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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."

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Richard Soliz spent 28 days at Harborview Medical Center and nearly died of COVID-19.

Throughout the pandemic, we've seen countless stories of patients in the ICU, terribly sick with COVID-19, still insisting that the virus isn't real. Such stories of denial are frustrating, especially for healthcare workers who are doing their best to save people's lives.

That's why this story of a COVID patient returning to the hospital to thank—and apologize to—the medical staff who helped him offers a ray of hope that not all who are in denial will stay that way.

According to KOMO News, Richard Soliz hadn't known anyone who had gotten sick from the coronavirus. He had also fallen prey to misinformation on social media about the vaccine, so had chosen not to get vaccinated. Then he fell ill in late August, spiked a fever and found it difficult to breathe.

"That's when I really knew I was in a bad situation," Soliz said. "That's when I knew, hey, this is COVID. Man. I contracted the virus."

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'Boy Wearing a Wig,' Wilhelm von Gloeden (1900) Wikimedia Commons

In 1942, a 17-year-old transgender girl named Lane visited a doctor in her Missouri hometown with her parents. Lane had known that she was a girl from a very young age, but fights with her parents over her transness had made it difficult for her to live comfortably and openly during her childhood. She had dropped out of high school and she was determined to get out of Missouri as soon as she was old enough to pursue a career as a dancer.

The doctor reportedly found "a large portion of circulating female hormone" in her body during his examination and suggested to Lane's parents that he undertake an exploratory laparotomy – a surgery in which he would probe her internal organs in order to find out more about her endocrine system. But the appointment ended abruptly after her father refused the surgery, feeling "the doctor did not know what he was talking about."

I first encountered Lane's story buried among the papers of an endocrinologist, but her brief encounter with a doctor during her teenage years was typical of many transgender children like her in the early to mid-20th century. These stories form a key thread of the first several chapters of my book, "Histories of the Transgender Child," and they point to the tremendous obstacles these kids faced in a world where the word "transgender" didn't even exist.

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Photo by Kyle on Unsplash

When Charlie, a 10-year-old boy, came in for his first visit, he didn't look at me or my colleague. Angry and crying, he insisted to us that he was cisgender – that he was a boy and had been born male.

A few months before Charlie came into our office, he handed a note to his mother with four simple words, "I am a boy." Up until that point Charlie had been living in the world as female – the sex he was assigned at birth – though that was not how he felt inside. Charlie was suffering from severe gender dysphoria – a sense of distress someone feels when their gender identity doesn't match up with their assigned gender.

I am a pediatrician and adolescent medicine specialist who has been caring for transgender youth for over a decade using what is called a gender-affirmative approach. In this type of care, medical and mental health providers work side by side to provide education to the patient and family, guide people to social support, address mental health issues and discuss medical interventions.

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