The United States has some of the world's top hospitals and is a powerhouse of medical innovation, but every year tens of thousands of Americans must turn to the kindness of strangers to help pay medical bills, often in the form of online crowdfunding appeals.
Despite spending more than $4 trillion annually on health care – a per capita rate about twice as much as other industrialised nations – the US does not guarantee cradle-to-grave coverage for all of its citizens and most Americans must instead navigate the notoriously complicated private health insurance market that often fails to cover the true price of treatment.
Sites like GoFundMe have become a lifeline for Americans looking to raise money to pay for medicine or hospital costs. In a country where 62 per cent of bankruptcies are due to unpaid medical expenses, asking for help from strangers is often the only hope people have to pay their debts.
British Griffis, an urban farmer from Chicago, has set up an appeal on GoFundMe as she looks to offset recent medical and other expenses. Last year, she became a victim of the city's rampant gun violence and was left with large bills and no way to pay them.
Ms Griffis, 29, had just attended a concert and dropped a family member off at home when, with no warning, someone opened fire at her car.
Police didn't follow up or even attempt to fully investigate the attack, she said.
“I have family members and friends who have been directly and indirectly impacted by gun violence. So unfortunately, it's something that's common,” she said.
The vehicle was struck by seven bullets and Ms Griffis sustained a serious eye injury from pieces of shattered windscreen. An ambulance took her to a nearby hospital but she was forced to wait overnight until a specialist could examine her and remove the glass from her eye.
The bill for her ambulance journey and time in the hospital? $15,000.
Ms Griffis had health insurance through her employer, but the high excess meant she was left $8,000 in debt. She was initially reluctant to ask strangers for help but said such requests have become “normalised” in the US.
“Everybody should have equal access to health care and nobody should have to pay into a system and reach a certain threshold in order to be fully covered,” Ms Griffis told The National.
“Nobody plans to get shot at and to be burdened emotionally and financially with taking on these costs. It's just disheartening.”
Ms Griffis hopes by sharing her story she will help raise awareness of America's pervasive gun violence and the lack of support for survivors trying to pay their medical bills. The pages of GoFundMe are packed with stories of gunshot victims, many of them still in intensive care, struggling to cover their medical expenses.
Insured but still vulnerable
A decent health insurance premium can cost upwards of $1,000 a month for an individual, much more for a family. Employers usually subsidise these amounts, but even then people can pay hundreds of dollars a month for a policy and a Byzantine set of rules means patients still pay some part of bills out of their pocket thanks to “co-pays”, “co-insurance” and “deductibles”.
For many, the system is a bureaucratic nightmare that must be navigated just when a patient should be focused on getting better. Insurance companies must abide by complicated government guidelines and insurance rules mean patient claims are often rejected or only partially paid.
According to its website, GoFundMe hosts more than 250,000 medical fund-raisers each year, raising more than $650 million in contributions.
A representative for the platform said appeals for help with healthcare costs were one of its largest categories but the phenomenon is not limited to America. GoFundMe operates in 19 countries, including the UK, Germany, France and other countries that provide citizens with universal access to government-funded or capped-cost health care.
The representative noted GoFundMe quickly reflects societal changes. A lot of fund-raisers now are for people who've had late-stage cancer diagnoses after not seeing a doctor during the Covid-19 pandemic.
“There's been so many stories about how people deferred treatment because of the pandemic,” they said. “So we've seen that, actually, there's been a 20 per cent increase in cancer-related fund-raising.”
People often need help not only with medical bills, but the ancillary expenses that go with being sick, including needing to take time off work or help with childcare.
Alyssa Snow, from Boise, Idaho, set up a fund-raiser in May to help pay for her husband's sinus surgery. She said the couple now have health insurance through her employer, with premiums costing about $400 a month, but before they were able to get a policy they racked up thousands of dollars in diagnostic medical bills.
So far, the appeal has raised only $265 of the $3,000 goal. Ms Snow said her experience of asking strangers for help has been “quite negative”, with a lot of people judging them.
“They weren't very kind about us reaching out for this additional support from our community,” she said.
“There was always this feeling that people were trying to tell me that my husband's medical issues and conditions didn't warrant us asking for help.
“There were a lot of feelings of shame and I've heard that from other folks as well. And to then be faced with the backlash of the lack of support made it almost doubly so,” Ms Snow told The National.
America spends on average about $13,000 per person on health care each year, roughly double what other industrialised countries pay. Bureaucratic bloat is encoded into the American system, where hospitals and providers spend one third of all healthcare costs chasing bills and dealing with insurance companies.
Many Democrat politicians have spent decades pushing for a single-payer system in which costs are footed by the government. They say this would help more people have healthcare coverage that doesn't leave them at risk.
Grace-Marie Turner, founder and president of the Galen Institute, a non-profit research centre that promotes market-based solutions to health care, said such a system would not work in the US given its enormous population of more than 330 million people.
“It is much more diverse, much more segmented, much more geographically diverse than other countries like Switzerland or even Germany,” she told The National.
Americans “want what they want, when they want it”,
Ms Turner said health care costs too much in the US and blamed rising prices on government involvement in how care is administered, including through Medicare and Medicaid, types of taxpayer-funded health care for older people or America’s most vulnerable.
“It is way too expensive,” she said. “That has a lot to do with the fact that so much of it is government-controlled, rather than having market forces and competition being able to get prices down.”
Know your Camel lingo
The bairaq is a competition for the best herd of 50 camels, named for the banner its winner takes home
Namoos - a word of congratulations reserved for falconry competitions, camel races and camel pageants. It best translates as 'the pride of victory' - and for competitors, it is priceless
Asayel camels - sleek, short-haired hound-like racers
Majahim - chocolate-brown camels that can grow to weigh two tonnes. They were only valued for milk until camel pageantry took off in the 1990s
Millions Street - the thoroughfare where camels are led and where white 4x4s throng throughout the festival
2025 Fifa Club World Cup groups
Group A: Palmeiras, Porto, Al Ahly, Inter Miami.
Group B: Paris Saint-Germain, Atletico Madrid, Botafogo, Seattle.
Group C: Bayern Munich, Auckland City, Boca Juniors, Benfica.
Group D: Flamengo, ES Tunis, Chelsea, Leon.
Group E: River Plate, Urawa, Monterrey, Inter Milan.
Group F: Fluminense, Borussia Dortmund, Ulsan, Mamelodi Sundowns.
Group G: Manchester City, Wydad, Al Ain, Juventus.
Group H: Real Madrid, Al Hilal, Pachuca, Salzburg.
more from Janine di Giovanni
COMPANY%20PROFILE
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Bio
Born in Dibba, Sharjah in 1972.
He is the eldest among 11 brothers and sisters.
He was educated in Sharjah schools and is a graduate of UAE University in Al Ain.
He has written poetry for 30 years and has had work published in local newspapers.
He likes all kinds of adventure movies that relate to his work.
His dream is a safe and preserved environment for all humankind.
His favourite book is The Quran, and 'Maze of Innovation and Creativity', written by his brother.
UAE currency: the story behind the money in your pockets
Drishyam 2
Directed by: Jeethu Joseph
Starring: Mohanlal, Meena, Ansiba, Murali Gopy
Rating: 4 stars
Tearful appearance
Chancellor Rachel Reeves set markets on edge as she appeared visibly distraught in parliament on Wednesday.
Legislative setbacks for the government have blown a new hole in the budgetary calculations at a time when the deficit is stubbornly large and the economy is struggling to grow.
She appeared with Keir Starmer on Thursday and the pair embraced, but he had failed to give her his backing as she cried a day earlier.
A spokesman said her upset demeanour was due to a personal matter.
How to wear a kandura
Dos
- Wear the right fabric for the right season and occasion
- Always ask for the dress code if you don’t know
- Wear a white kandura, white ghutra / shemagh (headwear) and black shoes for work
- Wear 100 per cent cotton under the kandura as most fabrics are polyester
Don’ts
- Wear hamdania for work, always wear a ghutra and agal
- Buy a kandura only based on how it feels; ask questions about the fabric and understand what you are buying
MATCH INFO
Europa League final
Who: Marseille v Atletico Madrid
Where: Parc OL, Lyon, France
When: Wednesday, 10.45pm kick off (UAE)
TV: BeIN Sports
POWERWASH%20SIMULATOR
%3Cp%3E%3Cstrong%3EDeveloper%3A%3C%2Fstrong%3E%20FuturLab%3Cbr%3E%3Cstrong%3EPublisher%3A%20%3C%2Fstrong%3ESquare%20Enix%20Collective%3Cbr%3E%3Cstrong%3EConsole%3A%20%3C%2Fstrong%3ENintendo%20Switch%2C%3Cstrong%3E%20%3C%2Fstrong%3EPlayStation%204%20%26amp%3B%205%2C%20Xbox%20Series%20X%2FS%20and%20PC%3Cbr%3E%3Cstrong%3ERating%3A%3C%2Fstrong%3E%204%2F5%3C%2Fp%3E%0A
Global state-owned investor ranking by size
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United States
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2.
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China
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3.
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UAE
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4.
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Japan
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5
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Norway
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Canada
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Singapore
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Australia
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Saudi Arabia
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South Korea
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MATCH INFO
Barcelona 4 (Suarez 27', Vidal 32', Dembele 35', Messi 78')
Sevilla 0
Red cards: Ronald Araujo, Ousmane Dembele (Barcelona)
Our family matters legal consultant
Name: Hassan Mohsen Elhais
Position: legal consultant with Al Rowaad Advocates and Legal Consultants.
Champion%20v%20Champion%20(PFL%20v%20Bellator)
%3Cp%3EHeavyweight%3A%20Renan%20Ferreira%20v%20Ryan%20Bader%20%3Cbr%3EMiddleweight%3A%20Impa%20Kasanganay%20v%20Johnny%20Eblen%3Cbr%3EFeatherweight%3A%20Jesus%20Pinedo%20v%20Patricio%20Pitbull%3Cbr%3ECatchweight%3A%20Ray%20Cooper%20III%20v%20Jason%20Jackson%3Cbr%3E%3C%2Fp%3E%0A%3Cp%3E%3Cstrong%3EShowcase%20Bouts%3C%2Fstrong%3E%3Cbr%3EHeavyweight%3A%20Bruno%20Cappelozza%20(former%20PFL%20World%20champ)%20v%20Vadim%20Nemkov%20(former%20Bellator%20champ)%3Cbr%3ELight%20Heavyweight%3A%20Thiago%20Santos%20(PFL%20title%20contender)%20v%20Yoel%20Romero%20(Bellator%20title%20contender)%3Cbr%3ELightweight%3A%20Clay%20Collard%20(PFL%20title%20contender)%20v%20AJ%20McKee%20(former%20Bellator%20champ)%3Cbr%3EFeatherweight%3A%20Gabriel%20Braga%20(PFL%20title%20contender)%20v%20Aaron%20Pico%20(Bellator%20title%20contender)%3Cbr%3ELightweight%3A%20Biaggio%20Ali%20Walsh%20(pro%20debut)%20v%20Emmanuel%20Palacios%20(pro%20debut)%3Cbr%3EWomen%E2%80%99s%20Lightweight%3A%20Claressa%20Shields%20v%20Kelsey%20DeSantis%3Cbr%3EFeatherweight%3A%20Abdullah%20Al%20Qahtani%20v%20Edukondal%20Rao%3Cbr%3EAmateur%20Flyweight%3A%20Malik%20Basahel%20v%20Vinicius%20Pereira%3C%2Fp%3E%0A
WORLD CUP FINAL
England v South Africa
Yokohama International Stadium, Tokyo
Saturday, kick-off 1pm (UAE)
The chef's advice
Troy Payne, head chef at Abu Dhabi’s newest healthy eatery Sanderson’s in Al Seef Resort & Spa, says singles need to change their mindset about how they approach the supermarket.
“They feel like they can’t buy one cucumber,” he says. “But I can walk into a shop – I feed two people at home – and I’ll walk into a shop and I buy one cucumber, I’ll buy one onion.”
Mr Payne asks for the sticker to be placed directly on each item, rather than face the temptation of filling one of the two-kilogram capacity plastic bags on offer.
The chef also advises singletons not get too hung up on “organic”, particularly high-priced varieties that have been flown in from far-flung locales. Local produce is often grown sustainably, and far cheaper, he says.
RESULTS
5pm: Handicap (TB) Dh100,000, 2,400m
Winner: Recordman, Richard Mullen (jockey), Satish Seemar (trainer)
5.30pm: Wathba Stallions Cup Handicap (PA) Dh 70,000, 2,200m
Winner: AF Taraha, Tadhg O’Shea, Ernst Oertel
6pm: Abu Dhabi Fillies Classic Prestige (PA) Dh110,000, 1,400m
Winner: Dhafra, Fabrice Veron, Eric Lemartinel
6.30pm: Abu Dhabi Colts Classic Prestige (PA) Dh110,000, 1,400m
Winner: Maqam, Fabrice Veron, Eric Lemartinel
7pm: Handicap (PA) Dh85,000, 1,600m
Winner: AF Momtaz, Fernando Jara, Musabah Al Muhairi
7.30pm: Maiden (PA) Dh80,000, 1,600m
Winner: Optimizm, Patrick Cosgrave, Abdallah Al Hammadi
RedCrow Intelligence Company Profile
Started: 2016
Founders: Hussein Nasser Eddin, Laila Akel, Tayeb Akel
Based: Ramallah, Palestine
Sector: Technology, Security
# of staff: 13
Investment: $745,000
Investors: Palestine’s Ibtikar Fund, Abu Dhabi’s Gothams and angel investors
The Uefa Awards winners
Uefa Men's Player of the Year: Virgil van Dijk (Liverpool)
Uefa Women's Player of the Year: Lucy Bronze (Lyon)
Best players of the 2018/19 Uefa Champions League
Goalkeeper: Alisson (Liverpool)
Defender: Virgil van Dijk (Liverpool)
Midfielder: Frenkie de Jong (Ajax)
Forward: Lionel Messi (Barcelona)
Uefa President's Award: Eric Cantona
MATCH INFO
Champions League last 16, first leg
Tottenham v RB Leipzig, Wednesday, midnight (UAE)
Abu Dhabi Grand Slam Jiu-Jitsu World Tour Calendar 2018/19
July 29: OTA Gymnasium in Tokyo, Japan
Sep 22-23: LA Convention Centre in Los Angeles, US
Nov 16-18: Carioca Arena Centre in Rio de Janeiro, Brazil
Feb 7-9: Mubadala Arena in Abu Dhabi, UAE
Mar 9-10: Copper Box Arena in London, UK
SPECS
Nissan 370z Nismo
Engine: 3.7-litre V6
Transmission: seven-speed automatic
Power: 363hp
Torque: 560Nm
Price: Dh184,500
TUESDAY'S ORDER OF PLAY
Centre Court
Starting at 2pm:
Elina Svitolina (UKR) [3] v Jennifer Brady (USA)
Anastasia Pavlyuchenkova (RUS) v Belinda Bencic (SUI [4]
Not before 7pm:
Sofia Kenin (USA) [5] v Elena Rybakina (KAZ)
Maria Sakkari (GRE) v Aryna Sabalenka (BLR) [7]
Court One
Starting at midday:
Karolina Muchova (CZE) v Katerina Siniakova (CZE)
Kristina Mladenovic (FRA) v Aliaksandra Sasnovich (BLR)
Veronika Kudermetova (RUS) v Dayana Yastermska (UKR)
Petra Martic (CRO) [8] v Su-Wei Hsieh (TPE)
Sorana Cirstea (ROU) v Anett Kontaveit (EST)
UAE currency: the story behind the money in your pockets
F1 The Movie
Starring: Brad Pitt, Damson Idris, Kerry Condon, Javier Bardem
Director: Joseph Kosinski
Rating: 4/5
What can victims do?
Always use only regulated platforms
Stop all transactions and communication on suspicion
Save all evidence (screenshots, chat logs, transaction IDs)
Report to local authorities
Warn others to prevent further harm
Courtesy: Crystal Intelligence
Cricket World Cup League 2
UAE squad
Rahul Chopra (captain), Aayan Afzal Khan, Ali Naseer, Aryansh Sharma, Basil Hameed, Dhruv Parashar, Junaid Siddique, Muhammad Farooq, Muhammad Jawadullah, Muhammad Waseem, Omid Rahman, Rahul Bhatia, Tanish Suri, Vishnu Sukumaran, Vriitya Aravind
Fixtures
Friday, November 1 – Oman v UAE
Sunday, November 3 – UAE v Netherlands
Thursday, November 7 – UAE v Oman
Saturday, November 9 – Netherlands v UAE
Company Profile
Company name: Fine Diner
Started: March, 2020
Co-founders: Sami Elayan, Saed Elayan and Zaid Azzouka
Based: Dubai
Industry: Technology and food delivery
Initial investment: Dh75,000
Investor: Dtec Startupbootcamp
Future plan: Looking to raise $400,000
Total sales: Over 1,000 deliveries in three months
Europe’s rearming plan
- Suspend strict budget rules to allow member countries to step up defence spending
- Create new "instrument" providing €150 billion of loans to member countries for defence investment
- Use the existing EU budget to direct more funds towards defence-related investment
- Engage the bloc's European Investment Bank to drop limits on lending to defence firms
- Create a savings and investments union to help companies access capital
Benefits of first-time home buyers' scheme
- Priority access to new homes from participating developers
- Discounts on sales price of off-plan units
- Flexible payment plans from developers
- Mortgages with better interest rates, faster approval times and reduced fees
- DLD registration fee can be paid through banks or credit cards at zero interest rates
Small%20Things%20Like%20These
%3Cp%3EDirector%3A%20Tim%20Mielants%3Cbr%3ECast%3A%20Cillian%20Murphy%2C%20Emily%20Watson%2C%20Eileen%20Walsh%3Cbr%3ERating%3A%204%2F5%3C%2Fp%3E%0A
Specs
Engine: 51.5kW electric motor
Range: 400km
Power: 134bhp
Torque: 175Nm
Price: From Dh98,800
Available: Now
Key facilities
- Olympic-size swimming pool with a split bulkhead for multi-use configurations, including water polo and 50m/25m training lanes
- Premier League-standard football pitch
- 400m Olympic running track
- NBA-spec basketball court with auditorium
- 600-seat auditorium
- Spaces for historical and cultural exploration
- An elevated football field that doubles as a helipad
- Specialist robotics and science laboratories
- AR and VR-enabled learning centres
- Disruption Lab and Research Centre for developing entrepreneurial skills
Profile of Foodics
Founders: Ahmad AlZaini and Mosab AlOthmani
Based: Riyadh
Sector: Software
Employees: 150
Amount raised: $8m through seed and Series A - Series B raise ongoing
Funders: Raed Advanced Investment Co, Al-Riyadh Al Walid Investment Co, 500 Falcons, SWM Investment, AlShoaibah SPV, Faith Capital, Technology Investments Co, Savour Holding, Future Resources, Derayah Custody Co.
What can you do?
Document everything immediately; including dates, times, locations and witnesses
Seek professional advice from a legal expert
You can report an incident to HR or an immediate supervisor
You can use the Ministry of Human Resources and Emiratisation’s dedicated hotline
In criminal cases, you can contact the police for additional support
How much do leading UAE’s UK curriculum schools charge for Year 6?
- Nord Anglia International School (Dubai) – Dh85,032
- Kings School Al Barsha (Dubai) – Dh71,905
- Brighton College Abu Dhabi - Dh68,560
- Jumeirah English Speaking School (Dubai) – Dh59,728
- Gems Wellington International School – Dubai Branch – Dh58,488
- The British School Al Khubairat (Abu Dhabi) - Dh54,170
- Dubai English Speaking School – Dh51,269
*Annual tuition fees covering the 2024/2025 academic year
