two of her Frenchies in a dog heist. He recovered from his injuries, and the dogs were later returned.

They’ve also become popular because of their unique look and personalities.

“They’re comical, friendly, loving little dogs,” French Bull Dog Club of America spokesperson Patty Sosa told the AP. She said they are city-friendly with modest grooming needs and “they offer a lot in a small package.”

They are also popular with people who live in apartments. According to the AKC, Frenchies don’t bark much and do not require a lot of outdoor exercise.

The French Bulldog stands out among other breeds because it looks like a miniature bulldog but has large, expressive bat-like ears that are its trademark feature. However, their popularity isn’t without controversy. “French bulldogs can be a polarizing topic,” veterinarian Dr. Carrie Stefaniak told the AP.

american kennel club, french bulldog, most popular dog

An adorable French Bulldog

via Pixabay

French Bulldogs have been bred to have abnormally large heads, which means that large litters usually need to be delivered by C-section, an expensive procedure that can be dangerous for the mother. They are also prone to multiple health problems, including skin, ear, and eye infections. Their flat face means they often suffer from respiratory problems and heat intolerance.

Frenchies are also more prone to spine deformations and nerve pain as they age.

Here are the AKC’s top ten most popular dog breeds for 2022.

1 French Bulldogs

2 Labrador Retrievers

3 Golden Retrievers

4 German Shepherd Dogs

5 Poodles

6 Bulldogs

7 Rottweilers

8 Beagles

9 Dachshunds

10 German Shorthaired Pointers


This article originally appeared on 03.17.23

Representative Image from Canva

There's no way they didn't understand what she was saying.

Okay, so maybe dogs don’t understand everything we tell them exactly as a human would. But is that gonna stop us from having full blown conversations with them? Of course not. And the times they do seem to comprehend what’s being communicated—pure comedy.

Take this dog mom’s hilarious pre-grooming pep talk with Shih-Tzus Branston, Pickle and Gizmo. She minced no words telling them exactly how this trip was gonna go. And the message seemed to be received.

Branston (the troublemaker, apparently) got a firm warning of what not to do, including telling white lies about his upbringing.

“I don’t need you running in telling the first dog you see that this is what this is what your hair used to look like when you lived in the Bronx running up and down the block, cause I know for a fact, Branston, that you live in a rural village,” she tells him.

Viewers, however, seemed on board with Branston’s Bronx-affiliation, even if it was a little white lie. One person joked, “don’t be mad at the treats that I got, I’m still Branny from the block.”

In the video, Branston is also instructed to not tell everyone that he “identifies as a BUll Mastiff,” which gets the most adorable look of disappointment for wee little Branston.

As for Gizmo and Pickle—mom’s best advice is to pretend like they don’t know Branston.

Perhaps the best part is mom’s British accent, which makes the entire clip feel like something pulled straight outta “Ted Lasso.” That, or the complete shock the Shih-tzu trio has at being informed of their weight class.

Watch:

@branstonandpickle01 Your NOT from the Bronx and you never ran up and down the block!! #dogsoftiktok #peptalktoyourdog #branstonwehavearrived #shihtzusoftiktok #peptalkbranston #funnydogvideos #funnyvideos #nyc #bronx #funny #dogs #dogtok ♬ original sound - Branston,Pickle&Gizmo

Perhaps Branston, Pickle, and Gizmo’s mom isn’t totally off-base by giving them a talking to. According to the website allshihtzu.com, this breed had a “unique intelligence,” which gets best demonstrated by their attuned, empathic connection to their human families. Meaning that while they might not have the same kind of smarts as border collies or other herding dogs, their super power is picking up social cues.

And, again, even if they had no earthly idea what their mom was saying, odds are she’d still be talking to them anyway. Why? Because pets are our babies. And baby talk is fun.jk

Island School Class, circa 1970s.

Parents, do you think your child would be able to survive if they were transported back to the '70s or '80s? Could they live at a time before the digital revolution put a huge chunk of our lives online?

These days, everyone has a phone in their pocket, but before then, if you were in public and needed to call someone, you used a pay phone. Can you remember the last time you stuck 50 cents into one and grabbed the grubby handset?

According to the U.S. Federal Communications Commission, roughly 100,000 pay phones remain in the U.S., down from 2 million in 1999.

Do you think a 10-year-old kid would have any idea how to use a payphone in 2022? Would they be able to use a Thomas Guide map to find out how to get somewhere? If they stepped into a time warp and wound up in 1975, could they throw a Led Zeppelin album on the record player at a party?


Another big difference between now and life in the '70s and '80s has been public attitudes toward smoking cigarettes. In 1965, 42.4% of Americans smoked and now, it’s just 12.5%. This sea change in public opinion about smoking means there are fewer places where smoking is deemed acceptable.

But in the early '80s, you could smoke on a bus, on a plane, in a movie theater, in restaurants, in the classroom and even in hospitals. How would a child of today react if their third grade teacher lit up a heater in the middle of math class?

Dan Wuori, senior director of early learning at the Hunt Institute, tweeted that his high school had a smoking area “for the kids.” He then asked his followers to share “something you experienced as a kid that would blow your children’s minds.”


A lot of folks responded with stories of how ubiquitous smoking was when they were in school. While others explained that life was perilous for a kid, whether it was the school playground equipment or questionable car seats.

Here are a few responses that’ll show today’s kids just how crazy life used to be in the '70s and '80s.

First of all, let’s talk about smoking.

Want to call someone? Need to get picked up from baseball practice? You can’t text mom or dad, you’ll have to grab a quarter and use a pay phone.

People had little regard for their kids’ safety or health.

You could buy a soda in school.

Things were a lot different before the internet.

Remember pen pals?

A lot of people bemoan the fact that the children of today aren’t as tough as they were a few decades back. But that’s probably because the parents of today are better attuned to their kids’ needs so they don't have to cheat death to make it through the day.

But just imagine how easy parenting would be if all you had to do was throw your kids a bag of Doritos and a Coke for lunch and you never worried about strapping them into a car seat?


This article originally appeared on 06.08.22

What is Depression?

In the United States, close to 10% of the population has depression, but sometimes it can take a long time for someone to even understand that they have it.

One difficulty in diagnosis is trying to distinguish between feeling down and experiencing clinical depression. This TED-Ed video from December 2015 can help make the distinction. With simple animation, the video explains how clinical depression lasts longer than two weeks with a range of symptoms that can include changes in appetite, poor concentration, restlessness, sleep disorders (either too much or too little), and suicidal ideation. The video briefly discusses the neuroscience behind the illness, outlines treatments, and offers advice on how you can help a friend or loved one who may have depression.


Unlike the many pharmaceutical ads out there with their cute mascots and vague symptoms, the video uses animation to provide clarity about the mental disorder. It's similar in its poignant simplicity to the HBO short documentary "My Depression," based on Liz Swados' book of the same name.


This article originally appeared on 08.17.19

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:

nurse, strangers, medical care,

Warm and encouraging smiles from the nurse.

Photo by 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