Aging is a weird thing. From one perspective, it's something we should be grateful for. Few people would wish for the kind of short, uneventful life that would remove aging from the equation completely. The longer we live, the more we grow and learn and experience life, and "aging" is simply the mathematical sum of those experiences. All good, right?On the other hand, our society does everything in its power to hide the fact that aging happens. Especially when it comes to women. According to Statista, the global anti-aging beauty market is estimated to be worth $58.8 billion. People will try all manner of creams, serums, masks, acids, lights, technologies and surgeries to try to prevent wrinkles, lines, sagginess, spots and other signs that our bodies are changing with time. Most of us live our daily lives somewhere in the middle of these two realities, wanting to embrace our aging selves but also hoping to stave off some of the more obvious signs that we're getting older. It's natural to resist it in some ways, since the older we get, the closer we get to the end of our lives, which we certainly don't want to hasten—especially if we actually love living. It can be helpful to see people who are embracing their age, which is why it can be inspiring to see someone like former supermodel Paulina Porizkova confidently sharing photos of her 57-year-old self. In posts on social media, Porizkova shared a photo of herself in a bikini and a screenshot of a comment made by a person who felt the need to comment on her aging body. And phew, was it something. The commenter wrote:"You must be in so much pain to keep posting bikini pictures at your age. I've always thought that getting old and ugly is hardest on the pretty people. The fall from grace is so much farther when you were beautiful. Ugly people were always ugly so getting old and ugly isn't a change. In summary, I feel your pain. I pray you can come to terms with your mortality. We all get old and ugly…you just had to fall from a greater height than the rest of us. Tears Times Infinity!"So many things to unpack here.Porizkova shared her thoughts on the comment on Instagram. A thoughtful reader comment on IG need an equally thoughtful response.\nThank you for feeling my pain, rickaroo777. As you can see, I\u2019m suffering indeed.pic.twitter.com/mWijP55iAS — Paulina Porizkova (@Paulina Porizkova) 1651241361 "Here’s a good follower comment- echoing a few others," Porizkova wrote. "A woman of 57 is 'too old' to pose in a bikini - no matter what she looks like. Because 'Old' is 'Ugly.' I get comments like these every time I post a photo of my body. This is the ageist shaming that sets my teeth on edge. Older men are distinguished, older women are ugly.""People who believe prettiness equals beauty do not understand beauty," she continued. "Pretty is easy on the eyes, partly because it’s a little bland, inoffensive. It’s easy to take in and easy to forget. Not so beauty. Beauty can be sharp. It can wound you and leave a scar. To perceive beauty you have to be able to SEE.""This is why I believe we get more beautiful with age," she added. "We have earned our beauty, we understand what it is, and we can see it so much better. There is no such thing as ugly and old. Only shortsighted and ignorant."On Twitter, Porizkova was a bit more sarcastic, writing, "Thank you for feeling my pain, rickaroo777. As you can see, I’m suffering indeed."That tongue-in-cheek response prompted others to share their aging selves in photos, sharing how their "old and ugly" phase of life is going. The thread turned into a veritable celebration of middle-to-late age, with posts about how much more comfortable people feel in their bodies as they get older and the freedom that comes along with not caring what other people think. You suffer beautifully You suffer beautifully — Paulina Porizkova (@Paulina Porizkova) 1651291418 There are two big ironies with the original trolling comment. Most obviously, Porizkova obviously looks freaking amazing in a bikini, so the whole "ugly" and "fall from grace" line of thought is object and off base. The second is that if you look through Porizkova's Instagram feed, she doesn't pose in bikinis very often at all. It's not like she's plastering her bikini selfies all over social media trying to make herself feel better about herself, as the commenter implies. She just…sometimes wears a bikini. Whoop dee doo. Do it anyway! Every body is valid. Every body is a bikini body.pic.twitter.com/slDLHLWQo7 — \ud83c\uddfa\ud83c\uddf8Noel Giger\ud83c\uddfa\ud83c\uddf8 (@\ud83c\uddfa\ud83c\uddf8Noel Giger\ud83c\uddfa\ud83c\uddf8) 1651248625 People don't have to wear bikinis if they don't want to. But to tell strangers what they can wear crosses a line. All bodies are bikini bodies, and if the person in the body wants their body to be in a bikini, more power to them. Wow! You\u2019re suffering for sure! — Paulina Porizkova (@Paulina Porizkova) 1651287653 The "suffering" and "pain" in the posts were so funny to see. Ah, so painful. also- frickin — Paulina Porizkova (@Paulina Porizkova) 1651288265 I'm 49 and I haven't yet put on a bikini. Steph, thanks for showing me it's not too late! Tho, somehow I feel like I won't fill it as well as you & Paulina. But it's all about attitude, right? So let's the 3 of us hit the beach! (I'll stay in the shade of an umbrella, tho.) — Spark The Genius (@Spark The Genius) 1651262083 The thread brought inspiration to those who may fall prey to the idea that people shouldn't wear certain things after a certain age or that only people with certain body sizes or shapes should wear certain things. The hashtag #oldandugly started trending as people responded to Porizkova's call for a celebration of aging beautifully."Todays thread has been my absolute favorite of all time," Porizkova wrote on Twitter. "Thank you all you 'old and ugly' women (and a few men) showing the world how much we 'suffer' at in our old age. You’re all breathtaking!" The love continues! 57 and proud! Keep posting your wonderful beautiful selves and tag #oldandugly so we can keep sharing the pic.twitter.com/Veg72kQOqt — Paulina Porizkova (@Paulina Porizkova) 1651454555 May we all age beautifully and gracefully in whatever way those words are meaningful to us, and show those who think that aging means "suffering" and "pain" due to being "old and ugly" that they have no idea what they're talking about.(And here's an extra shout-out to Porizkova for using her beauty and her age to make an important point—not only about celebrating getting older, but also about how propaganda works. Brava.) See on Instagram This article originally appeared on 05.03.22

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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