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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

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Family

A 6-year-old designed a custom t-shirt for his first day of school and it's seriously the best

Thank you, Blake, for bringing some much-needed sunshine into our day.

Unfading adornments

When 6-year-old Blake Rajahn shows up to his first grade classroom on Monday, he will arrive bearing an uplifting a message for his fellow students.

Blake's mother, Nikki Rajahn, runs a custom personalization business in Fayette County, Georgia, and she asked her son what kind of t-shirt he wanted for his first day of school. He could have chosen anything—his favorite sports star's number, a cool dragon, a witty saying—anything he wanted, she could make.

Blake chose something unexpected—an orange t-shirt with a simple, sweet message for the other kids at his school to see. Five little words that might just mean the world to someone who reads them.

"I will be your friend."

Ouch. My heart.

Rajahn shared the story on her business Facebook page:

"I have to brag on my son. I told him that as a back to school gift, I will make him any shirt he would like. It could have anything—a basketball theme, football, etc. which are all his favorites. He thought a while and said, 'will you please make me a shirt that says "I will be your friend" for all the kids who need a friend to know that I am here for them?' Never underestimate your kid's heart for others! I love my sweet Blake! #stopbullying"







Apparently, such a gesture is typical of Blake. "He has always had a heart for others and is very genuine," his mother told Upworthy. She said she's donating part of the proceeds of her t-shirt sales to the Real Life Center, a non-profit that helps families in need in Tyrone, Georgia, all because of Blake.

"During the summer we had a vacation Bible school that he went to," she said, "and they did a toothbrush and toothpaste drive for the Real Life Center. He came home saying we needed to go to the Dollar Store to get some that night. We told him we would go the next day, but he had to use his money for it. He said that was fine, so we asked how much he would like to spend. He said, 'It's for people who don't have any, right?' We said yes, so he very matter-of-fact said, 'Well all of it!' And he did!"

Rajahn said everyone has been very encouraging and people are starting to order their own version of the t-shirt with "#blakesfriends" added to it.

She also shared Blake's reaction to hearing that his shirt idea was starting to spread on Facebook—and again, it's just the sweetest darn thing.

"Ever since I posted about my son and his shirt, I have sold some and told Blake about it. He said, "Oh good! Now more and more people are going to have more and more friends!" He is just so flattered so many want to be his twin too 😊"

Sometimes all a person needs is one friend so they won't feel alone, and Blake going out of his way to make sure kids feel welcomed by him is an example even adults can learn from. If we all reached out to people who might be shy or who might feel excluded, and let them know in some small way that we are open to being friends, what a better world we could build.

Thank you, Blake, for bringing some much-needed sunshine into our day.


This article originally appeared on 8.2.19

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Health

Myth-destroying therapist explains why it's 'loving' for couples to go to bed angry

Love isn't that simplistic.

via Polina Zimmerman

A couple arguing before bedtime.

Just about everyone who has been married has been told countless times by older, more experienced couples that one of the most essential rules is, “Don’t go to bed angry.” They swear it’s best for a relationship to hash out the disagreement before bed and ensure it’s resolved before anyone gets any shut-eye.

That advice makes a lot of sense. It’s hard to get to sleep after fighting with your significant other. The argument keeps playing over and over again in your head. You may be angry. You may be hurt. That’s a bad position to be in, if you need to get your 40 winks.

However, making a big problem solvable by the time we go to bed is like watching a big family problem get fixed in 23 minutes on a sitcom. It's just not realistic. Some issues deserve more thought and conversation.

Dr. Alexandra Solomon, a licensed clinical psychologist at The Family Institute at Northwestern University and a clinical assistant professor in the Department of Psychology at Northwestern University, recently made the case that it’s “loving” to go to bed angry in the caption of a myth-busting Instagram post.



Dr. Solomon is also the host of the “Reimagining Love Podcast,” where she challenges some of the questionable messages we’re given about love and relationships.

“I’ve been a couples therapist for over a quarter of a century and I’m here to remind you that it’s OK to go to bed mad,” she wrote in the caption of a viral Instagram post. She adds that it can be “loving” to go to bed angry under the following circumstances:

  • You’re exhausted.
  • You don’t have privacy.
  • You’ve been drinking or using drugs
  • It’s late and you’re talking in circles
  • One of both of you has a big day tomorrow
  • You have little kids who’ll be up at the ass crack of dawn needing pancakes
  • You’re at risk of saying or doing something that you’ll regret because you’re upset and exhausted

couple fight, go to bed angry, conflict resolutionA couple fighting before bed.via Sasint/Pixabay

However, she also shared 5 reasons when it’s not OK to go to bed angry:

  • Not every night, not even lots of nights.⁣
  • Not to prove a point.⁣
  • Not to get the upper hand.
  • Not to punish your partner
  • Not to show your partner what a jerk they are

Dr. Solomon says being tired makes us more likely to make extreme arguments and be more hostile than when we are well-rested. She believes that when couples go to bed angry, they should do so consciously with their partners by calling a “time out” on the argument and acknowledging the difficult situation.

“This is a really hard conversation,” or “I think we both feel pretty hurt and misunderstood,” you could say before tabling the discussion for the following day. You can also perform a loving gesture, such as getting your partner a glass of water or squeezing their foot before bed to let them know you are still safe.



Relationship myths such as “don’t go to bed angry” can become a real problem for couples who fail to live up to what’s seen as the relationship gold standard. When couples violate the relationship commandment and go to bed angry, they blame themselves when really, they’re not doing anything wrong. Conflict is natural. So is being tired.

That’s why Dr. Solomon’s myth-busting, Disney-did-us-wrong approach is so important.

"We grow up on this study stream of fairytales, song lyrics and romantic comedies that give us a view of love that is simplistic and unrealistic," says Dr. Solomon told Parade. "Then, when we bump into problems and challenges in our own lives, we end up feeling like we are the problem, rather than the myths being the problem."

cvouple fight, conflict resolution, relationshipsA couple fighting before bed.via RDNE Stock project/Pexels

Ultimately, relationships are complex, and myths such as “don’t go to bed angry” and the “happily ever after” story we’re told as children give us a false impression about what love and true partnership are all about. Then, when we fail to meet those expectations, we find fault in ourselves and our partners.

"Going to bed mad is painful enough on its own," Dr. Solomon says. "It feels lonely. It feels yucky. To add another layer of shame—[that] somehow this is wrong, I'm wrong, you're wrong, we're wrong—makes a hard thing harder."

Dr. Solomoan wants us all to realize that relationships are complex. So there’s nothing wrong with giving each other a break and sleeping on it for a night.


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Popular

Hospice nurse shares clue she uses to know if someone is dying 6 months before it happens

"Allow the body to be the guide."

via Sabinevanerp/Pixabay

An old woman holding a cane.

Death is the last great mystery that all of us face. We don’t know when we will go or can really be sure what comes next. So there’s understandably a lot of fear and uncertainty that most of us feel around death, whether we’re thinking about ourselves or a loved one.

That’s why Julie McFadden's work is so important. As a palliative care nurse in the Los Angeles area, who has seen over a hundred people die, her TikTok videos shed light on the process to make us all a bit more comfortable with the inevitable.

McFadden is also the author of the bestseller, “Nothing to Fear.”

The nurse’s experience helping people in their final stages has given her a unique perspective on the process. In a recent video, she shared how she can see the first symptoms that someone is going to die a natural death about 6 months before they finally do.

Interestingly, she can determine that someone only has half a year left to live when most of us have no idea they have entered the final stages of life.

@hospicenursejulie

Replying to @Mariah educating yourself about scary topics will help decrease fear. ✨Nothing to Fear ✨- my book- out june 11th #hospicenursejulie #hospicenurse #caregiversoftiktok #medicaltiktok #learnontiktok #nothingtofearbook

What are the symptoms of dying at the 6-month mark?

McFadden adds that people who are dying are usually placed in hospice care when the symptoms begin to appear around the 6-month mark.

"You will have very generalized symptoms. Those symptoms will usually be, one, you will be less social. So you'll be more introverted than extroverted," McFadden said. "Two, you will be sleeping a lot more. And three, you will be eating and drinking a lot less. Literally, everyone on hospice, I see this happen to."

heaven, clouds, ray of lightA Ray of light over a mountain. via PIxbay/Pexels



What are the symptoms of dying at the 3-month mark?

You are going to notice more debility,” McFadden continues. “They will be staying in their house most of the time. It's going to be difficult getting up and just going to the bathroom. Again, sleeping a lot more and eating and drinking a lot less.”

What are the symptoms of dying at the 1-month mark?

Something usually begins to happen in the final month of someone’s life. They start to believe they are in contact with others they have lost. It’s like they are there to make the dying person feel comfortable with their final transition.

"Usually around the one month mark is when people will start seeing 'the unseen', they have the visioning. They'll be seeing dead relatives, dead loved ones, dead pets, old friends who have died,” McFadden said. “Again, not everyone — but many, many people will start seeing these things at around one month."

heaven, death, trumpetAn angel with a trumpet.via PixaBay/Pexels

Angela Morrow, a registered nurse at Verywell Health, agrees that people in the final stage of life often hear from those who have passed before them. Morrow says we should refrain from correcting the patients when they share their stories of talking to people and pets who have died. "You might feel frustrated because you can't know for sure whether they're hallucinating, having a spiritual experience, or just getting confused. The uncertainty can be unsettling, but it's part of the process," Morrow writes.

At the end of the video, McFadden says that the most important factors palliative care nurses look at to determine the stage of death are eating, drinking and sleeping. “Most people, a few weeks out from death, will be sleeping more than they are awake. And they will be barely eating and barely drinking,” McFadden said.

i.giphy.com

In the end, hospice nurses “allow the body to be the guide” as they help their patients transition from life to death.

McFadden’s work has brought a lot of peace to her followers as they go through trying times. "My mom is in hospice right now and she’s currently, I think, hours or days from death. YourTikToks have helped me out tremendously," Deb wrote. "My grandma passed away in February, and she experienced all of this. this page brings me peace knowing everything she went through was natural," Jaida added.

"Thanks, Julie. I volunteer in a hospice end-of-life facility, and this helps educate the families. Your posts are wonderful," Grandma Nita wrote.

One of the things that makes death so scary is the number of unknowns surrounding the process. That’s why it’s so important that McFadden shares her stories of helping people to the next side. She shows that death is a natural process and that hospice nurses are here to help make the transition as peaceful as possible.

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Family

Woman shares sweet exchange with 92-year-old grandpa who invited her over for 'sleepover'

“We can order food and watch a mystery show. Love, grandpa.”

Photo by Mark Farías on Unsplash
man in black suit jacket kissing woman in white sleeveless dress

Loneliness is one of the most dangerous health problems in the United States, although it’s seldom discussed. Psychology Today says loneliness has the same mortality risks as obesity, smoking, alcoholism and physical inactivity.

A meta-analysis from Brigham Young University found that social isolation may increase the risk of premature death by up to 50%. The problem with loneliness is that people suffer in silence and it afflicts the ones we don’t see.

A TikTok user who goes by the name Megan Elizabeth recently shared a touching story on social media about how her grandfather was feeling lonely so he reached out to her.

The story shows what can happen when one person is brave enough to confront their social isolation and the important role grandkids can play in their grandparents’ lives.

It started when Megan's grandpa texted her to ask if she'd like to come over for a sleepover. “I haven’t been feeling well and miss you. We can order food and watch a mystery show. Love, grandpa,” he wrote.

Megan was happy to go see him, so grandpa made a series of requests to make the sleepover a hit.

“Could you pick up applesauce? The cinnamon kind,” he asked. “And if you go somewhere with mash potatoes, I would like that because I have no teeth and can only eat soft things. Ha!”

He also wanted some strawberry ice cream for dessert. “Thank you. You are my favorite granddaughter,” he ended the conversation. Megan later noted that she’s his only granddaughter.

Megan came by with a big bag of food and some ice cream and the two hung out and watched his favorite black-and-white “mystery movies.”

When it was time for bed, grandpa hadn't forgotten how to put her to sleep. He got her a glass of water to put by the bed in case she got thirsty and left a flashlight on the nightstand just in case his 29-year-old granddaughter got scared.

The next morning, at 5:30 am, he watched her leave for work.

Grandfather and granddaughter grew up close to one another.

Megan lived with her grandparents when she was young while her parents saved up money for a house. When they bought one, it was right across the street.

“I am so lucky to have grown up with my grandpa and my grandma (rest in peace),” she wrote on Instagram. “I feel so happy. I am thankful for my grandpa and he will never understand how much love he truly has shown me. And more importantly, the love he showed my grandma while she was alive. I believe in love and loyalty because of this man. He is my hero,” she added.

Megan's time with her grandfather made her realize a valuable lesson about her life.

"I think one of the most important realizations I have had recently is that it’s important to live in the moment but it is important to live in the now with intent," she wrote on Instagram, "so that when you are 92, you look back and smile at all the people you loved, the memories you made and the life you chose to live."


This article originally appeared on 04.27.22

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Science

Incredible 'bird feeder' photos give a whole new perspective on our feathered friends

It's amazing the magic we can find in our own yards.

via Carla Rhodes

Two northern cardinals captured on Carla Rhodes' bird-feeder camera.

The pandemic has caused many people to reevaluate their surroundings. When you’re stuck at home more often than you’d like, you start to pay a lot more attention to what goes on in your own backyard.

This type of introspection inspired wildlife photographer Carla Rhodes to get a closer look at the furry friends that live near her home in the Catskill mountains of New York.

What she found was magical.

“The winter of 2020-2021 was particularly brutal to humankind. After months of enduring the Covid-19 pandemic, we were now collectively slogging through winter. As a result of being stuck at home, I focused on my immediate surroundings like never before,” Rhodes said in a statement.

Rhodes positioned a DSLR camera trap beneath her bird feeder to get an up-close glimpse of the wildlife that came to sample her delicious seeds.

The results are an incredible series of photos of birds and other woodland creatures from a vantage point most people never see. Rhodes calls her project, "Beneath the Bird Feeder."

The birdfeeder photos also gave a new glimpse into the behavior of several species of birds and rodents that call the Catskills home.

“As I got deeper into the project, intriguing observations emerged,” Rhodes says. “I noticed distinct repeat visitors such as a Dark-Eyed Junco with an overgrown beak, a deer mouse with a notched ear, and an irruption of Red-Breasted Nuthatches. Dark-Eyed Juncos always showed up at the crack of dawn and Northern Cardinals would always be the last visitor of the day as dusk turned into evening.”

Here are 15 of the most captivating photos that Rhodes captured from beneath her bird feeder.

1. Dark-eyed junco

via Carla Rhodes

"Often overlooked and considered drab ground-feeding birds, Dark-Eyed Juncos hold a special place in my heart due to their funny and curious behaviors. Every day they were first to arrive beneath the bird feeder," Rhodes says. "Dark-Eyed Juncos were one of the most frequent and curious subjects beneath the bird feeder."

2. Dark-eyed junco

via Carla Rhodes

3. Dark-eyed junco

via Carla Rhodes

4. Tufted titmouse

via Carla Rhodes

According to All About Birds, the tufted titmouse is "common in eastern deciduous forests and a frequent visitor to feeders."

5. Mourning dove

via Carla Rhodes

​"Observing Mourning Doves was a daily pleasure, especially when they gathered to form a clean-up crew beneath the bird feeder. Mourning doves are monogamous and possibly mate for life," Rhodes writes.

6. Mourning dove 

via Carla Rhodes

7.  Mourning doves

via Carla Rhodes

8. Blue jay

via Carla Rhodes

"Blue Jays are known for their intelligence and complex social systems with tight family bonds," All About Birds says. "Their fondness for acorns is credited with helping spread oak trees after the last glacial period."

9. Northern cardinal

via Carla Rhodes

"Northern Cardinals were always the last to show up beneath the bird feeder, shortly after dusk every evening," Rhodes writes.

10. Black-capped chickadee

via Carla Rhodes

"Little flocks of Black-capped Chickadees enliven the winter woods with their active behavior and their cheery-sounding chick-a-dee callnotes as they fly from tree to tree, often accompanied by an assortment of nuthatches, creepers, kinglets, and other birds," the Audubon field guide to North American birds says.

11. Black-capped chickadee

via Carla Rhodes

12. Eastern gray squirrel

via Carla Rhodes

Eastern gray squirrels are important members of forest ecosystems as they play a vital role in dispersing seeds.

 13. American red squirrel

via Carla Rhodes

The American red squirrel is known for its distinct bushy and dark red tail with hints of a white outline.

14. American red squirrel

via Carla Rhodes

15. Northern short-tailed shrew

via Carla Rhodes

If you see a northern short-tailed shrew, be careful. It's venomous and paralyzes its victims with poisonous saliva. In humans, a bite can cause swelling and intense pain.


This article originally appeared on 01.03.22

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