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Big changes are planned for aged care in 2025

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

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Our ancestors didn’t eat 3 meals a day. So why do we?

<div class="theconversation-article-body"> <p>Pop quiz: name the world’s most famous trio? If you’re a foodie, then your answer might have been breakfast, lunch and dinner. It’s an almost universally accepted trinity – particularly in the Western world.</p> <p>But how did it come about?</p> <h2>The first meals</h2> <p><a href="https://theconversation.com/when-did-we-become-fully-human-what-fossils-and-dna-tell-us-about-the-evolution-of-modern-intelligence-143717#:%7E:text=Fossils%20and%20DNA%20suggest%20people,%3A%2050%2C000%2D65%2C000%20years%20ago">Early humans</a> were nomadic. Forming small communities, they would travel with the seasons, following local food sources.</p> <p>While we can only guess what daily mealtimes rhythms looked like, evidence dating back <a href="https://global.oup.com/academic/product/feast-9780199209019?cc=nz&lang=en&">30,000 years</a> from the South Moravia region, Czech Republic, shows people visited specific settlements time and again. They gathered around hearths, cooking and sharing food: the first signs of human “commensality”, the practice of eating together.</p> <p>One of the best-preserved hunter-gatherer sites we’ve found is <a href="https://global.oup.com/academic/product/feast-9780199209019?cc=nz&lang=en&">Ohalo II</a> – located on the shores of the modern-day Sea of Galilee (also called Lake Tiberias or Lake Kinneret) in Israel, and dating back some 23,000 years.</p> <p>In addition to several small dwellings with hearths, it provides evidence of diverse food sources, including more than 140 types of seeds and nuts, and various birds, fish and mammals.</p> <p>The development of <a href="https://education.nationalgeographic.org/resource/development-agriculture/">agricultural knowledge</a> some 12,000 years ago gave rise to permanent settlements. The earliest were in the Levant region (across modern-day Iraq, southwestern Iran and eastern Turkey), in an area called the “Fertile Crescent”.</p> <p>Permanent agriculture led to the production of a <a href="https://www.nationalgeographic.com/foodfeatures/evolution-of-diet/">surplus of food</a>. The ability to stay in one place with food on-hand meant the time it took to cook no longer mattered as much.</p> <p>It quickly became common to eat one <a href="https://www.bloomsbury.com/us/history-of-the-world-in-6-glasses-9780802718594/">light meal</a> early in the day, followed by a larger <a href="https://global.oup.com/academic/product/feast-9780199209019?cc=nz&lang=en&">hearth-prepared meal</a> later on. The specific timings would have varied between groups.</p> <h2>Eating together as a rule</h2> <p>The communal nature of foraging and hunting, and later farming, meant humans almost always ate their meals in the <a href="https://doi.org/10.1525/gfc.2009.9.3.42">company of others</a>. In the ancient city-state of Sparta, in the <a href="https://doi.org/10.2307/293895">4th century BCE</a>, these practices were codified as common main meals called <a href="https://doi.org/10.1525/gfc.2017.17.2.51"><em>syssitia</em></a> (meaning “eating together”).</p> <p>These meals were consumed at the end of the day in communal dining halls. Food was served by young boys to tables of 15 or so men who lived together and fought in the same <a href="https://www.perseus.tufts.edu/hopper/text?doc=Perseus%3Atext%3A1999.04.0063%3Aalphabetic+letter%3DS%3Aentry+group%3D5%3Aentry%3Dsyssitia-cn">military division</a>. The men gradually shared generational knowledge with the young boys, who themselves would join the tables by age 20.</p> <p>In the 5th century BCE, Greek historian Herodotus <a href="https://www.penguin.co.nz/books/the-histories-9780140455397">wrote about</a> how <em>syssitia</em> evolved from a Spartan military practice to having deep political meaning in society. Similarly, <a href="https://www.penguin.co.nz/books/the-republic-9780140455113">Plato</a> <a href="https://www.penguin.co.nz/books/the-laws-9780140449846">wrote</a> common meals were an integral component of civil society, and that missing a meal without good reason was a civic offence.</p> <p>By dining in <a href="https://doi.org/10.2307/293895">full view</a> of the rest of society, citizens were compelled to maintain self-discipline. Mealtime was also an opportunity for social linkage, and <a href="https://doi.org/10.1525/gfc.2017.17.2.51">important discussions</a> ranging from business deals to politics.</p> <p>The eating habits of Spartan women are missing in the texts, although it is implied they <a href="https://doi.org/10.1525/gfc.2017.17.2.51">ate at home</a>.</p> <h2>Bunches of lunches</h2> <p>Counter to the tough Spartan way of life, the Romans enjoyed their main meal, <a href="https://www.press.jhu.edu/books/title/1550/everyday-life-ancient-rome?srsltid=AfmBOooVPsJL24HR9woTdVNQwEG1uCU7q0k7r2beD-KD13m0KX-l1dSY"><em>cena</em></a>, earlier in the day, followed by a lighter meal just before bed.</p> <p>The northern European tribes tended towards two larger meals per day, as more <a href="https://doi.org/10.1002/ajpa.23071">sustenance</a> is required in colder climes. To the Vikings, these meals were known as <a href="https://www.historyonthenet.com/what-did-vikings-eat"><em>dagmal</em> and <em>nattmal</em></a>, or day meal and night meal. <em>Nattmal</em> was the cooked evening meal, while <em>dagmal</em> usually consisted of leftover <em>nattmal</em> with the addition of bread and beer or mead.</p> <p>In Australia, evidence suggests Aboriginal peoples tended toward a <a href="https://www.tandfonline.com/doi/full/10.1080/03122417.2022.2089395">daily single meal</a>, which aligns with the predominant method of cookery: slow-cooking with hot coals or rocks in an <a href="https://doi.org/10.1080/03122417.2022.2089395">earth oven</a>. This underground oven, used by Aboriginal and also Torres Strait Islander communities, was referred to as a <a href="https://www.facebook.com/watch/?v=745326709638881&t=0"><em>kup murri</em></a> or <a href="https://www.sbs.com.au/food/the-cook-up-with-adam-liaw/recipe/slow-cooker-kap-mauri/lfza7eqs4"><em>kap mauri</em></a> by some groups.</p> <p>This is similar to other Indigenous preparations throughout the Pacific, such as the New Zealand Māori <a href="https://doi.org/10.1080/15528014.2024.2381305"><em>hāngī</em></a>, Hawaiian <a href="https://www.jstor.org/stable/20707103?seq=1"><em>imu</em></a>, Fijian <a href="https://www.proquest.com/docview/1021389307?accountid=8440&parentSessionId=605Pt1iTclBEC77VSlZvrnxxY%2Bdc7e%2Bx9pT4MgRLPqQ%3D&sourcetype=Dissertations%20&%20Theses"><em>lovo</em></a>, and even the Mayan <a href="https://doi.org/10.1007/s12231-012-9207-2"><em>píib</em></a>.</p> <p>The once-daily meal would have been supplemented with snacks throughout the day.</p> <h2>Three’s the magic number</h2> <p>The timing of meals was heavily influenced by class structure, local climate and people’s <a href="https://www.wiley.com/en-us/Cuisine+and+Culture%3A+A+History+of+Food+and+People%2C+3rd+Edition-p-9780470403716">daily activities</a>. Practicality also played a part. Without reliable lighting, meals had to be prepared and eaten before dark. In settled parts of Northern Europe, this could be as early as 3pm.</p> <p>So how did we go from one or two main meals, to three? The answer may lie with the British Royal Navy.</p> <p>Since its inception in the 16th century, the navy served <a href="https://www.historyhit.com/what-did-sailors-in-the-georgian-royal-navy-eat/">three regular meals</a> to align with the shipboard routine. This included a simple breakfast of ship’s biscuits, lunch as the main meal, and dinner as more of a light supper.</p> <p>Some sources suggest the term “<a href="https://www.grammar-monster.com/sayings_proverbs/square_meal.htm">square meal</a>” may have come from the square wooden trays meals were served in.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?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/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=600&h=455&fit=crop&dpr=1 600w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=600&h=455&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=600&h=455&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=45&auto=format&w=754&h=572&fit=crop&dpr=1 754w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=30&auto=format&w=754&h=572&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/660040/original/file-20250407-56-xgt2pm.jpg?ixlib=rb-4.1.0&q=15&auto=format&w=754&h=572&fit=crop&dpr=3 2262w" alt="" /></a><figcaption><span class="caption">Initially, sailors recieved a daily gallon of beer with meals. This was later changed to watered-down rum, the infamous ‘grog’, which is being handed out in this 1940 photo taken aboard HMS King George V.</span> <span class="attribution"><a class="source" href="https://www.iwm.org.uk/collections/item/object/205185139">Imperial War Museums</a>, <a class="license" href="http://creativecommons.org/licenses/by-nc/4.0/">CC BY-NC</a></span></figcaption></figure> <p>The <a href="https://www.bbc.com/news/magazine-20243692">Industrial Revolution</a>, which started around 1760, arguably also played a role in formalising the concept of three specific mealtimes across the Western world.</p> <p>The cadence of breakfast, lunch and dinner matched the routine of the longer, standardised workdays. Workers ate breakfast and dinner at home, before and after work, while lunch was eaten with coworkers at a set time.</p> <p>With minimal breaks, and no time for snacking, three substantial meals became necessary.</p> <h2>The fall of the holy trinity</h2> <p>Today, many factors impact the <a href="https://doi.org/10.1016/j.cmet.2015.09.005">time and frequency</a> of our meals, from long work commutes to juggling hobbies and social obligations.</p> <p>The COVID pandemic also impacted how and what we eat, leading us to eat larger amounts of <a href="https://doi.org/10.1016/j.jhealeco.2022.102641">higher calorie foods</a>. The rapid growth of <a href="https://doi.org/10.1017/S1368980020000701">delivery services</a> also means a meal is no more than a few minutes away from most people.</p> <p>All of this has resulted in mealtimes becoming less rigid, with social meals such as <a href="https://rowman.com/ISBN/9781442229433/Brunch-A-History">brunch</a>, <a href="https://www.harpercollins.co.nz/9780261102354/the-fellowship-of-the-ring/">elevenses</a> and <a href="https://rowman.com/ISBN/9781442271029/Afternoon-Tea-A-History">afternoon teas</a> expanding how we <a href="https://doi.org/10.3390/ijerph18126235">connect over food</a>. And mealtimes will continue to <a href="https://doi.org/10.1525/gfc.2013.13.3.32">evolve</a> as our schedules become ever more complicated.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/250773/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/rob-richardson-2328981">Rob Richardson</a>, Senior Lecturer in Culinary Arts & Gastronomy, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a> and <a href="https://theconversation.com/profiles/dianne-ma-2331997">Dianne Ma</a>, Lecturer in Culinary Arts & Gastronomy, <a href="https://theconversation.com/institutions/auckland-university-of-technology-1137">Auckland University of Technology</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/our-ancestors-didnt-eat-3-meals-a-day-so-why-do-we-250773">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Food & Wine

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"It must be love!": Charles and Camilla mark wedding anniversary with sweet video

<p>April 9 marked a special milestone for King Charles and Queen Camilla as they celebrate their 20th wedding anniversary! The royal couple kicked off the joyous occasion with a charming new video, shared across the royal family's social media accounts.</p> <p>The 60-second clip is a delightful journey through their two decades of marriage, showcasing a collection of heartwarming photos and candid moments. Captioned simply, "20 Happy Years!" accompanied by a white heart emoji, the post captured the love and happiness that has defined their union. Fans were quick to note that the white heart may also be a nod to the traditional 20th anniversary gifts of china or platinum, symbolising strength and beauty.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/reel/DIN7uDus6Rg/?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/reel/DIN7uDus6Rg/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Royal Family (@theroyalfamily)</a></p> </div> </blockquote> <p>Though the royal couple is spending their anniversary abroad in Rome as part of their state visit to Italy, celebrations have been in full swing back home in the UK. Outside Buckingham Palace, the Band of the Household Cavalry serenaded well-wishers with a special performance of It Must Be Love, dedicated to Their Majesties – a perfect musical tribute to their enduring romance.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">It must be love! 🫶</p> <p>A special tribute on the Forecourt of Buckingham Palace, to mark Their Majesties’ 20th wedding anniversary today. <a href="https://t.co/15rlKuevVl">pic.twitter.com/15rlKuevVl</a></p> <p>— The Royal Family (@RoyalFamily) <a href="https://twitter.com/RoyalFamily/status/1909937840185548915?ref_src=twsrc%5Etfw">April 9, 2025</a></p></blockquote> <p>In anticipation of this milestone, the couple also released a new set of portraits earlier this week. Queen Camilla looked radiant in bridal white, wearing a bespoke dress by Anna Valentine, the designer of her original wedding gown. Adding a sentimental touch, Her Majesty adorned her outfit with the lily of the valley brooch once belonging to the Queen Mother, a beautiful symbol of eternal love.</p> <p>The day itself is a working one for the royal couple. King Charles is set to meet with Italy’s prime minister, while later, they will be the guests of honour at a grand state banquet hosted by the Italian president – a fitting celebration for their incredible journey together.</p> <p>King Charles and Queen Camilla’s love story is one for the history books. Though married for 20 years, their connection spans over five decades. From their first meeting at a polo match in 1970 to enduring public scrutiny, they have emerged stronger than ever.</p> <p>Their early years saw them part ways when Charles embarked on an eight-month naval tour, and Camilla married Andrew Parker Bowles. Yet, even through life’s twists and turns, their bond remained unbreakable. Following the tragic passing of Princess Diana, Charles and Camilla slowly reintroduced their relationship to the public, eventually marrying in 2005 in a modest yet heartfelt ceremony.</p> <p>Since then, Queen Camilla has embraced her royal role with grace and dedication, earning the admiration of many. </p> <p>Here’s to King Charles and Queen Camilla – may the next 20 years be just as joyful!</p> <p><em>Images: Royal Family / Instagram</em></p>

Relationships

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Good news for beach lovers

<div class="theconversation-article-body"> <p>Picture this: you’re lounging on a beautiful beach, soaking up the sun and listening to the soothing sound of the waves. You run your hands through the warm sand, only to find a cigarette butt. Gross, right?</p> <p>This disturbing scene is typical of coastal pollution in Australia. But fortunately <a href="https://www.sciencedirect.com/science/article/pii/S0025326X25003261">our new research</a> shows the problem is getting better, not worse. Over the past ten years, the amount of waste across Australian coastal cities has reduced by almost 40%. We’re also finding more places with no rubbish at all.</p> <p>We surveyed for debris in and around six Australian urban areas between 2022 and 2024. Then we compared our results to previous surveys carried out a decade ago. We found less coastal pollution overall and reset a new baseline for further research.</p> <p>Our study shows efforts to clean up Australia’s beaches have been working. These policies, practices and outreach campaigns have reduced the extent of pollution in coastal habitats near urban centres. But we can’t become complacent. There’s plenty of work still to be done.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/658227/original/file-20250328-62-jmuk08.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w" alt="A beautiful sandy beach, as seen from the cliff top." /></a><figcaption><span class="caption">One of the many beaches surveyed by CSIRO.</span> <span class="attribution"><span class="source">TJ Lawson</span></span></figcaption></figure> <h2>What we did</h2> <p>In Australia, three-quarters of the rubbish on our coasts is <a href="https://esajournals.onlinelibrary.wiley.com/doi/full/10.1002/fee.1447">plastic</a>. Even cigarette butts are mainly made of plastic.</p> <p>To tackle the pollution effectively, we need to understand where the waste is coming from and how it gets into the environment.</p> <p>Research has shown much of the <a href="https://www.nature.com/articles/srep44479">coastal debris</a> comes from local inland areas. Poor waste management practices can result in debris eventually making its way <a href="https://www.nature.com/articles/ncomms15611">through rivers</a> to the coast and <a href="https://www.science.org/doi/10.1126/science.1260352">out to sea</a>.</p> <p>We focused on urban areas because high population density and industrial activity contributes to waste in the environment. We examined six areas across Australia:</p> <ul> <li>Perth in Western Australia</li> <li>Port Augusta in South Australia</li> <li>Hobart in Tasmania</li> <li>Newcastle in New South Wales</li> <li>Sunshine Coast in Queensland</li> <li>Alice Springs in the Northern Territory.</li> </ul> <p>These places represent a starting point for the national baseline. At each location we studied sites on the coast, along rivers and inland, within a 100 kilometre radius.</p> <p>We inspected strips of land 2m wide. This involved two trained scientists standing in an upright position looking downward, slowly walking along a line surveying for debris items. Together they captured information about every piece of debris they came across, including the type of material and what it was originally used for (where possible).</p> <h2>What we found</h2> <p>On average, we found 0.15 items of debris per square metre of land surveyed. That’s roughly one piece of rubbish every five steps.</p> <p>Plastic was the most common type of waste. But in many cases it was unclear what the item was originally used for. For example, fragments of hard plastic of unknown origin were found in a quarter of all surveyed areas.</p> <p>Polystyrene fragments were the most common item overall (24% of all debris fragments). Other frequently encountered items included food wrappers or labels, cigarette butts, and hard plastic bottle caps or lids.</p> <p>We found more waste near farms, industry and disadvantaged areas.</p> <p>The types of waste varied among cities. For example, cigarette butts were the most prevalent items in Newcastle, Perth and the Sunshine Coast. But food wrappers and beverage cans were more prevalent in Port Augusta and Alice Springs, respectively.</p> <p>Hobart had the highest occurrence of beverage bottles and bottle fragments.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=424&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=424&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=424&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=533&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=533&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/659486/original/file-20250403-56-enmjio.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=533&amp;fit=crop&amp;dpr=3 2262w" alt="Map of Australia showing the cities surveyed and their most prevalent waste item." /></a><figcaption><span class="caption">The most common type of waste varied among cities.</span> <span class="attribution"><span class="source">CSIRO</span></span></figcaption></figure> <h2>Targeting problem items</h2> <p>Identifying the different types of litter in the environment can help policymakers and waste managers target specific items and improve waste recovery.</p> <p>Research has shown container deposit legislation, which enables people to take eligible beverage containers to a collection point for a refund, has reduced the number of beverage containers in the coastal environment by <a href="https://www.sciencedirect.com/science/article/pii/S0308597X17305377">40%</a>. Hobart did not have a container deposit scheme in place at the time of our survey.</p> <p>Plastic bag bans can reduce <a href="https://pubmed.ncbi.nlm.nih.gov/31109543/">bag litter</a>. Now polystyrene food service items are becoming increasingly targeted by <a href="https://digital.detritusjournal.com/articles/policy-instruments-to-reduce-consumption-of-expanded-polystyrene-food-service-ware-in-the-usa/284">policymakers</a>.</p> <figure class="align-right zoomable"></figure> <h2>Making progress</h2> <p>When we compared our results to the <a href="https://esajournals.onlinelibrary.wiley.com/doi/abs/10.1002/fee.1447">previous survey</a> from 2011-14 we found a 39% decrease in coastal debris. We also found 16% more areas where no debris was present.</p> <p>Our results <a href="https://theconversation.com/local-efforts-have-cut-plastic-waste-on-australias-beaches-by-almost-30-in-6-years-184243">support previous research</a> that found an ongoing trend towards less waste on Australian beaches.</p> <p>We think our research demonstrates the effectiveness of improved waste management policies, campaigns such as the “Five R’s – Refuse, Reduce, Reuse, Repurpose, then Recycle” – as well as clean-up efforts.</p> <p>It’s likely that increased awareness is making a big dent in the problem. But reducing the production of plastic, and invoking changes further up the supply chain, would likely further help reduce mismanaged waste in the environment.</p> <h2>Implications for the future</h2> <p>Measuring and monitoring litter can inform policymaking and waste management. <a href="https://www.sciencedirect.com/science/article/pii/S0025326X25003261">Our research</a> serves as a benchmark for evaluating and informing future efforts to reduce plastic waste.</p> <p>We are heartened by the findings. But continued effort is needed from people across government, industry and Australian communities. Everyone needs to address how we produce, use and dispose of plastic for a cleaner and healthier planet. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/253221/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em>By <a href="https://theconversation.com/profiles/stephanie-brodie-1492706">Stephanie Brodie</a>, Research Scientist in Marine Ecology, <a href="https://theconversation.com/institutions/csiro-1035">CSIRO</a> and <a href="https://theconversation.com/profiles/britta-denise-hardesty-2907">Britta Denise Hardesty</a>, Senior Principal Research Scientist, Environment, <a href="https://theconversation.com/institutions/csiro-1035">CSIRO</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/good-news-beach-lovers-our-research-found-39-less-plastic-waste-around-australian-coastal-cities-than-a-decade-ago-253221">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Domestic Travel

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Despite some key milestones since 2000, Australia still has a long way to go on gender equality

<div class="theconversation-article-body"> <p>Australia has a gender problem. Despite social, economic and political reform aimed at improving opportunities for women, gender gaps are increasing and Australia is falling behind other countries.</p> <p>The World Economic Forum currently places Australia 24th among 146 countries, down from 15th in 2006. At the current rate of change, the forum suggests it will take <a href="https://www.weforum.org/publications/global-gender-gap-report-2024/">more than 130 years</a> to achieve gender equality globally.</p> <p>Australia has taken important steps forward in some areas, while progress in other areas remains painfully slow. So how far have we come since 2000, and how much further do we have to go?</p> <h2>The good stuff</h2> <p>There are now more women in <a href="https://www.aigroup.com.au/resourcecentre/research-economics/factsheets/factsheet-gender-and-the-australian-labour-market/#:%7E:text=Female%20labour%20market%20participation%20was,gender%20participation%20gap%20of%208%25.">the labour market</a>, in <a href="https://www.abs.gov.au/statistics/measuring-what-matters/measuring-what-matters-themes-and-indicators/cohesive/representation-parliament">parliament</a>, and leading <a href="https://www.forbes.com.au/lists/people/women-of-the-asx/">large companies</a> than at any other time.</p> <p>Over the past 25 years, there have been major social and political milestones that indicate progress.</p> <p>These include the appointment of Australia’s first female governor-general in 2008 and prime minister in 2010, the introduction of universal paid parental leave in 2011, a high-profile inquiry into workplace sexual harassment in 2020, and new legislation requiring the public reporting of gender pay gaps in 2023.</p> <h2>Timeline of equality milestones</h2> <ul id="timelineList"> <li> <h2>2000</h2> <p>Child Care Benefit introduced, subsidising cost of children for eligible families</p> </li> <li> <h2>2008</h2> <p>First female Governor-General (Dame Quentin Bryce)</p> </li> <li> <h2>2010</h2> <p>First female Prime Minister elected (Julia Gillard) </p> <p>First Aboriginal woman from Australia elected to UN Permanent Forum on Indigenous Issues (Megan Davis) </p> <p>Australia’s first national paid parental leave scheme</p> </li> <li> <h2>2012</h2> <p>Julia Gillard misogyny speech </p> <p>Workplace Gender Equality Act becomes law, Workplace Gender Equality Agency established</p> </li> <li> <h2>2013</h2> <p>Dad or Partner Pay Leave commenced</p> </li> <li> <h2>2016</h2> <p>First Indigenous woman elected to House of Representatives (Linda Burney)</p> </li> <li> <h2>2017</h2> <p>Launch of Women’s Australian Football League</p> <p>#metoo movement spreads globally to draw attention to sexual harassment and assault</p> </li> <li> <h2>2020</h2> <p>Respect@Work National Inquiry into sexual harassment in the Australian workplace chaired by Kate Jenkins released.</p> </li> <li> <h2>2021</h2> <p>Grace Tame named Australian of the Year for her advocacy in sexual violence/harassment campaigns </p> <p>Independent review into Commonwealth parliamentary workplaces launched</p> </li> <li> <h2>2022</h2> <p>National plan to end violence against women is finalised</p> </li> <li> <h2>2023</h2> <p>Closing the Gender Pay Gap Bill passes parliament</p> </li> <li> <h2>2024</h2> <p>Superannuation on government-funded paid parental leave from July 1, 2025 </p> <p>Parental leave to be increased to 26 weeks from July 2026.</p> </li> </ul> <p>There are, however, other areas where progress is agonisingly slow.</p> <h2>Violence and financial insecurity</h2> <p>Women are <a href="https://www.wgea.gov.au/newsroom/wgea-bcec-gender-equity-insights-2024-report">more likely</a> to be in casual and part-time employment than men. This is part of the reason women retire with <a href="https://www.abc.net.au/news/2019-02-21/carer-credits-proposal-aims-to-reduce-superannuation-gap/10826246">about half</a> the superannuation savings of men.</p> <p>This is also linked to financial insecurity later in life. Older women are among the <a href="https://humanrights.gov.au/our-work/age-discrimination/projects/risk-homelessness-older-women">fastest-growing groups</a> of people experiencing homelessness.</p> <p>The situation for First Nations women is even more severe. The <a href="https://www.niaa.gov.au/news-and-media/closing-gap-report-released">most recent</a> Closing the Gap report indicates First Nations women and children are 33 times more likely to be hospitalised due to violence compared with non-Indigenous women.</p> <p>They are also <a href="https://theconversation.com/indigenous-women-are-dying-violent-preventable-deaths-endless-inquiries-wont-help-unless-we-act-244815">seven times more likely</a> to die from family violence.</p> <p>Improving outcomes for Indigenous women and children requires tackling the long-term effects of colonisation, removal from Country, the Stolen Generations, incarceration and intergenerational trauma. This means challenging not only gender inequality but also racism, discrimination and violence.</p> <p>At work, <a href="https://www.wgea.gov.au/publications/employer-gender-pay-gaps-report">the latest data</a> from the Workplace Gender Equality Agency suggests the gender pay gap is narrowing, with 56% of organisations reporting improvements.</p> <p>On average, though, the pay gap is still substantial at 21.8% with women earning only 78 cents for every $1 earned by men. This totals an average yearly shortfall of $28,425.</p> <p>There are also some notable organisations where the gender pay gap has widened.</p> <h2>The burden of unpaid work</h2> <p>Another measure of inequality that has proved stubbornly slow to change is women’s unequal responsibilities for unpaid domestic and care work.</p> <p>Without real change in gender divisions of time spent on unpaid housework and care, our capacity to move towards equality in pay gaps and employment is very limited.</p> <p>Australian women undertake almost 70% of unpaid household labour. The latest Australian Bureau of Statistics <a href="https://www.abs.gov.au/statistics/people/people-and-communities/how-australians-use-their-time/latest-release">time use data</a> show that of those who participate in domestic labour, women spend an average of 4.13 hours per day on unpaid domestic and care work, compared with men’s 2.14 hours.</p> <p>This gap equates to more than a third of a full-time job. If we add up all work (domestic, care and paid), mothers have the longest working week by about 10 hours. This has changed very little over time.</p> <p>These charts, based on analyses of data from the Households, Income and Labour Dynamics in Australia (HILDA) study, show what drives this gap.</p> <p>Women respond to increased demand for care and domestic work by doing more, while men do not. Parenthood significantly increases the time women spend on unpaid care and housework, while also reducing their time in employment.</p> <hr /> <p><iframe id="115GU" class="tc-infographic-datawrapper" style="border: 0;" src="https://datawrapper.dwcdn.net/115GU/" width="100%" height="400px" frameborder="0" scrolling="no"></iframe></p> <hr /> <p>Men increase their time in unpaid care after a birth, but the jump is minor compared with women, and there is no change to men’s employment hours.</p> <p>Not surprisingly given these patterns, parenthood is associated with substantial declines in women’s <a href="https://aifs.gov.au/research/research-reports/employment-patterns-and-trends-families-children">employment hours</a>, earnings, <a href="https://www.mdpi.com/2076-328X/14/4/275">career progression</a>, and <a href="https://onlinelibrary.wiley.com/doi/10.1111/jomf.12531">mental health and wellbeing</a>.</p> <h2>The way forward</h2> <p>Current policy priorities primarily incentivise women to remain in employment, while continuing to undertake a disproportionate share of unpaid family work, through moving to part-time employment or making use of other forms of workplace flexibility. This approach focuses on “fixing” women rather than on the <a href="https://www.annualreviews.org/content/journals/10.1146/annurev-psych-032620-030938">structural roots of the problem</a>.</p> <p>There is limited financial or cultural encouragement for men to step out of employment for care work, or reduce their hours, despite the introduction of a two-week Dad and Partner Pay scheme <a href="https://www.wgea.gov.au/parental-leave">in 2013</a> and more recent changes to expand support and access.</p> <p>Fathers who wish to be more actively involved in care and family life face significant financial barriers, with current schemes only covering a basic wage. If one member of the family has to take time out or reduce their hours, it usually makes financial sense for this to be a woman, given the gender earning gap.</p> <p>The benefits of enabling men to share care work will not only be improvements for women, but will also improve family relationships and outcomes for children.</p> <p><a href="https://theconversation.com/roses-are-red-violets-are-blue-ill-stay-forever-if-you-scrub-out-the-loo-72793">Research shows</a> relationship conflict declines when men do more at home. Time spent with fathers has been found to be especially beneficial for children’s <a href="https://psycnet.apa.org/record/2018-48232-001">cognitive development</a>.</p> <p>Fixing the gender problem is not just about helping women. It’s good for everyone.</p> <p>Gender inequality costs the Australian economy <a href="https://womensagenda.com.au/business/the-us225-billion-a-year-australia-could-benefit-from-with-a-focus-on-women/">$225 billion annually</a>, or 12% of gross domestic product.</p> <p>Globally, the World Bank <a href="https://openknowledge.worldbank.org/server/api/core/bitstreams/fd676a12-7ee4-5c6a-ab2b-83365ed25bf1/content">estimates</a> gender inequality costs US$160.2 trillion. We can’t afford to slip further behind or to take more than a century to fix the problem.</p> <hr /> <p><em>This piece is part of a series on how Australia has changed since the year 2000. You can read other pieces in the series <a href="https://theconversation.com/au/topics/first-quarter-of-the-century-series-172070">here</a>.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/250250/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em>By <a href="https://theconversation.com/profiles/janeen-baxter-611570">Janeen Baxter</a>, Director, ARC Life Course Centre and ARC Kathleen Fitzpatrick Laureate Fellow, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/despite-some-key-milestones-since-2000-australia-still-has-a-long-way-to-go-on-gender-equality-250250">original article</a>.</em></p> <p><em>Image: </em></p> </div>

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Do stem cell injections for knee osteoarthritis actually work?

<div class="theconversation-article-body">More than 500 million people around the world <a href="https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(23)00163-7/fulltext">live with osteoarthritis</a>. The knee is affected more often than any other joint, with symptoms (such as pain, stiffness and reduced movement) affecting work, sleep, sport and <a href="https://www.aihw.gov.au/reports/chronic-musculoskeletal-conditions/osteoarthritis">daily activities</a>.</p> <p>Knee osteoarthritis is often thought of as thinning of the protective layer of cartilage within the joint. But we now understand it affects all the structures of the joint, including the bones, muscles and nerve endings.</p> <p>While there are things that <a href="https://www.safetyandquality.gov.au/standards/clinical-care-standards/osteoarthritis-knee-clinical-care-standard/information-consumers-osteoarthritis-knee-clinical-care-standard">can be done to manage</a> the symptoms of knee osteoarthritis, there is no cure, and many people experience persistent pain. As a result, an opportunity exists for <a href="https://www.rheuma.com.au/stem-cell-therapy-good-bad-ugly/174">as yet unproven treatments</a> to enter the market, often before regulatory safeguards can be put in place.</p> <p>Stem cell injections are one such treatment. A <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a> my colleagues and I published this week finds that evidence of their benefits and harms remains elusive.</p> <h2>Stem cell treatments</h2> <p>Stem cells are already established as treatments for some diseases – <a href="https://www.lymphoma.org.au/lymphoma/treatments/stem-cell-transplants/autologous-stem-cell-transplant/">mostly disorders of the blood</a>, bone marrow or immune system – which has led to suggestions they could be used for a much wider array of conditions.</p> <p>Stem cells have been touted as promising treatments for osteoarthritis because they have special properties which allow them to replicate and develop into the mature healthy cells that make up our body’s organs and other tissues, including cartilage.</p> <p>Stem cell treatments for osteoarthritis generally involve <a href="https://www.aboutstemcells.org/treatments">taking a sample of tissue</a> from a site that is rich in stem cells (such as bone marrow or fat), treating it to increase the number of stem cells, then injecting it into the joint.</p> <p>The hope is that if the right type of stem cells can be introduced into an osteoarthritic joint in the right way and at the right time, they may help to repair damaged structures in the joint, or have other effects such as reducing inflammation.</p> <p>But no matter how convincing the theory, we need good evidence for effectiveness and safety before a new therapy is adopted into practice.</p> <p>Stem cell injections have not been approved by Australia’s <a href="https://www.tga.gov.au/news/news/stem-cell-treatments-and-regulation-quick-guide-consumers#:%7E:text=Does%20the%20TGA%20regulate%20stem,does%20not%20regulate%20medical%20practice">Therapeutic Goods Administration</a> for the treatment of osteoarthritis. Nonetheless, some clinics in Australia and around the world still offer them.</p> <p>Because of the regulatory restrictions, we don’t have reliable numbers on how many procedures are being done.</p> <p>They’re not covered by Medicare, so the procedure can cost the consumer thousands of dollars.</p> <p>And, as with any invasive procedure, both the <a href="https://coroners.nsw.gov.au/documents/findings/2016/Findings%20Drysdale.pdf">harvest of stem cells</a> and the joint injection procedure may carry the potential for harm, such as infection.</p> <h2>What we found</h2> <p>Our <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD013342.pub2">new review</a>, published by the independent, international group the Cochrane Collaboration, looks at all 25 randomised trials of stem cell injections for knee osteoarthritis that have been conducted worldwide to date. Collectively, these studies involved 1,341 participants.</p> <p>We found stem cell injections may slightly improve pain and function compared with a placebo injection, but the size of the improvement may be too small for the patient to notice.</p> <p>The evidence isn’t strong enough to determine whether there is any improvement in quality of life following a stem cell injection, whether cartilage regrows, or to estimate the risk of harm.</p> <p>This means we can’t confidently say yet whether any improvement that might follow a stem cell injection is worth the risk (or the cost).</p> <h2>Hope or hype?</h2> <p>It’s not surprising we invest hope in finding a transformative treatment for such a common and disabling condition. Belief in the benefits of stem cells is widespread – more than <a href="https://www.arthroscopyjournal.org/article/S0749-8063(21)00571-5/abstract">three-quarters of Americans</a> believe stem cells can relieve arthritis pain and more than half believe this treatment to be curative.</p> <p>But what happens if a new treatment is introduced to practice before it has been clearly proven to be safe and effective?</p> <p>The use of an unproven, invasive therapy is not just associated with the risks of the intervention itself. Even if the treatment were harmless, there is the risk of unnecessary cost, inconvenience, and a missed opportunity for the patient to use existing therapies that are known to be effective.</p> <p>What’s more, if we need to play catch-up to try to establish an evidence base for a treatment that’s already in practice, we risk diverting scarce research resources towards a therapy that may not prove to be effective, simply because the genie is out of the bottle.</p> <h2>Working towards a clearer answer</h2> <p>Several more large <a href="https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12620000870954">clinical trials</a> are currently underway, and should increase our understanding of whether stem cell injections are safe and effective for knee osteoarthritis.</p> <p>Our review incorporates “<a href="https://www.cochrane.org/news/cochranes-pioneering-role-living-evidence">living evidence</a>”. This means we will continue to add the results of new trials as soon as they’re published, so the review is always up to date, and offers a comprehensive and trustworthy summary to help people with osteoarthritis and their health-care providers to make informed decisions.</p> <p>In the meantime, there are a number of <a href="https://www.racgp.org.au/clinical-resources/clinical-guidelines/key-racgp-guidelines/view-all-racgp-guidelines/knee-and-hip-osteoarthritis/summary-plain-language">evidence-based treatment options</a>. Non-drug treatments such as physiotherapy, regular exercise, maintaining a healthy weight, and cognitive behavioural therapy can be more effective than you think. Anti-inflammatory and pain medications can also play a supporting role.</p> <p>Importantly, it’s not inevitable that osteoarthritic joints get worse with time. So, even though <a href="https://aoanjrr.sahmri.com/background">joint replacement surgery</a> is often highly effective, it’s the last resort and fortunately, many people never need to take this step.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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/253404/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By <a href="https://theconversation.com/profiles/samuel-whittle-2357927">Samuel Whittle</a>, ANZMUSC Practitioner Fellow, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/people-are-getting-costly-stem-cell-injections-for-knee-osteoarthritis-but-we-dont-know-if-they-work-253404">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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

<div class="theconversation-article-body"> <p>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.</p> <p>She repeatedly sent documents, waited weeks for callbacks and struggled to get answers from his fund.</p> <p>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.</p> <h2>A system in disarray</h2> <p>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.</p> <p>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.</p> <p>The central problem was a fundamental breakdown in claims processing, with five critical failures exacerbating inefficiency and distress.</p> <p><strong>1. Poor oversight</strong></p> <p>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%.</p> <p>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.</p> <p><strong>2. Misleading and inadequate information</strong></p> <p>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.</p> <p><strong>3. Process over people</strong></p> <p>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.</p> <p>Communication failures further compounded delays, with claimants receiving inconsistent advice and few or no status updates.</p> <p><strong>4. Outsourcing without accountability</strong></p> <p>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.</p> <p>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.</p> <p><strong>5. Lack of transparency</strong></p> <p>Many funds failed to provide clear timelines or explanations for delays and had no accountability mechanisms.</p> <p>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.</p> <p>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.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;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&amp;q=45&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=405&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=509&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=509&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/658866/original/file-20250401-56-jrqwbg.png?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=509&amp;fit=crop&amp;dpr=3 2262w" alt="A list of key findings from the ASIC Taking ownership of death benefits report" /></a><figcaption><span class="attribution"><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></span></figcaption></figure> <h2>Will ASIC’s fixes work?</h2> <p>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.</p> <p>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.</p> <p>Without consequences, some funds may continue prioritising administrative convenience over members receiving their entitlements.</p> <h2>What needs to happen now?</h2> <p>ASIC’s report is a wake-up call, but real reform requires strong action.</p> <p>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.</p> <p>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.</p> <p>Technological upgrades should focus on reducing delays, not just internal efficiencies.</p> <p>And to better support families, an independent claims advocate could help navigate the process, ensuring no one is left to struggle alone.</p> <h2>Has ASIC gone far enough?</h2> <p>While ASIC’s review is a step in the right direction, it does not fundamentally overhaul flawed claims-handling practices.</p> <p>The recommendations lack enforceability, relying on voluntary compliance.</p> <p>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.</p> <p>Ensuring insurers adopt and apply ASIC’s recommendations will be critical for meaningful change.</p> <p>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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/behind-every-claim-is-a-grieving-family-death-benefits-inquiry-demands-change-but-lacks-penalties-253419">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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

<div class="theconversation-article-body"> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>Is back pain likely to be serious?</h2> <p>There are different types of low back pain. It can:</p> <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> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>What helps for short-term back pain</h2> <p><strong>1. Stay active – don’t rest in bed</strong></p> <p>If your back pain is new, the best advice is also one of the simplest: keep moving despite the pain.</p> <p>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.</p> <p>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.</p> <p><strong>2. Multidisciplinary care, if pain lingers</strong></p> <p>For pain lasting six to 12 weeks, multidisciplinary treatment is likely to reduce pain compared to standard care.</p> <p>This involves a coordinated team of doctors, physiotherapists and psychologists working together to address the many factors contributing to your back pain persisting:</p> <ul> <li> <p>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</p> </li> <li> <p>psychological factors include how your thoughts, feelings and behaviours affect your pain system and, ultimately, the experience of pain you have</p> </li> <li> <p>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.</p> </li> </ul> <h2>What works for chronic back pain</h2> <p>Once pain has been around for more than 12 weeks, it can become more difficult to treat. But relief is still possible.</p> <p><strong>Exercise therapy</strong></p> <p>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.</p> <p>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.</p> <p><strong>Multidisciplinary treatment</strong></p> <p>As with short-term pain, coordinated care involving a mix of physical, occupational and psychological approaches likely works better than usual care alone.</p> <p><strong>Psychological therapies</strong></p> <p>Psychological therapies for chronic pain include approaches to help people change thinking, feelings, behaviours and reactions that might sustain persistent pain.</p> <p>These approaches are likely to reduce pain, though they may not be as effective in improving physical function.</p> <p><strong>Acupuncture</strong></p> <p>Acupuncture probably reduces pain and improves how well you can function compared to placebo or no treatment.</p> <p>While some debate remains about how it works, the evidence suggests potential benefits for some people with chronic back pain.</p> <h2>What doesn’t work or still raises uncertainty?</h2> <p>The review found that many commonly advertised treatments still have uncertain benefits or probably do not benefit people with back pain.</p> <p>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.</p> <p>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.</p> <p>There isn’t enough reliable data to determine whether advertised treatments – such back braces, vibrating massage guns and herbal patches – are effective.</p> <h2>How can you use the findings?</h2> <p>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.</p> <p>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.</p> <p><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><em><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/do-any-non-drug-treatments-help-back-pain-heres-what-the-evidence-says-253122">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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Why older couples love short cruises for a quick romantic getaway

<p>Long holidays are great, but they are not always practical, especially when you just want a quick break together. They can be expensive, require a lot of planning and sometimes feel more tiring than relaxing. </p> <p>A <span lang="EN-GB"><a href="https://www.carnival.com.au/short-cruises" target="_blank" rel="noopener"><span lang="EN-GB" style="color: #1155cc;">smooth, short cruise</span></a></span> is the perfect balance for older couples. There’s just enough time to unwind, visit new places and enjoy amazing food and entertainment, all without the stress of organising every detail.</p> <p>With options from Carnival, Australia’s leading cruise line, a quick and relaxing romantic getaway is easier than ever. Everything is taken care of, so you can simply step on board and make the most of your time together.</p> <p>To show you what makes them special, here’s why short cruises have become a favourite getaway for couples looking to relax and reconnect.</p> <p><strong><span style="font-size: 14pt;">Skip the stress and start your holiday sooner</span></strong></p> <p>Planning a holiday can sometimes feel like more trouble than it’s worth. Long flights, busy airports and endless logistics take time and effort, which can make a romantic getaway feel stressful before it even begins. But taking a break doesn’t have to be complicated.</p> <p>A Carnival <span lang="EN-GB"><a href="https://www.carnival.com.au/short-cruises/sydney" target="_blank" rel="noopener"><span lang="EN-GB" style="color: #1155cc;">short cruise from Sydney</span></a></span> or Brisbane is an easy way to escape for a few days without the stress of flights or long drives. Enjoy slow mornings together on a peaceful deck, take in the ocean views or visit a beautiful destination like Tasmania or Moreton Island. </p> <p><strong><span style="font-size: 14pt;">Enjoy time together without going far</span></strong></p> <p>You don’t need to travel far to enjoy a romantic break. A short cruise lets you escape for a few days, soak up the ocean views and spend uninterrupted time together. Set sail from Brisbane or Sydney and choose from a three-day cruise at sea, a four day cruise to Moreton Island or Airlie Beach, or a <span lang="EN-GB"><a href="https://www.carnival.com.au/short-cruises/5-day" target="_blank" rel="noopener"><span lang="EN-GB" style="color: #1155cc;">five-day cruise</span></a></span> to Tasmania.</p> <p><strong><span style="font-size: 14pt;">Spend quality time with onboard activities</span></strong></p> <p><strong><span style="font-size: 14pt;"><img src="https://oversixtydev.blob.core.windows.net/media/2025/02/Carnivalimage-1.jpg" alt="" width="1280" height="720" /></span></strong></p> <p>Finding time to unwind together isn’t always easy, but a Carnival short cruise makes it simple. With plenty of <span lang="EN-GB"><a href="https://www.carnival.com.au/onboard" target="_blank" rel="noopener"><span lang="EN-GB" style="color: #1155cc;">exciting onboard activities</span></a></span>, you can do as much or as little as you like. </p> <p>Lounge by the pool, enjoy some quiet time at <span lang="EN-GB"><a href="https://www.carnival.com.au/onboard/serenity" target="_blank" rel="noopener"><span lang="EN-GB" style="color: #1155cc;"><span lang="EN-GB"> an</span></span><span lang="EN-GB" style="color: #1155cc;"> </span><span lang="EN-GB" style="color: #1155cc;"><span lang="EN-GB">a</span></span><span lang="EN-GB" style="color: #1155cc;"><span lang="EN-GB">dults-</span></span><span lang="EN-GB" style="color: #1155cc;"><span lang="EN-GB">o</span></span><span lang="EN-GB" style="color: #1155cc;"><span lang="EN-GB">nly </span></span><span lang="EN-GB" style="color: #1155cc;"><span lang="EN-GB">r</span></span><span lang="EN-GB" style="color: #1155cc;"><span lang="EN-GB">etreat</span></span></a></span> or watch a live music performance. You can even play video games or visit the fitness centre together. For total relaxation, book a couples’ treatment at Cloud 9 Spa* and let the stress melt away.</p> <p>In the evening, share new experiences together. Watch a Playlist Productions show, enjoy stand-up comedy at The Punchliner Comedy Club or settle in for a movie under the stars. If you prefer a quieter night, find a cosy spot to take in the ocean views or enjoy a drink with live acoustic music.</p> <p><strong><span style="font-size: 14pt;">Share great food at every meal</span></strong></p> <p><strong><span style="font-size: 14pt;"><img src="https://oversixtydev.blob.core.windows.net/media/2025/02/Carnivalimage-3.jpg" alt="" width="1280" height="720" /></span></strong></p> <p>Good food is even better when shared, and a Carnival short cruise gives couples plenty of <span lang="EN-GB"><a href="https://www.carnival.com.au/dining" target="_blank" rel="noopener"><span lang="EN-GB" style="color: #1155cc;">dining </span></a></span>options to enjoy together. Start the day with a relaxed breakfast and freshly brewed coffee, or grab a quick bite from the main dining room. For a special night, Fahrenheit 555* or Luke’s Bar &amp; Grill* serves perfectly cooked steaks and fresh seafood in a cosy setting.</p> <p>If you’re in the mood for something to eat, the pizzeria has fresh-made pizza, and Bonsai Sushi Express* offers quick, fresh sushi. For something classic, Guy’s Burger Joint serves juicy burgers. With so many choices, every meal is a chance to relax and spend time together.</p> <p><strong><span style="font-size: 14pt;">Plan your next romantic getaway</span></strong></p> <p>A few days away is sometimes all you need to recharge and reconnect. On a short cruise, you can enjoy new experiences, soak up the ocean views and make the most of every moment together without worrying about travel logistics.</p> <p>All the details are sorted, so you can focus on choosing the perfect destination and how long you’d like to relax together. Visit the <span lang="EN-GB"><a href="https://www.carnival.com.au/" target="_blank" rel="noopener"><span lang="EN-GB" style="color: #1155cc;">Carnival Cruise website</span></a></span> to find a short cruise that fits your schedule, and start planning your next romantic getaway today.</p> <p><em>Images: Supplied<br /></em></p> <p><em>*Charges apply</em></p> <p><em>This is a sponsored article produced in partnership with Carnival</em></p>

Cruising

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5 mistakes people make setting financial goals

<p>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.</p> <p>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 <em>there</em> 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.</p> <h2>Mistake #1: They have none!</h2> <p>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.</p> <h2>Mistake #2: They make them too big</h2> <p>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. </p> <h2>Mistake #3: They make them too small</h2> <p>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.</p> <h2>Mistake #4: They are vague and wishy-washy</h2> <p>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.</p> <h2>Mistake #5: They have no plan to make it real</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p><em>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></em></p> <p><em>Image: Shutterstock</em></p>

Money & Banking

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"Love never dies": Tributes flow for Iconic Hollywood star

<p>Hollywood is mourning the loss of one of its most beloved stars, Richard Chamberlain, who passed away at the age of 90. The acclaimed actor, best known for his roles in <em>The Thorn Birds</em>, <em>Dr Kildare</em> and the stage production of <em>The Sound of Music</em>, died from complications following a stroke, his publicist Harlan Boll confirmed to <em>Variety</em>.</p> <p>Born George Richard Chamberlain, the actor died in Hawaii, leaving behind a legacy that spanned over six decades. His career took off in the early 1960s when he starred as the charming Dr James Kildare in the hit television series <em>Dr Kildare</em> (1961-1966), a role that quickly made him a teen idol.</p> <p>Chamberlain became a household name and was soon dubbed the "king of the mini-series" after starring in a string of highly acclaimed television dramas throughout the 1980s. His extensive stage work further demonstrated his versatility, portraying characters such as Professor Henry Higgins in <em>My Fair Lady</em>, Captain von Trapp in <em>The Sound of Music</em> and Shakespearean roles like Hamlet and Richard II.</p> <p>He also made history as the original Jason Bourne in the 1988 mini-series adaptation of <em>The Bourne Identity</em>, showcasing his ability to captivate audiences across various genres.</p> <p>Following his passing, his longtime partner Martin Rabbett shared a heartfelt tribute: "Our beloved Richard is with the angels now. He is free and soaring to those loved ones before us. How blessed were we to have known such an amazing and loving soul. Love never dies. And our love is under his wings lifting him to his next great adventure."</p> <p>One of Chamberlain’s most memorable roles was in <em>The Thorn Birds</em>, the ABC mini-series based on Colleen McCullough’s novel, in which he portrayed Father Ralph de Bricassart. The series, a sweeping saga set in the Australian outback, remains one of television’s most cherished dramas.</p> <p>In later years, Chamberlain continued to make appearances in popular shows, including <em>Touched by an Angel</em>, <em>Nip/Tuck</em>, and <em>Chuck</em>. His final acting credit came in 2019 with the film <em>Finding Julia</em>.</p> <p>Chamberlain leaves behind a body of work that will be cherished by fans for generations. His charisma, talent and passion for his craft made him a true Hollywood legend.</p> <p><em>Images: Instagram</em></p>

Caring

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Population panic: how demography is used for political gain

<div class="theconversation-article-body"> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>Population dynamics and change</h2> <p>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.</p> <p>When we start talking about what underpins population – composition, characteristics and change – it becomes clear why population is so political.</p> <p>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>.</p> <p>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>.</p> <p>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.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/DBP0rqgSCm5/?utm_source=ig_embed&amp;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&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Australian Bureau of Statistics (@absstats)</a></p> </div> </blockquote> <p>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.</p> <p>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.</p> <p>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.</p> <p>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>.</p> <h2>Population problem</h2> <p>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?</p> <p>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.</p> <p>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.</p> <figure><iframe src="https://www.youtube.com/embed/h5CubF42DGI?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>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.</p> <p>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>”.</p> <h2>So why aren’t women having babies?</h2> <p>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.</p> <p>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>:</p> <blockquote> <p>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.“</p> </blockquote> <p>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.”</p> <p>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.</p> <p>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.</p> <h2>Permanent versus net overseas migration</h2> <p>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.</p> <p>Government has much control over permanent migration, little control over net overseas migration.</p> <p>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.</p> <p>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.</p> <p>The permanent migration program ceiling is set to decline by 5,000 places to 185,000 in 2024-25 under Albanese.</p> <p>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.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Explaining the 2024 Migration Surge</p> <p>A recent surge in net migration has become a hot topic, with politicians &amp; media linking it to housing pressures. </p> <p>But what is Net Migration? </p> <p>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></p> <p>— Alan Gamlen (@alangamlen) <a href="https://twitter.com/alangamlen/status/1795721881699664286?ref_src=twsrc%5Etfw">May 29, 2024</a></p></blockquote> <p>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.</p> <p>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.</p> <p>Just like births, populist tactics are used when talking immigration for quick political point scoring. It works, but is it good for people?</p> <h2>Turning on ourselves</h2> <p>Demography is often used against the population in a peculiar ploy to win political points.</p> <p>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.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">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 &amp; retire with more as well <a href="https://twitter.com/hashtag/auspol?src=hash&amp;ref_src=twsrc%5Etfw">#auspol</a> <a href="https://t.co/p3p4ib6sed">pic.twitter.com/p3p4ib6sed</a></p> <p>— Jim Chalmers MP (@JEChalmers) <a href="https://twitter.com/JEChalmers/status/1769541268739080507?ref_src=twsrc%5Etfw">March 18, 2024</a></p></blockquote> <p>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.</p> <p>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.</p> <p><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,</p> <blockquote> <p>[…] 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.</p> </blockquote> <p>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.</p> <p>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.</p> <hr /> <p><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></p> <hr /> <p>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.</p> <p>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.</p> <p>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.</p> <h2>Creating the ‘other’</h2> <p><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.</p> <p>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.</p> <p>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.</p> <h2>Shaping Australia</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <hr /> <p><em>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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em>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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/population-panic-how-demography-is-used-for-political-gain-230409">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Money & Banking

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

<div class="theconversation-article-body"> <p>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.</p> <p>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.</p> <p>The findings were striking, suggesting our environment and lifestyle play a much greater role than our genes in determining our longevity.</p> <h2>What the researchers did</h2> <p>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.</p> <p>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>”.</p> <p>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).</p> <p>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.</p> <p>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).</p> <p>These analyses allowed the researchers to estimate the relative contributions of environmental factors and genetics to ageing and dying prematurely.</p> <h2>What did they find?</h2> <p>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%.</p> <p>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.</p> <p>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.</p> <p>The environmental factors that had the most influence on earlier death and biological ageing included smoking, socioeconomic status, physical activity levels and living conditions.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>What other limitations do we need to consider?</h2> <p>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.</p> <p>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.</p> <p>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.</p> <h2>The future is (largely) in your hands</h2> <p>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.</p> <p>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.</p> <p>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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/hassan-vally-202904"><em>Hassan Vally</em></a><em>, Associate Professor, Epidemiology, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-long-will-you-live-new-evidence-says-its-much-more-about-your-choices-than-your-genes-251054">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

Caring

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

<div class="theconversation-article-body"> <p>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.</p> <p>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.</p> <p>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.</p> <h2>Why would someone grieve a house?</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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 <em>nostos</em> (return) and <em>algos</em> (pain). The word is rooted in the pain we often feel being away from home.</p> <p>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.</p> <h2>A complicated grief</h2> <p>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.</p> <p>Grieving the deaths might, at first, take precedence over the loss of the home.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>How can I cope with this loss?</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p><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.</p> <p>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.</p> <p>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.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-i-grieve-my-childhood-home-so-much-now-weve-sold-it-and-what-can-i-do-about-it-251058">original article</a>.</em></p> <p><em>Image: </em><em>RDNE Stock project/Pexels</em></p> </div>

Home & Garden

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

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

Caring

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

<div class="theconversation-article-body"> <p>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.</p> <p>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.</p> <p>What is going wrong with childcare in Australia?</p> <h2>Differing levels of quality</h2> <p>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.</p> <p>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.</p> <p>There are 13% of for-profit centres exceeding the standards, compared to 28% of not-for-profits.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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>.</p> <p>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.</p> <h2>It hasn’t always been like this</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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%.</p> <h2>Quality concerns</h2> <p>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.</p> <p>Many have disproportionately high numbers of staffing waivers, granted by regulators, permitting them to operate centres without the required number of qualified staff.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>Why isn’t the system working?</h2> <p>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?</p> <p>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.</p> <p>Services are notified about upcoming inspections, potentially giving them time to give a false impression of their quality and safety standards.</p> <p>As Four Corners highlighted, poor-quality services, with bad pay and working conditions are driving good educators away from the sector.</p> <h2>What next?</h2> <p>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.</p> <p>But families need more than access. They also require a guarantee this childcare will be high-quality and keep children safe.</p> <p>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&amp;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.</p> <p>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.</p> <p>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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/amid-claims-of-abuse-neglect-and-poor-standards-what-is-going-wrong-with-childcare-in-australia-252493">original article</a>.</em></p> <p><em>Image: ABC</em></p> </div>

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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.</p> <p>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.</p> <p>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?</p> <p>Or does research suggest the Greens could be onto something?</p> <h2>The Greens’ plan</h2> <p>The Greens’ policy would involve a new National Institute for the Four Day Work Week and a test case through the Fair Work Commission.</p> <p>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.</p> <p>According to Greens Senator Barbara Pocock, it’s a win-win for everyone:</p> <blockquote> <p>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.</p> </blockquote> <h2>The 100:80:100 model</h2> <p>The four-day work week being proposed in this instance is commonly regarded as the 100:80:100 model.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>The research underlined the potential for a range of positive outcomes for both employers and employees.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>100 years of working 5 days a week</h2> <p>The year 2026 will mark the 100th anniversary of the five-day work week.</p> <p>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.</p> <p>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.</p> <p>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:</p> <blockquote> <p>yet we are constrained by archaic labour laws that see the fruits of our efforts swallowed up in profits for bosses and shareholders.</p> </blockquote> <p>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.</p> <h2>Time to enter the 21st century</h2> <p>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.</p> <p>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.</p> <p>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.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/after-a-century-of-monday-to-friday-could-the-4-day-week-finally-be-coming-to-australia-252379">original article</a>. </em></p> <p> </p> </div>

Money & Banking

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

<p>The hosts of <em>The Project</em> have lashed out at US hunting influencer Sam Jones after she pulled out of a scheduled interview at the last minute.</p> <p>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.</p> <p>Jones was set to appear on <em>The Project</em> 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".</p> <p><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."</p> <p>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."</p> <p>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."</p> <p>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."</p> <p>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."</p> <p>Following Jones' decision to cancel her interview, viewers of <em>The Project</em> 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."</p> <p>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.</p> <p><em>Images: Instagram / The Project</em></p>

TV

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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>.</p> <p>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.</p> <p>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.</p> <h2>Why you shouldn’t ignore hearing loss</h2> <p>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:</p> <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> <p>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.</p> <p>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:</p> <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> <p>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.</p> <h2>So why don’t people get their hearing checked?</h2> <p><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.</p> <p>Less than a quarter of those who need hearing aids actually go ahead with them.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p><a href="https://www.tandfonline.com/doi/full/10.1080/14992027.2023.2293651">Stigma</a> can play a big part.</p> <p>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”.</p> <p>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.</p> <p>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.</p> <h2>What are my options for helping my hearing?</h2> <p>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.</p> <p>If you’ve got hearing loss, hearing aids aren’t the only option.</p> <p>Others include:</p> <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> <p>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.</p> <p>That means coming up with individualised solutions based on your preferences and circumstances.</p> <h2>What are modern hearing aids like?</h2> <p>If you do need hearing aids, it’s worth knowing there are several different types. All modern hearing aids are extremely small and discrete.</p> <p>Some sit behind your ear, while others sit within your ear. Some look the same as air pods.</p> <p>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.</p> <p>Some types of hearing aids are more expensive than others, but even the basic styles are discrete.</p> <p>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.</p> <p>Despite being small, modern hearing aids have advanced technology including the ability to:</p> <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> <p>When used with a smartphone, some hearing aids can even track your health, detect if you have fallen, and translate languages in real time.</p> <h2>What should I do next?</h2> <p>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.</p> <p>The earlier you do something about your hearing, the greater the likelihood that you can prevent further hearing decline and reduce other health risks.</p> <p>And rest assured, there’s a suitable option for everyone.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><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" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em>By </em><em><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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/im-avoiding-a-hearing-test-because-i-dont-want-chunky-hearing-aids-what-are-my-options-250925">original article</a>.</em></p> <p><em>Image: Getty</em></p> </div>

Hearing

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

<div class="theconversation-article-body"> <p>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.</p> <p>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.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">WARNING: GRAPHIC CONTENT<br />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></p> <p>— Reuters (@Reuters) <a href="https://twitter.com/Reuters/status/1899862954155126824?ref_src=twsrc%5Etfw">March 12, 2025</a></p></blockquote> <p>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.</p> <p>Here’s what patients and their families need to consider.</p> <h2>What is an artificial heart?</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>These are more straightforward and versatile than total artificial hearts, and can be used for earlier stages of heart failure.</p> <p>Not all artificial hearts generate a pulse.</p> <p>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.</p> <p>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>.</p> <p><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.</p> <p>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.</p> <h2>How about the device making news this week?</h2> <p>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).</p> <p>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”.</p> <p>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.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;rect=12%2C12%2C8231%2C5475&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;rect=12%2C12%2C8231%2C5475&amp;q=45&amp;auto=format&amp;w=754&amp;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&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/655013/original/file-20250313-56-4w24qy.jpg?ixlib=rb-4.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="Hand holding the BiVACOR artificial heart" /></a><figcaption><span class="caption">This device is designed to replace the whole heart, and for now, is licensed as a temporary implant, ahead of a heart transplant.</span> <span class="attribution"><span class="source">BiVACOR TIQ</span></span></figcaption></figure> <h2>Transplants can change lives</h2> <p>However, patients do not just resume their old lives when they leave hospital with an artificial heart.</p> <p>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.</p> <p>My research showed that even a perfectly safe and reliable total artificial heart could transform patients’ lives in at least three major areas.</p> <p><strong>1. Is it part of me? Do I trust it?</strong></p> <p>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.</p> <p>But it may be difficult for artificial hearts to meet these criteria, especially for devices that do not generate a pulse.</p> <p>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.</p> <p><strong>2. Beeps and alarms</strong></p> <p>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>.</p> <p>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>.</p> <p><strong>3. Marking time</strong></p> <p>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.</p> <p>The need for batteries to be recharged periodically can also reshape patients’ days.</p> <p>Waiting around for a transplant heart, or the latest software update, may change patients’ perspectives on what months and years feel like.</p> <h2>We need to give patients the whole picture</h2> <p>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.</p> <p>They need to know this before they sign up for them. Artificial hearts don’t just save lives – they also change them.<!-- Below is The Conversation's page counter tag. 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More info: https://theconversation.com/republishing-guidelines --></p> <p><em>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></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/an-artificial-heart-may-save-your-life-but-it-can-also-change-you-in-surprising-ways-252165">original article</a>.</em></p> <p><em>Image: Shutterstock</em></p> </div>

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