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

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. 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. 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. 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 The Today Show. Despite her age, she has received only positive feedback from friends and family regarding her pregnancy and childbirth. 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. 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. 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 Bild. She also noted that she has never smoked, consumed alcohol or used contraceptives. Images: The Today Show

Family & Pets

‘Behind every claim is a grieving family’. Death benefits inquiry update

<div class="theconversation-article-body"> When Lisa’s husband passed away unexpectedly, she assumed accessing his superannuation <a href="https://www.ato.gov.au/individuals-and-families/super-for-individuals-and-families/super/withdrawing-and-using-your-super/superannuation-death-benefits">death benefit</a> would be straightforward. Instead, she spent months navigating a bureaucratic maze. She repeatedly sent documents, waited weeks for callbacks and struggled to get answers from his fund. Her experience is far from unique. A damning <a href="https://asic.gov.au/regulatory-resources/find-a-document/reports/rep-806-taking-ownership-of-death-benefits-how-trustees-can-deliver-outcomes-australians-deserve/">new report</a> reveals systemic failure by Australia’s <a href="https://www.superannuation.asn.au/resources/super-stats/#:%7E:text=Total%20superannuation%20assets%20were%20%244.2,with%20more%20than%20six%20members.">A$4 trillion</a> superannuation industry in handling members’ death benefits. <h2>A system in disarray</h2> The Australian Security and Investments Commission’s landmark review of ten major super trustees, managing 38% of super assets, exposes an industry that is not serving its members. Grieving families routinely face excessive delays, insensitive treatment and unnecessary hurdles when trying to access death benefits. It found they sometimes waited over a year for payments to which they were legally entitled. The central problem was a fundamental breakdown in claims processing, with five critical failures exacerbating inefficiency and distress. 1. Poor oversight No trustee monitored end-to-end claims handling times, leaving boards unaware of how long families were waiting. While the fastest trustee resolved 48% of claims within 90 days, the slowest managed just 8%. In one case, a widow waited nearly a year despite her husband having a valid binding nomination. ASIC found 78% of delays stemmed from processing inefficiencies entirely within trustees’ control. 2. Misleading and inadequate information Many funds misled on processing times and masked extreme delays. Boards often received reports only on insured claims, despite most death benefits not involving insurance. This meant boards were unable to fix systemic problems. 3. Process over people Risk-averse procedures often overrode common sense. Many funds imposed claim-staking – delaying payments for objections – even for straightforward cases, adding a median 95 day delay. Communication failures further compounded delays, with claimants receiving inconsistent advice and few or no status updates. 4. Outsourcing without accountability Claims handled in-house were processed significantly faster than those managed by external administrators. Only 15% of outsourced claims were resolved within 90 days, compared to 36% of in-house claims. The securities commission is calling for stronger oversight. External administrators significantly slow down responses, so some funds may need to bring claims processing back in-house to ensure efficiency. 5. Lack of transparency Many funds failed to provide clear timelines or explanations for delays and had no accountability mechanisms. The ten funds investigated include the Australian Retirement Trust, Avanteos (Colonial First State), Brighter Super, Commonwealth Superannuation Corporation, HESTA, Hostplus, NM Super (AMP), Nulis (MLC), Rest and UniSuper. Two others, <a href="https://www.abc.net.au/news/2025-03-12/asic-sues-australian-super-death-processing-benefit-claims-delay/105040450">Australian Super and Cbus</a>, are being sued separately by ASIC for either failing to pay out or delaying payments to thousands of eligible beneficiaries. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.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/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=405&fit=crop&dpr=1 600w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=405&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=405&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=509&fit=crop&dpr=1 754w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=509&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=509&fit=crop&dpr=3 2262w" alt="A list of key findings from the ASIC Taking ownership of death benefits report" /></a><figcaption><a class="source" href="https://asic.gov.au/regulatory-resources/find-a-document/reports/rep-806-taking-ownership-of-death-benefits-how-trustees-can-deliver-outcomes-australians-deserve/">Taking ownership of death benefits: How trustees can deliver outcomes Australians deserve, ASIC, March 2025</a>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></figcaption></figure> <h2>Will ASIC’s fixes work?</h2> ASIC has made 34 recommendations to improve death benefit processing. This will require real change, not box ticking. Changes should include setting performance objectives and empowering frontline staff to cut unnecessary steps. There should be consequences for failure. Unlike the <a href="https://www.gov.uk/browse/benefits/bereavement">United Kingdom</a>, which fines pension providers for missing statutory deadlines, ASIC’s recommendations lack penalties. Without consequences, some funds may continue prioritising administrative convenience over members receiving their entitlements. <h2>What needs to happen now?</h2> ASIC’s report is a wake-up call, but real reform requires strong action. Super funds must be held to clear, binding processing timelines, with meaningful penalties for non-compliance. Standardising requirements across the industry would eliminate unnecessary hurdles, ensuring all beneficiaries are treated fairly. Beyond regulation, funds must improve communication and accountability. Bereaved families deserve clear, plain language guidance on what to expect, not bureaucratic roadblocks or sudden document requests. Technological upgrades should focus on reducing delays, not just internal efficiencies. And to better support families, an independent claims advocate could help navigate the process, ensuring no one is left to struggle alone. <h2>Has ASIC gone far enough?</h2> While ASIC’s review is a step in the right direction, it does not fundamentally overhaul flawed claims-handling practices. The recommendations lack enforceability, relying on voluntary compliance. Also, the role of insurers within super remains largely unaddressed, despite death benefits being tied to life insurance policies. This often causes further complications and delays. Ensuring insurers adopt and apply ASIC’s recommendations will be critical for meaningful change. Most importantly, super funds must remember that behind every claim is a grieving family. No one should have to fight for what they are owed during one of the most stressful times in their life.<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/253419/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> By <a href="https://theconversation.com/profiles/natalie-peng-1369555">Natalie Peng</a>, Lecturer in Accounting, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> 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/behind-every-claim-is-a-grieving-family-death-benefits-inquiry-demands-change-but-lacks-penalties-253419">original article</a>. Image: Shutterstock </div>

Legal

"No sympathy": 26-year-old roasted over massive tax bill complaint

It’s a classic tale of riches to tax brackets – OnlyFans creator Talia Batiste, 26, has found herself in the fiery depths of an Australian Tax Office reckoning, and the internet has wasted no time serving up a heaping plate of zero sympathy. Batiste, who revealed that she’s been hit with a tax bill totalling $71,008.45 (yes, she included the cents for maximum devastation), took to social media to lament her financial woes. “For everyone that likes to make sure I’m paying my tax. I’m going to go and cry myself to sleep now,” she wrote, presumably while clutching her silk pillow stuffed with $100 bills. The internet’s reaction? Less “thoughts and prayers”, more “play stupid games, win inevitable government-mandated financial responsibilities”. “Absolutely robbery,” one concerned citizen commented, clearly distressed by the idea of anyone having to contribute to society. “To pay that much tax, you earn a sh**load. No sympathy,” another user shot back, presumably while furiously entering their own lacklustre income into a tax return calculator. Some were more pragmatic, offering sage financial wisdom. “I hope you have a good accountant to get you those tax deductions,” someone advised, the unspoken message being: “There’s still hope, young one.” While many scoffed at the idea of crying over a salary that most people only see on TV shows where billionaires buy entire islands for sport, Batiste remained defiant. <a href="https://www.news.com.au/finance/economy/cry-myself-to-sleep-26yearold-in-tears-over-giant-tax-bill/news-story/7adfcb10f0ea62a1749f4dc6c1b65934" target="_blank" rel="noopener">Speaking to news.com.au</a>, she admitted that the bill “wasn’t too bad” compared to the tax nightmares of yesteryear. (Yes, it turns out paying taxes gets easier when you know they’re coming. Who knew?) Batiste revealed that an early accounting blunder had initially classified her as a sole trader rather than a business, making her tax situation about as pleasant as a surprise phone call from the ATO. “So when I make $400,000+ a year, it looks like that is my personal income rather than money going back into a business,” she explained, finally unlocking the ancient wisdom of self-employment taxation. Now, with proper financial advice in place, she says she takes a modest salary while the rest of her earnings go into business expenses – like, presumably, funding the tissue budget for her post-tax breakdowns. Despite her newfound tax strategy, Batiste insists that the process “never gets easier”. (Except for last year, when she owed a whopping $136k, making this year’s bill look like pocket change by comparison.) She also had some words about Australia’s taxation system: “Everybody pays too much tax.” Yes, much like death and bad reality TV spin-offs, taxation is inevitable. But Batiste isn’t letting it get her down – at least, not too much. Even though she says she’s “prepared” for these bills now, that doesn’t mean she enjoys sending her hard-earned money into the great abyss of government spending. “Hitting send on that ATO payment hurts every time,” she said. Meanwhile, taxpayers earning a fraction of her income simply sighed, checked their bank balances, and went back to their regularly scheduled programming: budgeting how to afford avocados and rent in the same month. Images: TikTok

Money & Banking

Do any non-drug treatments help back pain? Here’s what the evidence says

<div class="theconversation-article-body"> Jason, a 42-year-old father of two, has been battling back pain for weeks. Scrolling through his phone, he sees ad after ad promising relief: chiropractic alignments, acupuncture, back braces, vibrating massage guns and herbal patches. His GP told him to “stay active”, but what does that even mean when every movement hurts? Jason wants to avoid strong painkillers and surgery, but with so many options (and opinions), it’s hard to know what works and what’s just marketing hype. If Jason’s experience sounds familiar, you’re not alone. Back pain is one of the most common reasons people visit a doctor. It can be challenging to manage, mainly due to widespread <a href="https://theconversation.com/having-good-posture-doesnt-prevent-back-pain-and-bad-posture-doesnt-cause-it-183732">misunderstandings</a> and the <a href="https://ebm.bmj.com/content/early/2025/03/02/bmjebm-2024-112974">overwhelming number</a> of ineffective and uncertain treatments promoted. We assessed the best available evidence of non-drug and non-surgical treatments to alleviate low back pain. <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">Our review</a> – published today by the independent, international group the Cochrane Collaboration – includes 31 Cochrane systematic reviews, covering 97,000 people with back pain. It <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">shows</a> bed rest doesn’t work for back pain. Some of the treatments that do work can depend on how long you’ve been in pain. <h2>Is back pain likely to be serious?</h2> There are different types of low back pain. It can: <ul> <li>be short-lived, lasting less than six weeks (acute back pain)</li> <li>linger for a bit longer, for six to twelve weeks (sub-acute)</li> <li>stick around for months and even years (chronic, defined as more than 12 weeks).</li> </ul> In <a href="https://www.thelancet.com/article/S0140-6736(16)30970-9/abstract">most cases</a> (90-95%), back pain is non-specific and cannot be reliably linked to a specific cause or underlying disease. This includes common structural changes seen in x-rays and MRIs of the spine. For this reason, imaging of the back is <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60172-0/abstract">only</a> recommended in rare situations – typically when there’s a clear suspicion of serious back issues, such as after physical trauma or when there is numbness or loss of sensation in the groin or legs. Many people expect to receive <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013815.pub2/full">painkillers</a> for their back pain or even surgery, but these are no longer the front-line treatment options due to limited benefits and the high risk of harm. International <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)30489-6/fulltext">clinical guidelines</a> recommend people choose non-drug and non-surgical treatments to relieve their pain, improve function and reduce the distress commonly associated with back pain. So what works for different types of pain? Here’s what <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014691.pub2/full">our review found</a> when researchers compared these treatments with standard care (the typical treatment patients usually receive) or no treatment. <h2>What helps for short-term back pain</h2> 1. Stay active – don’t rest in bed If your back pain is new, the best advice is also one of the simplest: keep moving despite the pain. Changing the way you move and use your body to protect it, or resting in bed, can seem like to right way to respond to pain – and may have even been recommended in the past. But we know know this excessive protective behaviour can make it harder to return to meaningful activities. This doesn’t mean pushing through pain or hitting the gym, but instead, trying to maintain your usual routines as much as possible. Evidence suggests that doing so won’t make your pain worse, and may improve it. 2. Multidisciplinary care, if pain lingers For pain lasting six to 12 weeks, multidisciplinary treatment is likely to reduce pain compared to standard care. This involves a coordinated team of doctors, physiotherapists and psychologists working together to address the many factors contributing to your back pain persisting: <ul> <li> neurophysiological influences refer to how your nervous system is currently processing pain. It can make you more sensitive to signals from movements, thoughts, feelings and environment </li> <li> psychological factors include how your thoughts, feelings and behaviours affect your pain system and, ultimately, the experience of pain you have </li> <li> occupational factors include the physical demands of your job and how well you can manage them, as well as aspects like low job satisfaction, all of which can contribute to ongoing pain. </li> </ul> <h2>What works for chronic back pain</h2> Once pain has been around for more than 12 weeks, it can become more difficult to treat. But relief is still possible. Exercise therapy Exercise – especially programs tailored to your needs and preferences – is likely to reduce pain and help you move better. This could include aerobic activity, strength training or Pilates-based movements. It doesn’t seem to matter what type of exercise you do – it matters more that you are consistent and have the right level of supervision, especially early on. Multidisciplinary treatment As with short-term pain, coordinated care involving a mix of physical, occupational and psychological approaches likely works better than usual care alone. Psychological therapies Psychological therapies for chronic pain include approaches to help people change thinking, feelings, behaviours and reactions that might sustain persistent pain. These approaches are likely to reduce pain, though they may not be as effective in improving physical function. Acupuncture Acupuncture probably reduces pain and improves how well you can function compared to placebo or no treatment. While some debate remains about how it works, the evidence suggests potential benefits for some people with chronic back pain. <h2>What doesn’t work or still raises uncertainty?</h2> The review found that many commonly advertised treatments still have uncertain benefits or probably do not benefit people with back pain. Spinal manipulation, for example, has uncertain benefits in acute and chronic back pain, and it likely does not improve how well you function if you have acute back pain. Traction, which involves stretching the spine using weights or pulleys, probably doesn’t help with chronic back pain. Despite its popularity in some circles, there’s little evidence that it works. There isn’t enough reliable data to determine whether advertised treatments – such back braces, vibrating massage guns and herbal patches – are effective. <h2>How can you use the findings?</h2> If you have back pain, start by considering how long you’ve had it. Then explore treatment options that research supports and discuss them with your GP, psychologist or physiotherapist. Your health provider should reassure you about the importance of gradually increasing your activity to resume meaningful work, social and life activities. They should also support you in making informed decisions about which treatments are most appropriate for you at this stage. <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/253122/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" />By <a href="https://theconversation.com/profiles/rodrigo-rossi-nogueira-rizzo-1544189">Rodrigo Rossi Nogueira Rizzo</a>, Postdoctoral Research Fellow, <a href="https://theconversation.com/institutions/neuroscience-research-australia-976">Neuroscience Research Australia</a> and <a href="https://theconversation.com/profiles/aidan-cashin-2355450">Aidan Cashin</a>, NHMRC Emerging Leadership Fellow, <a href="https://theconversation.com/institutions/neuroscience-research-australia-976">Neuroscience Research Australia</a> 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/do-any-non-drug-treatments-help-back-pain-heres-what-the-evidence-says-253122">original article</a>. Image: Shutterstock </div>

Body

5 mistakes people make setting financial goals

In discussions around money and goal setting, people talk a lot about financial freedom. What does that mean to you, though? We might redefine money as ‘a unit of choice’, because the more money you make, the more choices you have. Everyone’s aspirations are different, which is one reason why there’s no one-size-fits- all approach to wealth. It’s time to begin to understand what financial freedom means to you, because how on earth are you going to get there, if you don’t know where there is? How will you craft a strategic wealth-building plan when you don’t know what your target is? How will you know if you are making the right decisions in the right areas, decisions that are intentionally and systematically advancing you towards your outcomes. Here are some of the big mistakes I see people make when setting financial goals. <h2>Mistake #1: They have none!</h2> Without a goal, how will you know what to steer towards? You are left just ‘hoping’ that one day things will work out. With no clear direction to head towards, any actions you take are more or less random. You’re often left sitting idle and going nowhere fast, just swept along by whatever current comes your way. <h2>Mistake #2: They make them too big</h2> This might seem counterintuitive, especially since the typical conversation about personal development emphasises aiming for big, ambitious goals. And while these can be valuable, helping to elevate your thinking and giving you something inspiring to work towards, the problem arises when they are your only focus. Without smaller, achievable milestones to serve as stepping stones, the gap between where you are now and your ultimate goal can feel overwhelming. This can make it hard for your subconscious mind to fully commit, leading to procrastination or self-sabotage due to fear of not knowing how to get there. <h2>Mistake #3: They make them too small</h2> While small goals may seem manageable, they can lack the power to ignite your motivation or emotional drive or to be the catalyst that pulls you towards something greater than who and where you are in life right now. Small, uninspiring goals can make it easy to remain complacent. Without a purpose or vision that stretches you, there’s no real incentive to pursue them with passion. They don’t create the emotional connection that’s essential for driving sustained effort and overcoming obstacles. As a result, you may never fully commit to these goals, and they end up being more like tasks to check off a list than meaningful milestones on your path to success. <h2>Mistake #4: They are vague and wishy-washy</h2> When your goals are unclear and lack focus, they are difficult to achieve. Goals like ‘I want to be rich’ of ‘I want more money’ are too broad to provide any real direction. Without concrete details – such as specific numbers, deadlines or actionable steps – you don’t have a clear path to follow. Vague goals make it hard to measure progress or stay motivated, because there’s nothing tangible to work towards. As a result, your efforts can become inconsistent, and it’s easy to lose focus. Without clarity, you can’t point your actions in a specific direction, which makes it unlikely you’ll make any meaningful progress. A well-defined goal, on the other hand, creates a roadmap and keeps you accountable along the way. <h2>Mistake #5: They have no plan to make it real</h2> Setting a clear goal is undeniably important but it’s only part of the process. Just because someone says they want a specific outcome does not mean they will achieve it. Yet many people fixate solely on the goal itself, or they try to manifest wealth and happiness through the ‘law of attraction’ alone. Most people spend 95 per cent of their time focusing on setting the goal and only 5 per cent on the actions needed to achieve it. Do you see the flaw in that approach? Instead, reverse the focus. Spend 5 per cent of your time defining the goal, and 95 per cent of your time working towards making it a reality. This is where having the right system becomes crucial. How do we break free from impotent goal setting and instead craft a set of financial goals that are not only big, beautiful and inspiring, but achievable. By setting targets that are tangible and tactical and are going to set you up to win, you become more than who you are right now. In the end, a goal without a plan is just an idea. A plan without a goal is simply directionless effort. It may keep you busy, but it won’t lead you anywhere meaningful. Both the goal and the plan must work together – one providing the destination, the other offering the roadmap. I always tell my clients they will never out-earn themselves. If you want to level up your results in life, you have to first level up as a person and raise the standards in how you choose to play the game. This is an edited extract from Escape the Middle (Wiley $32.95) by Todd Polke. Todd is an investor, entrepreneur and international educator in investing and wealth creation. For over two decades, he has guided thousands of individuals in growing and scaling their wealth to achieve financial independence. Find out more at <a href="https://www.portfoliowealth.com%20" target="_blank" rel="noopener">www.portfoliowealth.com </a> Image: Shutterstock

Money & Banking

Population panic: how demography is used for political gain

<div class="theconversation-article-body"> Population is far from the seemingly innocuous and bland topic of “people”. We’re not just talking people. We’re talking the very foundation of society, culture, and economy … and it’s deeply fraught. It’s also an effective political point scorer. Population scrutiny waxes and wanes in Australian populist and political discourse, much like many nations across the globe. <a href="https://theconversation.com/whats-behind-the-dramatic-shift-in-canadian-public-opinion-about-immigration-levels-219193">Canada</a>, <a href="https://theconversation.com/biden-defends-immigration-policy-during-state-of-the-union-blaming-republicans-in-congress-for-refusing-to-act-225158">the United States</a>, <a href="https://theconversation.com/a-far-right-political-group-is-gaining-popularity-in-germany-but-so-too-are-protests-against-it-223151">Germany</a>, <a href="https://theconversation.com/in-demand-but-disempowered-why-low-skilled-migrant-workers-face-even-worse-exploitation-under-nzs-new-rules-227993">New Zealand</a> and <a href="https://theconversation.com/uk-taking-back-control-of-its-borders-risks-rolling-back-human-rights-protections-230044">the United Kingdom</a> are all grappling with population issues. But when we talk population, it’s pretty safe to read immigration. It’s immigration that has most of the world talking, because growth for many is dominated by international movements, not local growth. Population growth due to immigration has fed growing fears from some quarters about a <a href="https://www.abc.net.au/religion/five-years-terror-christchurch-mosque-danger-muslim-women/103593682">replacement of the majority dominance</a> – in other words, that white people will no longer be the majority in Australia. Contemporary population debate has been largely ill-informed, lacking nuance and is often detrimental. Rooted in a long history of the way we talk about population, contemporary debate is best understood in context, and with facts. <h2>Population dynamics and change</h2> Population is most simply a <a href="https://population.gov.au/population-topics/topic-population-measurement">bunch of individuals</a> living in a specific place. Sounds boring, I know, but the reality is something much greater. When we start talking about what underpins population – composition, characteristics and change – it becomes clear why population is so political. Populations are comprised of varying characteristics – think age, sex, and geography. Characteristics like the age structure of a population have a direct impact on the workforce and economic wellbeing of a nation. A younger population means more expenditure invested in the young to ensure a strong workforce in the future. This is known as the <a href="https://www.prb.org/wp-content/uploads/2019/11/prb-demographic-dividend-evidence-1.pdf">demographic dividend</a>. An older population age structure, on the other hand, sees more spending on the upper end of the life course – senior people – and pressures on the workforce meeting the economic needs of the nation. This is <a href="https://www.abs.gov.au/ausstats/abs@.nsf/2f762f95845417aeca25706c00834efa/851dece969d9182cca2570ec000a2501!OpenDocument">structural ageing</a>. Australia’s population, like most of the world, is structurally ageing. We’re living longer and <a href="https://blog.id.com.au/2023/population/population-trends/australias-birth-rate-falls-in-2022#:%7E:text=Australia's%20birth%20rate%20has%20been,level">not replacing ourselves</a> through births. Living longer is a mark of technological success and ingenuity, and the same could be said about below-replacement births. But our success has some downsides. <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/DBP0rqgSCm5/?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/DBP0rqgSCm5/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Australian Bureau of Statistics (@absstats)</a> </div> </blockquote> The trouble with below-level births and an ageing population is that the local age structure is not sufficient to meet the <a href="https://treasury.gov.au/intergenerational-report">needs of the workforce</a>. Simply, the local Australian population cannot meet the economic needs of the nation, and this has the potential to see living standards go backwards. Immigration helps offset the adverse consequences of an ageing population. Population change occurs due to births, deaths and migration. Commonly known as the population balancing equation, population growth is expressed as: births minus deaths plus migration. Immigration makes up the majority of population growth in Australia and has done so consistently since <a href="https://www.aihw.gov.au/reports/australias-health/profile-of-australias-population">around 2005</a>, with the exception of international border closures during COVID. Natural increase – the balance of births minus deaths – also contributes to population growth in Australia. However, increasing deaths and declining births means the country is expected to see <a href="https://theconversation.com/eight-charts-on-how-australias-population-is-growing-and-changing-227153">natural decline by 2054</a>. <h2>Population problem</h2> In Australia, there has been a preoccupation with the <a href="https://www.aihw.gov.au/reports/australias-health/profile-of-australias-population">drivers of population change</a> since colonisation. Is the nation’s population <a href="https://digital-classroom.nma.gov.au/defining-moments/postwar-immigration-drive">growing too slowly</a>? <a href="https://www.themandarin.com.au/237985-australia-population-27-million-milestone/">Too fast</a>? Why are women having <a href="https://theconversation.com/women-in-rich-countries-are-having-fewer-kids-or-none-at-all-whats-going-on-229185#:%7E:text=Simply%2C%20women%20are%20often%20not,and%20buying%20a%20first%20home.">too few children</a>? Are the <a href="https://www.smh.com.au/politics/federal/abbott-calls-for-middle-class-women-to-have-more-children-20200128-p53vkx.html">wrong kind of women</a> having too many children? Will migrants <a href="https://www.abc.net.au/news/2021-10-15/migrant-movement-in-australia-covid/100536114">want to come</a> to the country? Are there <a href="https://www.theguardian.com/australia-news/2024/mar/21/migration-numbers-australia-2023-rise">too many migrants</a> coming to Australia? Australia is rarely not in a state of <a href="https://theconversation.com/solving-the-population-problem-through-policy-110970">population panic</a>. Population panic once stemmed from being a small population in a big country vulnerable to external military attack. Now population panic is about the pace of growth being too great, due to immigration. And it doesn’t take much to stoke <a href="https://www.theguardian.com/global-development/2022/oct/18/global-population-growth-8-billion-unfdp-united-nations-warning-alarmism">population fear</a>. Population is charged and offers an easy trigger point to leverage voters. Politicians on all sides of the ideological landscape know this and use population discourse effectively for political gain. <figure><iframe src="https://www.youtube.com/embed/h5CubF42DGI?wmode=transparent&start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> Since the <a href="https://www.jstor.org/stable/41110698">early 1900s</a>, Australia’s history has been dotted with inquiries into growth and birth rates. In fact, at the time of colonisation, the male-dominated imbalance in the colony sparked calls for more women from Britain – <a href="https://unsw.press/books/the-future-of-us/">of suitable status</a> – to help arrest high rates of hooliganism, drunkenness, and sexually transmitted infections. Women of standing were believed to help socialise the nation and provide essential children for nation building. Nothing much has changed really, with the Treasurer Jim Chalmers saying in the lead up to the 2024 federal budget: “<a href="https://youtu.be/JLzp53D6thg?si=p8YheMdF0-ndO9DB">It would be better if birth rates were higher</a>”. <h2>So why aren’t women having babies?</h2> Australian federal treasurers have expressed concerns about birth rates over many years, across different governments. Chalmers wasn’t the first and he won’t be the last bemoaning below-replacement births. In 2004, then-treasurer Peter Costello <a href="https://ministers.treasury.gov.au/ministers/peter-costello-1996/transcripts/doorstop-interview-treasury-place-melbourne-16">famously said</a>: “have one for mum, one for dad and one for the country”. <a href="https://www.thenewdaily.com.au/finance/finance-news/2020/07/25/baby-bonus-frydenberg-costello">Josh Frydenberg, while treasurer, stated</a>: <blockquote> I won’t go as far as to say, like Peter Costello, “one for the mother, one for the father and one for the country”. But [what] I can say is that people should feel encouraged about the future and the more children that we have across the country, together with our migration, we will build our population growth and that will be good for the economy.“ </blockquote> In the 1940s, Australia held an inquiry into falling birth rates, and following the second world war Australians were called on to populate or perish. During the 1940s inquiry, <a href="https://catalogue.nla.gov.au/catalog/1786445">women were invited to make submissions</a> reflecting how difficult motherhood was and how unsupported they were: "You men in easy chairs say ‘populate or perish’. Well, I have populated and I have perished – with no blankets.” Many Australians now won’t achieve their desired family size because contemporary life is simply not conducive to having children. Having no or fewer children is now a forced outcome for a growing number of Australians. The barriers to having a child are now insurmountable for far too many. Housing affordability, gender inequality, financial insecurity and climate change make for an unstable and uncertain future. Young Australians are carrying the burden of the nation’s future and the burden is simply too much. They have seen the generational bargain crumble and are being denied a future because of the failings of politics past. <h2>Permanent versus net overseas migration</h2> Among the many nuances missing from the population debate is the difference in the terminology used to refer to immigration. From a planning point of view, permanent migration is discussed; from a population perspective, net overseas migration applies. The difference between the two is stark and used in a smoke and mirrors way to hide reality or harm an opponent. Government has much control over permanent migration, little control over net overseas migration. Permanent migration refers to the cap of permanent visas granted. The permanent migration program is reviewed annually by the <a href="https://immi.homeaffairs.gov.au/what-we-do/migration-program-planning-levels">Department of Home Affairs</a> with input from select experts, peak bodies, and government. Permanent migration <a href="https://www.aph.gov.au/About_Parliament/Parliamentary_departments/Parliamentary_Library/Budget/reviews/2023-24/Immigration">has fluctuated over the past ten years</a>, reflecting political point scoring. Under Tony Abbott’s government in 2014-15, permanent migration was just under 190,000. The permanent migration remained in the 180,000s until declining to over 160,000 in 2017-18 under Scott Morrison. Morrison also reduced permanent migration further to around 144,000 in 2021-22. In its final year, the Morrison government flagged increasing the planning level for <a href="https://treasury.gov.au/sites/default/files/2021-06/p2021-182464.pdf">permanent migration to 190,000</a>. Planning levels under the Anthony Albanese government were 195,000 and 190,000 in 2022-23 and 2023-24 respectively. The permanent migration program ceiling is set to decline by 5,000 places to 185,000 in 2024-25 under Albanese. Opposition Leader Peter Dutton has also announced his party would reduce permanent numbers to 140,000, seemingly linking <a href="https://www.liberal.org.au/latest-news/2024/05/16/leader-oppositions-budget-address-reply">housing affordability to permanent migration</a>. Dutton has also said his party would cut net overseas migration (NOM) but has since <a href="https://www.abc.net.au/news/2024-12-08/dutton-walks-back-promise-to-cut-net-migration/10469921">backtracked on his plan</a>, possibly because he realised it couldn’t be done. <blockquote class="twitter-tweet"> Explaining the 2024 Migration Surge A recent surge in net migration has become a hot topic, with politicians & media linking it to housing pressures. But what is Net Migration? And do we really have unusually high volumes of migration? <a href="https://t.co/TjzwbtGqsF">https://t.co/TjzwbtGqsF</a> <a href="https://t.co/aFHXIeC4ay">pic.twitter.com/aFHXIeC4ay</a> — Alan Gamlen (@alangamlen) <a href="https://twitter.com/alangamlen/status/1795721881699664286?ref_src=twsrc%5Etfw">May 29, 2024</a></blockquote> Net overseas migration feeds into population estimates and is the balance of incoming minus outgoing migration. <a href="https://immi.homeaffairs.gov.au/what-we-do/migration-program-planning-levels?fbclid=PAZXh0bgNhZW0CMTEAAaZPBEWLyQJhkvB8_SaqYBSgRdV_rx4Kjy86bbkugYRsOO2cukAoD2wd5dM_aem_AcfxCup1XXR8DP4ZaRfFTFaXggVYw8b8TyNLWsw-3fIenPm_wsx7xM0zfsZHmQ2OjYi0H-YUQdLxUjQUcT47Feij#:%7E:text=Net%20overseas%20migration%20%E2%80%93%20relationship%20with,New%20Zealanders%20and%20Humanitarian%20migrants">NOM is comprised</a> of temporary and permanent migration and includes refugees, students, working holiday makers, and even Australian and New Zealand citizens. A cut to the permanent migration program is unlikely to affect net overseas migration numbers. NOM is set to return to <a href="https://budget.gov.au/content/bp3/download/bp3_14_appendix_a.pdf">recent historical average</a> even without reduced permanent numbers. Most people granted permanency are <a href="https://immi.homeaffairs.gov.au/what-we-do/migration-program-planning-levels?fbclid=IwZXh0bgNhZW0CMTEAAR1aJLdjyJotVfICnc2Ge8vcrJ6DMCaPC4XfDOST9owl1qS4YfBYCKYPkBw_aem_AcegFZW0_vafT8J90jDFyG8aVhMd2f0Ab_9EqE1Y38Q5vuVT5NExZi5Um2BrkpHg0odl0odbI0pDfnUE7A34PRhi">already in the country</a>. What will occur with a reduced migration program is increased temporariness. Increased temporariness has the potential to erode social cohesion, harming migrants and Australian society overall. Just like births, populist tactics are used when talking immigration for quick political point scoring. It works, but is it good for people? <h2>Turning on ourselves</h2> Demography is often used against the population in a peculiar ploy to win political points. Take gender. Fewer birth means less expenditure on paid parental leave and superannuation for those receiving parental leave. Announcing <a href="https://www.abc.net.au/news/2024-05-14/federal-budget-pledges-superannuation-into-paid-parental-leave/103846312">increased</a> paid parental leave benefits and superannuation while knowing births are set to be fewer is political genius. Chalmers announced exactly this in the 2024 budget. <blockquote class="twitter-tweet"> BREAKING: Parliament has just passed our bill to expand Paid Parental Leave to 26 weeks. On top of that, we've announced a plan to pay super on PPL from 1 July 2025 - all part of our efforts to ensure women earn more, keep more of what they earn & retire with more as well <a href="https://twitter.com/hashtag/auspol?src=hash&ref_src=twsrc%5Etfw">#auspol</a> <a href="https://t.co/p3p4ib6sed">pic.twitter.com/p3p4ib6sed</a> — Jim Chalmers MP (@JEChalmers) <a href="https://twitter.com/JEChalmers/status/1769541268739080507?ref_src=twsrc%5Etfw">March 18, 2024</a></blockquote> The government says it’s doing more for women and mothers, but what it’s actually doing is a <a href="https://www.abc.net.au/news/2024-05-20/paid-parental-leave-payments-saving-millions-fertility-rate/103866506">whole lot of nothing</a>. There is no substantive examination of why women are saying no to motherhood. Demographic insights have enabled an effective political sleight of hand to give the illusion of doing something when actually not doing much at all. Blaming population growth for the housing crisis is another stroke of political mastery. Talking tough on population (immigration) while promoting and relying on immigration is a tale as old as Australia’s ageing population. When in opposition the talk is tough; when in government, actions speak louder than words. Governments and oppositions, no matter the political leaning, make promises and then realise immigration is the economic safety raft keep the economy afloat. <a href="https://ministers.treasury.gov.au/ministers/jim-chalmers-2022/speeches/budget-speech-2024-25">Chalmers talked tough</a> on immigration in his 2024 budget speech, pointing the finger of blame towards immigration for all manner of things, <blockquote> […] we’re addressing the pressures caused by population growth, with net overseas migration next year now expected to be half what it was last year. </blockquote> But the government can’t take the credit for lowering NOM – nothing they did lowered the artificially high rates of NOM Australia saw post COVID border reopening. Yes, the Albanese government has introduced changes to <a href="https://www.reuters.com/world/asia-pacific/australia-tightens-student-visa-rules-migration-hits-record-high-2024-03-21/">build integrity</a> into the <a href="https://www.reuters.com/world/asia-pacific/australia-raises-minimum-savings-student-visa-warns-fake-recruitment-2024-05-08/">migration system</a>, but NOM figures were set to decline anyway. It comes down to the way it is calculated. Border closures in Australia saw NOM fall to <a href="https://www.abs.gov.au/statistics/people/population/overseas-migration/2022-23-financial-year">-88,000 in 2020-21</a>. That’s negative nearly 90,000 people. <hr /> <iframe id="datawrapper-chart-9amUU" style="border: none;" title="Overseas migration in Australia from 2014 to 2024" src="https://datawrapper.dwcdn.net/9amUU/1/" width="100%" height="426" frameborder="0" scrolling="no" aria-label="Interactive line chart" data-external="1"></iframe> <hr /> This was the first such decline outside wartime in Australia’s recorded history. A big deal. Temporary migrants, including students, left Australia prematurely at the onset and peak of COVID-related measures. Morrison, prime minister at the time, told international students and temporary visa holders to “go home”, while saying those with critical skills <a href="https://www.abc.net.au/news/2020-04-03/coronavirus-pm-tells-international-students-time-to-go-to-home/12119568">could stay and contribute</a>: “For those backpackers in Australia who are nurses or doctors, or have other critical skills that can really help us during this crisis, then there will be opportunities for them”. Expendability of migrants echoed in this statement. What happened with the NOM during COVID closed borders was essentially a calculation reset. Higher than expected numbers of people left Australia prematurely. Students, especially, left Australia prior to their studies finishing. This resulted in greater outgoings of NOM than the recent average. NOM restarted the moment borders reopened, but because so many brought forward their exit the number of incomers weren’t balanced by the usual outflow of people. Taking a longer view of NOM prior to and since COVID-related measures shows smoother growth than popular media suggests. But nuance is hard to articulate in small soundbites, especially when the language of otherness is so enticing. <h2>Creating the ‘other’</h2> <a href="https://journals.sagepub.com/doi/10.1177/14705958231216936">The language of otherness</a> is used extensively in the population (immigration) narrative. Dutton played population bingo with his use of the word “foreign” in his 2024 budget reply speech referring to students, ending investment, and interference. Dutton also blamed migrants for road congestion and pressure on local services. His speech was a populist symphony. When in opposition, members of the now government also made disparaging comments about migrants. For example, <a href="https://www.smh.com.au/national/do-we-want-migrants-to-return-in-the-same-numbers-the-answer-is-no-20200501-p54p2q.html">Kristina Keneally</a> wrote an opinion piece suggesting migrants were taking jobs from locals. Fear about population is easily manufactured, and once created enables a fix the playmaker can resolve. Much like a David Copperfield magic special. The trouble with these tactics is in the enormous <a href="https://www.abs.gov.au/statistics/people/population/australias-population-country-birth/latest-release">diversity in Australia</a> – we risk turning on ourselves and eroding already fraying social cohesion. <h2>Shaping Australia</h2> Our preoccupation with population largely reflects the central place people and demography hold in the economy and very function of the nation. But we appear to have lost our heads, instead problematising the very heart of what makes us Australian: the people. Demography is a slow-moving train, and based on past and current trends population science can somewhat predict the future. The populist playbook results in population (namely immigration) used for political point scoring, to the detriment of the people, particularly the young. Australia is by no means perfect. There is much work to be done to fix the multiple crises the nation is confronted with – housing affordability, financial insecurity, gender inequality, and climate change. A sensible approach to population and immigration is needed to ensure living standards don’t go backwards. Migrants help us weather the demographic headwinds. Rather than use population for political gain, we need instead to harness the power of demography to solve our way out of the gigantic mess we’re in. The key is ensuring young people have a future worth living. <hr /> This is an edited extract from <a href="https://thamesandhudson.com.au/product/how-australian-democracy-works-and-why-we-need-it-more-than-ever/">How Australian Democracy Works</a>, a new collection of essays from The Conversation on all aspects of the country’s political landscape.<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/230409/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> By <a href="https://theconversation.com/profiles/liz-allen-10193">Liz Allen</a>, Demographer, POLIS Centre for Social Policy Research, <a href="https://theconversation.com/institutions/australian-national-university-877">Australian National University</a> 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/population-panic-how-demography-is-used-for-political-gain-230409">original article</a>. Image: Shutterstock </div>

Money & Banking

Grandparents arrested two years after toddler's disappearance

In a dramatic development nearly two years after the disappearance of two-year-old Émile Soleil, French prosecutors have arrested the child's grandparents on suspicion of murder. Émile vanished in July 2023 from the garden of his grandparents' home in Le Haut-Vernet, a small hamlet in the French Alps. His remains were discovered nine months later by a hiker near the village. According to a statement from the Aix-en-Provence public prosecutor, Émile's grandfather, Philippe Vedovini, and his wife, whose name was not disclosed, were taken into custody in La Bouilladisse. They face charges of "voluntary homicide" and "concealing a corpse". Two of their adult children have also been detained as part of the investigation. The disappearance of Émile captivated the nation, as extensive searches and rescue operations yielded no trace of the toddler. His parents, who were not present at the time, had publicly expressed hope for a miracle even months after he went missing. The case drew significant media attention, particularly focusing on Émile's grandfather. Reports from CNN affiliate BFMTV revealed that Vedovini had been questioned by police in the 1990s over allegations of violence and sexual assault at a private school, though investigators had previously not established a direct link between him and Émile's death. Earlier this month, forensic teams returned to Le Vernet, conducting thorough searches in multiple locations. The prosecutor confirmed that investigative operations remain active, with further developments anticipated as authorities continue their probe into the tragic case. As the investigation unfolds, the arrests mark a major breakthrough in one of France's most unsettling child disappearance cases, shedding new light on what may have led to Émile's untimely death. Images: Gendarmerie Nationale

Caring

How long will you live? New evidence says it’s much more about your choices than your genes

<div class="theconversation-article-body"> One of the most enduring questions humans have is how long we’re going to live. With this comes the question of how much of our lifespan is shaped by our environment and choices, and how much is predetermined by our genes. A study recently published in the prestigious journal <a href="https://www.nature.com/articles/s41591-024-03483-9">Nature Medicine</a> has attempted for the first time to quantify the relative contributions of our environment and lifestyle versus our genetics in how we age and how long we live. The findings were striking, suggesting our environment and lifestyle play a much greater role than our genes in determining our longevity. <h2>What the researchers did</h2> This study used data from the <a href="https://www.ukbiobank.ac.uk/">UK Biobank</a>, a large database in the United Kingdom that contains in-depth health and lifestyle data from roughly 500,000 people. The data available include genetic information, medical records, imaging and information about lifestyle. A separate part of the study used data from a subset of more than 45,000 participants whose blood samples underwent something called “<a href="https://www.nature.com/articles/s41576-022-00511-7">proteomic profiling</a>”. Proteomic profiling is a relatively new technique that looks at how proteins in the body change over time to identify a person’s age at a molecular level. By using this method researchers were able to estimate how quickly an individual’s body was actually ageing. This is called their biological age, as opposed to their chronological age (or years lived). The researchers assessed 164 environmental exposures as well as participants’ genetic markers for disease. Environmental exposures included lifestyle choices (for example, smoking, physical activity), social factors (for example, living conditions, household income, employment status) and early life factors, such as body weight in childhood. They then looked for associations between genetics and environment and 22 major age-related diseases (such as coronary artery disease and type 2 diabetes), mortality and biological ageing (as determined by the proteomic profiling). These analyses allowed the researchers to estimate the relative contributions of environmental factors and genetics to ageing and dying prematurely. <h2>What did they find?</h2> When it came to disease-related mortality, as we would expect, age and sex explained a significant amount (about half) of the variation in how long people lived. The key finding, however, was environmental factors collectively accounted for around 17% of the variation in lifespan, while genetic factors contributed less than 2%. This finding comes down very clearly on the nurture side in the “nature versus nurture” debate. It suggests environmental factors influence health and longevity to a far greater extent than genetics. Not unexpectedly, the study showed a different mix of environmental and genetic influences for different diseases. Environmental factors had the greatest impact on lung, heart and liver disease, while genetics played the biggest role in determining a person’s risk of breast, ovarian and prostate cancers, and dementia. The environmental factors that had the most influence on earlier death and biological ageing included smoking, socioeconomic status, physical activity levels and living conditions. Interestingly, being taller at age ten was found to be associated with a shorter lifespan. Although this may seem surprising, and the reasons are not entirely clear, this aligns with <a href="https://www.sciencedaily.com/releases/2014/05/140509110756.htm">previous research</a> finding taller people are more likely to die earlier. Carrying more weight at age ten and maternal smoking (if your mother smoked in late pregnancy or when you were a newborn) were also found to shorten lifespan. Probably the most surprising finding in this study was a lack of association between diet and markers of biological ageing, as determined by the proteomic profiling. This flies in the face of the extensive body of evidence showing the crucial role of <a href="https://www.nature.com/articles/s43016-023-00868-w">dietary patterns</a> in chronic disease risk and longevity. But there are a number of plausible explanations for this. The first could be a lack of statistical power in the part of the study looking at biological ageing. That is, the number of people studied may have been too small to allow the researchers to see the true impact of diet on ageing. Second, the dietary data in this study, which was self-reported and only measured at one time point, is likely to have been of relatively poor quality, limiting the researchers’ ability to see associations. And third, as the relationship between diet and longevity is likely to be complex, disentangling dietary effects from other lifestyle factors may be difficult. So despite this finding, it’s still safe to say the food we eat is one of the most important pillars of health and longevity. <h2>What other limitations do we need to consider?</h2> Key exposures (such as diet) in this study were only measured at a single point in time, and not tracked over time, introducing potential errors into the results. Also, as this was an observational study, we can’t assume associations found represent causal relationships. For example, just because living with a partner correlated with a longer lifespan, it doesn’t mean this caused a person to live longer. There may be other factors which explain this association. Finally, it’s possible this study may have underestimated the role of genetics in longevity. It’s important to recognise genetics and environment don’t operate in isolation. Rather, health outcomes are shaped by their interplay, and this study may not have fully captured the complexity of these interactions. <h2>The future is (largely) in your hands</h2> It’s worth noting there were a number of factors such as household income, home ownership and employment status associated with diseases of ageing in this study that are not necessarily within a person’s control. This highlights the crucial role of addressing the social determinants of health to ensure everyone has the best possible chance of living a long and healthy life. At the same time, the results offer an empowering message that longevity is largely shaped by the choices we make. This is great news, unless you have good genes and were hoping they would do the heavy lifting. Ultimately, the results of this study reinforce the notion that while we may inherit certain genetic risks, how we eat, move and engage with the world seems to be more important in determining how healthy we are and how long we live.<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/251054/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/hassan-vally-202904">Hassan Vally</a>, Associate Professor, Epidemiology, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> 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/how-long-will-you-live-new-evidence-says-its-much-more-about-your-choices-than-your-genes-251054">original article</a>. Image: Shutterstock </div>

Caring

Shock after baseball champion's 14-year-old son dies while on family holiday

The baseball world is grieving alongside former New York Yankees outfielder Brett Gardner and his family after the tragic and unexpected passing of his 14-year-old son, Miller. Miller Gardner died in his sleep on Friday, March 21, while on holiday with his family. According to a statement released by Brett and his wife, Jessica, through the Yankees organisation, Miller had fallen ill during the trip along with several relatives. The family did not disclose further details about the nature of the illness or their location at the time. “We have so many questions and so few answers at this point,” the grieving parents shared. “Miller was a beloved son and brother, and we cannot yet comprehend our life without his infectious smile.” Brett and Jessica, who also share an older son, Hunter, requested privacy as they mourn and seek healing. They described Miller as a vibrant and adventurous young boy who had a passion for football, baseball, golf, hunting and fishing. “He lived life to the fullest every single day,” they wrote, adding their gratitude to those who have offered condolences and support. They also extended their thoughts to other families who have suffered similar losses, saying, “We share their grief.” The Yankees, where Brett Gardner spent his entire 14-season Major League Baseball career, also released a heartfelt statement. They described Miller as having “a spark in his eyes, an outgoing and feisty personality, and a warm and loving nature.” “Words feel insignificant and insufficient in trying to describe such an unimaginable loss,” the team shared on social media. “It wasn’t just Brett who literally grew up in this organisation for more than 17 years – so did his wife, Jessica, and their two boys, Hunter and Miller.” <blockquote class="twitter-tweet"> Statement from Brett and Jessica Gardner: With heavy hearts we are saddened to announce the passing of our youngest son, Miller. He was 14 years old and has left us far too soon after falling ill along with several other family members while on vacation. We have so many… <a href="https://t.co/lBCBVmKGUe">pic.twitter.com/lBCBVmKGUe</a> — New York Yankees (@Yankees) <a href="https://twitter.com/Yankees/status/1903854341737386272?ref_src=twsrc%5Etfw">March 23, 2025</a></blockquote> Brett Gardner, now 41, was a key part of the Yankees’ 2009 World Series-winning team and became a fan favourite for his grit and dedication to the game. Messages of love and prayers continue to pour in, a testament to the impact Miller had on those who knew him and to the deep respect held for Brett and his family. Images: X (formerly Twitter)

Caring

Why do I grieve my childhood home so much now we’ve sold it?

<div class="theconversation-article-body"> Grief can hit us in powerful and unanticipated ways. You might expect to grieve a person, a pet or even a former version of yourself – but many people are surprised by the depth of sad yearning they can feel after selling the childhood home. In fact, it is <a href="https://link.springer.com/article/10.1007/s10615-018-0682-5">normal to grieve a place</a>. And this grief can be especially profound if it coincides with a parent dying or moving into residential aged care, leading to the sale of their house. Grief is the response to the loss of anything to which we have an emotional connection. A <a href="https://link.springer.com/article/10.1007/s10615-018-0682-5">growing body</a> of <a href="https://www.taylorfrancis.com/books/mono/10.4324/9780203860731/counting-losses-darcy-harris">research</a> is looking at how grief can extend to “non-person” losses such as infertility, loss of religion and, yes, the loss of a former home. <h2>Why would someone grieve a house?</h2> The childhood home can be an important place for many of us. It literally housed our formative development, family bonds, and core memories. Hopefully, the childhood home is where we learned about safety, security and love. It was likely surrounded by our neighbourhood, and close to important places such as school, playgrounds and friends’ houses. It is no wonder we grieve it when it’s gone. It’s normal to <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9781315126197-20/grieving-lost-home-marc-fried">grieve things we can’t see and touch</a> but are real and valued. Just as a <a href="https://doi.org/10.1002/pon.70031">serious diagnosis might trigger</a> grief for an imagined future for yourself, or an <a href="https://doi.org/10.1177/1049732314538550">identity</a> you once cherished, loss of a childhood home can hit us harder than we think. When you sell a once-beloved home, you don’t just lose the physical space. You also lose all of what that space might represent, such as birthday celebrations, Christmas lunches, sleepovers with friends or many happy hours playing in the garden. The childhood home often is a symbol of family connection and an anchor in the storm of life. Thinking of the home and all it represents can elicit nostalgia. In fact, the word “nostalgia” <a href="https://www.bps.org.uk/psychologist/nostalgia-cowbells-meaning-life">derives from the Greek</a> words nostos (return) and algos (pain). The word is rooted in the pain we often feel being away from home. And just as siblings are unique – each with different memories of and connections to their childhood home – their responses to its sale can differ markedly. It is normal if your sister or brother grieves the home in a different way to you – or maybe doesn’t even seem to grieve its loss at all. <h2>A complicated grief</h2> When a childhood home is sold because of the death of parents, the feelings of loss about the home are closely linked. The home being sold can be a type of secondary loss that sits in the periphery to the primary loss of parents. Grieving the deaths might, at first, take precedence over the loss of the home. It might only be later that the loss of the home and all it represents becomes apparent. Because the home provides a connection to the deceased person, the loss of the home might add another layer of grief about your parents. Perhaps you find that whenever you recall memories of mum or dad, they seem always to be at the house. It’s also normal if you feel immense <a href="https://link.springer.com/article/10.1007/s10615-018-0682-5">guilt</a> about grieving the home. People might chastise themselves for worrying about “silly things” and not grieving “enough” about the person who died. <a href="https://www.agingcare.com/questions/how-do-i-deal-with-the-guilt-of-selling-moms-house-481550.htm">Guilt about selling the home</a> can also be common. Not everyone has positive memories of their childhood home. Difficult family dynamics, maltreatment and abuse can complicate the emotional connection to childhood spaces and the grief response to their loss. In such cases, the loss of the childhood home can elicit grief about the loss of the childhood that could have – and should have – been. The loss of a home that was the site of discord can be even more challenging than for people with more idyllic childhood experiences. <h2>How can I cope with this loss?</h2> Grief from the loss of a childhood home is <a href="https://link.springer.com/article/10.1007/s10615-018-0682-5">real and valid</a>. We should recognise this and be kind to ourselves and others experiencing it. We shouldn’t minimise the loss or make fun of it. Usually, the loss is anticipated, and this allows you to take photos, furniture or mementos from the home or garden before you leave or sell. Grief researchers call these “<a href="https://www.sciencedirect.com/science/article/pii/S0010440X20300031">transitional</a> <a href="https://www.tandfonline.com/doi/abs/10.1080/13576270412331329812">objects</a>”. They may help you maintain a connection to what is lost, while still grieving the place. <a href="https://link.springer.com/article/10.1007/s10615-018-0682-5">Social support</a> while grieving is important. Some people share memories and photos of the home with their siblings, or derive comfort from driving by the home. Just be prepared for the possibility it will likely change as the new owners adapt it to their needs. You might feel affronted, but hopefully can eventually accept the property now belongs to someone else. Chat to your doctor if the loss is particularly difficult, and your grief doesn’t change and subside over time. They might be able to recommend a psychologist who specialises in grief. If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.<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/251058/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> By <a href="https://theconversation.com/profiles/lauren-breen-1142446">Lauren Breen</a>, Professor of Psychology, <a href="https://theconversation.com/institutions/curtin-university-873">Curtin University</a> 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/why-do-i-grieve-my-childhood-home-so-much-now-weve-sold-it-and-what-can-i-do-about-it-251058">original article</a>. Image: RDNE Stock project/Pexels </div>

Home & Garden

"It's not our way": Young Indigenous woman speaks out against Acknowledgment of Country

A young Indigenous woman has sparked controversy by criticising the Acknowledgement of Country, claiming the practice is 'made up' and not representative of Indigenous Australian culture. Kiescha Haines Jamieson was asked on social media whether the formal observation is an 'actual traditional practice' or a 'modern white saviour thing'. 'It is a made up protocol by Reconciliation Australia,' she claimed. 'It's not culture. It's not our way.' The Acknowledgement of Country is a relatively recent practice, emerging in the 1990s during what the Keating Government called 'the Reconciliation Decade'. It was formalised as part of efforts to improve Indigenous-state relations, with former Labor senator and Yawuru man Pat Dodson playing a key role in its establishment. 'The work of the Council for Aboriginal Reconciliation encouraged strangers to recognise country, then, as people got stronger, the welcome developed,' Dodson explained. The practice is distinct from a Welcome to Country, which is a ceremony performed by a traditional owner to formally welcome visitors to their land. Acknowledgement of Country, by contrast, is often delivered by non-Indigenous people or organisations to recognise traditional owners. Ms Jamieson argued that the practice has now been 'institutionalised to make people think that it is our culture'. Her comments resonated with some social media users, who agreed that the protocol was 'made up'. 'Finally someone with the guts to tell the truth,' one user wrote. However, others pushed back, arguing that acknowledging country has deep cultural significance for some Indigenous groups. 'It's a traditional thing for our mob, but not as grand as it's shown on TV,' one commenter noted. 'It's not really a welcome, it's more like a way to notify the spirits and ancestors that mob are travelling.' Another person added: 'You don't speak for all mobs and you don't speak for mine.' Yawarllaayi/Gomeroi elder Barbara Flick Nicol has previously stated that welcoming and acknowledging visitors has existed for thousands of years in Aboriginal and Torres Strait Islander communities. 'It's always been something that we did as a people, understanding and observing the fact that when you are in somebody else's country, that you acknowledge them,' she told NITV in 2020. Ms Flick Nicol said that formal acknowledgments began appearing in New South Wales after the landmark Mabo decision in 1992, with councils raising Aboriginal flags and formally recognising traditional owners at meetings and conferences. Former federal politician and Wiradjuri woman Linda Burney, who was involved in the Council for Aboriginal Reconciliation, defended the practice, saying it evolved organically. 'It wasn't strategised or planned. Once it got out to civic life it was something that people saw as an important way to tell the truth of the Australian story,' she said. Images: Instagram

Legal

Grief as European royal passes away at just 46

Archduchess Estelle de Saint-Romain of Austria has passed away at the age of 46. A statement published in Le Figaro's Carnet du Jour confirmed that Estelle Lapra de Saint-Romain, wife of Archduke Carl Christian of Austria, died on March 4, 2025. Her family laid her to rest at the Monastère de Cimiez in Nice, France, a week later. "Her husband, Archduke Carl Christian, their children, her parents, and her in-laws are deeply saddened to announce that Archduchess Estelle of Austria, née Lapra de Saint Romain, was called to God on Tuesday, March 4, 2025," the statement read in translation. The cause of death was not disclosed, though reports indicate she had previously been diagnosed with cancer. Born in 1979, Estelle married Carl Christian in 2007. He is the great-grandson of Emperor Charles I of Austria, the last ruler of the Austro-Hungarian Empire. Together, they had five children: Zita, 17, Anezka, 15, Anna, 12, Paola, 10, and Pier-Georgia, 4. The funeral service, attended by several European royals, took place at the historic Monastère de Cimiez. Among those in attendance were Belgium's Princess Astrid, Luxembourg's Princess Marie-Astrid, the Duke of Castro, and Ferdinand of Habsburg. Brother Antonio Basso led the ceremony, remembering Estelle for her "loving wisdom" and recalling how she and her family regularly attended Mass at the monastery. Despite the dissolution of the Austrian monarchy in 1918, the Habsburg family remains prominent in European society. Estelle and Carl Christian’s wedding in 2007 attracted significant attention, with crowds gathering to witness the event. Three hundred distinguished guests attended, including Princess Astrid, Liechtenstein’s Prince Gundakar, and Jean-Christophe, Prince Napoléon. Carl Christian, the eldest son of Archduke Rodolphe de Habsbourg-Lorraine and Archduchess Marie-Hélène, née Baroness de Villenfagne de Vogelsanck, is part of an extensive noble lineage. His cousin, Archduke Karl von Habsburg, is the current head of the Austrian Imperial House. Archduchess Estelle’s passing marks a great loss for the Habsburg family and the European aristocracy, as she is remembered for her grace, devotion, and dedication to her family and faith. Image: Instagram

Caring

Amid claims of abuse, neglect and poor standards, what is going wrong with childcare in Australia?

<div class="theconversation-article-body"> On Monday, an ABC’s Four Corners <a href="https://www.abc.net.au/news/2025-03-17/betrayal-of-trust/105063150">investigation</a> reported shocking cases of abuse and neglect in Australian childcare centres. This included examples of children being sexually abused, restrained for hours in high chairs, and fed nutritionally substandard meals such as pasta with ketchup. While acknowledging there are high-quality services operating in the community, the program also showed how centre-based childcare is big business, dominated by for-profit providers, who may not be meeting regulatory standards. What is going wrong with childcare in Australia? <h2>Differing levels of quality</h2> Data from Australia’s childcare regulator <a href="https://www.acecqa.gov.au/sites/default/files/2025-02/NQF%20Snapshot%20Q4%202024%20FINAL.pdf">consistently shows</a> for-profit childcare services are, on average, rated as <a href="https://www.acecqa.gov.au/sites/default/files/2021-02/NQFSnapshot_Q4_2020.pdf">lower quality</a> than not-for-profit services. Of those rated by regulators, 11% of for-profit long daycare centres are not meeting national minimum quality standards (they are just “working towards”). This compares with 7% of not-for-profit centres not meeting minimum standards. There are 13% of for-profit centres exceeding the standards, compared to 28% of not-for-profits. Inquiries suggest this divergence is due to staffing levels, qualifications and pay. In 2023, the Australian Competition and Consumer Commission (ACCC) <a href="https://www.accc.gov.au/inquiries-and-consultations/childcare-inquiry-2023/december-2023-final-report">found</a> large for-profit providers spend significantly less on staffing than not-for-profit providers. Large for-profit providers <a href="https://www.accc.gov.au/inquiries-and-consultations/childcare-inquiry-2023/september-2023-interim-report">have a higher proportion of part-time and casual staff</a> than not-for-profits. They also employ less experienced early childhood teachers. On top of this, they are more likely to use award rates of pay, which are typically lower than enterprise agreement rates. Lower pay and less job security is related to higher turnover of staff, which makes it <a href="https://theconversation.com/covid-chaos-has-shed-light-on-many-issues-in-the-australian-childcare-sector-here-are-4-of-them-174404">difficult for educators to establish and maintain</a> the trusting relationships with children and families that underpin high quality. Despite this, the federal government continues to support for-profit services through <a href="https://www.education.gov.au/early-childhood/providers/child-care-subsidy">childcare subsidies</a>. These subsidies are designed to help families with the costs of childcare. But they do not stop some providers increasing their fees. The ACCC <a href="https://www.accc.gov.au/media-release/changes-proposed-to-make-childcare-affordable-and-accessible-for-all-families">found a consistent pattern</a> of increased government subsidies leading to higher out-of-pocket expenses for families, due to subsequent fee increases. <h2>It hasn’t always been like this</h2> Childcare subsidies haven’t always worked in this way. “Operational subsidies” were introduced in 1972 through the historic <a href="https://classic.austlii.edu.au/au/legis/cth/consol_act/cca197275/">Child Care Act</a>, which set the precedent for Australian governments to fund childcare. This aimed to support women’s workforce participation through an expanded, high-quality childcare sector. Subsidies at the time were only available to not-for-profit services and required the employment of qualified staff, including teachers. In these ways, Commonwealth funding positioned childcare as a public good, like school education. Then, in 1991, federal government subsidies were extended to for-profit providers. This prompted dramatic changes in the childcare landscape, leading to a dominance of for-profit centres. Today, more than 70% of all long day-care centres are <a href="https://www.pc.gov.au/inquiries/completed/childhood/report/childhood-volume1-report.pdf">operated by private providers</a>. Between <a href="https://www.pc.gov.au/inquiries/completed/childhood/report/childhood-volume2-supporting.pdf">2013 and 2023</a>, the number of for-profit long daycare services jumped by 60%, while not-for-profits only grew by 4%. <h2>Quality concerns</h2> There are <a href="https://www.startingblocks.gov.au/large-providers">25 large long daycare providers</a> in Australia and of these, 21 are run for profit. Large for-profit providers impact sector quality in several ways. Many have disproportionately high numbers of staffing waivers, granted by regulators, permitting them to operate centres without the required number of qualified staff. According to unpublished research by Gabrielle Meagher, as of October 2024, 11 large for-profit providers held waivers for a quarter or more of their services and five held waivers for more than a third. This compares to 15% of the sector overall. Large for-profit providers also serve investors as well as families. So there are extra <a href="https://academic.oup.com/qje/article-abstract/112/4/1127/1911721">incentives to cut costs</a> and maximise profits. The dominance of for-profit providers also makes them <a href="https://www.cambridge.org/core/journals/world-politics/article/abs/institutional-sources-of-business-power/E9D9D945CB59843C4DF8CE4835350602">powerful players</a> in policy-making circles, as governments depend on them to provide an essential service. <h2>Why isn’t the system working?</h2> Given Australia has a <a href="https://www.acecqa.gov.au/national-quality-framework">regulatory and quality assurance system</a> for childcare services, why do we have these quality issues? As the Productivity Commission <a href="https://www.pc.gov.au/inquiries/completed/childhood/report/childhood-volume2-supporting.pdf">found</a>, regulators are under-resourced, and inspections are infrequent. Services that repeatedly fail to meet the minimum standards are still allowed to operate, sometimes for more than a decade. Services are notified about upcoming inspections, potentially giving them time to give a false impression of their quality and safety standards. As Four Corners highlighted, poor-quality services, with bad pay and working conditions are driving good educators away from the sector. <h2>What next?</h2> The Albanese government recently passed legislation to “guarantee” eligible families <a href="https://www.education.gov.au/newsroom/articles/3day-guarantee-legislation-passed#:%7E:text=The%203-day%20guarantee%20will,each%20week%20for%20each%20child">three days of subsidised childcare</a> per week from January 2026. But families need more than access. They also require a guarantee this childcare will be high-quality and keep children safe. Even without the extra spending on the three-day guarantee, government spending on childcare subsidies <a href="https://www.accc.gov.au/system/files/ACCC%20Childcare%20Inquiry-final%20report%20December%202023.pdf?ref=0&download=y">is due to reach nearly A$15 billion</a> by 2026–27. Thus there is also a corresponding duty to taxpayers to ensure these funds are going to high-quality providers. In the wake of the Four Corners report, the <a href="https://www.abc.net.au/listen/programs/worldtoday/childcare-wrap/105066270">Greens are calling</a> for a royal commission into childcare. But we do not need this level of inquiry to tell us the current system needs fundamental change. Stronger regulatory powers, while important, will not be enough on their own. High-quality services need well-educated and well-supported staff. They also need governance and leadership that value educators’ expertise and enable consistently high standards.<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/252493/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> By <a href="https://theconversation.com/profiles/gabrielle-meagher-594155">Gabrielle Meagher</a>, Professor Emerita, School of Society, Communication and Culture, <a href="https://theconversation.com/institutions/macquarie-university-1174">Macquarie University</a> and <a href="https://theconversation.com/profiles/marianne-fenech-228936">Marianne Fenech</a>, Professor, Early Childhood Governance, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> 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/amid-claims-of-abuse-neglect-and-poor-standards-what-is-going-wrong-with-childcare-in-australia-252493">original article</a>. Image: ABC </div>

After a century of Monday to Friday, could the 4-day week finally be coming to Australia?

<div class="theconversation-article-body">The reality of shorter working hours could be one step closer for many Australians, pending the outcome of the federal election. The Greens, who could control crucial cross bench votes in a hung parliament, have announced plans for a <a href="https://greens.org.au/news/media-release/greens-launch-4-day-work-week-election-policy">four-day</a> working week, with no loss of pay. They say the policy would alleviate stress and burn out, and increase women’s participation in the workforce. Earning the same money for fewer hours would appeal to most workers. But is it too good to be true? Could it really be rolled out cost free to all workplaces, especially to “client facing” companies and service providers? Or does research suggest the Greens could be onto something? <h2>The Greens’ plan</h2> The Greens’ policy would involve a new National Institute for the Four Day Work Week and a test case through the Fair Work Commission. A series of national trials would be set up in a number of different industries, whereby workers would work 80% of their normal hours, while maintaining 100% of their pay. According to Greens Senator Barbara Pocock, it’s a win-win for everyone: <blockquote> It can increase productivity, reduce absenteeism, improve recruitment and retention and give employees more time to manage their home life. This change will allow workers to create a working week that works for them. </blockquote> <h2>The 100:80:100 model</h2> The four-day work week being proposed in this instance is commonly regarded as the 100:80:100 model. It delivers 100% of the pay, for 80% of the hours, in <a href="https://www.4dayweek.com/news-posts/100-80-100-rule">return</a> for maintaining 100% of productivity. This is unlike other forms of shorter working weeks, which compress five days’ worth of work into four longer days. This obviously disadvantages some employees. Recent <a href="https://figshare.swinburne.edu.au/articles/report/Emerging_Four_Day_Work_Week_Trends_in_Australia_New_insights_based_on_interviews_with_Australian_firms_who_have_already_adopted_4DWW_arrangements_Preview_report_/26282311?file=47647063">research</a> conducted by Swinburne University of Technology involved interviews with ten Australian firms that have already adopted the 100:80:100 model. They were a mixture of small and medium sized private sector businesses, including management consulting firms, a shipping and logistics company, and recruitment and marketing agencies. The research underlined the potential for a range of positive outcomes for both employers and employees. Workers reported having better work-life balance, more time to complete “life administration” tasks, and more time to invest in hobbies, exercise, wellness and self-care. Bosses cited productivity gains, reduced sick days, and significant improvements in recruitment and retention rates. However, the 100:80:100 model is viewed with scepticism in some quarters. There is still doubt that productivity and output would be maintained, or in some cases improved, when workers are working one day fewer per week. Also, there could be costs associated with the implementation of this work model for front-line roles, such as retail, schools, hospitals and nursing homes. Additional workers may need to be hired, at extra expense, to cover the hours dropped by the existing workforce. <h2>100 years of working 5 days a week</h2> The year 2026 will mark the 100th anniversary of the five-day work week. It was car maker Henry Ford who <a href="https://teachingamericanhistory.org/document/henry-fords-five-day-week/">reduced</a> the working week in the United States from six days to five. Other sectors and countries followed suit. This was at a time when the average life expectancy of Australian workers was just 55 and households typically only had one bread-winner. Despite the time saved by the many technological breakthroughs in the past 100 years – from the photocopier, desktop computer and fax machine, to the internet, mobile phones and AI – the average Australian is now <a href="https://futurework.org.au/report/taking-up-the-right-to-disconnect-unsatisfactory-working-hours-and-unpaid-overtime/">working longer hours</a> in paid and unpaid labour than ever before. The Greens point out Australian society is changing. More women and carers are either in the workforce or would be encouraged into the workforce by more flexible arrangements: <blockquote> yet we are constrained by archaic labour laws that see the fruits of our efforts swallowed up in profits for bosses and shareholders. </blockquote> The role of generative AI technologies in the workplace may also deliver benefits to workers. Separate Swinburne <a href="https://figshare.swinburne.edu.au/articles/report/Generative_AI_at_work_Empowering_employee_mental_wellbeing/27252948">research</a> has revealed an increasing expectation among workers that they will receive a share in the time saved by future technologies in the form of improved work-life balance and wellbeing gains. <h2>Time to enter the 21st century</h2> Earlier this year, <a href="https://www.theguardian.com/money/2025/jan/27/two-hundred-uk-companies-sign-up-for-permanent-four-day-working-week">200 UK companies</a> signed up to the 100:80:100 model, as part of a campaign to “reinvent Britain’s working week”. Large scale trials are also underway in <a href="https://4dayweek.io/country/canada">Canada</a> and several <a href="https://www.euronews.com/next/2024/02/02/the-four-day-week-which-countries-have-embraced-it-and-how-s-it-going-so-far">European</a> countries. The global interest in a shorter working week is not surprising, and has likely been fuelled by the COVID pandemic, which has caused workers and employers to re-imagine their working lives. If the Greens are in a position to leverage any balance of power after the coming election, it could be Australia’s turn to recognise the conventional five-day working week is no longer fit for purpose.<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/252379/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> By <a href="https://theconversation.com/profiles/john-l-hopkins-255434">John L. Hopkins</a>, Associate Professor of Management, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a> 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/after-a-century-of-monday-to-friday-could-the-4-day-week-finally-be-coming-to-australia-252379">original article</a>. </div>

Money & Banking

Prince William shares deeply personal message over fallen war hero

Prince William has shared a deeply personal message in remembrance of John 'Paddy' Hemingway, the last surviving pilot from the Battle of Britain, who passed away on St Patrick's Day at the age of 105. The Prince of Wales, a former Royal Air Force (RAF) pilot himself, took to social media on Tuesday to express his condolences and gratitude for Hemingway’s service. "I was sad to hear about the passing of John 'Paddy' Hemingway this morning, the last of 'The Few'," the 42-year-old royal wrote on X, the platform formerly known as Twitter. "We owe so much to Paddy and his generation for our freedoms today. Their bravery and sacrifice will always be remembered. We shall never forget them." Hemingway, born in Dublin, Ireland, in 1919, joined the RAF as a teenager and became one of the young airmen who defended Britain during the pivotal 1940 Battle of Britain. These pilots, immortalised as "The Few" following a famous speech by then-Prime Minister Winston Churchill, played a crucial role in thwarting the German air offensive during World War II. Churchill’s words – "Never in the field of human conflict was so much owed by so many to so few" – have since become a testament to the bravery and sacrifice of Hemingway and his fellow pilots. <blockquote class="twitter-tweet"> I was sad to hear about the passing of John ‘Paddy’ Hemingway this morning, the last of “The Few”. We owe so much to Paddy and his generation for our freedoms today. Their bravery and sacrifice will always be remembered. We shall never forget them. W — The Prince and Princess of Wales (@KensingtonRoyal) <a href="https://twitter.com/KensingtonRoyal/status/1901914010863202506?ref_src=twsrc%5Etfw">March 18, 2025</a></blockquote> Current Prime Minister Keir Starmer also paid tribute to Hemingway, acknowledging his extraordinary courage and contribution to securing the nation's freedom. "Very sad to hear of the passing of Group Captain John 'Paddy' Hemingway, the last known Battle of Britain pilot," Starmer wrote on X. "His courage, and that of all RAF pilots, helped end WWII and secure our freedom. We will never forget their bravery and service. Thank you, John 'Paddy' Hemingway." King Charles has yet to make a public statement, but RAF Air Chief Marshal Sir Rich Knighton honoured Hemingway’s remarkable legacy, remembering him as "an amazing character" who carried the spirit of camaraderie and bravery throughout his life. "Paddy always had a twinkle in his eyes as he recalled the fun times with colleagues in France and London," the RAF said in a statement announcing his passing. Hemingway’s passing marks the end of an era, but his service and sacrifice will live on in history. As the last of 'The Few', he leaves behind a legacy of courage that will continue to inspire generations to come. Images: Instagram \ Royal Airforce

Caring

"Frankly, it's pathetic": The Project hosts lash out at wombat snatcher

The hosts of The Project have lashed out at US hunting influencer Sam Jones after she pulled out of a scheduled interview at the last minute. Jones, <a href="https://www.oversixty.com.au/finance/legal/wombatgate-explodes" target="_blank" rel="noopener">who sparked outrage</a> by snatching a baby wombat from its mother and sharing a video of the incident with her 92,000 Instagram followers, has faced further condemnation for her recent actions. Jones was set to appear on The Project on Sunday night to answer tough questions from the panel but instead opted to provide a pre-recorded video statement. The decision did not sit well with host Hamish Macdonald, who described it as "pathetic". <a href="https://www.oversixty.com.au/lifestyle/family-pets/outrage-should-not-be-selective-wombat-snatcher-speaks-out" target="_blank" rel="noopener">In her video message</a>, Jones apologised for her actions but also took aim at the Australian government for allowing farmers to kill wombats. "It was an incredible mistake, and there hasn't been a moment I haven't regretted it," she stated. However, she then shifted the blame, saying, "The same government that is calling for my head is the one that spends millions of your tax dollars to mass slaughter native Australian animals." Jones later posted a statement on Instagram about the controversy. Addressing the audience, Hamish Macdonald said, "I think we probably just need to be totally straight and honest with you at home, we were all here earlier this afternoon to do an interview with her and ask her questions, but she pulled out of that and instead provided that video statement. I think, frankly, it's pathetic, given what's happened." He continued, "Obviously, no one condones violence or threats of violence or any of the things that have been thrown her way, but honestly, to say you're 'genuinely sorry' but not be willing to explain yourself, and then point the finger at the Australian government – I think it's pretty lousy." Co-host Sarah Harris then chimed in, saying, "I think the infuriating stuff came in her apology afterwards, where she said, 'Oh you know, the Australian government allows the slaughter of wombats.' It's just not true. We know that wombats are protected here." Harris pointed out that offenders harming a wombat could face fines of up to $40,000 and two years in prison. Macdonald then doubled down on his criticism, calling Jones' statement "riddled with misinformation". He added, "This is typical of influencers. They only want to make their own statements to the world, with no responsibility or accountability. The reality is, there's been a strong public response because Australians are proud of their wildlife and the incredible nature that we have." Following Jones' decision to cancel her interview, viewers of The Project quickly took to social media to voice their disapproval. One Facebook user wrote, "Sounds like, 'Sorry, not sorry'." Another commented, "She is only sorry she got caught," while a third remarked, "Typical American turning this whole wombat episode into an Australian political error. She needs to get her FACTS straight." Jones has yet to respond to the fresh wave of criticism, but the backlash against her actions and response shows no signs of dying down. Images: Instagram / The Project

I’m avoiding a hearing test because I don’t want chunky hearing aids. What are my options?

<div class="theconversation-article-body"><a href="https://www.health.gov.au/hearing-health/resources/publications/one-in-six-australians-experience-hearing-loss-poster-0?language=en">One in six Australians</a> have hearing loss and, for most adults, hearing starts to decline from <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0107720">middle age onwards</a>. Many of us, however, hesitate to seek help or testing for our hearing. Perhaps you’re afraid you’ll be told to wear hearing aids, and envision the large and bulky hearing aids you might have seen on your grandparents decades ago. In fact, hearing aids have changed a lot since then. They’re often now very small; some are barely noticeable. And hearing aids aren’t the only option available for people experiencing hearing loss. <h2>Why you shouldn’t ignore hearing loss</h2> Acquired hearing loss can have a serious impact on our life. It is <a href="https://journals.sagepub.com/doi/10.1177/2331216517734088">associated</a> with or can <a href="https://pubmed.ncbi.nlm.nih.gov/29222544/">contribute</a> to: <ul> <li>social isolation</li> <li>loneliness</li> <li>not being able to work as much, or at all</li> <li>memory problems</li> <li>trouble thinking clearly</li> <li>conditions such as dementia.</li> </ul> Hearing loss has also been associated with depression, anxiety and stress. A <a href="https://academic.oup.com/gerontologist/article-abstract/60/3/e137/5369884?redirectedFrom=fulltext">systematic review and meta-analysis</a> found adults with hearing loss are 1.5 times more likely to experience depression than those without hearing loss. A <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768374">large population study</a> in the US found self-reported hearing loss was associated with: <ul> <li>higher levels of psychological distress</li> <li>increased use of antidepressant and anti-anxiety medications, and</li> <li>greater utilisation of mental health services.</li> </ul> The good news is that doing something about your hearing loss can help you live a <a href="https://pubmed.ncbi.nlm.nih.gov/36385406/">happier</a> and <a href="https://www.thelancet.com/journals/lanhl/article/PIIS2666-7568(23)00232-5/fulltext">longer</a> life. <h2>So why don’t people get their hearing checked?</h2> <a href="https://pubmed.ncbi.nlm.nih.gov/17927921/">Research</a> has found adults with hearing loss typically wait ten years to seek help for their hearing. Less than a quarter of those who need hearing aids actually go ahead with them. Hearing declines slowly, so people may perceive their hearing difficulties <a href="https://www.tandfonline.com/doi/full/10.3109/14992027.2013.839888">aren’t concerning</a>. They may feel they’re now used to not being able to hear properly, without fully appreciating the impact it’s having on their life. Some people harbour <a href="https://www.tandfonline.com/doi/full/10.3109/14992027.2013.839888">negative attitudes to hearing aids</a> or don’t think they’ll actually help. Others may have overheard their <a href="https://www.tandfonline.com/doi/full/10.3109/14992027.2013.839888">partner, family or friends</a> say negative things or make jokes about hearing aids, which can put people off getting their hearing checked. <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2293651">Stigma</a> can play a big part. People often associate hearing loss with <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2353862">negative stereotypes</a> such as ageing, weakness and “being different”. Our recent <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2024.2446480">research</a> found that around one in four people never tell anyone about their hearing loss because of experiences of stigma. Adults with hearing loss who experience stigma and choose not to disclose their hearing loss were also likely not to go ahead with hearing aids, we found. <h2>What are my options for helping my hearing?</h2> The first step in helping your hearing is to have a hearing check with a hearing care professional such as an an audiologist. You can also speak to your GP. If you’ve got hearing loss, hearing aids aren’t the only option. Others include: <ul> <li>other assistive listening devices (such as amplified phones, personal amplifiers and TV headphones)</li> <li>doing a short course or program (such as the <a href="https://shrs.uq.edu.au/active-communication-education-ace">Active Communication Education program</a> developed via University of Queensland researchers) aimed at giving you strategies to manage your hearing, for instance, in noisy environments</li> <li>monitoring your hearing with regular checkups</li> <li>strategies for protecting your hearing in future (such as wearing earplugs or earmuffs in loud environments, and not having headphone speakers too loud)</li> <li>a cochlear implant (if hearing loss is severe)</li> </ul> Hearing care professionals should take a <a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2190864">holistic approach</a> to hearing rehabilitation. That means coming up with individualised solutions based on your preferences and circumstances. <h2>What are modern hearing aids like?</h2> If you do need hearing aids, it’s worth knowing there are several different types. All modern hearing aids are extremely small and discrete. Some sit behind your ear, while others sit within your ear. Some look the same as air pods. Some are even completely invisible. These hearing aids are custom fitted to sit deep within your ear canal and contain no external tubes and wires. Some types of hearing aids are more expensive than others, but even the basic styles are discrete. In Australia, children and many adults are eligible for <a href="https://www.health.gov.au/our-work/hearing-services-program/accessing/eligibility">free or subsidised hearing services</a> and many health funds offer hearing aid rebates as part of their extras cover. Despite being small, modern hearing aids have advanced technology including the ability to: <ul> <li>reduce background noise</li> <li>direct microphones to where sound is coming from (directional microphones)</li> <li>use Bluetooth so you can hear audio from your phone, TV and other devices directly in your hearing aids.</li> </ul> When used with a smartphone, some hearing aids can even track your health, detect if you have fallen, and translate languages in real time. <h2>What should I do next?</h2> If you think you might be having hearing difficulties or are curious about the status of your hearing, then it’s a good idea to get a hearing check. The earlier you do something about your hearing, the greater the likelihood that you can prevent further hearing decline and reduce other health risks. And rest assured, there’s a suitable option for everyone.<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/250925/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> By <a href="https://theconversation.com/profiles/katie-ekberg-1534998">Katie Ekberg</a>, Senior Lecturer, College of Nursing and Health Sciences, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a> and <a href="https://theconversation.com/profiles/barbra-timmer-1199057">Barbra Timmer</a>, Senior Lecturer and Researcher in Audiology, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a> 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/im-avoiding-a-hearing-test-because-i-dont-want-chunky-hearing-aids-what-are-my-options-250925">original article</a>. Image: Getty </div>

Hearing

Tragic cause of death of 6-year-old Airlie Montgomery revealed

The tragic cause of death of six-year-old Airlie Montgomery, who went missing on Sunday afternoon, has been revealed, with authorities believing she likely died from "misadventure" after a desperate search ended in heartbreak. Airlie, who was autistic and non-verbal, was found in the Shoalhaven River at the base of a nature reserve near The Grotto, a popular cliff-top hiking trail on the New South Wales south coast in North Nowra. She had wandered away from her family home earlier that afternoon, prompting an urgent search effort that concluded when her body was discovered just after 6pm. NSW Police have stated that there are no suspicious circumstances surrounding Airlie’s death, and it is being treated as an unfortunate accident. Her tragic loss has left the local community devastated, with Shoalhaven Mayor Patricia White describing Nowra as a “town in mourning”. “Words cannot describe how horrible this is,” Mayor White told The Daily Telegraph. “It’s an absolute tragedy.” Neighbours and community members, many of whom participated in the frantic search for Airlie, are struggling to come to terms with the heartbreaking outcome. Cathy, a neighbour of the grieving family and the last person to see Airlie alive, recalled her as a joyful child who often played near her parents’ home. “She was a lovely little thing, non-verbal, but a happy girl always smiling and blowing kisses when she saw you,” Cathy shared with Daily Mail Australia. “Except yesterday she was crying, no one knows why… and then I didn’t see her. She must have gone over the edge above The Grotto.” Airlie’s father, Corey Montgomery, visited North Nowra Public School on Monday to collect his daughter’s belongings, leaving with a bunch of pink flowers in her memory. Her mother, Katie Amess, was too distraught to speak, receiving support from neighbours in the wake of the tragedy. The NSW Department of Education expressed its condolences in a statement, saying it was “deeply saddened” by Airlie’s death. “Our thoughts are with the family and all those affected,” the statement read. “We are providing support to students and staff and will continue to do so for as long as it is needed.” Authorities have confirmed that a report will be prepared for the coroner to determine the exact circumstances of Airlie’s death. As the community mourns, tributes continue to flow for the young girl whose life was tragically cut short. Images: NSW Police

Caring

Tragic end in search for missing six-year-old

A desperate search for a missing six-year-old girl in southern New South Wales ended in tragedy on Sunday after authorities discovered a body in bushland. Airlie Montgomery was reported missing in North Nowra at around 2:15 pm, prompting an urgent police appeal for public assistance. Given her young age and medical conditions, authorities expressed grave concerns for her welfare. The little girl was last seen wearing a hot pink jumpsuit and no shoes, and police launched an extensive search operation to locate her. However, later that afternoon, a body was found in nearby bushland. While formal identification is yet to be completed, police believe the body belongs to the missing child. An investigation into the circumstances surrounding her disappearance and death is now underway. NSW Police confirmed that a report will be prepared for the coroner as part of the ongoing inquiry. More details are expected to emerge as the investigation continues. Images: NSW Police

Caring

An artificial heart may save your life. But it can also change you in surprising ways

<div class="theconversation-article-body"> This week, <a href="https://www.theguardian.com/australia-news/2025/mar/12/australian-man-survives-100-days-with-artificial-heart-in-world-first-success">doctors announced</a> that an Australian man with severe heart failure had left hospital with an artificial heart that had kept him alive until he could receive a donor heart. The patient, a man from New South Wales in his 40s, was not the world’s first person to receive this type of artificial heart. However, he is <a href="https://www.svhs.org.au/newsroom/news/australia-first-total-artificial-heart-implant">said to be</a> the <a href="https://www.monash.edu/news/articles/australias-first-durable-total-artificial-heart-implant-announced-as-a-success">first with one to be discharged from hospital</a> to wait for a heart transplant, which he’s since had. <blockquote class="twitter-tweet"> WARNING: GRAPHIC CONTENT This machine has enabled an Australian man with severe heart failure to be the first person in the world to leave hospital with an artificial heart transplant <a href="https://t.co/6S12mINwBm">pic.twitter.com/6S12mINwBm</a> — Reuters (@Reuters) <a href="https://twitter.com/Reuters/status/1899862954155126824?ref_src=twsrc%5Etfw">March 12, 2025</a></blockquote> I am a philosopher and bioethicist. I <a href="https://bridges.monash.edu/articles/thesis/Phenomenology_and_Artificial_Hearts/22312204">completed my PhD</a> on artificial hearts – particularly how these implants can change people’s lives in profound ways. Here’s what patients and their families need to consider. <h2>What is an artificial heart?</h2> Artificial hearts began to be developed in the 1960s, sponsored by the United States government and funded in a similar way to space and military programs. In 1982, a man named <a href="https://www.historynewsnetwork.org/article/hero-or-victim-the-25th-anniversary-of-barney-clar">Barney Clark</a> received the Jarvik-7 total artificial heart. Doctors removed his failing biological heart and replaced it with a plastic and metal device to circulate blood to his lungs and around his body. He lived for 112 days before dying from multi-organ failure. He never left hospital. In the 1980s and 1990s, medical device companies began to develop alternatives to total artificial hearts. These partial artificial hearts, known as ventricular assist devices, help out a biological heart by supplementing or replacing one of its two pumping chambers. These are more straightforward and versatile than total artificial hearts, and can be used for earlier stages of heart failure. Not all artificial hearts generate a pulse. Artificial hearts with a pulse generally mimic the biological heart. They pump blood in the same way the heart beats, by filling with blood and squeezing to circulate blood in waves or pulses. But some devices continuously push blood around the body instead of pulsing. So with these continuous-flow devices neither the patient nor their health team can <a href="https://link.springer.com/article/10.1007/s11906-017-0782-6">detect a pulse</a>. <a href="https://linkinghub.elsevier.com/retrieve/pii/S0003497524008749">In the US between 2014 and 2024</a>, almost 30,000 patients received continuous-flow ventricular assist devices. In the same period, more than 310 total artificial hearts were implanted. The total artificial hearts <a href="https://www.syncardia.com/syncardia-total-artificial-heart-stah.html">commercially</a> <a href="https://www.carmatsa.com/en/our_product/">available</a> today are licensed exclusively as bridging therapies – to keep people alive until a donor heart becomes available – rather than permanent implants. <h2>How about the device making news this week?</h2> The device in the news – the <a href="https://www.monash.edu/news/articles/australias-first-durable-total-artificial-heart-implant-announced-as-a-success">BiVACOR Total Artificial Heart</a> – was developed by a US-Australian collaboration. This device is innovative, mainly because it is the first continuous-flow device designed to replace the whole heart. Designers are also aiming for it to be the first total artificial heart suitable as a permanent transplant (known as destination therapy). A reliable, durable and responsive total artificial heart is, <a href="https://www.abc.net.au/news/2025-03-12/sydney-hospital-artificial-heart-implant-operation-success/105036154">in the words</a> of Paul Jansz, the surgeon who implanted the device, “the Holy Grail”. The BiVACOR’s clinical success so far gives us reason to be optimistic about an alternative to scarce donor hearts for responding to severe heart failure. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&rect=12%2C12%2C8231%2C5475&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&rect=12%2C12%2C8231%2C5475&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/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Hand holding the BiVACOR artificial heart" /></a><figcaption>This device is designed to replace the whole heart, and for now, is licensed as a temporary implant, ahead of a heart transplant. BiVACOR TIQ</figcaption></figure> <h2>Transplants can change lives</h2> However, patients do not just resume their old lives when they leave hospital with an artificial heart. While the pumping component is inside their chest, there are also <a href="https://www.instagram.com/p/BHW0ATvgFDu/?hl=en">external components</a> to manage and monitor. A thick tube perforates their abdomen and connects to an external controller unit and power supply, which the patient carries around in a bag. Controllers must be closely monitored, and batteries must be regularly recharged. My research showed that even a perfectly safe and reliable total artificial heart could transform patients’ lives in at least three major areas. 1. Is it part of me? Do I trust it? Patients must <a href="https://www.tandfonline.com/doi/10.1080/09638288.2020.1717648">trust, tolerate and receive sensory feedback about how the device is working</a> for it to feel like part of them. In the case of an artificial heart, this might mean the device feels responsive to exercise and the body’s needs. But it may be difficult for artificial hearts to meet these criteria, especially for devices that do not generate a pulse. Patients may also question whether their heart is located in their body, or in the controller unit. They may wonder if they even have a heart, particularly if they can’t feel a pulse. 2. Beeps and alarms An artificial heart also changes how patients live their lives and <a href="https://link.springer.com/article/10.1007/s11097-024-10050-7">navigate the world</a>. Interruptions from <a href="https://journals.sagepub.com/doi/10.1177/1049732317700853">loud device alarms</a> distract patients from their normal activities. And patients must switch between mains power and batteries when they <a href="https://linkinghub.elsevier.com/retrieve/pii/S0147956311002718">wake in the night and need to visit the toilet</a>. 3. Marking time Our hearts may be our <a href="https://www.frontiersin.org/journals/neurorobotics/articles/10.3389/fnbot.2014.00015/full">natural</a> <a href="https://linkinghub.elsevier.com/retrieve/pii/S0301051111000032">metronomes</a>, marking time. So removing someone’s heart rhythm can confuse their sense of time. The need for batteries to be recharged periodically can also reshape patients’ days. Waiting around for a transplant heart, or the latest software update, may change patients’ perspectives on what months and years feel like. <h2>We need to give patients the whole picture</h2> Artificial hearts are remarkable devices with great promise. But patients and families also deserve to know how these extraordinary treatments might change how they feel about themselves and the world. They need to know this before they sign up for them. Artificial hearts don’t just save lives – they also change them.<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/252165/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> By <a href="https://theconversation.com/profiles/pat-mcconville-2344684">Pat McConville</a>, Lecturer in Ethics, Law, and Professionalism, School of Medicine, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> 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/an-artificial-heart-may-save-your-life-but-it-can-also-change-you-in-surprising-ways-252165">original article</a>. Image: Shutterstock </div>

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