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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

Education

A school assignment asked for 3 benefits of slavery. This kid gave the only good answer.

The school assignment was intended to spark debate and discussion — but isn't that part of the problem?

A school assignment asked for 3 "good" reasons for slavery.



It's not uncommon for parents to puzzle over their kids' homework.

Sometimes, it's just been too long since they've done long division for them to be of any help. Or teaching methods have just changed too dramatically since they were in school.

And other times, kids bring home something truly inexplicable.

Trameka Brown-Berry was looking over her 4th-grade son Jerome's homework when her jaw hit the floor.

"Give 3 'good' reasons for slavery and 3 bad reasons," the prompt began.

You read that right. Good reasons ... FOR SLAVERY.

Lest anyone think there's no way a school would actually give an assignment like this, Brown-Berry posted photo proof to Facebook.



In the section reserved for "good reasons," (again, for slavery), Jerome wrote, "I feel there is no good reason for slavery thats why I did not write."

Yep. That about covers it.

The school assignment was intended to spark debate and discussion — but isn't that part of the problem?

The assignment was real. In the year 2018. Unbelievable.

The shockingly offensive assignment deserved to be thrown in the trash. But young Jerome dutifully filled it out anyway.

His response was pretty much perfect.

We're a country founded on freedom of speech and debating ideas, which often leads us into situations where "both sides" are represented. But it can only go so far.

There's no meaningful dialogue to be had about the perceived merits of stripping human beings of their basic living rights. No one is required to make an effort to "understand the other side," when the other side is bigoted and hateful.

In a follow-up post, Brown-Berry writes that the school has since apologized for the assignment and committed to offering better diversity and sensitivity training for its teachers.

But what's done is done, and the incident illuminates the remarkable racial inequalities that still exist in our country. After all, Brown-Berry told the Chicago Tribune, "You wouldn't ask someone to list three good reasons for rape or three good reasons for the Holocaust."

At the very end of the assignment, Jerome brought it home with a bang: "I am proud to be black because we are strong and brave ... "

Good for Jerome for shutting down the thoughtless assignment with strength and amazing eloquence.


This article originally appeared on 01.12.18

Joy

Werner Herzog motivational posters are the best thing on the internet

The director with a cult following gets a tribute fit for guidance counselor office walls.

Werner Herzog inspirational art, FRIENDSHIP.

Looking for a little inspiration this afternoon, but don't actually want to be uplifted?

Well, then get a boost from the solemn Teutonic prose of legendary filmmaker Werner Herzog via the genius Tumblr project Herzog Inspirationals.


Take comfort and advice from the man for whom getting shot in the gut was NBD as you learn about the humble simplicity of the chicken or the inner life of birds.

harmony, common denominator, theory, tenet, logic

Universe is not harmony.

via Werner Herzog Inspirationals/Tumblr

thinking, truth, point of view

Eyes of a chicken.

via Werner Herzog Inspirationals/Tumblr

This article originally appeared on 09.18.17

A map of the United States post land-ice melt.


Land ice: We got a lot of it.

Considering the two largest ice sheets on earth — the one on Antarctica and the one on Greenland — extend more than 6 million square miles combined ... yeah, we're talkin' a lot of ice.

But what if it was all just ... gone? Not like gone gone, but melted?


If all of earth's land ice melted, it would be nothing short of disastrous.

And that's putting it lightly.

This video by Business Insider Science (seen below) depicts exactly what our coastlines would look like if all the land ice melted. And spoiler alert: It isn't great.

Lots of European cities like, Brussels and Venice, would be basically underwater.

In Africa and the Middle East? Dakar, Accra, Jeddah — gone.

Millions of people in Asia, in cities like Mumbai, Beijing, and Tokyo, would be uprooted and have to move inland.

South America would say goodbye to cities like Rio de Janeiro and Buenos Aires.

And in the U.S., we'd watch places like Houston, San Francisco, and New York City — not to mention the entire state of Florida — slowly disappear into the sea.

All GIFs via Business Insider Science/YouTube.

Business Insider based these visuals off National Geographic's estimation that sea levels will rise 216 feet (!) if all of earth's land ice melted into our oceans.

There's even a tool where you can take a detailed look at how your community could be affected by rising seas, for better or worse.

Although ... looking at these maps, it's hard to imagine "for better" is a likely outcome for many of us.

Much of America's most populated regions would be severely affected by rising sea levels, as you'll notice exploring the map, created by Alex Tingle using data provided by NASA.

Take, for instance, the West Coast. (Goodbye, San Fran!)

Or the East Coast. (See ya, Philly!)

And the Gulf Coast. (RIP, Bourbon Street!)

I bring up the topic not just for funsies, of course, but because the maps above are real possibilities.

How? Climate change.

As we continue to burn fossil fuels for energy and emit carbon into our atmosphere, the planet gets warmer and warmer. And that, ladies and gentlemen, means melted ice.

A study published this past September by researchers in the U.S., U.K., and Germany found that if we don't change our ways, there's definitely enough fossil fuel resources available for us to completely melt the Antarctic ice sheet.

Basically, the self-inflicted disaster you see above is certainly within the realm of possibility.

"This would not happen overnight, but the mind-boggling point is that our actions today are changing the face of planet Earth as we know it and will continue to do so for tens of thousands of years to come," said lead author of the study Ricarda Winkelmann, of the Potsdam Institute for Climate Impact Research.

If we want to stop this from happening," she says, "we need to keep coal, gas, and oil in the ground."

The good news? Most of our coastlines are still intact! And they can stay that way, too — if we act now.

World leaders are finallystarting to treat climate change like the global crisis that it is — and you can help get the point across to them, too.

Check out Business Insider's video below:

This article originally appeared on 12.08.15

Family

A letter to my mother-in-law who spoiled my sons

"It's pointless to dwell on regrets, but I often think about how I had it all wrong. I was so wrong in how I perceived your generosity."

Tina Platamura


You always stole my thunder. You gave them everything they wanted. You never said no when they asked for anything.

Tina Platamura

A second helping of dessert. Candy before dinner. A few more minutes in the bath. Money for the ice cream truck.

I struggled to show you respect and appreciation while trying to make sure you didn't spoil my children. I thought you would turn them into “selfish brats" by giving them everything they wanted. I thought they might never learn to wait, to take turns, to share, because you granted their wishes as soon as they opened their mouths and pointed.


You held each one of my babies long after they fell asleep. Didn't you understand that I needed them to learn to fall asleep on their own?

You ran to them as soon as they made the tiniest sound. How would they ever learn to self-soothe?

I resented you for buying the best and most expensive gifts on their birthdays and on Christmas. How could I possibly compete with you?

"I thought they might never learn to wait, to take turns, to share, because you granted their wishes as soon as they opened their mouths and pointed."

And how they loved afternoons spent with you. You made their favorite things for dinner — three different meals for three different boys. And you always had a little surprise. A present, candy, or a special treat. I didn't want them to associate you with gifts and sweets. I thought they should love you for you. I tried to tell you this, but you wouldn't listen.

I spent a lot of time wondering why you did all these things and how I could get you to ease up. I know grandmothers are supposed to “spoil the kids" then send them home, but you were ... ridiculous.

Until you were gone.

I had to hold my boys and tell them that their grandma died. It didn't seem possible — you were supposed to be there for all the other special moments: proms, graduations, weddings. But they lost their grandma too soon and too suddenly. They were not ready to say goodbye.

During those years when I wished you'd stop spoiling them, I never thought about how much you loved them. So much that you showed it in every way possible. Your cooking. The gifts. The candy and sweets. Your presence. The way you could recount every detail of a special moment, whether it was a perfect catch in the outfield or a sweet and slightly off-key note sung at a school concert. Your grandmotherly love for them knew no bounds. Your heart poured love from every place possible — your kitchen, your pocketbook, your words, and your tireless arms.

It's pointless to dwell on regrets, but I often think about how I had it all wrong. I was so wrong in how I perceived your generosity.

My kids, now in their teens, miss you dearly. And they don't miss your gifts or your money. They miss you.

They miss running to greet you at the door and hugging you before you could step in. They miss looking up at the bleachers and seeing you, one of their biggest fans, smiling and enthralled to catch their eye. They miss talking to you and hearing your words of wisdom, encouragement and love.

If I could speak to you one more time, I would tell you that every time a precious moment steals my heart, every time I watch them arrive at a new milestone, and every time they amaze me with their perseverance, talents, or triumphs, I think of you. And I wish that they could have you back.

Come back and love them one last time, like no one else in the world but a grandmother could. Bring your sweets and surprises. Reward them with gifts for the smallest accomplishments. Painstakingly prepare their favorite meals. Take them anywhere they want to go. All and only because you love them.

Come back and see how much they've grown. Watch each boy becoming his own version of a young man. Be in awe with me as we admire how family, friendship, time, and love helped them grow so beautifully over the years.

The more I long for you to come back, though, the more I realize that in a way, you never left.

assets.rebelmouse.io

I understand now. I know you loved them in every way you could. I know that being their grandma gave you joy and purpose. And of course I know that you can't come back, but I do know that your love for them will always remain. Your love built them and sheltered them in ways that cannot be described. Your love is a big part of who they are and what they will become as they grow. For this, and for every treat and gift, and every time you held them too long or consoled them too much or let them stay up too late, I will always thank you.

And I will wish a million times that you could do it all again.


This article was written by Tina Plantamura and originally appeared on 04.14.16

Joy

7 things Black people want their well-meaning white friends to know

"You, white friend, need to speak up and say something when I can't."

Growing up black in a white neighborhood.

I grew up black in a very white neighborhood in a very white city in a very white state.

As such, I am a lot of people's only black friend.


Being the only black friend is a gift and a curse. I am black and I love having friends. But I am also, at any given moment, expected to be a translator, an ambassador, a history teacher, and/or a walking, talking invitation into "I am not racist" territory. It's a lot to handle. See what I mean about that curse?

So when I saw the animated short-film "Your Black Friend," I felt so seen. Clearly, I am not alone.

racism, friendship, equality, education

Don't get me wrong, my friends are awesome, just very white. Here are me and a few of my pixelated pals before a high school dance in the early 2000s.

Photo courtesy of the author.

The film, which was written, designed, and narrated by Ben Passmore and is based on his mini-comic of the same name, is a brilliant, refreshing way to examine whiteness and racism. The comic and animated short are an open-letter from "your black friend" to you, their well-meaning white friend, about bias, alienation, and what it means to be a good ally and friend.

It's funny, honest, and heartbreaking in equal measure. And speaking from personal experience, it captures the experience of being a black friend to white people pretty much perfectly.

So if you're a "woke" friend and ally, here are some things your black friend wants you to know.

1. You're going to have to get uncomfortable.

race, social issues, racism, bias

Animation depicting a racist joke that creates an awkward and upsetting space.

Silver Sprocket/YouTube

It could be something as obvious and upsetting as a racist joke. Or something as "benign" as your aunt suggesting you cross the street when she sees a group of black kids walking by. But either way, if you want to be a good friend and a real ally, you're going to have to speak up. You're going to have to have those tough conversations with people you care about.

It's not easy to confront strangers or people you love, but if you don't do it, you are part of the problem. Sitting out isn't an option. No one said being an ally is easy.

2. "Your black friend would like to say something to the racist lady, but doesn't want to appear to be that 'angry black man.'"

inequality, police, obedience, power dynamics

Biased situations that play out uncomfortably true.

Silver Sprocket/YouTube

"He knows this type of person expects that from him, and he will lose before he begins," Passmore says.

Black people can't always react or respond the way we want to. When I am followed in a department store, pulled over for no reason, or stared at while picking up dinner at the fancy grocery store, I can't stop what I'm doing and yell, "YES, I AM BLACK. NO, I AM NOT A CRIMINAL YOU SMALL-MINDED, BIASED ASSHOLES." Trust me, I want to. But especially when police are involved, I have to be calm, respectful, and obedient.

That's where you come in. You, white friend, need to speak up and say something when I can't. If you are not at risk, nor considered a threat, you have a certain amount of privilege in these situations. Use it to demand answers, speak to supervisors, or if things really get dicey, pull out your phone and hit record.

3. We are constantly monitoring our surroundings and adjusting our clothes, hair, speed, and speech to maintain white comfort.

privilege, cultural bias, police brutality, human rights

Friends may not realize the challenges in avoiding unwarranted confrontation.

Silver Sprocket/YouTube

We don't like it, but one small choice — like deciding whether or not to wear a hood, or the speed at which we reach into our glove box — can be the difference between life and death.

When I am in a parking garage and walking behind a white woman, I intentionally cough or walk a little louder so she turns and notices me.

Why? Because when I don't, that same white woman will often clutch her purse and occasionally let out an audible gasp as I pass her. This is something my white friends likely don't realize I have to do. Some of them may even be the pearl-clutchers in the parking lot.

But to maintain white comfort and to avoid having the cops called on us, we often have to tamp down clothes, modify our speech and volume, even do our hair differently. We have to have "the talk" with our kids about how the world sees them, and how act in order to make sure they come home alive.

No, it's not fair. No, we don't like it. But so long as this country and its institutions are built on a solid foundation of white supremacy, it's a grim reality. You need to know that, and take it up with your fellow white people about how to dismantle it.

4. "Your black friend wishes you'd play more than Beyoncé. There are more black performers than Beyoncé."

friendship, respect and curiosity, music appreciation

Taste isn't only derived from race and culture.

Silver Sprocket/YouTube

"Lemonade" was awesome. There is no denying it. And yes, I love seeing her iconic looks on Instagram too. But there is more to black music and black art than Beyoncé. Dip a toe outside your comfort zone and try new new artists and genres you may not be familiar with. Go listen, see it, and experience it for yourself.

And while we're here, you can't say the n-word when you sing along. Nope. You just can't.

5. Speaking of which, performative blackness is really uncomfortable.

Halloween, racism, cultural appropriation, costumes

Sometimes jokes and misguided appreciation is hurtful.

Silver Sprocket/YouTube

When you wear that braided wig on Halloween, or use your "blaccent" when you're around me or other black people, it hurts. It's not cute or charming, and it definitely doesn't make you seem cool.

Our culture and heritage are not costumes you can slide on and off at your convenience. We don't get to be black only when it suits us. Neither do you.

6. "Your black friend feels like a man without a country."

alienation, culture, heritage, pizza

Can we enjoy each others company without pointing out our differences.

Silver Sprocket/YouTube

Having white friends and seeming to "fit in" with the majority can feel really alienating. You can feel too "white" for black people, and too "black" for white people when all you want to do is find people to eat pizza with. As Passmore wrote, "He is lost in this contradiction, and held responsible for it."

7. We would love it if we could stop talking about our anxiety and frustrations regarding racism. But right now, that's impossible.

Our concerns are urgent and real. We're getting subpar health care. We're disenfranchised. We're over-policed. We're thrown in jail. We're killed by people sworn to protect us. It's exhausting, but we have to keep talking about it. So do you.

We can't be expected to dismantle white supremacy on our own.

Our white friends and allies need to step up and gather their people. Have the tough conversations. Speak up when you see racism, discrimination, and microaggressions. The time to talk about it is done. Be about it, or find yourself a new black friend.

Watch "Your Black Friend" in full and check out Passmore's book, "Your Black Friend And Other Strangers."


This article was written by Erin Canty and originally published on January 30, 2018.