Woman explains why having quadruplets resulted in a $4 million hospital bill
Here's how she paid the bill.
A man and woman looking over their bills. Representative image.
The United States is the second most expensive country in the world to give birth, after Japan. In Japan, it costs around $61,000 to have a vaginal delivery, although those costs can be offset by government health insurance.
In the U.S., it costs around $14,000 to have a child without insurance, although there are a lot of factors that affect the price, including where you give birth, the type of insurance you carry and if there are any complications.
While $14,000 is a lot of money for most people, Hanna Castle from the Columbus, Ohio, area received a $4 million hospital bill after having quadruplets and that didn’t even include the delivery. All 4 of the children needed to spend time in the NICU for lengths between 64 and 147 days.
Castle explained the costs in a video that has been seen nearly 8 million times.
That hurt 🤣
@hannacastle That hurt 🤣 #Quadruplets #nicu #america #healthcare
The 4 children, Atlas, Dominic, Magnolia and Morgan, were all born at 28 weeks via Cesarean section and were treated at separate NICUs. According to Investopedia, a stay in the NICU can cost anywhere from $3,000 to $20,000 a day in the United States.
The smallest child of the 4, Atlas, weighed just 1.5 pounds but had the shortest stay in the NICU of 64 days. His total bill came to $714,747.15. Next was Magnolia who stayed 74 days at a cost of $728,625.56. Morgan stayed 86 days for $976,415.69 and Dominic stayed the longest, 147 days, for $1,626139.55.
All in all, the total bill for the NICU for the Castle Quads was $4,045,927.95.
Commenters on the video couldn’t believe how anyone could pay such a massive bill. "To put this in perspective, it would take $500 a month for 675 years to pay this off," Gouda wrote.
The good news for the Castle family was that Medicaid of Ohio picked up the entire tab. Knowing that the babies would need extensive care after being born, the couple quit their jobs to qualify for financial assistance. "At 16 weeks pregnant, I decided to quit my job to get some of that assistance because there was no other way," Castle told Good Morning America.
"I moved my mom in with us to kind of help financially for the first year and see how the kids were going to be,” she added. In Ohio, adults with incomes up to 138% of the federal poverty level and children with a household income of 211% of the poverty level can qualify for Medicaid.
In a recent Facebook post, Castle discussed the tough challenges of being the parent of multiples in America.
“You can believe that you’ll have 1 full-term child, but every pregnancy is different. A lot of us do not believe in terminating healthy children because of finances. Things happen. No one wants to live off of government assistance just to be able to survive and frankly there’s a lot of shame behind it,” she wrote. “But other countries don’t even have to worry about that. Do they truly think that a 1-time tax credit per year is enough to get us to keep having children in this economy? With the type of medical bills we rack up here? With the lack of financial medical assistance we have here?”
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There's a reason why some people can perfectly copy accents, and others can't
Turns out, there's a neurodivergent link.
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Have you ever had that friend who goes on vacation for four days to London and comes back with a full-on Queen's English posh accent? "Oooh I left my brolly in the loo," they say, and you respond, "But you're from Colorado!" Well, there are reasons they (and many of us) do that, and usually it's on a pretty subconscious level.
It's called "accent mirroring," and it's actually quite common with people who are neurodivergent, particularly those with ADHD (Attention Deficit Hyperactivity Disorder). According Neurolaunch, the self-described "Free Mental Health Library," "Accent mirroring, also known as accent adaptation or phonetic convergence, is the tendency to unconsciously adopt the accent or speech patterns of those around us. This linguistic chameleon effect is not unique to individuals with ADHD, but it appears to be more pronounced and frequent in this population."
Essentially, when people have conversations, we're constantly "scanning" for information—not just the words we're absorbing, but the inflection and tone. "When we hear an accent, our brains automatically analyze and categorize the phonetic features, prosody, and intonation patterns," writes Neurolaunch. For most, this does result in copying the accent of the person with whom we're speaking. But those with ADHD might be more sensitive to auditory cues. This, "coupled with a reduced ability to filter out or inhibit the impulse to mimic…could potentially explain the increased tendency for accent mirroring."
While the article explains further research is needed, they distinctly state that, "Accent mirroring in individuals with ADHD often manifests as an unconscious mimicry of accents in social situations. This can range from subtle shifts in pronunciation to more noticeable changes in intonation and speech rhythm. For example, a person with ADHD might find themselves unconsciously adopting a Southern drawl when conversing with someone from Texas, even if they’ve never lived in the South themselves."
People are having their say online. On the subreddit r/ADHDWomen, a thread began: "Taking on accents is an ADHD thing?" The OP shares, "My whole life, I've picked up accents. I, myself, never noticed, but everyone around me would be like, 'Why are you talking like that??' It could be after I watched a show or movie with an accent or after I've traveled somewhere with a different accent than my 'normal.'
They continue, "Apparently, I pick it up fast, but it fades out slowly. Today... I'm scrolling Instagram, I watch a reel from a comedian couple (Darcy and Jeremy. IYKYK) about how Darcy (ADHD) picks up accents everywhere they go. It's called ADHD Mirroring??? And it's another way of masking."
(The OP is referring to Darcy Michaels and his husband Jeremy Baer, who are both touring comedians based in Canada.)
Hundreds of people on the Reddit thread alone seem to relate. One comments, "Omfg I've done this my whole life; I'll even pick up on the pauses/spaces when I'm talking to someone who is ESL—but English is my first language lol."
Sometimes, it can be a real issue for those around the chameleon. "I accidentally mimicked a waitress's weird laugh one time. As soon as she was out of earshot, my family started to reprimand me, but I was already like 'oh my god I don’t know why I did that, I feel so bad.'"
Many commenters on TikTok were shocked to find out this can be a sign of ADHD. One jokes, "Omg, yes, at a store the cashier was talking to me and she was French. She's like 'Oh are you French too? No, I'm not lol. I'm very east coast Canada."
And some people just embrace it and make it work for them. "I mirror their words or phrase! I’m 30. I realized I start calling everyone sweetie cause my manager does & I work at coffee shop."