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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

Representative Image from Canva

Every parent should know about this game. Many have experienced it as kids.

Nurse and mom Jinny Schmidt wants parents to be aware of a game that’s circulating amongst tweens right now, because it’s not a game at all.

In a PSA posted to her TikTok, Schmidt shared that her daughter informed her that boys in her class were beginning to play what she called “The Firetruck Game.”

As Schmidt begins to describe what the “game” entails, it’s easy to see why she’s concerned. All parents should be.


Here’s how the game works: a boy puts his hand on a girl’s lower thigh. And he tells her “my hand is a firetruck” as he slowly moves it up her leg. When the girl gets uncomfortable, she is supposed to say “red light.” Except for when the girl says “red light,” the boy responds with “sorry, firetrucks don’t stop for red lights.” And so they run their hand all the way up the girl’s leg, Schmidt explains, and sometimes they “touch the girl’s crotch.” Yikes.

Many viewers noted growing up with the Firetruck Game, or a version called “The Nervous Game,” or “Red Light Green Light.” Suddenly The “Squid Game” version of “Red Light Green Light” doesn’t seem so bad.

No matter what it’s called, though, it’s touching without consent, and is inappropriate on so many levels, not least of which being that it’s an excuse for sexual assault. Hence Schmidt’s alarm.

“I know that kids will be kids and kids will do some stupid shit, But we’ve got to do better teaching our boys to keep their hands off of other people and teaching our girls that it’s okay to have boundaries,” she says, before asking parents to “be aware” if they hear their kids talking about it.
@the.funny.nurse Y’all gonna see me on the 6 O’clock news. #jrhigh #kids #tween #preteen #parents #moms #momsoftiktok #dads #dadsoftiktok #teacher #teachersoftiktok #publicschool #school #firetruck #firetruckgame #firetruckgameawareness #girls #boys #game ♬ original sound - Jin-Jin

And she is, of course, absolutely right. Folks who watched her video wholeheartedly agreed that the behavior should not be tolerated, and many shared some pretty intense, although warranted, reactions to it.

“We’d be playing a game called Ambulance next,” one person wrote.

“Press charges,” said another.

“We have a game also. It’s called ‘oops I broke your finger,’” a third added.

But many also chimed in to say that they would be talking to their kids immediately about it, which is probably the best route overall. That way kids can protect themselves, and others around them.

Middle school years in general are pretty rough. They can be just as difficult to navigate for parents as they can be for the kids going through it. It’s painful to watch your still baby-faced child go through many of the same awful pains that you did, many of which are unavoidable. But some things, like terrible and abusive games, can be avoided. So make sure to have those important conversations when you can.

Photo from Facebook.

Anna Trupiano educates on passing gas in public.

Anna Trupiano is a first-grade teacher at a school that serves deaf, hard-of-hearing, and hearing students from birth through eighth grade.

In addition to teaching the usual subjects, Trupiano is charged with helping her students thrive in a society that doesn't do enough to cater to the needs of the hard-of-hearing.


Recently, Trupiano had to teach her students about a rather personal topic: passing gas in public.

A six-year-old child farted so loud in class that some of their classmates began to laugh. The child was surprised by their reaction because they didn't know farts make a sound. This created a wonderful and funny teaching moment for Trupiano.

Trupiano shared the conversation on Facebook.

1st grade, farts, passing gas

"Wait, they can hear all farts?!?!"

See posts, photos and more on Facebook.

deaf, education, funny

An education reduced to conversations on farts.

See posts, photos and more on Facebook.

hard of hearing, vapors, gas

The discerning listener.

See posts, photos and more on Facebook.

While the discussion Trupiano had with her students was funny, it points to a serious problem faced by the deaf community. "I know it started with farts, but the real issue is that many of my students aren't able to learn about these things at home or from their peers because they don't have the same linguistic access," she told GOOD.

"So many of my students don't have families who can sign well enough to explain so many things it's incredibly isolating for these kids," she continued.

Trupiano hopes her funny story about bodily functions will inspire others to become more involved with the deaf community by learning sign language.

"I would love to see a world where my students can learn about anything from anyone they interact with during their day," she told GOOD. "Whether that means learning about the solar system, the candy options at a store, or even farts, it would be so great for them to have that language access anywhere they go."

Interested in learning ASL? Here's a great list of places you can start.

While the discussion Tupiano had with her students was funny, it points to a serious problem faced by the deaf community. "I know it started with farts, but the real issue is that many of my students aren't able to learn about these things at home or from their peers because they don't have the same linguistic access," she told GOOD.

"So many of my students don't have families who can sign well enough to explain so many things it's incredibly isolating for these kids," she continued.

Tupiano hopes her funny story about bodily functions will inspire others to become more involved with the deaf community by learning sign language.

"I would love to see a world where my students can learn about anything from anyone they interact with during their day," she told GOOD. "Whether that means learning about the solar system, the candy options at a store, or even farts, it would be so great for them to have that language access anywhere they go."

Intersted in learning ASL? Here's a great list of places you can start.


This article originally appeared on 12.14.18

Joy

Gen X has hit 'that stage' of life and is not handling it very well

We are NOT prepared for Salt-n-Pepa to replace Michael McDonald in the waiting room at the doctor's office, thankyouverymuch.

Gen X is eating dinner earlier and earlier. It's happening.

The thing about Gen X being in our 40s and 50s now is that we were never supposed to get "old." Like, we're the cool, aloof grunge generation of young tech geniuses. Most of the giants that everyone uses every day—Google, Amazon, YouTube—came from Gen X. Our generation is both "Friends" and "The Office." We are, like, relevant, dammit.

And also, our backs hurt, we need reading glasses, our kids are in college and how in the name of Jennifer Aniston's skincare regimen did we get here?

It's weird to reach the stage when there's no doubt that you aren't young anymore. Not that Gen X is old—50 is the new 30, you know—but we're definitely not young. And it seems like every day there's something new that comes along to shove that fact right in our faces. When did hair start growing out of that spot? Why do I suddenly hate driving at night? Why is this restaurant so loud? Does that skin on my arm look…crepey?


As they so often do, Penn and Kim Holderness from The Holderness Family have captured the Gen X existential crisis in a video that has us both nodding a long and laughing out loud. Salt-n-Pepa in the waiting room at the doctor's office? Uh, no. That's a line we are not ready to cross yet. Nirvana being played on the Classic Rock station? Nope, not prepared for that, either.

Watch:

Hoo boy, the denial is real, isn't it? We grew up on "Choose Your Own Adventure" books, for goodness sake, and it's starting to feel like we made a wrong choice a chapter or two back and suddenly landed our entire generation in a time warp. This isn't real, is it? Thirty years ago was the 1970s. That's just a Gen X fact. So what if we've lived long enough for our high school fashions to go out of style and then back into style and then back out of style again?

Seriously, though, we can either lament our age and stage in life or we can laugh about it, and people are grateful to the Holdernesses for assisting with the latter. Gen X fans are also thrilled to see their own experiences being validated, because at this point, we've all had that moment in the grocery store or the waiting room when one of our jams came on and we immediately went into a panic.

"They were playing The Cure in the grocery store and I almost started crying," wrote one commenter. "I mean, how 'alternative' can you be if you're being played in Krogers? You guys are great! Thanks for making us laugh."

"I couldn’t believe it when I heard Bohemian Rhapsody being played in Walmart," shared another. "That was edgy in my day."

"I know!!! Bon Jovi at the grocery store!!! That was my clue in!!" added another.

"Long live Gen Xers! We have to be strong!! We can get through this together!! #NKOTBmeetsAARP" wrote on commenter.You can find more from the Holderness Family on their Facebook page, their podcast and their website, theholdernessfamily.com.


This article originally appeared on 1.28.24

Science

She tattooed half her face and you'd never know it. Her skills are just that good.

This incredible medical tattoo technology is giving renewed hope to burn victims.

All images via the CBS/YouTube

Basma Hameed runs a tattoo shop, of sorts...


Meet Samira Omar.

The 17-year-old was the victim of a horrific bullying incident.



A group of girls threw boiling water on her, leaving her badly burned and covered in scars and discoloration.

tattoo shop, hate crime, artistry

17-year-old Samira Omar

All images by CBC News/YouTube

She thought the physical scars would be with her forever — until she met Basma Hameed. Basma Hameed runs a tattoo shop, of sorts — but her tattoo artistry doesn't look like you'd expect. Basma is a paramedical tattoo specialist. Instead of tattooing vibrant, colorful designs, she uses special pigments that match the skin in order to conceal scars.

It looks like this:

human condition, diversity, equality

Basma looking at Samira’s facial scarring.

assets.rebelmouse.io

disabilities, health, reproductive rights,

Basma talking over the procedure.

assets.rebelmouse.io

body image, scarring, community

Visible scars and discoloration of the skin.

assets.rebelmouse.io

humanity, culture, treatment

Tattooing the visible scarring on her hand

assets.rebelmouse.io

With Basma's help, patients like Samira can see a dramatic decrease in their scar visibility and discoloration after a few treatments. She even offers free procedures for patients who are unable to afford treatment. That's because Basma knows firsthand just how life-changing her work can be for those coping with painful scars left behind.

Check out the video below to find out more about Basma's practice, including how she became her very first patient.

This article originally appeared on 01.12.15

Parenting

10 ways kids appear to be acting naughty but actually aren't

Many of kids' so-called 'bad' behaviors are actually normal developmental acts of growing up.

Photo by Allen Taylor on Unsplash
two toddler pillow fighting

When we recognize kids' unwelcome behaviors as reactions to environmental conditions, developmental phases, or our own actions, we can respond proactively, and with compassion.

Here are 10 ways kids may seem like they're acting "naughty" but really aren't. And what parents can do to help.


1. They can't control their impulses.

Ever say to your kid, "Don't throw that!" and they throw it anyway?

Research suggests the brain regions involved in self-control are immature at birth and don't fully mature until the end of adolescence, which explains why developing self-control is a "long, slow process."

A recent survey revealed many parents assume children can do things at earlier ages than child-development experts know to be true. For example, 56% of parents felt that children under the age of 3 should be able to resist the desire to do something forbidden whereas most children don't master this skill until age 3 and a half or 4.

What parents can do: Reminding ourselves that kids can't always manage impulses (because their brains aren't fully developed) can inspire gentler reactions to their behavior.


2. They experience overstimulation.

We take our kids to Target, the park, and their sister's play in a single morning and inevitably see meltdowns, hyperactivity, or outright resistance. Jam-packed schedules, overstimulation, and exhaustion are hallmarks of modern family life.

Research suggests that 28% of Americans "always feel rushed" and 45% report having "no excess time." Kim John Payne, author of "Simplicity Parenting," argues that children experience a "cumulative stress reaction" from too much enrichment, activity, choice, and toys. He asserts that kids need tons of "down time" to balance their "up time."

What parents can do: When we build in plenty of quiet time, playtime, and rest time, children's behavior often improves dramatically.

3. Kids' physical needs affect their mood.

Ever been "hangry" or completely out of patience because you didn't get enough sleep? Little kids are affected tenfold by such "core conditions" of being tired, hungry, thirsty, over-sugared, or sick.

Kids' ability to manage emotions and behavior is greatly diminished when they're tired. Many parents also notice a sharp change in children's behavior about an hour before meals, if they woke up in the night, or if they are coming down with an illness.

What parents can do: Kids can't always communicate or "help themselves" to a snack, a Tylenol, water, or a nap like adults can. Help them through routines and prep for when that schedule might get thrown off.

woman hugging boy on her lapPhoto by Jordan Whitt on Unsplash

4. They can't tame their expression of big feelings.

As adults, we've been taught to tame and hide our big emotions, often by stuffing them, displacing them, or distracting from them. Kids can't do that yet.

What parents can do: Early-childhood educator Janet Lansbury has a great phrase for when kids display powerful feelings such as screaming, yelling, or crying. She suggests that parents "let feelings be" by not reacting or punishing kids when they express powerful emotions. (Psst: "Jane the Virgin" actor Justin Baldoni has some tips on parenting through his daughter's grocery store meltdown.)

5. Kids have a developmental need for tons of movement.

"Sit still!" "Stop chasing your brother around the table!" "Stop sword fighting with those pieces of cardboard!" "Stop jumping off the couch!"

Kids have a developmental need for tons of movement. The need to spend time outside, ride bikes and scooters, do rough-and-tumble play, crawl under things, swing from things, jump off things, and race around things.

What parents can do: Instead of calling a child "bad" when they're acting energetic, it may be better to organize a quick trip to the playground or a stroll around the block.

a young boy running through a sprinkle of waterPhoto by MI PHAM on Unsplash

6. They're defiant.

Every 40- and 50-degree day resulted in an argument at one family's home. A first-grader insisted that it was warm enough to wear shorts while mom said the temperature called for pants. Erik Erikson's model posits that toddlers try to do things for themselves and that preschoolers take initiative and carry out their own plans.

What parents can do: Even though it's annoying when a child picks your tomatoes while they're still green, cuts their own hair, or makes a fort with eight freshly-washed sheets, they're doing exactly what they are supposed to be doing — trying to carry out their own plans, make their own decisions, and become their own little independent people. Understanding this and letting them try is key.

7. Sometimes even their best traits can trip them up.

It happens to all of us — our biggest strengths often reflect our weaknesses. Maybe we're incredibly focused, but can't transition very easily. Maybe we're intuitive and sensitive but take on other people's negative moods like a sponge.

Kids are similar: They may be driven in school but have difficulty coping when they mess up (e.g., yelling when they make a mistake). They may be cautious and safe but resistant to new activities (e.g., refusing to go to baseball practice). They may live in the moment but aren't that organized (e.g., letting their bedroom floor become covered with toys).

What parents can do: Recognizing when a child's unwelcome behaviors are really the flip side of their strengths — just like ours — can help us react with more understanding.

8. Kids have a fierce need for play.

Your kid paints her face with yogurt, wants you to chase her and "catch her" when you're trying to brush her teeth, or puts on daddy's shoes instead of her own when you're racing out the door. Some of kids' seemingly "bad" behaviors are what John Gottman calls "bids" for you to play with them.

Kids love to be silly and goofy. They delight in the connection that comes from shared laughter and love the elements of novelty, surprise, and excitement.

What parents can do: Play often takes extra time and therefore gets in the way of parents' own timelines and agendas, which may look like resistance and naughtiness even when it's not. When parents build lots of playtime into the day, kids don't need to beg for it so hard when you're trying to get them out the door.

9. They are hyperaware and react to parents' moods.

Multiple research studies on emotional contagion have found that it only takes milliseconds for emotions like enthusiasm and joy, as well as sadness, fear, and anger, to pass from person to person, and this often occurs without either person realizing it. Kids especially pick up on their parents' moods. If we are stressed, distracted, down, or always on the verge of frustrated, kids emulate these moods. When we are peaceful and grounded, kids model off that instead.

What parents can do: Check in with yourself before getting frustrated with your child for feeling what they're feeling. Their behavior could be modeled after your own tone and emotion.

10. They struggle to respond to inconsistent limits.

At one baseball game, you buy your kid M&Ms. At the next, you say, "No, it'll ruin your dinner," and your kid screams and whines. One night you read your kids five books, but the next you insist you only have time to read one, and they beg for more. One night you ask your child, "What do you want for dinner?" and the next night you say, "We're having lasagna, you can't have anything different," and your kids protest the incongruence.

When parents are inconsistent with limits, it naturally sets off kids' frustration and invites whining, crying, or yelling.

What parents can do: Just like adults, kids want (and need) to know what to expect. Any effort toward being 100% consistent with boundaries, limits, and routines will seriously improve children's behavior.


This story first appeared on Psychology Today and was reprinted here 7.20.21 with permission.