Non-Americans Were Not Prepared To Hear That These Unimaginable Things Are True About The US

We’ve all heard it or seen it in countless movies, the U.S. is painted as the land of opportunity, freedom, and endless possibilities. But beneath that glossy image lies another reality that rarely makes it to the big screen. Time and again, people online have shared stories that reveal the less glamorous side of American life, the everyday struggles and surprising truths that show it’s not always as picture-perfect as Hollywood makes it seem.

For instance, a TikTok user recently shared a breakdown of how expensive some everyday essentials can be in the U.S. — from maternity care to basic healthcare costs. Their video quickly sparked conversations around how something as simple as getting medical help can turn into a financial nightmare for many Americans. Keep reading to see what they had to say, and why so many people, especially abroad, were left stunned.

A woman broke down the cost of healthcare in America for people abroad, giving a raw glimpse into what locals actually pay

Image credits: madeline_pendleton

Text on a white background about Americans sharing facts that others find hard to believe, related to pay for ambulance rides.

Text about paying for ambulance rides in America, mentioning costs around $900 to $1,000 and its impact.

Text excerpt about paying to hold a newborn baby in the hospital, highlighting healthcare costs in America.

Text image discussing the high cost of giving birth in the US, highlighting financial challenges related to paying for ambulance rides.

Text highlighting the average monthly health insurance cost in the US and expenses for doctor visits before extra services or prescriptions.

Costs to pay for ambulance rides and emergency visits in America with and without insurance can be extremely high.

Medical staff wearing masks pushing a patient on a stretcher, highlighting issues to pay for ambulance rides in America.

Text about high medication costs in the United States, highlighting insurance and pay for ambulance rides concerns.

Cost of cancer treatments in America highlighting high expenses related to paying for ambulance rides and medical care.

Text discussing lack of federally mandated paid time off and implications for workers in America’s dystopian workplace system.

Text discussing how many U.S. states lack paid sick time, affecting workers who must choose work or job loss.

Text about losing pay for missed workdays and needing a doctor’s note, highlighting how expensive ambulance rides can be.

Woman in hospital gown sitting on bed, holding newborn baby, highlighting challenges to pay for ambulance rides in America.

Text discussing why Americans don't travel much, highlighting lack of paid vacation time and employer choice.

Text discussing average monthly phone and internet plan costs in the United States, relating to pay for ambulance rides.

Text explaining the average American's 27-minute commute and its relation to paying for ambulance rides in the US.

Text discussing corporations writing laws in the US and their deals with Congress related to paying for ambulance rides.

Text discussing political corruption in the United States and asking about reactions to paying for ambulance rides.

You can watch the full video here:

@madeline_pendleton Replying to @Kelly Sloan ♬ original sound – Madeline Pendleton

Women often face the “pink tax” on hygiene products, which can significantly add to their overall costs

Of the 8.06 billion people living on Earth in 2024, about 4.09 billion were men and 4.05 billion were women, meaning women make up nearly half of the global population. That makes it even more important to talk about women’s healthcare, awareness, and the rising costs tied to it. From essential checkups and menstrual care to pregnancy and childbirth, these aren’t luxuries, they’re basic needs. Yet for millions, especially in certain countries, accessing proper care often comes with a heavy financial burden.

According to Statista, in 2022 the median cost for a vaginal delivery in a U.S. hospital was $8,655, the highest among the countries studied. To put that in perspective, the same procedure in Germany cost only $1,361. That’s a difference of over seven thousand dollars for the same experience of bringing a child into the world. These numbers highlight how healthcare accessibility varies drastically depending on where you live, and how, for many Americans, even starting a family comes with a heavy financial burden.

The disparities don’t end there. In Australia, the cost of a vaginal delivery was around $5,318, while in Greece it averaged $3,755, and in South Africa about $1,810. The U.S. also had the highest prices for C-sections, which cost around $16,106 per procedure compared to Germany’s much lower rates. These staggering figures raise tough questions about affordability and priorities. For many families, the cost of childbirth is not just a medical expense, it’s a financial decision that shapes their future.

Beyond childbirth, even something as routine as managing menstruation can be financially challenging for millions. The United Nations has pointed out how the high cost of menstrual products, coupled with limited access to water and sanitation facilities, drives period poverty worldwide. Many girls and women are forced to choose between buying food or pads, a heartbreaking reality. UN experts also note that “pink taxes” and gender-blind policies worsen the issue, as feminine hygiene products are often taxed as luxuries rather than essentials.

It’s essential that women worldwide have access to affordable menstrual and hygiene products

In the United States, the world’s third-largest market for feminine hygiene products — the spending numbers are massive. Revenues are expected to hit $5.8 billion by 2029. In 2024 alone, sales of sanitary napkins and tampons reached $3.87 billion, with sexual health items following closely behind at $1.7 billion. These figures show how women are continually paying a premium for basic care items, and while companies profit, affordability remains a pressing issue for millions.

In 2024, the feminine hygiene market across Europe generated $7.7 billion, with steady growth projected for the coming years. In Italy alone, consumption of intimate hygiene products reached over €300 million in 2023. While access and awareness have improved, the costs still weigh heavily, especially for low-income women and young girls. The growing market highlights demand, but also emphasizes the lack of affordability that continues to divide access by income level.

Whether it’s childbirth or monthly menstrual products, the costs surrounding women’s health are undeniably high, and in some places, alarmingly so. These expenses add up over a lifetime, creating economic inequality that disproportionately affects women. It’s a reminder that true gender equality isn’t just about rights or representation, it’s also about access to affordable, dignified healthcare. Globally, better policies, awareness, and investment are needed to ensure that every woman can care for her body without breaking the bank.

This video shines a light on the heavy financial burden of healthcare in America. Where are you from, and how much does healthcare cost in your country? Is it as expensive, or more affordable? Share your experiences and let us know how healthcare impacts daily life where you live.

Many were stunned by the lack of accessible healthcare and support systems in the U.S.