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‘It feels like I am being forced to harm a child’: Why Aussie teachers are burning out

<div class="theconversation-article-body">Australia is in the grip of a <a href="https://www.education.gov.au/national-teacher-workforce-action-plan">teacher shortage</a>. Teachers are <a href="https://theconversation.com/i-am-exhausted-australian-teachers-speak-about-how-compassion-fatigue-is-harming-them-and-their-work-244519#:%7E:text=I%20found%2073.9%25%20of%20respondents,Victorian%20teachers%20reported%20similar%20rates.">burning out</a>, warning the job is no longer sustainable and leaving the profession.</p> <p>We know this is due to <a href="https://theconversation.com/this-is-like-banging-our-heads-against-the-wall-why-a-move-to-outsource-lesson-planning-has-nsw-teachers-hopping-mad-188081">excessive workloads</a>, <a href="https://journals.sagepub.com/doi/abs/10.1177/00049441221086654">stress</a> and <a href="https://theconversation.com/make-me-a-sandwich-our-surveys-disturbing-picture-of-how-some-boys-treat-their-teachers-228891">abuse</a>. But research suggests there is another element at play: some teachers are also experiencing moral injury.</p> <p>Moral injury occurs when teachers are forced to act against their values – leaving them feeling disillusioned and complicit in harm. In <a href="https://www.tandfonline.com/doi/full/10.1080/00131911.2025.2504523">my study</a> of 57 Australian teachers, many shared emotionally-charged accounts of being put in impossible situations at work.</p> <h2>What is moral injury?</h2> <p>Moral injury is when professionals cannot act in line with their values due to external demands.</p> <p>It differs from burnout or compassion fatigue: <a href="https://www.researchgate.net/publication/303817089_Understanding_the_burnout_experience_Recent_research_and_its_implications_for_psychiatry">burnout</a> stems from chronic stress and <a href="https://www.psychologytoday.com/au/basics/compassion-fatigue">compassion fatigue</a> comes from emotional overload.</p> <p>Moral injury was initially developed in <a href="https://moralinjuryproject.syr.edu/about-moral-injury/">military psychology</a> but has since been applied to <a href="https://journals.sagepub.com/doi/full/10.1177/0969733020966776">healthcare</a> and <a href="https://www.tandfonline.com/doi/full/10.1080/03057240.2023.2237202#abstract">education</a> – professions where high-stakes ethical decision-making and institutional failures often collide.</p> <p>Previous studies on <a href="https://journals.sagepub.com/doi/10.3102/0002831219848690">moral injury in schools</a> have shown how rigid disciplinary policies, high-stakes testing regimes and chronic underfunding often force teachers to act in ways that contradict their professional judgement. This can lead to frustration, guilt and professional disillusionment.</p> <p>Recent studies have <a href="https://www.tandfonline.com/doi/full/10.1080/03057240.2023.2237202">reframed moral injury as a systemic issue</a> rather than an individual psychological condition. This is because institutional constraints – such as inflexible accountability measures and bureaucratic inefficiencies – prevent teachers from fulfilling their ethical responsibilities.</p> <h2>My new study</h2> <p>This research stems from an <a href="https://link.springer.com/article/10.1007/s13384-024-00755-8">initial study</a>, which looked at burnout in Australian teachers.</p> <p>The initial study included a national sample of 2,000 educators. This <a href="https://www.tandfonline.com/doi/full/10.1080/00131911.2025.2504523">new study</a> is a subset of 57 teachers who participated in follow-up surveys and focus groups. The teachers were a mix of primary and secondary teachers and some also held leadership positions within their schools.</p> <p>While the original study focused on compassion fatigue and burnout, a striking pattern emerged: teachers repeatedly described moral conflicts in their work.</p> <h2>‘It feels like I’m being forced to harm a child’</h2> <p>A key theme of the new research was teachers having to enforce school or departmental policies they believed were harmful. This was particularly the case when it came to discipline. As one teacher described:</p> <blockquote> <p>The policy says I should suspend a student for attendance issues, but their home life is falling apart. How does that help? It feels like I’m being forced to harm a child instead of helping them.</p> </blockquote> <p>Others talked about having to focus on standardised tests (for example, NAPLAN), rather than using their professional judgement to meet children’s individual needs. This is a <a href="https://www.theeducatoronline.com/k12/news/opinion-the-fundamental-flaws-of-standardised-testing/273711">contentious issue for teachers</a>.</p> <p>As one high school teacher told us:</p> <blockquote> <p>We’re asked to push students through the curriculum even when we know they haven’t grasped the basics […] but we’re the ones who carry the guilt.</p> </blockquote> <p>A primary teacher similarly noted:</p> <blockquote> <p>Teaching to the test means leaving so many kids behind. It’s not what education should be.</p> </blockquote> <h2>‘It’s heartbreaking’</h2> <p>Teachers also spoke about teaching in environments that were not adequately resourced. In some schools, teacher shortages were so severe that unqualified staff were delivering classes:</p> <blockquote> <p>We’ve got classes being taught by teacher aides […] but that’s because we don’t have enough staff.</p> </blockquote> <p>Or in other classes, students were not getting the help they needed.</p> <blockquote> <p>Larger class sizes and fewer staff mean that the kids who need the most attention are getting the least. It’s heartbreaking.</p> </blockquote> <p>The emotional impact was profound, as one high school teacher told us:</p> <blockquote> <p>At some point, you stop fighting. You realise that no matter how many times you raise concerns, nothing changes. It’s like the system is designed to wear you down until you just comply.</p> </blockquote> <h2>What can schools do to prevent moral injury?</h2> <p>While these findings are confronting, teachers also gave positive examples of what can buffer against moral injury in the workplace. This involved listening to teachers and including them in policies and decisions.</p> <p>One primary teacher told us how their school had changed their disciplinary approach:</p> <blockquote> <p>Our school’s push for restorative justice instead of punitive measures has been a game changer. It lets us address the root causes of issues instead of just punishing kids.</p> </blockquote> <p>Others talked about being asked to collaborate with school leadership to address discipline issues. As one primary teacher said:</p> <blockquote> <p>We helped create a new behaviour management framework. Having a say in the process made all the difference.</p> </blockquote> <h2>What now?</h2> <p>My research indicates when teachers are consistently asked to compromise their ethics, they don’t just burn out, they question the integrity of the entire system.</p> <p>This suggests if we want to keep teachers in classrooms, we need to do more than lighten their workloads. We need to make sure they are no longer placed in positions where doing their job means going against their professional values.</p> <p>This means teachers need to feel heard, respected and empowered in classrooms and schools.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/258821/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/glenys-oberg-1334483">Glenys Oberg</a>, PhD candidate in education and trauma, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/it-feels-like-i-am-being-forced-to-harm-a-child-research-shows-how-teachers-are-suffering-moral-injury-258821">original article</a>.</em></p> <p><em>Image: Pexels / </em><em>Andrea Piacquadio</em></p> </div>

Caring

1200 children to undergo testing after child abuse charges laid

<p><em><strong>Warning: This article contains details of alleged child sexual abuse which may be distressing to some readers.</strong></em></p> <p>More than 1,200 children are being urged to undergo precautionary health screening after a former childcare worker was charged with more than 70 offences relating to alleged child sexual abuse at a centre in Melbourne’s south-west.</p> <p>Joshua Dale Brown, 26, from Point Cook, has been charged over alleged sexual offences against eight children – aged between five months and two years – at the Creative Garden Early Learning Centre in Point Cook, where he worked between April 2022 and January 2023.</p> <p>Victoria Police revealed Brown has worked at 20 childcare centres between 2017 and 2025, with investigations ongoing and additional allegations, including one involving a centre in Essendon, being pursued.</p> <p>Deputy Commissioner Wendy Steendam said the case is “incredibly distressing”, describing the allegations as confronting and involving “some of our most vulnerable people in our community”.</p> <p>The charges laid against Brown include sexual penetration of a child, producing child abuse material, and recklessly contaminating goods to cause alarm or anxiety.</p> <p>Detectives from the Sexual Crimes Squad began investigating in May after they allegedly uncovered child abuse material and executed a search warrant at Brown’s Point Cook home. He had not previously been known to police and held a valid Working with Children Check at the time of his employment.</p> <p>Police said the families of the eight alleged victims were notified last week.</p> <p>“As you can imagine, this was deeply distressing for the families to hear,” said Acting Commander Janet Stevenson, adding that not all centres where Brown worked are believed to be connected to the alleged offences.</p> <p>In a coordinated response, Victoria Police and the Department of Health have contacted more than 2,600 families whose children may have been at centres during Brown’s employment. About 1,200 children have been recommended for infectious disease testing “out of an abundance of caution”, authorities said.</p> <p>Chief Health Officer Dr Christian McGrath said while the public health risk is low, the testing was being recommended due to a potential exposure risk during the relevant period.</p> <p>“We do understand this is another distressing element to the situation and we’re taking this approach as a precaution,” Dr McGrath said, assuring families that any infections could be treated with antibiotics and that there is no broader risk to the public.</p> <p>Letters sent to families on Tuesday stated: “At this stage, there is no evidence to suggest that your child has been offended against. If this changes, you will be contacted directly by Victoria Police.”</p> <p>Support lines staffed by professionals have been established, and the government has promised free testing and assistance for affected families.</p> <p>G8 Education, the operator of the Point Cook centre, said it was “extremely distressed” by the allegations and is fully cooperating with authorities. In a statement, the company said all legally required employment and background checks were carried out during Brown’s employment.</p> <p>“G8 Education has no tolerance for any behaviour that compromises the safety or wellbeing of children,” the company said.</p> <p>Brown has been remanded in custody and is scheduled to appear at Melbourne Magistrates Court in September.</p> <p>The investigation remains ongoing.</p> <p><em>Images: ABC News / Supplied</em></p>

Caring

Young Aussie doctor arrested after alleged discovery of thousands of child abuse files

<p>A young Australian doctor has been charged with multiple child abuse offences after police allegedly uncovered more than 5000 files of explicit material on his mobile phone.</p> <p>Gregory John Couch, 37, was arrested at a home in Albury, on the New South Wales–Victoria border, at 6am on Tuesday following a joint investigation between state police and federal border authorities.</p> <p>Detectives from the NSW Sex Crime Squad allege Couch’s phone was seized by Australian Border Force officers at Melbourne Airport in May. A forensic examination of the device allegedly revealed thousands of images and videos depicting child abuse.</p> <p>Footage released by NSW Police shows Couch – dressed in track pants, a jacket and ugg boots – being led from the home by Strike Force detectives before being taken into custody.</p> <p>He was later charged at Albury Police Station with three offences: possession of child abuse material, use of a carriage service to access child abuse material, and intentionally importing prohibited tier two goods.</p> <p>Police have confirmed there is no suggestion at this stage that any of the offences involved patients, with authorities stressing that no alleged misconduct is linked to his clinical work.</p> <p>Couch had recently been working as a locum orthopaedic registrar at Albury Wodonga Health (AWH), engaged through a third-party medical workforce agency. In a statement issued Wednesday, AWH confirmed the doctor is no longer employed by the service.</p> <p>“We understand the seriousness of the charges and the matter is now before the courts,” the statement read. “AWH has no indication that any alleged misconduct occurred at our facilities or involved our patients or staff. All standard background checks, including Working with Children and police checks, were passed prior to his commencement.”</p> <p>Originally from Sydney, Couch previously worked at Liverpool Hospital and had recently relocated to the Gold Coast. His social media presence includes photos from his wedding in 2021 and family images taken in the years prior.</p> <p>Tragically, his twin brother Andrew – also a doctor – died suddenly in his sleep in 2017. That same year, Couch accepted Andrew’s posthumous Master of Medicine degree from the University of Sydney, surrounded by family. Memorial awards have since been established in Andrew's honour by both the university and the Australian & New Zealand College of Anaesthetists.</p> <p>Couch remains before the courts and the investigation is ongoing.</p> <p><em>Image: NSW Police Force</em></p>

Legal

Woman accused of murdering terminally ill partner hours after palliative care meeting

<p>A woman accused of killing her terminally ill partner after he postponed making a decision on assisted dying has been denied bail by the Queensland Supreme Court.</p> <p>Kylie Ellina Truswell-Mobbs, 50, was arrested on April 3, more than a year after the death of her partner, David Ronald Mobbs, 56, who died at their home in Alexandra Hills, southeast Brisbane, in December 2023.</p> <p>During a bail hearing on Tuesday, the court heard that Mr Mobbs, who had been diagnosed with motor neurone disease (MND), had expressed a desire to delay a decision on voluntary assisted dying just hours before his death. </p> <p>Crown prosecutor Sarah Dennis alleged that later that same night, Truswell-Mobbs made three separate attempts to administer a lethal drug cocktail to Mr Mobbs via his feeding tube. “Her conduct was purposeful and determined,” Dennis told the court. “It continued over a number of hours through the night... her intent was protracted.”</p> <p>According to Dennis, Truswell-Mobbs acted after a palliative care meeting on December 5, where Mr Mobbs reportedly told others he wished to delay his decision about assisted dying by at least a week. Despite this, prosecutors allege Truswell-Mobbs acted within hours to end his life.</p> <p>The court also heard that Mr Mobbs, who used a signing board to communicate, had allegedly been given a lethal dose of drugs. Police claim Truswell-Mobbs later confessed her actions to both a close family member and a professional carer. One witness reported she told them she “couldn’t take it anymore”.</p> <p>Truswell-Mobbs’ defence barrister, Ruth O’Gorman, argued for bail, noting that her client had no prior criminal history and had not fled during the 16 months she was under police investigation. O’Gorman also raised the possibility that the charge could be reduced, suggesting that aiding suicide might be more appropriate than murder.</p> <p>“It’s not inevitable that the Crown would proceed with the charge of murder against her, or that the jury would convict,” O’Gorman said.</p> <p>However, Justice Glenn Martin found the prosecution had a strong case, noting the significant body of evidence pointing toward a potential conviction. He said there was a clear distinction between knowing one is under investigation and being formally charged with murder.</p> <p>Bail was denied, and Truswell-Mobbs is expected to appear in Brisbane Magistrates Court for mention of the murder charge.</p> <p><em>Images: Facebook</em></p>

Legal

Big changes are planned for aged care in 2025

<div class="theconversation-article-body">There has been little new in pre-election promises for Australia’s aged-care workers, providers or the <a href="https://www.gen-agedcaredata.gov.au/topics/people-using-aged-care#agedcareuseinaustralia">1.3 million people</a> who use aged care.</p> <p>In March, Labor announced <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/extra-26-billion-to-deliver-another-pay-rise-for-aged-care-nurses">A$2.6 billion</a> for another pay rise for aged-care nurses in addition to previous <a href="https://theconversation.com/aged-care-workers-have-won-a-huge-pay-rise-what-about-the-cleaners-cooks-and-admin-staff-who-support-them-226236">pay increases</a>.</p> <p> </p> <p>There’s been <a href="https://stories.theconversation.com/policy-tracker/">nothing substantial on aged care</a> from Labor or the Opposition since.</p> <p>Major changes are scheduled for the sector later this year, four years after the damning <a href="https://www.royalcommission.gov.au/aged-care/final-report">Royal Commission report into aged care</a>. Yet no additional funding has been announced.</p> <p>Estimates suggest funding is short <a href="https://www.stewartbrown.com.au/images/documents/StewartBrown_-_Taskforce_Funding_Reforms_Analysis_September_2024.pdf">around $5 billion</a> to address losses by residential care providers or the shortfall in <a href="https://www.health.gov.au/our-work/hcp/about">Home Care Packages</a>.</p> <h2>What can we expect this year?</h2> <p>A <a href="https://www.health.gov.au/our-work/aged-care-act">new Aged Care Act</a> will come into force on July 1 with a much greater emphasis on the rights of older people to get the care that suits their needs. This will mean:</p> <ul> <li> <p>a new system to regulate aged care</p> </li> <li> <p>a new independent complaints commissioner</p> </li> <li> <p>a new <a href="https://www.health.gov.au/our-work/support-at-home">Support at Home</a> program for older people who want to live at home, and in the community</p> </li> <li> <p>changes to fees for residential aged care.</p> </li> </ul> <p>But a number of problems remain and it is not clear the reforms being introduced this year will fix them.</p> <h2>Access is still an issue</h2> <p>Access to aged care <a href="https://www.igac.gov.au/sites/default/files/2024-08/2024-progress-report-on-the-implementation-of-the-recommendations-of-the-royal-commission-into-aged-care-quality-and-safety.pdf">continues to be a problem</a>, particularly in rural and remote areas. The system is difficult to navigate for often vulnerable and confused consumers and their families.</p> <p>The government relies heavily on the <a href="https://www.myagedcare.gov.au/">My Aged Care website</a> to inform older people and their families about aged care options. But this provides only basic information and it is difficult to get individualised support.</p> <p>There is also a “digital divide” for a significant group who are unfamiliar with, and lack confidence in, using online services.</p> <p>So we need a much greater emphasis on providing local “one stop shops” for personalised support and advice, particularly when people first enter the aged-care system. These services could be provided through Centrelink or new regional aged-care offices.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=288&fit=crop&dpr=1 600w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=288&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=288&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=361&fit=crop&dpr=1 754w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=361&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/660643/original/file-20250409-56-a7c9ej.png?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=361&fit=crop&dpr=3 2262w" alt="Screenshot of My Aged Care website" /></a><figcaption><span class="caption">Not everyone can navigate websites to get information about the care they need.</span> <span class="attribution"><a class="source" href="https://www.myagedcare.gov.au/">Screenshot/My Aged Care</a></span></figcaption></figure> <p>About <a href="https://www.abs.gov.au/statistics/health/disability/disability-ageing-and-carers-australia-summary-findings/latest-release">one-third of older people</a> say they need help to live at home. But to get assistance you need an aged-care assessment and that process too needs improving.</p> <p><a href="https://www.pc.gov.au/ongoing/report-on-government-services/2024/data-downloads/rogs-2024-partf-overview-and-sections.pdf">Waiting times for assessment</a> have blown out, with reported delays of up to <a href="https://www.theweeklysource.com.au/home-care/older-australians-are-increasingly-dying-waiting-for-home-care-packages-to-be-assigned">five months</a>.</p> <h2>Older people prefer to stay at home</h2> <p>There are some concerns the number of new aged-care beds is <a href="https://www.theweeklysource.com.au/aged-care/the-repercussions-of-a-need-for-6600-new-aged-care-beds-in-fy24-colliers">not increasing fast enough</a>. For instance, there are shortages of residential aged care in particular areas such as <a href="https://www.abc.net.au/news/2025-02-13/act-government-shuts-burrangiri-aged-care-respite-facility/104927780">Canberra</a>.</p> <p>But admission times to residential aged care generally <a href="https://www.pc.gov.au/ongoing/report-on-government-services/2024/data-downloads/rogs-2024-partf-overview-and-sections.pdf">have not increased</a> and occupancy rates are <a href="https://www.pc.gov.au/ongoing/report-on-government-services/2024/data-downloads/rogs-2024-partf-overview-and-sections.pdf">declining</a>. This suggests older people <a href="https://www.australianageingagenda.com.au/royal-commission/most-want-home-based-aged-care/#:%7E:text=A%20survey%20of%20more%20than,to%20live%20in%20a%20facility.">would prefer home</a> to residential care.</p> <p>Yet increased demand for home-care packages is <a href="https://www.gen-agedcaredata.gov.au/getmedia/c2339cbc-3e13-4893-9d03-9ca43ecdc55f/Home-Care-Packages-Program-Data-Report-2nd-Qtr-2024-2025">not being met</a>.</p> <p>For those who need more intensive services at home, <a href="https://www.gen-agedcaredata.gov.au/getmedia/c2339cbc-3e13-4893-9d03-9ca43ecdc55f/Home-Care-Packages-Program-Data-Report-2nd-Qtr-2024-2025">waiting times</a> remain stubbornly and unacceptably long because there aren’t enough home care packages.</p> <p>Despite years of complaints, there are still more than <a href="https://www.theweeklysource.com.au/government-policy/home-care-wait-list-climbs-to-over-81000-with-six-month-delays-at-all-levels">80,000 people</a> on the waiting list for care at home.</p> <p>The new <a href="https://www.health.gov.au/our-work/support-at-home/about">Support at Home program</a> will introduce an eight-level system of support. The highest level of home-care funding will <a href="https://www.health.gov.au/our-work/support-at-home/features#key-elements-of-the-new-program">increase to $78,000</a> to bridge the gap between funding for home and residential care. But many more intensive care packages for home care will be needed to reduce waiting times.</p> <p>The Support at Home program also introduces significantly higher out-of-pocket costs for older people. Such costs for everyday services – such as meals, cleaning and gardening – currently funded through the Commonwealth Home Support Program will <a href="https://www.health.gov.au/sites/default/files/2025-02/support-at-home-program-handbook.pdf">increase significantly</a>.</p> <p>Most controversially, there will also be <a href="https://www.health.gov.au/sites/default/files/2025-02/support-at-home-program-handbook.pdf">greater out-of-pocket costs</a> for “independence” services including personal care, social support, respite care and therapy.</p> <h2>Staff shortages still a concern</h2> <p>For aged-care providers, <a href="https://theconversation.com/we-have-too-few-aged-care-workers-to-care-for-older-australians-why-and-what-can-we-do-about-it-232707">chronic workforce shortages</a> are still the biggest problem. Recent <a href="https://theconversation.com/aged-care-workers-have-won-a-huge-pay-rise-what-about-the-cleaners-cooks-and-admin-staff-who-support-them-226236">increases in wages</a> for aged-care workers, including nurses, are a step in the right direction. But wages are still low.</p> <p>It remains hard to attract staff, staff turnover is high and staff are under-trained, risking the quality of care. Shortages are particularly acute in rural areas.</p> <p>The <a href="https://ageingaustralia.asn.au/media-releases/ageing-australia-calls-on-all-parties-to-make-aged-care-an-election-priority/">aged-care industry is calling for</a> streamlined migration, better training and incentives for regional workers to make up the shortfall. But so far no new election announcements have been made.</p> <h2>No real reform</h2> <p>Despite changes we’ll see from July, the organisation and financing of aged care remains fundamentally unchanged.</p> <p>Overall, Australia’s aged-care system is still heavily privatised and fragmented. In <a href="https://www.health.gov.au/sites/default/files/2024-08/financial-report-on-the-australian-aged-care-sector-2022-23.pdf">2022-23</a> there were 923 home-care providers, 764 residential-care providers and 1,334 home-support providers, nearly all in the private and not-for-profit sectors.</p> <p>The Commonwealth continues to manage the sector through a cumbersome combination of highly centralised regulation and prescriptive funding contracts.</p> <p>It has not put into place an effective, regional management structure to plan, organise and govern the sector to drive quality, innovation, equity, responsiveness and efficiency.</p> <p>Nor has the Commonwealth been willing to adequately finance the system either through a levy, a social insurance scheme or via increased taxation. Instead, it’s upping the reliance on user fees to meet the cost of providing services.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/253727/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/hal-swerissen-9722">Hal Swerissen</a>, Emeritus Professor of Public Health, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/big-changes-are-planned-for-aged-care-in-2025-but-youd-never-know-from-the-major-parties-253727">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

Baby Lightning strikes! Aussie Olympian gives birth to fifth child

<p>Aussie Olympic champion Libby Trickett has shared some joyful news – her family has grown with the arrival of baby number five!</p> <p>The 40-year-old swimmer took to Instagram to announce the birth of her newest bundle of joy, revealing his beautiful name and details of his arrival. Trickett and her husband, Luke, proudly welcomed Archie Wilson Lightning Trickett into the world at 7:51am on April 3rd, via an elective caesarean. Baby Archie weighed in at a healthy 3.99kg and measured 53cm long.</p> <p>"The shape of our family is complete," Trickett wrote, beaming with happiness. "Definitely promise it’s for reals this time! I’m really almost certain this time... though I’ve come to realise that I probably would have babies forever. I know that I’ve pushed my body to its absolute limits with this one."</p> <p>Trickett shared that Archie’s arrival was a calm and joyous experience, filled with laughter and love. "Every birth I’ve had has been extraordinary and this one was no different. I couldn’t have asked for a better way to meet our baby boy," she added.</p> <p>The couple’s new arrival is already adored by his siblings, as Trickett sweetly noted that Archie is being "suitably smothered" by his three big sisters and big brother. "We have all been struck with love," she gushed.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DIF32JMxCiX/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DIF32JMxCiX/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Libby Trickett (@libby_trickett)</a></p> </div> </blockquote> <p>In a fun twist, Trickett revealed that they never found out the gender of any of their children during pregnancy – and she managed to guess wrong every single time! "I didn’t predict a single one and I feel so lucky because I couldn’t have wished for more," she laughed.</p> <p>The heartwarming announcement was met with a flood of congratulatory messages from friends, fans and fellow athletes. Surfing legend Mick Fanning commented, "Congratulations," while fellow swimming great Grant Hackett wrote, "Woohoo 🎉 A massive congratulations." Olympian Jana Pittman also chimed in, saying, "Enormous congrats xxxxx."</p> <p>With their growing family now complete, the Tricketts are soaking up every moment of love and joy with little Archie.</p> <p><em>Image: Instagram</em></p>

Family & Pets

66-year-old woman reveals why she just gave birth to her 10th child

<p>In a remarkable turn of events, 66-year-old Alexandra Hildebrandt gave birth to her 10th child, a healthy baby boy named Philipp, on March 19 at Charité Hospital in Berlin. The birth, carried out via cesarean section, saw Philipp weighing in at 7 pounds, 13 ounces.</p> <p>Hildebrandt, a well-known human rights activist and the director of Berlin’s Checkpoint Charlie Museum, insists that she conceived naturally, without the aid of fertility drugs, and faced no difficulties during the process.</p> <p>Baby Philipp joins an already large and diverse family, including siblings Svitlana (46), Artiom (36), Elisabeth (12), Maximilian (12), Alexandra (10), Leopold (8), Anna (7), Maria (4), and Katharina (2). Remarkably, eight of these children were born after Hildebrandt turned 53, all during her second marriage to former CDU politician Daniel Dormann.</p> <p>For Hildebrandt, having a big family is both fulfilling and fundamental. “A big family is not only something wonderful, but above all, it is important for raising children properly,” she told <em>The Today Show</em>. Despite her age, she has received only positive feedback from friends and family regarding her pregnancy and childbirth.</p> <p>Dr Wolfgang Henrich, Hildebrandt’s OB/GYN, described her pregnancy as “largely uncomplicated”. However, medical experts caution that pregnancies at such an advanced age come with significant risks. Dr Brian Levine, a fertility specialist based in New York City, notes that the biological likelihood of a woman conceiving naturally at 66 is extremely low. Additionally, the risks of hypertension, gestational diabetes, preterm labor and chromosomal abnormalities like Down syndrome rise significantly with age.</p> <p>Hildebrandt is not alone in making headlines for late-life motherhood. In 2023, 70-year-old Safina Namukwaya from Uganda gave birth to twins via in vitro fertilisation using donor eggs and her husband’s sperm. Despite concerns about her age, Namukwaya expressed joy at her newfound motherhood, saying that age should not be a barrier to having children.</p> <p>As for Hildebrandt, she credits her lifestyle for her ability to conceive and carry a child at her age. “I eat very healthily, swim regularly for an hour, walk for two hours,” she shared in an interview with <em>Bild</em>. She also noted that she has never smoked, consumed alcohol or used contraceptives.</p> <p><em>Images: The Today Show</em></p>

Family & Pets

More young people are caring for a loved one with dementia. It takes a unique toll

<div class="theconversation-article-body"> <p>Dementia is a growing health problem, affecting more than <a href="https://www.who.int/news-room/fact-sheets/detail/dementia">55 million people</a> around the world.</p> <p>In Australia, an estimated <a href="https://www.dementia.org.au/about-dementia/dementia-facts-and-figures">433,300 people</a> are living with dementia. This figure is projected to rise to 812,500 by 2054.</p> <p>Dementia <a href="https://www.dementia.org.au/about-dementia">refers to brain disorders</a> that are not a normal part of ageing. These disorders, including Alzheimer’s disease, cause a decline in cognitive function and changes in mood, memory, thinking and behaviour. Ultimately they affect a person’s ability to carry out everyday tasks.</p> <p>In Australia, around <a href="https://www.sydney.edu.au/news-opinion/news/2020/10/06/research-backs-home-based-program-for-people-living-with-dementi.html">75% of people with dementia</a> live at home.</p> <p>While dementia care at home has traditionally been associated with older spouses or middle-aged children, it seems an increasing number of young adults in their 20s and 30s, and <a href="https://www.ncb.org.uk/sites/default/files/uploads/files/young_people_caring_for_adults_with_dementia.pdf">even teenagers</a>, are stepping into this role to care for grandparents, parents or other loved ones.</p> <p>In Australia, 3 million people (11.9% of the population) are carers. This includes <a href="https://www.abs.gov.au/statistics/health/disability/disability-ageing-and-carers-australia-summary-findings/latest-release">391,300 under 25</a> – a sharp rise from 235,300 in 2018.</p> <p>How many young carers are specifically caring for a loved one with dementia is unclear, and something we need more data on. Young dementia carers remain largely invisible, with minimal recognition or support.</p> <h2>Unique challenges and the burden of responsibility</h2> <p>Unlike older carers, who may have more financial stability and free time, young carers often must balance caregiving with university, early-career pressures, and personal development, including maintaining social relationships, pursuing hobbies, and prioritising mental welling.</p> <p>In Australia, where <a href="https://aifs.gov.au/media/more-young-adults-living-parents">51% of men and 43% of women</a> aged 20–24 still live with their parents, many young carers will have limited experience in managing a household independently.</p> <p>They’re often thrust into <a href="https://www.ncb.org.uk/sites/default/files/uploads/files/young_people_caring_for_adults_with_dementia.pdf">complex responsibilities</a> such as cooking, housework, managing the family budget, coordinating medical appointments and administering medications.</p> <p>Beyond that, they may need to provide physical care such as lifting or helping their loved one move around, and personal care such as dressing, washing, and helping with toileting.</p> <p>All this can leave young carers <a href="https://www.tandfonline.com/doi/full/10.2147/PROM.S499063">feeling unprepared</a>, overwhelmed and isolated.</p> <p>While general support groups exist for dementia carers and young carers more broadly, few cater specifically to <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9819145/">young adults caring for someone with dementia</a>.</p> <p>This lack of targeted support is likely to heighten <a href="https://www.tandfonline.com/doi/pdf/10.1080/13676261.2024.2390899?casa_token=6Q73sIFsfssAAAAA:1rQ7NyiiHkwTwIk4mkk6d2r5tiUxeXJDCKTfIohKmHzCue9xvuj5r4e8-fowJGQeIYKe6afuO9FT">feelings of isolation</a>, as the young person’s friends struggle to relate to the emotional and practical burdens <a href="https://link.springer.com/content/pdf/10.1186/s12877-020-01976-z.pdf">young carers face</a>.</p> <p>The demanding nature of caregiving, combined with the difficulty of sharing these experiences with peers, means young dementia carers can become <a href="https://journals.sagepub.com/doi/epub/10.1177/14713012211023653?src=getftr&utm_source=tfo&getft_integrator=tfo">disconnected socially</a>.</p> <h2>The psychological toll</h2> <p>These challenges take a profound <a href="https://www.mentalhealth.org.uk/explore-mental-health/statistics/carers-statistics">psychological toll</a> on young carers.</p> <p>Research shows young carers are <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9263065/">35% more likely</a> to report mental health issues than their non-caregiving peers. These can include <a href="https://journals.sagepub.com/doi/pdf/10.1177/1471301220980243">depression</a>, anxiety and burnout.</p> <p>Again, we don’t have data on mental health outcomes among young dementia carers specifically. But <a href="https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/carers-and-care-needs-of-people-with-dementia/impact-of-the-caring-role-on-carers">in Australia</a>, 75% of dementia carers reported being affected physically or emotionally by their caring role. Some 41% felt weary or lacked energy, and 31% felt worried or depressed.</p> <p>Also, there are negative stereotypes about ageing – that people turn forgetful, frail, and need constant care. For young carers whose loved ones have dementia, these stereotypes <a href="https://journals.sagepub.com/doi/pdf/10.1111/j.1467-8721.2009.01662.x?casa_token=w0MW7GGY80gAAAAA:szB0XyXKPG_XMqAVyAHLm0Tye8yH3TYXK9X5cFCSIRkorhsNHx4Wgurmy_oAuZKsTsskS6kBw9Vr">can be reinforced</a> by their experience. This could shape young carers’ perceptions of <a href="https://www.tandfonline.com/doi/full/10.1080/13607863.2025.2464705?utm">their own future health</a> and wellbeing and increase anxiety about ageing.</p> <p>Caregiving may also affect <a href="https://www.apa.org/pi/about/publications/caregivers/faq/health-effects">physical health</a>. Research suggests carers often sacrifice <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/psyg.12354">healthy habits</a> such as exercise and a balanced diet. What’s more, <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1111/psyg.12354">carers report symptoms</a> including poor sleep, fatigue, headaches and back pain due to the physical demands of caregiving.</p> <h2>Caring for a parent – a role reversal</h2> <p>This emotional burden is particularly acute for those caring for a parent. These young carers are likely to experience the progressive loss of parental support, while simultaneously assuming the <a href="https://journals.sagepub.com/doi/pdf/10.1177/1471301220988231">demanding role of caregiver</a>.</p> <p>A significant portion of young dementia carers support parents with <a href="https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/dementia-in-priority-groups/population-health-impacts-of-younger-onset-dementi">young-onset dementia</a>, a form of dementia diagnosed before age 65. These <a href="https://journals.sagepub.com/doi/pdf/10.1177/1471301220988231">young carers</a> face the shock of a diagnosis that defies typical expectations of ageing.</p> <p>The burden may be compounded by fears of <a href="https://journals.sagepub.com/doi/10.1177/0038026119874280?icid=int.sj-abstract.citing-articles.9">genetic inheritance</a>. Young onset dementia often has a <a href="https://www.nia.nih.gov/health/alzheimers-causes-and-risk-factors/alzheimers-disease-genetics-fact-sheet">hereditary component</a>.</p> <p>This means young carers may have a higher risk of developing the condition themselves – a concern spousal carers don’t have. This fear can fuel health anxiety, alter life planning, and create a pervasive <a href="https://pubmed.ncbi.nlm.nih.gov/26560507/">sense of vulnerability</a>.</p> <h2>How we can better support young dementia carers</h2> <p>Despite their growing numbers, young dementia carers <a href="https://www.tandfonline.com/doi/full/10.2147/JMDH.S464195">remain largely overlooked</a> in research, policy and support services. This is partly due to the challenges in engaging this demographic in research, as these young people juggle busy lives <a href="https://onlinelibrary.wiley.com/doi/pdf/10.1002/gps.4502?casa_token=5-Ih4KcUejwAAAAA%3AOvuh8ghI_ednIzRZmHdUl-_C7EQ8IUw2Qp7E0-0Z9abjV0xT6I4WK17V2U8JMCcxMl9yvpawBeT-l7c">balancing caregiving</a> with education and work.</p> <p>Many young carers also <a href="https://pubmed.ncbi.nlm.nih.gov/36353077/">don’t self-identify as carers</a>, hindering their access to support and resources. This could be because of the stigmatising label, or a feeling they’re <a href="https://www.ncb.org.uk/sites/default/files/uploads/files/young_people_caring_for_adults_with_dementia.pdf">not doing enough</a> to qualify as a carer. It could even be because of cultural norms which can frame caregiving as a family obligation, rather than a distinct role.</p> <p>Nonetheless, young dementia carers require <a href="https://www.mdpi.com/1660-4601/20/1/127">targeted support</a> beyond generic caregiving resources.</p> <p>This support might include specialised <a href="https://www.tandfonline.com/doi/full/10.2147/JMDH.S464195">peer networks</a>, educational programs, and practical skills training. Tailored programs and resources should ideally be <a href="https://www.mdpi.com/1660-4601/20/1/127">co-designed with young dementia carers</a> to ensure they meet their unique needs and preferences.</p> <p>With dementia cases in Australia and elsewhere <a href="https://www.dementia.org.au/about-dementia/dementia-facts-and-figures">projected to increase</a>, the demand for informal carers – including young adults – will continue to grow.</p> <p>Without intervention, these young carers risk burnout, social isolation, and long-term health consequences. We must ensure flexible, age-appropriate support for this often invisible group. Investing in young dementia carers is not just a moral imperative – it’s a crucial step toward a sustainable, compassionate care system for the future.</p> <p><em><a href="https://www.dementia.org.au/living-dementia/family-friends-and-carers">Dementia Australia</a> offers a national helpline, information sessions, and a peer-to-peer connection platform for carers.</em></p> <p><em><a href="https://youngcarersnetwork.com.au/">The Young Carers Network</a>, run by <a href="https://www.carersaustralia.com.au/">Carers Australia</a>, offers mental health resources, financial guidance, and respite care information, plus bursaries young carers can apply for to reduce financial pressure.</em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/249361/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/katya-numbers-784650">Katya Numbers</a>, Postdoctoral Research Fellow & Lecturer, Centre for Healthy Brain Ageing, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a> and <a href="https://theconversation.com/profiles/serena-sabatini-2320527">Serena Sabatini</a>, Lecturer in Psychology, <a href="https://theconversation.com/institutions/university-of-surrey-1201">University of Surrey</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/more-young-people-are-caring-for-a-loved-one-with-dementia-it-takes-a-unique-toll-249361">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

Major inquiry launched into Northern Beaches Hospital following child's death

<p>A parliamentary inquiry into the Northern Beaches Hospital’s services will be launched following the tragic death of two-year-old Joe Massa.</p> <p>NSW Health Minister Ryan Park announced on Friday that he has asked parliament’s Public Accounts Committee to investigate the safety and quality of care provided by the hospital.</p> <p>The inquiry will examine services dating back to the hospital’s opening in October 2018 on Sydney’s Northern Beaches. Joe Massa suffered a cardiac arrest at the hospital and died in September last year. His parents, Elouise and Danny Massa, claim Joe was incorrectly triaged and left waiting for hours, leading to brain damage.</p> <p>The grieving parents have urged the state government to review the hospital’s systems and protocols and take immediate action to upgrade its facilities.</p> <p>“We want change at that hospital so no other parent, no one of our family or friends, has to go through what we’ve gone through,” they said.</p> <p>The couple met with Minister Park, Premier Chris Minns, and NSW Health Secretary Susan Pearce in February, when the parliamentary inquiry was discussed. On Friday, Park confirmed the inquiry would investigate accessibility issues that contributed to Joe’s death.</p> <p>“We made a commitment to Elouise and Danny to undertake the necessary reviews to understand how they and their son have been let down, as well as to learn what changes need to be made to prevent such a tragedy from occurring again,” Park stated.</p> <p>The inquiry will scrutinise past incidents at the hospital, including those subject to serious adverse event reviews (SAERs), assess the hospital’s responses, and determine whether necessary improvements were implemented. Additionally, it will examine patient and carer escalation systems, particularly the REACH (Recognise, Engage, Act, Call, Help) protocol, which was found to be insufficiently accessible in Joe Massa’s case.</p> <p>The inquiry will also evaluate the hospital’s measures to prevent adverse events, as well as staff standards and capabilities. Park noted that a previous parliamentary inquiry in 2019 examined the hospital’s operations and management. The upcoming inquiry will specifically focus on patient safety and care quality while considering whether past recommendations have been acted upon.</p> <p>Public Accounts Committee chair Jason Yat-Sen Li expressed his commitment to ensuring a thorough investigation. “I understand the strong community interest in this matter, and I am confident the committee is well placed to undertake this important inquiry,” he said. “I am determined to get this inquiry underway as quickly as possible, but I also want to get it right. We will announce the opening of submissions as well as hearing dates in due course.”</p> <p>The NSW Health Services Union (HSU), which has raised concerns about the hospital’s operations since its opening in 2018, said the investigation is long overdue. “We have consistently seen evidence that Northern Beaches Hospital prioritises commercial interests over patient care,” said HSU secretary Gerard Hayes.</p> <p>“From renting out maternity wards to film crews while mothers struggle with understaffed services, to charging grieving families unnecessary fees to release their loved ones’ bodies – these practices reveal a disturbing pattern.</p> <p>“We hope this inquiry will finally address the systemic issues our members have been reporting for years and put patients before profits at Northern Beaches Hospital.” </p>

Caring

Brittany Higgins celebrates birth of first child

<p>Brittany Higgins and husband David Sharaz, have announced the birth of their first child together. </p> <p>The former Liberal Party staffer took to Instagram to share her baby joy, with a photo of her newborn son asleep in a hospital cot. </p> <p> “Last night we welcomed our little boy into the world," she began in the caption. </p> <p>“A huge thank-you to the amazing midwives, nurses and doctors for their care and kindness,” Higgins continued. </p> <p>“We’re both looking forward to getting to dote on the newest member of the family — forever grateful for all the love and support we’ve received.”</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DGsdv2DJh-n/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DGsdv2DJh-n/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Brittany Higgins (@brittanyhiggins___)</a></p> </div> </blockquote> <p>Her comments were flooded with messages of congratulations from friends and followers, with one writing: "Very lucky little man to have you both as his parents" </p> <p>Another commented: "So lovely. Congrats to you both. You will be fabulous parents." </p> <p>"Omg!!!!! Best news. Congrats to you both let the fun begin 🫶🏼" a third wrote. </p> <p>Higgins revealed she was pregnant with her first child in July 2024, three months later she shared an emotional update, saying that she had a pregnancy health scare during her second trimester. </p> <p>"A fortnight ago, David Sharaz and I had the scare of our lives after the midwife told us halfway through my second trimester my blood test had raised red flags," she said at the time. </p> <p>“Our baby had a high probability of a genetic disorder — which wouldn’t have mattered to us — but scarily could mean he may be incompatible with life outside of the womb.”</p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Fortunately, doctors had since given the all-clear, and her baby is now "perfectly fine and healthy." </span></p> <p><em><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Images: Instagram</span></em></p>

Family & Pets

From sunscreen to essential oils, why some personal care products could be harmful to your health

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/asit-kumar-mishra-1458839">Asit Kumar Mishra</a>, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</a></em></p> <p>Each time you apply sunscreen to your face, you may inhale somewhere between <a href="https://www.mdpi.com/1660-4601/20/11/5944">10 to 30 milligrams of ethanol</a>, the type of alcohol used in alcoholic drinks. While the ethanol in sunscreen may not give you a buzz, it could make you think about what other chemicals you might be exposed to from personal care products.</p> <p>Products that are applied to the face, like sunscreen, can increase the inhalation of some chemicals by ten times or more than you would inhale from your <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">home air in the entire day</a>.</p> <p>The levels of ethanol in cosmetics and skincare products may be reasonably safe – although it can still dry out the skin, causing pain, redness and swelling, and <a href="https://www.gov.uk/government/publications/ethanol-properties-uses-and-incident-management/ethanol-general-information">irritate the eyes</a>, causing tears, burning and stinging – but personal care products such as shampoos, skin creams, deodorants, cosmetics and perfumes contain fragrances and other volatile organic compounds (VOCs), which can be inhaled, absorbed through skin or ingested and some are more toxic than others.</p> <p>Unfortunately, manufacturers of personal care products <a href="https://link.springer.com/article/10.1007/s11869-015-0327-6">do not have to disclose</a> every fragrance compound used. This is concerning when you consider the potential effects of toxic compounds that <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">have been detected</a> in the air from personal care products. For example, hair-smoothing products have released formaldehyde, a toxic chemical that can cause <a href="https://www.ncbi.nlm.nih.gov/books/NBK597627/">a range of symptoms</a> from dermatitis to low sperm count. Some perfumes and deodorants have generated monoterpenes, chemicals which <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8912113/#sec1-molecules-27-01716">can prove toxic</a> for some users.</p> <figure><iframe src="https://www.youtube.com/embed/cfloNXKeyX8?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Some of the VOCs found in personal care products <a href="https://pubmed.ncbi.nlm.nih.gov/36976159/">may trigger</a> skin irritation, headaches – and difficulty breathing, which can develop into an asthma attack in some users. The highest or peak concentration of these VOCs are likely to <a href="https://pubmed.ncbi.nlm.nih.gov/22406137/">occur within ten minutes</a> of application. But these concentrations may take up to <a href="https://pubmed.ncbi.nlm.nih.gov/34816489/">two hours to decrease to background levels</a>, depending on your home’s ventilation.</p> <h2>Natural doesn’t mean risk free</h2> <p>But even if the levels of <a href="https://pubmed.ncbi.nlm.nih.gov/20659630/">VOCs in personal care products</a> are kept <a href="https://pubmed.ncbi.nlm.nih.gov/22406137/">within safe limits</a>, they can still cause discomfort and a variety of health issues, including irritation of the eyes and airways, migraines and asthmatic reactions, in those who’re <a href="https://enveurope.springeropen.com/articles/10.1186/s12302-020-00311-y">fragrance sensitive</a>. In the UK, <a href="https://link.springer.com/article/10.1007/s11869-018-00655-8">27% of the population</a> self reports as fragrance sensitive.</p> <p>It makes sense then that some people attempt to avoid potentially toxic synthetic chemicals in cosmetics by opting for “natural” or “clean” personal care products. But, <a href="https://enveurope.springeropen.com/articles/10.1186/s12302-020-00311-y">natural does not mean safer</a>.</p> <p>For instance, essential oils are often used in “natural” personal care products as fragrance. Essential oils, though, are a source of terpenes, some of which can be <a href="https://www.lung.org/blog/essential-oils-harmful-or-helpful">toxic if absorbed, inhaled or swallowed</a>.</p> <p>Indoor concentration of terpenes are often at levels where you can smell them but not high enough to cause <a href="https://pubmed.ncbi.nlm.nih.gov/28126407/">eye or respiratory tract irritation</a>. However, the terpenes from essential oils can react with other chemicals, such as ozone from outdoor air, producing <a href="https://pubmed.ncbi.nlm.nih.gov/32162221/">byproducts like formaldehyde, a known carcinogen</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/22250748/">allergens</a>.</p> <h2>Beauty salon safety</h2> <p>Beauty salons can be particularly risky environments for exposure to VOCs. <a href="https://www.mdpi.com/1660-4601/19/7/4176">Studies have found</a> contaminants such as formaldehyde, ammonia and <a href="https://www.gov.uk/government/publications/toluene-properties-incident-management-and-toxicology/toluene-toxicological-overview">toluene</a>, a potentially harmful ingredient used in many personal care products, at high levels in salons, putting staff who work there at the highest risk.</p> <p>Formaldehyde levels in some salons have reached <a href="https://pubmed.ncbi.nlm.nih.gov/31321727/">above safety limits</a>. <a href="https://www.dcceew.gov.au/environment/protection/npi/substances/fact-sheets/methyl-methacrylate#tabs-2">Methyl methacrylate</a>, which can cause skin irritation, allergic reactions and potential <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC3072694/">respiratory issues</a> has been <a href="https://pubmed.ncbi.nlm.nih.gov/30276513/">detected in the air of nail salons</a>.</p> <figure><iframe src="https://www.youtube.com/embed/ydRklqO01fE?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>These contaminants are not necessarily limited to the places in a salon <a href="https://pubmed.ncbi.nlm.nih.gov/23765035/">where a certain product is being used</a>. Beauty salons with poor ventilation are likely to expose workers and customers to <a href="https://pubmed.ncbi.nlm.nih.gov/29494285/">much higher levels of contaminants</a>. Some of the components of personal care products are known, harmful contaminants and carcinogens.</p> <p>Regulations specifically related to ventilation in environments where large volumes of these products are used do reduce exposures. For instance, studies show that after ventilation regulations came into effect in Boston, US in 2011, the <a href="https://pubmed.ncbi.nlm.nih.gov/31622145/">air quality inside nail salons improved</a>.</p> <p>When visiting your nail salon or hair stylist, check with them about their ventilation system and other steps they are taking to reduce exposure to VOCs.</p> <p>To limit exposure to potential VOCs at home when using personal care products, try to open windows and use extractor fans in wet rooms. Be especially careful when applying products to the face or when using a high temperature application – <a href="https://occup-med.biomedcentral.com/articles/10.1186/s12995-018-0213-x">high temperatures can increase emissions</a>.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/248273/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/asit-kumar-mishra-1458839"><em>Asit Kumar Mishra</em></a><em>, Research Fellow in School of Public of Health, <a href="https://theconversation.com/institutions/university-college-cork-1321">University College Cork</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/from-sunscreen-to-essential-oils-why-some-personal-care-products-could-be-harmful-to-your-health-248273">original article</a>.</em></p> </div>

Body

How women will shoulder the burden of new care reforms

<p>It’s time to put a ‘gender lens’ on the once-in-a-generation reforms to Australia’s aged care system.</p> <p>There are almost <a href="https://www.gen-agedcaredata.gov.au/topics/people-using-aged-care" target="_blank" rel="noopener">double</a> the number of women compared with men in permanent residential care. </p> <p>Women are also more likely to use home care services. And we do the bulk of unpaid caring for ageing parents and grandparents. In fact, almost 70% of women provide primary care, according to the <a href="https://www.carersnsw.org.au/uploads/main/Files/3.Resources/Policy-Research/Carers-NSW_2022_National_Carer_Survey-Report.pdf" target="_blank" rel="noopener">National Carer Survey</a>. </p> <p>Given these shocking statistics, why is the federal government reducing the quality of care, under its new Support at Home model? This affects women on both sides of the system: as unpaid carers and clients.</p> <p>It’s all to do with pricing. A 10% cap on care management fees will apply from July this year. </p> <p>This means home care service providers may not be able to continue to give older people, who are overwhelmingly women, the level of care they need. </p> <p>“The Aged Care Royal Commission told the sector loudly that Australians expect quality care. The Australian Government went so far to describe what that means in the 2024 Aged Care legislation, so the sector is aghast at the caps on care management, which is critical in supporting vulnerable older people to understand, know and access the support they need to age in place,” Your Side CEO, Danielle Ballantine, says. </p> <p>Capping care management results in the very specialist skills of a care manager being outsourced to family. Inevitably it’s women – especially the sandwich generation – who will shoulder this burden, while trying to hold down jobs and secure their financial future. </p> <p>My sister and I would have been lost without this support when we were caring for Dad in the home, while working full-time and raising our children.</p> <p>Many female carers are forced to cut back their hours of paid work – or leave employment altogether – reducing their earning capacity and financial security. </p> <p>This feeds into the gender pay and superannuation gaps: Women retire with around 25% <a href="https://www.hesta.com.au/stories/bridging-the-gap-for-women-and-super" target="_blank" rel="noopener">less</a> super than men, with many older single women living in extreme poverty.</p> <p>This is undoubtedly an unintended consequence. But it must form part of the federal government’s considerations. “The government is currently consulting with older people, consumer advocates and the sector, with more news on pricing yet to be announced,” Ms Ballantine says.</p> <p>We need women – unpaid carers, aged care workers and clients – to be at the centre of these conversations.</p> <p>Under the proposed changes, most of the services assisting people to be healthy, safe and independent in their later stages of life will be out of <a href="https://www.theweeklysource.com.au/home-care/cut-in-care-management-funding-threatens-high-quality-home-care-say-providers" target="_blank" rel="noopener">reach</a>. </p> <p>Based on the capacity to pay, some older people might not be able to afford a care worker to support them to have a shower. When unpaid carers step in, they often become burned out, increasing the risk of skin tears and falls. Without adequate care management oversight, some of these issues can become life threatening.</p> <p>Is this the way we should be treating older women, many of whom have spent their lives caring for others? </p> <p>Closer to home, is this the future we want for ourselves?</p> <p><em>Image credits: Shutterstock / Supplied</em></p> <p><em><strong>Tracey Spicer AM is a multiple Walkley Award-winning journalist, author and passionate advocate for social responsibility issues. She is an Ambassador for the non-profit aged care provider Your Side.</strong></em></p>

Money & Banking

Readers response: What does ‘self-care’ look like for you now compared to earlier years?

<p>We asked our readers what self-care looks like for them during their retirement years. Here's what you said. </p> <p><strong>Anne Henderson</strong> - More time and focus on my strength and fitness, and all of those things that will help with independence in old age. More saying no to society’s expectations … (including whether my 70 year old face and my clothing are acceptable to others)…. my routine has become simpler for this reason, not more complicated. Self care in older age to me is liberation from the shackles of all of the above.</p> <p><strong>Marie Jones</strong> - Definitely focusing on strength and balance hence exercise class and walking. Happy with my grey hair but always moisturising and have toned down make-up. I wear what's comfortable for me.</p> <p><strong>Dawn Dominick</strong> - Endless moisturising of my entire body not just my face any more.</p> <p><strong>Margie Buckingham</strong> - Love having long baths to relax in. Going to the podiatrist every month. Moisturising twice daily. Not wearing makeup unless it’s a special occasion. Wearing comfortable clothes. Considering stopping the every 5 week hair colouring. </p> <div dir="auto" style="font-family: system-ui, -apple-system, BlinkMacSystemFont, '.SFNSText-Regular', sans-serif; caret-color: #080809; color: #080809; font-size: 15px;"><em>Image credits: Shutterstock </em></div>

Beauty & Style

Mum furious over grandmother’s refusal to use car seat for her child

<p dir="ltr">A mother has voiced her frustration over her own mother’s major babysitting error. </p> <p dir="ltr">The woman, who has a son of her own, shared that her parents regularly look after their grandchild, but has grown more and more annoyed that one request has been ignored. </p> <p dir="ltr">In her lengthy post on Reddit, the woman wrote that her mother has taken her grandson in a car without a car seat more than once. </p> <p dir="ltr">She wrote, "I'm livid and won't be letting her take him out again but needed to vent. My parents look after my son for me now and again, he loves them, and they love him, but my mom is really testing me. Twice now she has had him in someone's car without his car seat."</p> <p dir="ltr">She continued: "The first time it happened, I didn't let her see him for a month. I knew they were taking him out and had left his car seat for them, but she didn't use it as they were only 'going around the corner.' I screamed and shouted about her putting my son at risk.” </p> <p dir="ltr">“She tried to backtrack and lie her way out of it, but at the end of the day, she disrespected me."</p> <p dir="ltr">"That was almost a year ago; yesterday, she had him as I had work in London, and hubby was at work; she said they were taking him out and promised she would use the car seat. I stressed to her how she won't see him again if they don't use it and guess what, they didn't use it."</p> <p dir="ltr">The end of the post reads: "I'm livid, I'm going to see her today to shout and give an ultimatum, why don't people listen?! 'Oh, he was fine. We only went two streets away. You're being dramatic…'"</p> <p dir="ltr">"'Dramatic' when there's an insane storm going on, and anything could have happened. [She] won't be having him again. I feel like a d*** for trusting and believing her.”</p> <p dir="ltr">Hundreds of comments poured in from other mothers backing up the woman’s decision, as one person wrote, "She is playing Russian roulette with your child's life. Stay strong in this decision."</p> <p dir="ltr">Another simply wrote, “Why even take the risk? Why?!"</p> <p dir="ltr"><em>Image credits: Shutterstock</em></p></p>

Family & Pets

"29-year-old child": Footy great slams Nick Kyrgios

<p>AFL Premiership winner Kane Cornes has slammed Nick Kyrgios after the tennis superstar has been making headlines for his Australian Open exit. </p> <p>There have been plenty of stories about the tennis player's fitness and his future in the sport, and Cornes, who is now one of the most outspoken members of the sporting media has had enough of the Kyrgios drama.</p> <p>“I just feel we talk about this guy too much,” Cornes began on SEN 1116 radio.</p> <p>“I understand why, but he’s absolutely dominated the headlines in the last two-to-three weeks in the lead-up to the Australian Open.</p> <p>“That’s not unusual, that happens, and we’re not going to hear the last of him.</p> <p>“I feel like his role in the game will be significant whether he’s playing or not because he is box office.</p> <p>“And despite him being our most disappointing Australian athlete ever, he will still have a role to play because people are interested in him.”</p> <p>“This is a guy who sits there and criticises everyone else,” Cornes continued.</p> <p>“He sits on his high horse and criticises everyone, be that ball kids, line judges, other opponents.</p> <p>“Look at the class which Roger Federer or other players with a similar level of talent as Nick carried themselves.</p> <p>“He’s a child. He’s a 29-year-old child. The way that he carries himself, the ambassador that he’s been, put all that in the mix, I think no one has disappointed more.</p> <p>“No one has been spoken about more with less results than this guy over a long period of time.</p> <p>“Yet still, here we are, and I get it and it’s a credit to him that people are interested in him, that we’re still talking about him.”</p> <p>Kyrgios has hit back at the comments on X, saying that Cornes' criticism was unfounded. </p> <p>"Gotta love comments from an athlete who didn't play a global sport," he posted. </p> <p>Social media users were quick to share their own opinions on disappointing athletes in response to Cornes' comments, with one person writing: “He’s not even the most disappointing tennis player. Tomic has him well covered.”</p> <p>Another sports fan said: “Cmon guys... Nick is Nick but that Raygun could not even be defined as an athlete so she leads the list of ‘international disgraces’ and its daylight to second, whoever that may be.”</p> <p>However others backed Kyrgios, with one writing: “Nick has played in an era where there are 3 absolute legends of the game who have dominated and he’s beaten all 3 something no one else has managed to do!! Wake up you clowns comparing Nick to Raygun, Ben Simmons, Tomic, Jarryd Hayne etc absolute disgrace you guys are!”</p> <p><em>Image: Channel 7/ </em><em>Rachel Bach/Shutterstock Editorial </em></p>

Retirement Life

Women spend more of their money on health care than men. And no, it’s not just about 'women’s issues'

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/mike-armour-391382">Mike Armour</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/amelia-mardon-1505419">Amelia Mardon</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/danielle-howe-1492317">Danielle Howe</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/hannah-adler-1533549">Hannah Adler</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/michelle-oshea-457947">Michelle O'Shea</a>, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p>Medicare, Australia’s <a href="https://www.health.gov.au/topics/medicare?language=und">universal health insurance scheme</a>, guarantees all Australians access to a wide range of health and hospital services at low or no cost.</p> <p>Although access to the scheme is universal across Australia (regardless of geographic location or socioeconomic status), one analysis suggests <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">women often spend more</a> out-of-pocket on health services than men.</p> <p>Other research has found men and women spend similar amounts on health care overall, or even that men spend <a href="https://www.publish.csiro.au/ah/pdf/AH18191">a little more</a>. However, it’s clear women spend a <a href="https://www.publish.csiro.au/ah/pdf/AH18191">greater proportion of their overall expenditure</a> on health care than men. They’re also more likely to <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">skip or delay medical care</a> due to the cost.</p> <p>So why do women often spend more of their money on health care, and how can we address this gap?</p> <h2>Women have more chronic diseases, and access more services</h2> <p>Women are <a href="https://www.abs.gov.au/statistics/health/health-conditions-and-risks/health-conditions-prevalence/latest-release">more likely</a> to have a chronic health condition compared to men. They’re also more likely to report having multiple chronic conditions.</p> <p>While men generally die earlier, women are more likely to spend more of their life <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(24)00053-7/fulltext">living with disease</a>. There are also some conditions which affect women more than men, such as <a href="https://theconversation.com/how-biological-differences-between-men-and-women-alter-immune-responses-and-affect-womens-health-208802">autoimmune conditions</a> (for example, multiple sclerosis and rheumatoid arthritis).</p> <p>Further, medical treatments can sometimes be <a href="https://aci.health.nsw.gov.au/__data/assets/pdf_file/0007/967984/CIU-Evidence-Brief-Gender-disparity-and-gender-equality-measures-in-health.pdf">less effective for women</a> due to a focus on men in medical research.</p> <p>These disparities are likely significant in understanding why women <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">access health services</a> more than men.</p> <p>For example, <a href="https://www.aihw.gov.au/reports/men-women/female-health/contents/access-health-care">88% of women</a> saw a GP in 2021–22 compared to <a href="https://www.aihw.gov.au/reports/men-women/male-health/contents/access-health-care">79% of men</a>.</p> <p>As the number of GPs <a href="https://practices.hotdoc.com.au/blog/the-decline-of-bulk-billing-and-its-impact-on-general-practice-in-australia/#:%7E:text=The%20Medicare%20rebate%20for%20patients,to%20ensure%20their%20financial%20sustainability.">offering bulk billing</a> continues to decline, women are likely to need to pay more out-of-pocket, because they <a href="https://www.aihw.gov.au/getmedia/32ea8a7f-50d5-4047-b70b-92dd63d387b8/aihw-phe239-240-factsheet.pdf.aspx">see a GP more often</a>.</p> <p>In 2020–21, <a href="https://www.aihw.gov.au/reports/men-women/female-health/contents/access-health-care">4.3% of women</a> said they had delayed seeing a GP due to cost at least once in the previous 12 months, compared to <a href="https://www.aihw.gov.au/reports/men-women/male-health/contents/access-health-care">2.7% of men</a>.</p> <p>Data from the <a href="https://www.abs.gov.au/statistics/health/health-services/patient-experiences/2020-21">Australian Bureau of Statistics</a> has also shown women are more likely to delay or avoid seeing a mental health professional due to cost.</p> <p>Women are also more likely to need prescription medications, owing at least partly to their increased rates of chronic conditions. This adds further out-of-pocket costs. In 2020–21, <a href="https://grattan.edu.au/news/healthcare-out-of-pocket-costs-an-agenda-for-international-womens-day/">62% of women</a> received a prescription, compared to 37% of men.</p> <p>In the same period, <a href="https://www.aihw.gov.au/reports/men-women/female-health/contents/access-health-care">6.1% of women</a> delayed getting, or did not get prescribed medication because of the cost, compared to <a href="https://www.aihw.gov.au/reports/men-women/male-health/contents/access-health-care">4.9% of men</a>.</p> <h2>Reproductive health conditions</h2> <p>While women are disproportionately affected by chronic health conditions throughout their lifespan, much of the disparity in health-care needs is concentrated between the first period and menopause.</p> <p>Almost <a href="https://www.jeanhailes.org.au/news/impact-of-pelvic-pain-vastly-underestimated">half of women</a> aged over 18 report having experienced chronic pelvic pain in the previous five years. This can be caused by conditions such as endometriosis, dysmenorrhoea (period pain), vulvodynia (vulva pain), and bladder pain.</p> <p><a href="https://www.aihw.gov.au/news-media/media-releases/2023/2023-september/1-in-7-australian-women-aged-44-49-have-endometriosis">One in seven women</a> will have a diagnosis of endometriosis by age 49.</p> <p>Meanwhile, a quarter of all women aged 45–64 <a href="https://www.jeanhailes.org.au/research/womens-health-survey/menopause-in-australian-women">report symptoms</a> related to menopause that are significant enough to disrupt their daily life.</p> <p>All of these conditions can significantly reduce quality of life and increase the need to seek health care, sometimes including surgical treatment.</p> <p>Of course, conditions like endometriosis don’t just affect women. They also impact <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC10501128/">trans men</a>, intersex people, and those who are gender diverse.</p> <h2>Diagnosis can be costly</h2> <p>Women often have to wait <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9518795/">longer to get a diagnosis</a> for chronic conditions. One <a href="https://www.medrxiv.org/content/10.1101/2023.10.12.23296976v2.full-text">preprint study</a> found women wait an average of 134 days (around 4.5 months) longer than men for a diagnosis of a long-term chronic disease.</p> <p>Delays in diagnosis often result in <a href="https://pubmed.ncbi.nlm.nih.gov/33004965/">needing to see more doctors</a>, again increasing the costs.</p> <p>Despite affecting about as many people as diabetes, it takes an average of between <a href="https://pubmed.ncbi.nlm.nih.gov/33050751/">six-and-a-half</a> to <a href="https://pubmed.ncbi.nlm.nih.gov/33004965/">eight years</a> to diagnose endometriosis in Australia. This can be attributed to a <a href="https://pubmed.ncbi.nlm.nih.gov/35928674/">number of factors</a> including society’s normalisation of women’s pain, poor knowledge about endometriosis among some health professionals, and the lack of affordable, non-invasive methods to accurately diagnose the condition.</p> <p>There have been recent improvements, with the introduction of <a href="https://www.health.gov.au/ministers/the-hon-mark-butler-mp/media/historic-medicare-changes-for-women-battling-endometriosis#:%7E:text=In%20addition%20to%20the%20specialised,with%20complex%20histories%20and%20symptoms.">Medicare rebates for longer GP consultations</a> of up to 60 minutes. While this is not only for women, this extra time will be valuable in diagnosing and managing complex conditions.</p> <p>But gender inequality issues still exist in the Medicare Benefits Schedule. For example, both pelvic and breast ultrasound rebates are <a href="https://womensagenda.com.au/latest/the-gender-medicare-gap-is-seeing-women-pay-more-for-ultrasounds-and-other-health-services/">less than a scan for the scrotum</a>, and <a href="https://www.endozone.com.au/treatment/MRI">no rebate</a> exists for the MRI investigation of a woman’s pelvic pain.</p> <h2>Management can be expensive too</h2> <p>Many chronic conditions, <a href="https://www.tandfonline.com/doi/full/10.1080/0167482X.2020.1825374?casa_token=yIlFZg_vJxsAAAAA%3ALwSa5DBMoDDWTiZsU1FC0MLLXkDd_eWBrGa2gr8b6NeRevp4ynlsTD_IMMYV_ek766j2P5C-B4Qy#d1e167">such as endometriosis</a>, which has a wide range of symptoms but no cure, can be very hard to manage. People with endometriosis often use allied health and <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/imj.15494?casa_token=1sc4ZMGvDjIAAAAA%3AIrIY2B-RNVDDnUPMSsHI4axnBiTv-omNDHGlNSpsrm_qbMGY9iQ4htIyco5mj-Qhd7krsp7rfHtcbQ">complementary medicine</a> to help with symptoms.</p> <p>On average, women are more likely than men to use both <a href="https://www.racgp.org.au/afp/2017/may/patterns-of-complementary-and-alternative-medi-2">complementary therapies</a> and <a href="https://www.aihw.gov.au/reports/primary-health-care/general-practice-allied-health-primary-care">allied health</a>.</p> <p>While women with chronic conditions can access a <a href="https://www.servicesaustralia.gov.au/chronic-disease-management-plan?context=20">chronic disease management plan</a>, which provides Medicare-subsidised visits to a range of allied health services (for example, physiotherapist, psychologist, dietitian), this plan only subsidises five sessions per calendar year. And the reimbursement is <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC9346321/">usually around 50% or less</a>, so there are still significant out-of-pocket costs.</p> <p>In the case of chronic pelvic pain, the cost of accessing allied or complementary health services has been found to average <a href="https://link.springer.com/article/10.1186/s12905-022-01618-z">A$480.32 across a two-month period</a> (across both those who have a chronic disease management plan and those who don’t).</p> <h2>More spending, less saving</h2> <p>Womens’ health-care needs can also perpetuate financial strain beyond direct health-care costs. For example, <a href="https://www.ncbi.nlm.nih.gov/pubmed/31600241">women with endometriosis</a> and chronic pelvic pain are often caught in a cycle of needing time off from work to attend medical appointments.</p> <p>Our <a href="https://www.researchsquare.com/article/rs-5480104/v1">preliminary research</a> has shown these repeated requests, combined with the common dismissal of symptoms associated with pelvic pain, means women sometimes face discrimination at work. This can lead to lack of career progression, underemployment, and premature retirement.</p> <p>Similarly, with <a href="https://www.superannuation.asn.au/wp-content/uploads/2024/03/ASFAResearch_ImpactofMenopauseOnRetirement_080324.pdf">160,000 women</a> entering menopause each year in Australia (and this number expected to increase with population growth), the <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Menopause/Report/Chapter_3_-_Impact_on_work_and_the_economic_consequences_of_menopause#:%7E:text=3.1This%20chapter%20explores%20the,on%20partners%20or%20family%20members.">financial impacts</a> are substantial.</p> <p>As many as <a href="https://www.superannuation.asn.au/wp-content/uploads/2024/03/ASFAResearch_ImpactofMenopauseOnRetirement_080324.pdf">one in four women</a> may either shift to part-time work, take time out of the workforce, or retire early due to menopause, therefore earning less and paying less into their super.</p> <h2>How can we close this gap?</h2> <p>Even though women are more prone to chronic conditions, until relatively recently, much of medical research has been <a href="https://pmc.ncbi.nlm.nih.gov/articles/PMC8812498/">done on men</a>. We’re only now beginning to realise important differences in how men and women experience certain conditions (such as <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-neuro-092820-105941">chronic pain</a>).</p> <p>Investing in women’s health research will be important to improve treatments so women are less burdened by chronic conditions.</p> <p>In the 2024–25 federal budget, the government committed $160 million towards <a href="https://www.health.gov.au/ministers/the-hon-ged-kearney-mp/media/reforming-the-health-system-to-improve-sexual-and-reproductive-care">a women’s health package</a> to tackle gender bias in the health system (including cost disparities), upskill medical professionals, and improve sexual and reproductive care.</p> <p>While this reform is welcome, continued, long-term investment into women’s health is crucial.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/243797/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/mike-armour-391382"><em>Mike Armour</em></a><em>, Associate Professor at NICM Health Research Institute, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/amelia-mardon-1505419">Amelia Mardon</a>, Postdoctoral Research Fellow in Reproductive Health, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/danielle-howe-1492317">Danielle Howe</a>, PhD Candidate, NICM Health Research Institute, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a>; <a href="https://theconversation.com/profiles/hannah-adler-1533549">Hannah Adler</a>, PhD Candidate, Health Communication and Health Sociology, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/michelle-oshea-457947">Michelle O'Shea</a>, Senior Lecturer, School of Business, <a href="https://theconversation.com/institutions/western-sydney-university-1092">Western Sydney University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/women-spend-more-of-their-money-on-health-care-than-men-and-no-its-not-just-about-womens-issues-243797">original article</a>.</em></p> </div>

Caring

AFL star welcomes first child after devastating loss

<p>AFL star Harry Himmelberg and his wife Taylia have announced the birth of their first child. </p> <p>The couple, who tied the knot in October, announced the birth on Instagram and revealed their newborn daughter's sweet name.</p> <p>"12.12.24 Hazel Olive Himmelberg 🤍," they wrote in their joint post, underneath some sweet family pictures.</p> <p>Their post was flooded with messaged of congratulations from friends and fans, with Kellie Finlayson, the wife of Port Adelaide star Jeremy Finlayson, writing, "Welcome to this big world you special little soul <3."</p> <p>GWS Giants, the team Himmelberg plays for, added, "Congratulations <3."</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DDtJ7XFviYJ/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DDtJ7XFviYJ/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Taylia Himmelberg (@taysarris)</a></p> </div> </blockquote> <p>The baby girl's arrival comes after the pair revealed they had suffered two devastating miscarriages prior to welcoming their daughter.</p> <p>"I had two miscarriages prior, one like the month before I fell pregnant with our little girl now and our problem was definitely not getting pregnant, just trying to hold on to it," Taylia told <a title="The Herald Sun" href="https://www.heraldsun.com.au/subscribe/news/1/?sourceCode=HSWEB_WRE170_a&dest=https%3A%2F%2Fwww.heraldsun.com.au%2Fentertainment%2Fconfidential%2Fgws-giants-defender-harry-himmelberg-says-miscarriage-isnt-spoken-about-enough%2Fnews-story%2F6fc19034578dd92607965594b32c6519&memtype=anonymous&mode=premium&v21=GROUPA-Segment-2-NOSCORE" target="_blank" rel="nofollow noopener"><em>The Herald Sun</em>.</a></p> <p>"It is pretty scary, the whole process, until she's born, and we get to hold her I don't think that anxiety will go away because you never know what can happen."</p> <p> </p> <p>Himmelberg added, "There is a stigma about it and the doctors said it's quite common and were really positive, which eased our mind as well."</p> <p>The new parents are believed to have first started dating back in 2020.</p> <p>They got engaged in a romantic proposal in Paris in October 2023, and tied the knot at a registry office in October.</p> <p><em>Image credits: Instagram</em></p>

Family & Pets

Purple Wiggle welcomes first child

<p>Purple Wiggle John Pearce is officially a dad!</p> <p>Pearce welcomed his first child together with his wife Jessie on Monday and recently shared the news to fans on social media. </p> <p>“Welcome to the world our beautiful angel,” they wrote on Instagram.</p> <p>“We have never felt a love like this.”</p> <p>They shared an adorable family photo of them holding their baby boy, Henry Nicholas Adamo Pearce, and another photo of their sleeping bub.</p> <p>Pearce’s fellow Wiggles members congratulated the couple, who have been married since 2019.</p> <p>“Congratulations John and Jess. So happy for you both and can’t wait to meet Henry. Lots of love,” Red Wiggle Simon Pryce said.</p> <p>“Beautiful boy welcome to the world! Congratulations Jesse and Johnny,” veteran Blue Wiggle Anthony Field wrote.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DDtPAO-yRvM/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/DDtPAO-yRvM/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by John Adamo Pearce (@johnpearce)</a></p> </div> </blockquote> <p>Youngest member Tsehay Hawkins added: “Congratulations you two!!! So happy for you guys. Love lil Henry already.”</p> <p>"Gorgeous boy little Henry 😍 congratulations Mama and Papa, can’t wait to meet the little treasure 💜" added Red Wiggle Caterina Mete, who also <a href="https://www.oversixty.com.au/lifestyle/family-pets/double-the-joy-red-wiggle-welcomes-twin-daughters" target="_blank" rel="noopener">recently gave birth</a> to identical twin girls, Dolly and Gigi, in July.</p> <p>"Jess, Johnny and Henry sending you all the love in the world 💜💜💜" commented veteran Purple wiggle Lachlan Gillespie.</p> <p>Pearce first started capturing hearts all over Australia as a member of the Aussie pop band Justice Crew before joining The Wiggles in 2021.</p> <p><em style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 15px; vertical-align: baseline; color: #323338; font-family: Figtree, Roboto, 'Noto Sans Hebrew', 'Noto Kufi Arabic', 'Noto Sans JP', sans-serif; background-color: #ffffff; outline: none !important;">Images: Instagram</em></p>

Family & Pets

Couple accused of faking six-year-old child's cancer

<p>South Australian couple has been arrested after allegedly faking their child’s cancer diagnosis.</p> <p>A man and woman, both aged 44, allegedly requested donations to fund ongoing medical treatments for their six-year-old child. </p> <p>They even allegedly shaved their child's head, eyebrows and placed them in a wheelchair with bandages to imitate the effects of cancer treatment, but their child was healthy. </p> <p>“Our investigation has confirmed the child is not seeking medical treatment,” Acting Assistant Commissioner John DeCandia said.</p> <p>“We believe this farce illness is causing significant and serious psychological harm to the child and their sibling.”</p> <p>The pair allegedly received around $60,000 in donations over a two-week period. </p> <p>The allegations were first reported to police on November 26, with the couple being arrested and charged with two counts of criminal neglect and deceiving another to benefit self on Friday, according to SA Police. </p> <p>Both of the couple's children have been removed from their custody and are now staying with a relative. </p> <p>The parents were refused bail and will appear in the Port Adelaide Magistrates Court on Friday.</p> <p>Anyone who may have donated money or has further information have also been asked to contact police. </p> <p><em>Image: Shutterstock</em></p>

Legal

Planning for old age? Here’s what the aged care changes mean for you

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/anam-bilgrami-1179543">Anam Bilgrami</a>, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a></em></p> <p>Last week, Parliament passed sweeping reforms to Australia’s aged care system. These “<a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms">once-in-a-generation</a>” changes, set to begin next year on July 1, aim to improve how care is provided to older Australians at home, in their communities and in nursing homes.</p> <p>The new Aged Care Act focuses on <a href="https://insideageing.com.au/new-aged-care-act-passes-parliament-ushering-in-historic-reforms/">improving quality and safety, protecting the rights</a> of older people and ensuring <a href="https://www.myagedcare.gov.au/news-and-updates/big-changes-aged-care-sector">the financial sustainability</a> of aged care providers.</p> <p>A key change is the introduction of a new payment system, requiring wealthier people to contribute more for non-clinical services.</p> <p>If you – or a loved one – are planning for aged care, here’s what the changes could mean for you.</p> <h2>What to expect from the home care overhaul</h2> <p>Over the past decade, there’s been a noticeable shift towards “ageing at home”. The number of Australians using home care has <a href="https://www.gen-agedcaredata.gov.au/getmedia/2fbaacd8-1fbf-4ef5-ab1c-72dfc4c727bf/People-using-aged-care-fact-sheet-2023.pdf?ext=.pdf">more than quadrupled</a>, surpassing those in nursing homes.</p> <p>To meet growing demand, the government is adding <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/press-conference-parliament-house-25-november?language=en">107,000 home care places</a> over the next two years, with a goal to reduce wait times to just three months.</p> <p>Starting July 1 2025, <a href="https://www.health.gov.au/our-work/support-at-home/about">Support at Home</a> will replace the <a href="https://www.myagedcare.gov.au/help-at-home/home-care-packages">Home Care Packages</a> program. The table below shows some of the key differences between these two programs.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=546&fit=crop&dpr=1 600w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=546&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=546&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=686&fit=crop&dpr=1 754w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=686&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/636472/original/file-20241205-19-phkljj.png?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=686&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="attribution"><span class="source">Department of Health 2024</span></span></figcaption></figure> <p>Home Care Packages are currently delivered under <a href="https://www.myagedcare.gov.au/help-at-home/home-care-packages">four annual government subsidy levels</a>, covering care and provider management costs. Under Support at Home, <a href="https://www.health.gov.au/our-work/support-at-home/features">the number of home care budget levels will double to eight</a>, with the highest level increasing to A$78,000.</p> <p>This aims to provide more tailored support and accommodate those needing higher levels of care.</p> <p>Under the new system, recipients will receive quarterly budgets aligned to their funding level and work with their chosen provider to allocate funds across <a href="https://www.health.gov.au/sites/default/files/2024-11/support-at-home-service-list.pdf">three broad service categories</a>:</p> <ul> <li> <p>clinical care, such as nursing or physiotherapy</p> </li> <li> <p>independence support, including personal care, transport and social support</p> </li> <li> <p>everyday living assistance, such as cleaning, gardening and meal delivery.</p> </li> </ul> <p>Clinical care services will be fully government-funded, as these are crucial to supporting health and keeping people out of hospitals.</p> <p>But recipients will contribute to the costs of independence and everyday living services under a new payment model, reflecting the government’s stance that these are services people have traditionally funded themselves over their lifetimes.</p> <p>This will replace the basic daily fee and income-tested care fee that some people currently pay. Contributions will vary by income and assets (based on the <a href="https://www.servicesaustralia.gov.au/who-can-get-age-pension?context=22526">age pension means test</a>) and by service type.</p> <p>Support at Home also includes additional funding for specific needs:</p> <ul> <li> <p>older Australians with less than three months to live will receive priority access to $25,000 in funding over 12 weeks</p> </li> <li> <p>up to $15,000 will be available for assistive technologies and home modifications, <a href="https://www.health.gov.au/sites/default/files/2024-09/support-at-home-fact-sheet.pdf">eliminating the need</a> to reserve home care budgets for these.</p> </li> </ul> <h2>What if I or my loved one is already receiving a Home Care Package?</h2> <p>If you were receiving a package, on the <a href="https://www.health.gov.au/our-work/hcp/about/how-it-works">waiting list</a>, or assessed as eligible for one on September 12 2024, the government’s “<a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms#:%7E:text=in%20aged%20care-,A%20no%20worse%20off%20principle%20will%20provide%20certainty%20to%20people,greater%20contribution%20to%20their%20care.&text=When%20Home%20Care%20participants%20transition,and%20retain%20any%20unspent%20funds.">no worse off</a>” principle guarantees you won’t pay more under the new system.</p> <p>Current recipients will have their Support at Home budget aligned with their existing package, and any unspent funds will roll over.</p> <h2>How nursing home fees will change</h2> <p>Australia’s nursing home sector is struggling financially, with <a href="https://www.australianageingagenda.com.au/executive/sectors-annual-financial-report-lands/">67% of providers</a> operating at a loss. To ensure sustainability and support upgrades to facilities, the government is introducing major funding changes.</p> <h2>What stays the same?</h2> <p>The Basic Daily Fee, that everyone in nursing homes pays, set at 85% of the basic age pension (currently <a href="https://www.health.gov.au/sites/default/files/2024-09/schedule-of-fees-and-charges-for-residential-and-home-care.pdf">$63.57 a day</a> or $23,200 annually), will not change.</p> <h2>What’s changing?</h2> <p>The government currently pays a Hotelling Supplement of $12.55 per day per resident to cover everyday living services like cleaning, catering and laundry ($4,581 annually).</p> <p>From July 1 2025, this supplement will become means-tested. Residents with annual incomes above $95,400 or assets exceeding $238,000 (or some combination of these) will <a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-residential-care-contributions.pdf">contribute partially or fully</a> to this cost.</p> <p>Currently, residents with sufficient means also pay a means-tested care fee <a href="https://www.myagedcare.gov.au/aged-care-home-costs-and-fees">between $0–$403.24</a> per day. This will be replaced by a “<a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-residential-care-contributions.pdf">non-clinical care contribution</a>”, capped at $101.16 daily and payable for the first four years of care. Only those with assets above $502,981 or incomes above $131,279 (or some combination of these) will pay this contribution.</p> <p>Importantly, no one will pay more than $130,000 in combined contributions for Support at Home and non-clinical care in nursing homes over their lifetime.</p> <h2>Changes to accommodation payments</h2> <p>The way nursing home accommodation costs are paid is also changing from July 1 2025:</p> <ul> <li> <p>residents <a href="https://theconversation.com/lump-sum-daily-payments-or-a-combination-what-to-consider-when-paying-for-nursing-home-accommodation-207405">who pay</a> their room price via a refundable lump sum will have <a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-accommodation-reform.pdf">2% of their payment retained annually</a> by the provider, up to a maximum of 10% over five years. For example, a $400,000 lump sum payment would result in $360,000 being refunded if a person stays five years or more, with the provider keeping $40,000</p> </li> <li> <p><a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-accommodation-reform.pdf">daily accommodation payments</a> (a rent-style interest charge) will no longer remain fixed for the duration of a person’s nursing home stay. Instead, these payments will be indexed twice annually to the Consumer Price Index</p> </li> <li> <p>providers will be able to set room prices up to $750,000 without government approval, an increase from the current $550,000 limit.</p> </li> </ul> <p>People with lower means (those who are fully subsidised by the government for their accommodation costs) will not be affected by these changes.</p> <h2>What if I own my home?</h2> <p>The treatment of the family home in means testing for nursing home costs will <a href="https://www.health.gov.au/sites/default/files/2024-09/response-to-the-aged-care-taskforce-residential-care-contributions.pdf">remain unchanged</a>.</p> <p>Its value is only assessed if no “protected person” (such as a spouse) lives in it, and even then, it’s capped at $206,039 (as at September 20 2024).</p> <h2>What happens to current nursing home residents?</h2> <p>The new rules for contributions and accommodation will apply only to those entering nursing homes from July 1 2025.</p> <p>Existing residents will maintain their current arrangements and be <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms#:%7E:text=in%20aged%20care-,A%20no%20worse%20off%20principle%20will%20provide%20certainty%20to%20people,greater%20contribution%20to%20their%20care.&text=When%20Home%20Care%20participants%20transition,and%20retain%20any%20unspent%20funds.">no worse off</a>.</p> <h2>Feeling overwhelmed?</h2> <p>These reforms aim to improve care delivery, fairness and sustainability, with the government emphasising that many older Australians – particularly those with <a href="https://www.health.gov.au/ministers/the-hon-anika-wells-mp/media/once-in-a-generation-aged-care-reforms#:%7E:text=in%20aged%20care-,A%20no%20worse%20off%20principle%20will%20provide%20certainty%20to%20people,greater%20contribution%20to%20their%20care.&text=When%20Home%20Care%20participants%20transition,and%20retain%20any%20unspent%20funds.">lower incomes and assets</a> – will not pay more.</p> <p>The government has provided case studies to illustrate how <a href="https://www.health.gov.au/sites/default/files/2024-09/case-studies-support-at-home_0.pdf">home care</a> and <a href="https://www.health.gov.au/sites/default/files/2024-09/case-studies-residential-care_0.pdf">nursing home</a> costs will differ under the new system for people at various income and asset levels.</p> <p>Still, planning for aged care can be daunting. For more <a href="https://www.myagedcare.gov.au/financial-support-and-advice">tailored advice and support</a>, consider reaching out to financial advisors, <a href="https://www.servicesaustralia.gov.au/aged-care-specialist-officer-my-aged-care-face-to-face-services?context=55715">services</a>, or online tools to help you navigate the changes and make informed decisions.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/244816/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/anam-bilgrami-1179543"><em>Anam Bilgrami</em></a><em>, Senior Research Fellow, Macquarie University Centre for the Health Economy, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/planning-for-old-age-heres-what-the-aged-care-changes-mean-for-you-244816">original article</a>.</em></p> </div>

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