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Why do organisations still struggle to protect our data? We asked 50 professionals on the privacy front line

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/jane-andrew-10314">Jane Andrew</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/dr-penelope-bowyer-pont-1550191">Dr Penelope Bowyer-Pont</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/max-baker-25553">Max Baker</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> More of our personal data is now collected and stored online than ever before in history. The rise of data breaches should unsettle us all. At an individual level, data breaches can compromise our privacy, cause harm to our finances and mental health, and even enable identity theft. For organisations, the repercussions can be equally severe, often resulting in major financial losses and brand damage. Despite the increasing importance of protecting our personal information, doing so remains fraught with challenges. As part of a <a href="http://www.doi.org/10.25910/psq3-q365">comprehensive study</a> of data breach notification practices, we interviewed 50 senior personnel working in information security and privacy. Here’s what they told us about the multifaceted challenges they face. <h2>What does the law actually say?</h2> Data breaches occur whenever personal information is accessed or disclosed without authorisation, or even lost altogether. <a href="https://www.abc.net.au/news/2024-06-20/optus-hack/104002682">Optus</a>, <a href="https://www.abc.net.au/news/2022-11-09/medibank-data-release-dark-web-hackers/101632088">Medibank</a> and <a href="https://www.afr.com/technology/canva-criticised-after-data-breach-exposed-139m-user-details-20190526-p51r8i">Canva</a> have all experienced high-profile incidents in recent years. Under Australia’s <a href="https://www8.austlii.edu.au/cgi-bin/viewdb/au/legis/cth/consol_act/pa1988108/">privacy laws</a>, organisations aren’t allowed to sweep major cyber attacks under the rug. They have to notify both the regulator – the Office of the Australian Information Commissioner (OAIC) – and any affected individuals of breaches that are likely to result in “<a href="https://www8.austlii.edu.au/cgi-bin/viewdb/au/legis/cth/consol_act/pa1988108/#:%7E:text=Whether%20access%20or%20disclosure%20would%20be%20likely%2C%20or%20would%20not%20be%20likely%2C%20to%20result%20in%20serious%20harm%2D%2Drelevant%20matters%20%C2%A0">serious harm</a>”. But according to the organisational leaders we interviewed, this poses a tricky question. How do you define serious harm? Interpretations of what “serious harm” actually means – and how likely it is to occur – vary significantly. This inconsistency can make it impossible to predict the specific impact of a data breach on an individual. Victims of domestic violence, for example, may be at increased risk when personal information is exposed, creating harms that are difficult to foresee or mitigate. <h2>Enforcing the rules</h2> Interviewees also had concerns about how well the regulator could provide guidance and enforce data protection measures. Many expressed a belief the OAIC is underfunded and lacks the authority to impose and enforce fines properly. The consensus was that the challenge of protecting our data has now outgrown the power and resources of the regulator. As one chief information security officer at a publicly listed company put it: <blockquote> What’s the point of having speeding signs and cameras if you don’t give anyone a ticket? </blockquote> A lack of enforcement can undermine the incentive for organisations to invest in robust data protection. <h2>Only the tip of the iceberg</h2> Data breaches are also underreported, particularly in the corporate sector. One senior cybersecurity consultant from a major multinational company told us there is a strong incentive for companies to minimise or cover up breaches, to avoid embarrassment. This culture means many breaches that should be reported simply aren’t. One senior public servant estimated only about 10% of reportable breaches end up actually being disclosed. Without this basic transparency, the regulator and affected individuals can’t take necessary steps to protect themselves. <h2>Third-party breaches</h2> Sometimes, when we give our personal information to one organisation, it can end up in the hands of another one we might not expect. This is because key tasks – especially managing databases – are often outsourced to third parties. Outsourcing tasks might be a more efficient option for an organisation, but it can make protecting personal data even more complicated. Interviewees told us breaches were more likely when engaging third-party providers, because it limited the control they had over security measures. Between July and December 2023 in Australia, there was an increase of <a href="https://www.oaic.gov.au/privacy/notifiable-data-breaches/notifiable-data-breaches-publications/notifiable-data-breaches-report-july-to-december-2023">more than 300%</a> in third-party data breaches compared to the six months prior. There have been some highly publicised examples. In May this year, many Clubs NSW customers had their personal information potentially <a href="https://www.rimpa.com.au/resource/more-than-a-million-australian-data-records-potentially-exposed-in-nsw-club-and-pub-data-breach.html#:%7E:text=Outabox%2C%20the%20IT%20services%20provider,and%20has%20notified%20law%20enforcement">breached</a> through an attack on third-party software provider Outabox. Bunnings suffered a <a href="https://australiancybersecuritymagazine.com.au/bunnings-customer-data-compromised/">similar breach</a> in late 2021, via an attack on scheduling software provider FlexBooker. <h2>Getting the basics right</h2> Some organisations are still struggling with the basics. Our research found many data breaches occur because outdated or “legacy” data systems are still in use. These systems are old or inactive databases, often containing huge amounts of personal information about all the individuals who’ve previously interacted with them. Organisations tend to hold onto personal data longer than is legally required. This can come down to confusion about data-retention requirements, but also the high cost and complexity of safely decommissioning old systems. One chief privacy officer of a large financial services institution told us: <blockquote> In an organisation like ours where we have over 2,000 legacy systems […] the systems don’t speak to each other. They don’t come with big red delete buttons. </blockquote> Other interviewees flagged that risky data testing practices are widespread. Software developers and tech teams often use “production data” – real customer data – to test new products. This is often quicker and cheaper than creating test datasets. However, this practice exposes real customer information to insecure testing environments, making it more vulnerable. A senior cybersecurity specialist told us: <blockquote> I’ve seen it so much in every industry […] It’s literally live, real information going into systems that are not live and real and have low security. </blockquote> <h2>What needs to be done?</h2> Drawing insights from professionals at the coalface, our study highlights just how complex data protection has become in Australia, and how quickly the landscape is evolving. Addressing these issues will require a multi-pronged approach, including clearer legislative guidelines, better enforcement, greater transparency and robust security practices for the use of third-party providers. As the digital world continues to evolve, so too must our strategies for protecting ourselves and our data.<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/236681/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/jane-andrew-10314">Jane Andrew</a>, Professor, Head of the Discipline of Accounting, Governance and Regulation, University of Sydney Business School, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/dr-penelope-bowyer-pont-1550191">Dr Penelope Bowyer-Pont</a>, Researcher, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/max-baker-25553">Max Baker</a>, Associate professor, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a> Image credits: Shutterstock 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-organisations-still-struggle-to-protect-our-data-we-asked-50-professionals-on-the-privacy-front-line-236681">original article</a>. </div>

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Pay-by-weight airfares are an ethical minefield. We asked travellers what they actually think

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/denis-tolkach-11345">Denis Tolkach</a>, <a href="https://theconversation.com/institutions/james-cook-university-1167">James Cook University</a> and <a href="https://theconversation.com/profiles/stephen-pratt-335188">Stephen Pratt</a>, <a href="https://theconversation.com/institutions/university-of-central-florida-1925">University of Central Florida</a> Imagine checking in for a flight with your two teenage children. At the counter, you are told that your youngest teenager’s suitcase is two kilograms over the limit. You get slapped with a $75 penalty for their excess luggage. This penalty feels arbitrary and unfair. The youngest weighs about 45 kg, and their luggage weighs 25 kg, making their total payload on the flight 70 kg. Their older sibling, on the other hand, weighs 65 kg, and has brought 23 kg of luggage to check in. Their total weight is higher – 88 kg – yet they receive no penalty. Obviously, things aren’t that simple. Charging passengers based on their weight is highly controversial for many reasons. But that hasn’t stopped some airlines <a href="https://theweek.com/articles/466035/should-airlines-charge-passengers-by-weight">experimenting</a> with such policies. Imagine checking in for your flight only to have the staff tell you to <a href="https://edition.cnn.com/travel/article/plus-size-travelers-slam-airline-seat-policies/index.html">purchase an extra seat</a> as you are a plus-size passenger. You feel discriminated against because you are using the same service as other passengers and your weight is beyond your control. But despite the lived experience of many and hot debate in the media, there has not been a formal study into what passengers themselves think about this matter. Our recently published <a href="https://doi.org/10.1002/jtr.2691">research</a> examined air passengers’ views on alternative airfare policies to understand whether the public finds them acceptable and what ethical considerations determine their views. Though we found a range of ethical contradictions, most travellers were guided by self-interest. <h2>A controversial but important topic</h2> The issue of whether airlines should weigh passengers is an ethical minefield with no easy answers. Despite its sensitivity, the aviation industry can’t ignore passenger weight. Airlines intermittently undertake <a href="https://www.forbes.com/sites/marisagarcia/2024/02/11/despite-backlash-heres-why-airlines-need-to-weigh-passengers/?sh=5f07623e1bfa">passenger weight surveys</a> as they need to accurately calculate payload to ensure flight safety and estimate fuel consumption. The evidence shows passengers are <a href="https://www.forbes.com/sites/marisagarcia/2024/02/11/despite-backlash-heres-why-airlines-need-to-weigh-passengers/?sh=5f07623e1bfa">getting heavier</a>. Airlines including the now-defunct <a href="https://theweek.com/articles/466035/should-airlines-charge-passengers-by-weight">Samoa Air</a> and <a href="https://www.theguardian.com/us-news/2016/oct/23/hawaiian-airlines-american-samoa-weight-passengers">Hawaiian Airlines</a> have taken things one step further and experimented with weighing passengers regularly. Samoa Air, for example, became the first airline to introduce a “pay-as-you-weigh” policy, where the cost of your ticket was directly proportional to the combined weight of you and your luggage. In contrast, Canada has now long had a “<a href="https://otc-cta.gc.ca/eng/publication/additional-seating-and-one-person-one-fare-requirement-domestic-travel-a-guide">one person, one fare</a>” policy. It is prohibited and deemed discriminatory to force passengers living with a disability to purchase a second seat for themselves if they require one, including those with functional disability due to obesity. To complicate matters further, the issue of passenger and luggage weight is not only ethical and financial, but also environmental. More weight on an aircraft leads to more jet fuel being burned and more carbon emissions. About <a href="https://www.nature.com/articles/s41467-021-24091-y">5%</a> of human-driven climate change can be attributed to aviation, and the industry faces enormous pressure to reduce fuel consumption while it waits for low carbon substitutes to become available. <h2>What do passengers actually think?</h2> To get a better sense of how the public actually feels about this issue, we surveyed 1,012 US travellers of different weights, presenting them with three alternatives: <ul> <li>standard policy – currently the most widely used policy with passengers paying a standard price, irrespective of their weight</li> <li>threshold policy – passengers are penalised if they are over a threshold weight</li> <li>unit of body weight policy – passengers pay a personalised price based on their own body weight, per each pound.</li> </ul> The standard policy was the most acceptable for participants of differing weight, although the heavier the passenger, the more they preferred the standard policy. This can be partially explained by status quo bias. Generally, people are likely to choose a familiar answer. The threshold policy was the least acceptable. This policy was seen to violate established social norms and be generally less fair. The unit of body weight policy was preferred to the threshold policy, although participants raised concerns about whether it would be accepted by society. Perhaps unsurprisingly, we found that self-interest played a clear role in determining whether respondents considered a policy acceptable. Younger, male, financially well-off travellers with lower personal weight generally found the alternative policies more acceptable. <h2>An ethical conflict</h2> Alternative airfare policies that are based on passenger weight bring environmental and ethical concerns into conflict. Obviously, the effect isn’t from any one traveller, in particular, but averages over the entire industry. Interestingly, respondents that were more concerned about the environment – “ecocentric” – preferred air fare policies that would reduce the carbon emissions. This made them more open to the controversial alternatives. While the threshold policy was clearly rejected by many respondents as discriminatory, environmental concern played a role in the level of acceptance of the unit of body weight policy. It’s important to apply a critical lens here. These ecocentric travellers were also generally younger and had lower personal weights, so many would benefit from the alternative policies financially. For policymakers overall, our study suggests when it comes to controversial ticketing policies, the public is more likely to be swayed by self-interest than anything else.<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/237856/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/denis-tolkach-11345">Denis Tolkach</a>, Senior Lecturer, <a href="https://theconversation.com/institutions/james-cook-university-1167">James Cook University</a> and <a href="https://theconversation.com/profiles/stephen-pratt-335188">Stephen Pratt</a>, Professor, <a href="https://theconversation.com/institutions/university-of-central-florida-1925">University of Central Florida</a> Image credits: Shutterstock 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/pay-by-weight-airfares-are-an-ethical-minefield-we-asked-travellers-what-they-actually-think-237856">original article</a>. </div>

Travel Trouble

Thinking of trying a new diet? 4 questions to ask yourself before you do

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/melissa-eaton-1522868">Melissa Eaton</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>; <a href="https://theconversation.com/profiles/verena-vaiciurgis-1647095">Verena Vaiciurgis</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>, and <a href="https://theconversation.com/profiles/yasmine-probst-235268">Yasmine Probst</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> We live in a society that glorifies dieting, with around <a href="https://doi.org/10.1111%2Fobr.12466">42% of adults globally</a> having tried to lose weight. Messages about <a href="https://doi.org/10.2196/38245">dieting and weight loss</a> are amplified on social media, with a never-ending cycle of weight loss fads and diet trends. Amid often conflicting messages and misinformation, if you’re looking for diet advice online, it’s easy to become confused and overwhelmed. So before diving into the latest weight loss trend or extreme diet, consider these four questions to help you make a more informed decision. <h2>1. Is the diet realistic?</h2> Have you considered the financial cost of maintaining the diet or lifestyle, and the time and resources that would be required? For example, do you need to purchase specific products, supplements, or follow a rigid meal plan? If the diet is coming from someone who is trying to sell you something – such as a particular weight-loss product you need in order to follow the diet – this could be a particular red flag. Many extreme diet recommendations come from a place of privilege and overlook food access, affordability, cooking skills, where you live, or even your culture and ethics. If the diet has these sorts of issues it can lead to <a href="https://doi.org/10.1017/S1368980024000132">frustration, stress, stigmatisation</a> and feelings of failure for the person trying to adhere to the diet. But the problem may be with the diet itself – not with you. <h2>2. Is there evidence to support this diet?</h2> Self-proclaimed “experts” online will often make claims focused on specific groups, known as <a href="https://doi.org/10.4103%2F0972-6748.77642">target populations</a>. This might be 30- to 50-year-old men with diabetes, for example. In some cases, evidence for claims made may come from animal studies, which might not be applicable to humans at all. So be aware that if research findings are for a group that doesn’t match your profile, then the results might not be relevant to you. It takes time and a lot of high-quality studies to tell us a “diet” is safe and effective, not just one study. Ask yourself, is it supported by multiple studies in humans? Be critical and question the claims before you accept them. For accurate information look for government websites, or ask your GP or dietitian. <h2>3. How will this diet affect my life?</h2> Food is much more than calories and nutrients. It plays many roles in our lives, and likewise diets can influence our lives in ways we often overlook. Socially and culturally, food can be a point of <a href="https://doi.org/10.1017/S1368980024000132">connection and celebration</a>. It can be a source of enjoyment, a <a href="https://doi.org/10.1016/j.jbusres.2018.12.024">source of</a> comfort, or even a way to explore new parts of the world. So when you’re considering a new diet, think about how it might affect meaningful moments for you. For example, if you’re going travelling, will your diet influence the food choices you make? Will you feel that you can’t sample the local cuisine? Or would you be deterred from going out for dinner with friends because of their choice of restaurant? <h2>4. Will this diet make me feel guilty or affect my mental health?</h2> What is your favourite meal? Does this diet “allow” you to eat it? Imagine visiting your mum who has prepared your favourite childhood meal. How will the diet affect your feelings about these special foods? Will it cause you to feel stressed or guilty about enjoying a birthday cake or a meal cooked by a loved one? Studies have shown that dieting can negatively impact our <a href="https://doi.org/10.1007%2FBF03405201">mental health</a>, and skipping meals can increase symptoms of <a href="https://doi.org/10.1016/j.jagp.2020.01.160">depression and anxiety</a>. Many diets fail to consider the psychological aspects of eating, even though our mental health is just as important as physical health. Eating should not make you feel stressed, anxious, or guilty. So before starting another diet, consider how it might affect your mental health. <h2>Moving away from a dieting mindset</h2> We’re frequently told that weight loss is the path to better health. Whereas, we can prioritise our health without focusing on our weight. Constant messages about the need to lose weight can also be harmful to mental health, and not necessarily helpful for <a href="https://doi.org/10.1152/ajpregu.00755.2010">physical health</a>. Our research has found eating in a way that prioritises health over weight loss is linked to a range of <a href="https://doi.org/10.1016/j.appet.2024.107361">positive outcomes</a> for our health and wellbeing. These include a more <a href="https://books.google.com.au/books?hl=en&lr=&id=IuZzDgAAQBAJ&oi=fnd&pg=PT9&dq=%22relationship+with+food%22&ots=e-NxLzUIFF&sig=s7p6_SijfgZE6Odx7ztV4xXPGp8&redir_esc=y#v=onepage&q=%22relationship%20with%20food%22&f=false">positive relationship</a> with food, and less guilt and stress. Our research also indicates <a href="https://doi.org/10.1016/j.appet.2024.107361">mindful and intuitive eating</a> practices – which focus on internal cues, body trust, and being present and mindful when eating – are related to lower levels of depression and stress, and greater body image and self-compassion. But like anything, it takes practice and time to build a positive relationship with food. Be kind to yourself, seek out <a href="https://www.sizeinclusivehealth.org.au/find-a-provider">weight-inclusive</a> health-care professionals, and the changes will come. Finally, remember you’re allowed to find joy in food.<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/237766/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/melissa-eaton-1522868">Melissa Eaton</a>, Accredited Practising Dietitian; PhD Candidate, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>; <a href="https://theconversation.com/profiles/verena-vaiciurgis-1647095">Verena Vaiciurgis</a>, Accredited Practising Dietitian; PhD Candidate, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a>, and <a href="https://theconversation.com/profiles/yasmine-probst-235268">Yasmine Probst</a>, Associate Professor, School of Medical, Indigenous and Health Sciences, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> Image credits: Shutterstock 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/thinking-of-trying-a-new-diet-4-questions-to-ask-yourself-before-you-do-237766">original article</a>. </div>

Body

Bride slammed for asking wedding photographer to commit fraud

A bride-to-be has been slammed online over a “dodgy” email she sent to her wedding photographer, in which she asked him to commit a crime to lower the wedding cost. The young woman, who works in event planning, was shocked when she realised the cost of her wedding photographer, and was worried the cost didn’t fit in her budget. She came up with a plan to lower the cost, not knowing that she was asking her photographer to commit fraud. In an email to the photographer, the woman pitched an idea to charge her business some of the wedding costs to lower the overall price of her big day. “We are so excited to have you as a wedding photographer. Hard to believe it's only a few months away,” the email began. “I wasn't sure how to approach this with you, but the budget has been rapidly expanding as we go through this process. I'm sure that happens with a lot of weddings and you've dealt with it many times.” “I was wondering if we could work something out. I work in the events department at [a company], and I'm wondering if I could hire you to photograph some events there, and you could overcharge them, and whatever you overcharge you could take off our remaining balance.” “What do you think? Do you have any other ideas?” The shocking email saw the “unhinged” bride labelled as “tacky” and “criminal”, with many people urging the photographer to report the bride-to-be to her place of work. “Is this person also telling the florist, the caterer, or any other vendor this?” one asked. “Stop expecting to bargain with creatives like photographers. If you can't pay for a professional photographer, ask a relative or friend to get a few shots. This is so tacky.” Many couldn't believe the bride would stoop so low, as one woman suggested, “Just write back, 'I respectfully decline because I don't want to go to jail'.” Another person added, “I beg your finest pardon? I thought she was going to ask for an extension or a payment plan - not fraud!” Image credits: Shutterstock

Legal

10 questions you must ask before booking a tour

A tour can be a memorable experience, for the right and wrong reasons. Here are 10 questions you must ask yourself before booking one on your next holiday. 1. Are there minimum or maximum group sizes? This applies for two reasons. Firstly, you need to decide how many people you’d like to travel with. Small group tours will have no more than a dozen or so while larger tours could be up to 50. The size will drastically impact your tour experience, affecting everything from the mode of transport to the type of meals. Secondly, you need to know if there’s a minimum group size needed for the tour to run. If you’re the only one who books you may find it cancelled. 2. What is your cancellation/refund policy? As a rule of thumb, you should ask this question about any kind of travel you book before you hand over your cash. With a tour, make sure you find out their policies around inclement weather, too few passengers or if you need to cancel. And as always, travel insurance is your best friend. 3. Are you available for support throughout? One of the good things about travelling with a tour is that you’ll have the services of at least one guide. It’s also good to know if the tour office itself is available for assistance when you’re on the road. This comes in handy if you have to make changes, get sick or are unhappy with the experience. 4. Do you have any reviews I can read? If you can’t find the tour company on TripAdvisor or a similar review site, ask the company if they have any testimonials from previous customers. Before you make your final decision, it’s nice to know what other people have said about the tour and its style. 5. What experience/qualifications do the guides have? Many tour companies now pride themselves on using locals or people who have lived in a country for many years to guide tours. You don’t want to be stuck with someone who just reads from a guidebook – you can do that yourself for half the price. Find out what they know before you go. 6. How active is it? There is a huge spectrum when it comes to tours, ranging from coach journeys with very little walking to active treks where you cover hard ground every day. Make sure you find out exactly what will be involved and if that suits your abilities and fitness level. And be realistic – you and the tour group will suffer otherwise. 7. What is the demographic? You don’t want to get stuck on a tour with a bunch of 25 year olds who are just looking for the pub. Most people prefer to travel with people around their own age and in similar demographics (such as solo travellers, seniors, families etc), so make sure you find out who is likely to be in your group before you book. 8. Is everything included or will I have to pay for extras? You should be able to get a detailed break down of exactly what is – and what isn’t – included in the price. What looked like a good deal can quickly become very expensive if you have to pay for day excursions, admission fees, alcohol or other surprises. 9. How much time do you spend in each place? Are you looking to tick many famous sites off your list or do you want to have the time to immerse yourself in a destination? When you’re looking at an itinerary, ask questions about how long you will actually be spending at each place to ensure that you get enough time to really enjoy it. 10. Will I get any free time on my own? After many days as part of a group, it’s nice to have some time on your own. You can explore sites that aren’t on your itinerary, try a new restaurant or just have a well deserved nap. Find out how rigid the schedules are and if there will be some time to do your own thing. Image credits: Shutterstock

Travel Tips

5 questions to ask before becoming a carer

Thinking about becoming a caregiver? Deciding to step up and provide care for a loved one is a huge responsibility. Make sure you’re prepared and ask these five vital questions first. Do I need to hire help? Just because you’re taking on caregiving duties doesn’t mean you have to be super human. It’s perfectly okay to ask for help, whether it’s in the form of a cleaner or someone to take on tasks that you would prefer to outsource. According to Health.com, 40 per cent of caregivers say dealing with incontinence is one of their most difficult task, while 30 per cent say helping relatives bathe is hard as well. What is my Plan B? If something should happen to you and your schedule or demands change, it’s important to discuss a back-up plan. As the primary carer, a lot of responsibility will rest on you so make sure you have a Plan B before you need one. Should I be compensated? A survey found that 60 per cent of careers adjust their work schedule to look after others, which means either cutting back hours or taking a leave of absence. While you might not want to accept money to care for loved ones, it’s a good idea to have an open discussion with close friends and family about how the responsibilities might impact your life and earning capacity, so that all parties agree on a fair solution. What is Power of Attorney? If you are looking after someone with memory loss, you may need to look into a legal document called power of attorney. Talk to family about who should have this responsibilities, and how you will navigate legal issues that could arise. Who is my support group? Roughly one in three carers don’t receive any help. Having a strong support network of people you can turn to, even just for a chat, can make a huge difference. You might be surprised by how many people you know are also caregivers. Image credits: Getty Images

Caring

Woman baffled by mother-in-law’s insane ask over baby name

A woman has gone head-to-head with her mother-in-law over the name she has chosen for her unborn child. The pregnant woman took to Reddit to share her unusual predicament, explaining how her mother-in-law has demanded she change the name of her baby. The soon-to-be mum shared how she recently had dinner with her husband’s family, where she decided to reveal the baby’s gender and name. She had been keeping the information secret, but with only a few weeks of her pregnancy left, she decided to share the happy news that she was having a baby boy and had chosen the name Shawn for her son. But not everyone shared her happiness over the moniker, as her mother-in-law went pale with shock and demanded she choose a new name. “My in-laws got quiet for a moment before asking if there were other options we'd considered. Apparently, Shawn is the name of my 17-year-old sister-in-law Ashley's former bully who tormented her [for years],” the pregnant woman explained on Reddit. While she empathised with her in-laws, she didn’t want to change the name as it was the only one her and her husband agreed on for their son. She also explained that she hadn’t known about the family connection when they picked the name, and hadn’t picked it out of any malicious intent. “We took forever to pick a name,” she said. “Shawn is the only one we could agree on.” The dinner party soon ended after the argument began, but the mother-in-law didn’t back down, sending the expecting mum demanding messages. “She texted me and my husband again to ask us to find a new name for Ashley's sake.” “Would I be the a**hole for not wanting to change it? We were only able to agree on it a few weeks ago.” Commenters were torn over the subject, with many rushing to the pregnant woman’s defence, saying she can pick whatever name she wants for her son. “My spouse and sibling have the same name. Somehow, you just compartmentalise it,” one shared. “I feel like if a new baby in my family shared a name with my bully I'd just adapt,” another wrote. “After all, Shawn is a VERY common name, so I can't freak out every time I hear it and survive in this world.” However, a select few sided with the mother-in-law, sharing how stunned they were that the couple couldn't find enough compassion to pick another name. One person said, “I understand the difficulty of finding a name that feels right, but for me, after learning this, Shawn would quickly become another name that didn't work. It's only been decided on it for a few weeks so I'd just go back to the drawing board.” Image credits: Shutterstock

Family & Pets

Asking ChatGPT a health-related question? Better keep it simple

It’s tempting to <a href="https://cosmosmagazine.com/news/chatgpt-and-dr-google/">turn to search engines</a> to seek out health information, but with the rise of large language models, like ChatGPT, people are becoming more and more likely to depend on AI for answers too. <div class="copy"> Concerningly, an Australian study has now found that the more evidence given to <a href="https://cosmosmagazine.com/technology/chatgpt-an-intimate-companion/">ChatGPT</a> when asked a health-related question, the less reliable it becomes. Large language models (LLM) and artificial intelligence use in health care is still developing, creating a a critical gap when providing incorrect answers can have serious consequences for people’s health. To address this, scientists from Australia’s national science agency, CSIRO, and the University of Queensland (UQ) explored a hypothetical scenario: an average person asking ChatGPT if ‘X’ treatment has a positive effect on condition ‘Y’. They presented ChatGPT with 100 questions sourced from the <a href="https://trec-health-misinfo.github.io/" target="_blank" rel="noopener">TREC Health Misinformation track</a> – ranging from ‘Can zinc help treat the common cold?’ to ‘Will drinking vinegar dissolve a stuck fish bone?’ Because queries to search engines are typically shorter, while prompts to a LLM can be far longer, they posed the questions in 2 different formats: the first as a simple question and the second as a question biased with supporting or contrary evidence. By comparing ChatGPT’s response to the known correct response based on existing medical knowledge, they found that ChatGPT was 80% accurate at giving accurate answers in a question-only format. However, when given an evidence-biased prompt, this accuracy reduced to 63%, which was reduced again to 28% when an “unsure” answer was allowed. “We’re not sure why this happens,” says CSIRO Principal Research Scientist and Associate Professor at UQ, Dr Bevan Koopman, who is co-author of the paper. “But given this occurs whether the evidence given is correct or not, perhaps the evidence adds too much noise, thus lowering accuracy.” Study co-author Guido Zuccon, Director of AI for the Queensland Digital Health Centre at UQ says that major search engines are now integrating LLMs and search technologies in a process called Retrieval Augmented Generation. “We demonstrate that the interaction between the LLM and the search component is still poorly understood, resulting in the generation of inaccurate health information,” says Zuccon. Given the widespread popularity of using LLMs online for answers on people’s health, Koopman adds, we need continued research to inform the public about risks and to help them optimise the accuracy of their answers. “While LLMs have the potential to greatly improve the way people access information, we need more research to understand where they are effective and where they are not.” Image credits: Getty Images <div> <noscript data-spai="1"><img decoding="async" class="aligncenter size-full wp-image-198773" src="https://cdn.shortpixel.ai/spai/q_lossy+ret_img+to_auto/cosmosmagazine.com/wp-content/uploads/2023/12/MICROSCOPIC-TO-TELESCOPIC__Embed-graphic-720x360-1.jpg" data-spai-egr="1" width="600" alt="Buy cosmos print magazine" title="asking chatgpt a health-related question? better keep it simple 2"></noscript> </div>  <img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=301406&title=Asking+ChatGPT+a+health-related+question%3F+Better+keep+it+simple" width="1" height="1" loading="lazy" aria-label="Syndication Tracker" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /><a href="https://cosmosmagazine.com/technology/ai/asking-chatgpt-a-health-related-question-better-keep-it-simple/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/imma-perfetto/">Imma Perfetto</a>. </div>

Caring

“Completely tacky”: Bride slammed for asking for dinner payment

A bride has caused a stir online after asking if it is appropriate to ask her wedding guests to pay for their meal when they RSVP to the big day. The woman took to a popular wedding Facebook page to ask the opinions of other brides, sharing an example of her invitation created by her wedding planner. The invitation asks guests to confirm whether or not they will be attending the nuptials, before asking if the guest intends to eat at the wedding ceremony, and which meal they would prefer. The price of each meal was also included: $20 for grilled chicken with rice, mashed potatoes and green beans and $25 for a salmon alternative. “We invite you to eat with us but ask for you to provide your own payment. Please select which meal you'd prefer,” the invite stated. “My wedding venue requires me to purchase food through them for the reception, but has said people sometimes choose this option,” the woman wrote on Facebook. “Nothing about my reception is very typical anyway, SO I'm wondering how insane or rude or cost-effective/smart this is.” “The planner set me this as an example of how to present it to guests.” But when the post was quickly criticised by others, the bride clarified the event was more of a “fun dinner party” rather than a “wedding” as she and her partner had already legally married five months prior. “Ultimately I'll do what I want BUT I did not choose this option. It was only a suggestion from the venue that I was curious about others' opinions on,” she added. “This is for the reception. I'm most definitely not asking for money or gifts and by the time they come to the reception, we will have already been married for five months.” The post was shared in another wedding shaming Facebook group and critiqued by dozens of wedding experts. “Oh hell no! This is completely tacky!” one wrote, another said, “So she asks if it is rude then gets offended when people say it's rude?” “I am a veteran pro planner and would NEVER suggest this!” another said. Someone else wrote, “I'm especially shaming the venue for suggesting that people often pawn off the cost of dinner to their guests. Encouraging rude behaviour.” Image credits: Getty Images / Facebook

Food & Wine

Will we still have antibiotics in 50 years? We asked 7 global experts

Almost since antibiotics were <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2937522/#:%7E:text=Since%20the%20introduction%20in%201937,operate%20some%2070%20years%20later.">first discovered</a>, we’ve been aware bacteria can learn how to overcome these medicines, a phenomenon known as antimicrobial resistance. The World Health Organization says we’re currently <a href="https://www.who.int/news/item/20-09-2017-the-world-is-running-out-of-antibiotics-who-report-confirms">losing to the bugs</a>, with resistance increasing and too few new antibiotics in the pipeline. We wanted to know whether experts around the world think we will still have effective antibiotics in 50 years. Seven out of seven experts said yes. Lori Burrows - Biochemist, Canada Yes! Antibiotics are a crucial component of modern medicine, and we can't afford to lose them. Despite the rise of resistance in important pathogens (bugs), and the substantial decrease in new drugs in development, we have multiple tools at our disposal to protect antibiotics. Stewardship - the principle of using antibiotics only when absolutely necessary - is key to maintaining the usefulness of current antibiotics and preventing resistance to new drugs from arising. New diagnostics, such as the rapid tests that became widely available during the pandemic, can inform stewardship efforts, reducing inappropriate antibiotic use for viral diseases. Finally, researchers continue to find creative ways, including the use of powerful artificial intelligence approaches, to identify antimicrobial compounds with new targets or new modes of action. Other promising tactics include using viruses that naturally kill bacteria, stimulating the host's immune system to fight the bacteria, or combining existing antibiotics with molecules that can enhance antibiotic activity by, for example, increasing uptake or blocking resistance. André Hudson - Biochemist, United States Yes. The real question is not whether we will have antibiotics 50 years from now, but what form of antibiotics will be used. Most antibiotics we use today are modelled after natural products isolated from organisms such as fungi and plants. The use of <a href="https://news.mit.edu/2020/artificial-intelligence-identifies-new-antibiotic-0220">AI</a>, machine learning, and other <a href="https://www.theguardian.com/technology/2023/may/25/artificial-intelligence-antibiotic-deadly-superbug-hospital">computational tools</a> to help design novel, unnatural compounds that can circumvent the evolution of antibiotic resistance are only in the very early stages of development. Many of the traditional medicines such as penicillins and other common antibiotics of today which are already waning in efficacy, will probably be of very little use in 50 years. Over time, with the aid of new technology, I predict we will have new medicines to fight bacterial infections. Ray Robins-Browne - Microbiologist, Australia Yes, we will have antibiotics (by which I mean antimicrobial drugs), because people will still get infections despite advances in immunisation and other forms of prevention. Having said this, drugs of the future will be quite different from those we use today, which will have become obsolete well within the next 50 years. The new drugs will have a narrow spectrum, meaning they will be targeted directly at the specific cause of the infection, which we will determine by using rapid, point-of-care diagnostic tests, similar to the RATS we currently use to diagnose COVID. Antimicrobials of the future won’t kill bacteria or limit their growth, because this encourages the development of resistance. Instead, they will limit the ability of the bacteria to cause disease or evade our immune systems. Raúl Rivas González - Microbiologist, Spain Yes, but not without effort. Currently, antimicrobial resistance is a leading cause of death globally, and will continue to rise. But in my opinion, there will still be useful antibiotics to combat bacterial infections within 50 years. To achieve this, innovation and investment is required. Artificial intelligence may even be able to help. An example is the compound "RS102895", which eliminates the multi-resistant superbug Acinetobacter baumannii. This was identified through a machine learning algorithm. The future of antibiotics requires substantial changes in the search for new active molecules and in the design of therapies that can eliminate bacteria without developing resistance. We are on the right path. An example is the discovery of clovibactin, recently isolated from uncultured soil bacteria. Clovibactin effectively kills antibiotic-resistant gram-positive bacteria without generating detectable resistance. Future antimicrobial therapy may consist of new antibiotics, viruses that kill bacteria, specific antibodies, drugs that counter antibiotic resistance, and other new technology. Fidelma Fitzpatrick - Microbiologist, United Kingdom Yes, but not many. Without rapid scale-up of measures to curtail the "<a href="https://www.oecd.org/health/embracing-a-one-health-framework-to-fight-antimicrobial-resistance-ce44c755-en.htm">alarming global health threat</a>" of antimicrobial resistance by 2073, there will be few effective antibiotics left to treat sepsis. The <a href="https://www.cdc.gov/drugresistance/covid19.html">Centre for Disease Control</a> has indicated a reversal of progress following the pandemic, when all focus in healthcare, government and society was on COVID. Without an approach targeting people, animals, agri-food systems and the environment, antimicrobial resistance will continue its upward trajectory. <a href="https://www.worldbank.org/en/topic/health/publication/drug-resistant-infections-a-threat-to-our-economic-future">Doing nothing</a> is unacceptable – lives will be lost, healthcare expenditure will increase and workforce productivity will suffer. The highest burden of antimicrobial resistance is in <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(21)02724-0/fulltext">low-income countries</a>. <a href="https://www.ncbi.nlm.nih.gov/books/NBK543407/">Action plans</a> exist in most OECD, European and G20 countries. In all countries plans need to be funded and implemented across all relevant sectors as above. Better integrated data to track antibiotic use and resistance across human and animal health and the environment, in addition to research and development for new antibiotics, vaccines and diagnostics, will be necessary. Juliana Côrrea - Public health expert, Brazil Yes. However, <a href="https://www.sciencedirect.com/science/article/pii/S0188440905002730?via%3Dihub">available data</a> suggest that without a shift in the political agenda towards the control and prevention of antimicrobial resistance, several antibiotics will have lost their utility. The problem of bacterial resistance is not new and the risk of antibiotics becoming ineffective in the face of the evolutionary capacity of bacteria is one of the main problems facing global health. The creation of policies to promote the appropriate use of this resource has not progressed at the same speed as inappropriate use in human and animal health and in agricultural production. The factors that impact antibiotic use are complex and vary according to local contexts. The response to the problem goes far beyond controlling use at the individual level. We must recognise the social, political, and economic dimensions in proposing more effective governance. Yori Yuliandra - Pharmacist, Indonesia Yes. Despite their <a href="https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance">reduced efficacy over time</a>, antibiotics continue to be produced every year. Researchers are tirelessly working to develop new and more effective antibiotics. And researchers are actively exploring combinations of antibiotics to enhance their efficacy. While antimicrobial resistance is rising, researchers have been making remarkable progress in addressing this issue. They have developed innovative antibiotic classes such as <a href="https://doi.org/10.4155/fmc-2016-0041">FtsZ inhibitors</a> which can inhibit cell division, a process necessary for bacteria to multiply. <a href="https://www.who.int/publications/i/item/9789240021303">Clinical trials</a> are currently taking place. A deeper understanding of the molecular aspects of bacterial resistance has led to the discovery of new treatment strategies, such as the <a href="https://doi.org/10.1039/D2MD00263A">inhibition of key enzymes</a> that play a pivotal role in bugs becoming resistant. And <a href="https://doi.org/10.1038/s42003-021-02586-0">advances in computer technology</a> have greatly accelerated drug discovery and development efforts, offering hope for the rapid discovery of new antibiotics and treatment strategies. Image credits: Getty Images This article originally appeared on <a href="https://theconversation.com/will-we-still-have-antibiotics-in-50-years-we-asked-7-global-experts-214950" target="_blank" rel="noopener">The Conversation</a>.

Body

Princess Di's black sheep jumper sells for 14 times over asking price

Princess Diana's famous "black sheep" jumper has sold at auction for more than $1.1million. The iconic red and white (and one tiny bit of black, of course!) jumper fetched precisely $1,143,000 at Sotheby's in New York - making it the most expensive piece of clothing owned by the former Princess of Wales to sell at auction, as well as the most expensive jumper to ever be sold at auction. There were a total of 44 bids within the final 15 minutes of a two-week online bidding process for the famous item of clothing - during which the bidding leapt from $190,000 to $1,143,000, which ultimately pushed the sale to a staggering 14 times over the initial asking price of $80,000. The woollen jumper was worn by Lady Di to a polo match in Windsor in June 1981, just one month before she married the then-Prince Charles. Soon after Diana wore the garment, it was returned to Sally Muir and Joanna Osborne, founders of the label Warm & Wonderful because of a tear at the cuff. It was sent back to the designers along with a note from Buckingham Palace, requesting that the jumper be either repaired or replaced. A new jumper was knitted for Diana, with Osborne believing the original garment had been lost after the replacement was sent to the Princess of Wales, which she wore to another polo match in 1983. However, Osborne later discovered the jumper, which had been preserved underneath an old cotton bedspread, while searching her attic looking for an old pattern. She got in touch with Sotheby's auction house which gave the garment an auction estimate of around $80,000 - $120,000. Speaking to The Telegraph UK, Osborne said, "We didn't think we had any of the original sheep jumpers, because at the time, we were so desperate to complete orders that we never owned one ourselves, so I couldn't believe I'd found the original Diana sheep jumper." "It took a while to sink in. And we're so lucky it's not fallen to pieces." Sotheby's said of the now-iconic design, "The Black Sheep sweater is one of the most iconic pieces worn by Princess Diana to ever come to market." "The cultural impact of this moment from the 1980s is exemplified by the head of Rowing Blazers, Jack Carlson, who in 2020, requested to partner with the original designers and license the sheep design to be reproduced for his own fashion line." "Since stumbling upon the sweater ... we have been reliving the fond memories of Princess Diana appearing on the front pages of every newspaper in 1981, wearing our very own sweater. "While we are forever indebted to her for the impact this had on our business, our deepest appreciation lies in the knowledge that she shared a unique connection to the black sheep design. We are thrilled that this cherished sweater has now found a new home, carrying with it the enduring legacy of Princess Diana." Images: Getty

Beauty & Style

I think I have the flu. Should I ask my GP for antivirals?

<a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/yong-qian-koo-1457640">Yong Qian Koo</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> If you test positive for COVID and you’re eligible for antivirals, you’ll likely ask your GP for a script to protect you from severe disease. <a href="https://healthdispatch.com.au/news/immunisation-coalition-urging-people-with-flu-like-symptoms-to-g">Antivirals</a> are also available to fight influenza viruses, via a doctor’s prescription. But they have a mixed history, with their benefits at times <a href="https://theconversation.com/controversies-in-medicine-the-rise-and-fall-of-the-challenge-to-tamiflu-38287">overstated</a>. It can be difficult to get an appointment to see your GP. So when should you make the effort to see a GP for a prescription for influenza antivirals? And how effective are they? <h2>What exactly is influenza?</h2> The flu is primarily a viral infection of the respiratory system that can spread through sneezing, coughing, or touching contaminated objects then touching your nose or mouth. Common symptoms include headache, sore throat, fever, runny or blocked nose and body aches that last a week or more. Influenza is actually a group of viruses, divided into several <a href="https://www.cdc.gov/flu/about/viruses/types.htm#:%7E:text=There%20are%20four%20types%20of,global%20epidemics%20of%20flu%20disease,%20https://www.cdc.gov/flu/professionals/acip/background-epidemiology.htm">sub-groups</a>. Flu A and B are the <a href="https://www.health.gov.au/resources/collections/aisr?language=en,%20https://www.health.gov.au/resources/collections/australian-influenza-surveillance-reports-2023?language=en">most common groups</a> that circulate in humans. <h2>What are flu antivirals?</h2> Influenza antivirals, target specific parts of the viral life cycle, which prevents the virus replicating and spreading. Most flu antivirals <a href="https://www.nejm.org/doi/full/10.1056/NEJMra050740">target</a> neuraminidase, an important enzyme the virus uses to release itself from cells. On the other hand, COVID antivirals work by inhibiting other parts of the viral life cycle involved in the <a href="https://www.tga.gov.au/news/media-releases/tga-provisionally-approves-two-oral-covid-19-treatments-molnupiravir-lagevrio-and-nirmatrelvir-ritonavir-paxlovid">virus replicating itself</a>. Three influenza antivirals are <a href="https://australianprescriber.tg.org.au/articles/influenza-overview-on-prevention-and-therapy.html#r20">used in Australia</a>. Relenza (zanamivir) is an inhaled powder and Tamiflu (oseltamivir) is a capsule; both are five-day treatments. Rapivab (peramivir) is a single injection. These antivirals may also come with <a href="https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm">side effects</a>, such as a headache, vomiting, cough, or <a href="https://www.immunisationcoalition.org.au/resources/antiviral-treatments-for-influenza/">fever</a>. Tamiflu and Relenza generally cost A$40-50 in Australia, plus the cost of the consultation fee with your doctor, if applicable. <h2>How effective are antivirals for the flu?</h2> Antivirals have the greatest effect if started 24-72 hours after symptoms. This is to prevent the virus from reaching <a href="https://www.mdpi.com/1660-4601/19/5/3018">high levels in the body</a>. Among healthy adults, if Relenza or Tamiflu are started within 48 hours from your first symptoms, they can <a href="https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008965.pub4/full">reduce the duration</a> of symptoms such as cough, blocked nose, sore throat, fatigue, headache, muscle pain and fever by just under a day. For people who have developed severe flu symptoms or who have existing health conditions such as heart disease or chronic obstructive pulmonary disease (COPD), antivirals that start later (but still before day five of symptoms) can still reduce the <a href="https://academic.oup.com/cid/article/52/4/457/378776?login=true">severity of infection</a> and reduce the <a href="https://thorax.bmj.com/content/thoraxjnl/65/6/510.full.pdf?frbrVersion=3">chance of</a> <a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/215903">hospitalisation</a> and <a href="https://academic.oup.com/jac/article/72/11/2990/4091484?login=false">death</a>. In a study from the 2009 swine flu (H1N1) pandemic in the United States, treatment with antivirals (Tamiflu and Relenza) <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3358088/">reduced</a> the chance of needing to be hospitalised. Around 60% of hospitalisations prevented were among 18-64 years olds, around 20% in children 0-17 years, and 20% in adults aged over 65. The research is less clear about whether antivirals prevent the development of flu complications such as secondary bacterial pneumonia. They might, but so far the data aren’t clear. <h2>Are flu antivirals becoming less effective?</h2> Antiviral resistance to Tamiflu has been <a href="https://link.springer.com/article/10.1007/s10096-020-03840-9">reported</a> around the world, mostly in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7223162/">immunocompromised people</a>, as they <a href="https://link.springer.com/article/10.1007/s10096-020-03840-9">have</a> a weakened immune system that allows higher viral loads and prolonged viral shedding. The impact of the antiviral resistance is unclear but there is evidence indicating resistant strains can uphold their ability to replicate effectively and spread. So far it’s not clear if these stains cause more severe disease. However, government agencies and surveillance programs are constantly monitoring the spread of antiviral resistance. Currently there is <a href="https://www.cdc.gov/flu/treatment/antiviralresistance.htm">minimal concern</a> for strains that are resistant to Tamiflu or Relenza. <h2>Antivirals can also prevent the flu if you’ve been exposed</h2> Tamiflu and Relenza can also be used to <a href="https://onlinelibrary.wiley.com/doi/10.1111/irv.12046">prevent flu infections</a>, if we’re exposed to the virus or come into contact with infected people. Some studies suggest Tamiflu and Relenza can <a href="https://www.bmj.com/content/326/7401/1235.long">reduce the chance of developing symptomatic influenza</a> by 70-90%. Many health agencies around the world <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8165743/">recommend</a> “prophylactic” treatment for high-risk patients in hospitals or age care setting when people have been in contact with others infected with influenza. <h2>So who should talk to their GP about a prescription?</h2> <a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/racf-antiviral-treatments-and-prophylaxis.aspx#:%7E:text=The%20Australian%20Therapeutic%20Guidelines*%20recommends,of%20severe%20disease%20from%20influenza.&text=people%20with%20chronic%20conditions%20including,heart%20disease">Australian guidelines recommend</a> doctors offer antivirals to people with influenza who have severe disease or complications. Doctors can also consider treatment for people at higher risk of developing severe disease from influenza. This includes: <ul> <li>adults aged 65 years or older</li> <li>pregnant women</li> <li>people with certain chronic conditions (heart disease, Down syndrome, obesity, chronic respiratory conditions, severe neurological conditions)</li> <li>people with compromised immunity</li> <li>Aboriginal and Torres Strait Islander people</li> <li>children aged five years or younger</li> <li>residents of long-term residential facilities</li> <li>homeless people.</li> </ul> Doctors can prescribe antivirals for the prevention of influenza <a href="https://australianprescriber.tg.org.au/articles/influenza-overview-on-prevention-and-therapy.html#r20">in</a> vulnerable people who have been exposed to the virus. Antiviral treatment also can be <a href="https://www.cdc.gov/flu/professionals/antivirals/summary-clinicians.htm#:%7E:text=Antiviral%20treatment%20also%20can%20be,48%20hours%20of%20illness%20onset">considered</a> for otherwise healthy symptomatic patients who have confirmed or suspected influenza, if they can start treatment within 48 hours of developing symptoms. In some instances a doctors can make a clinical diagnosis of influenza based on the symptoms and known close flu positive contacts of the patient. However, it is preferred to have flu diagnosed by one of the approved diagnostic tests, such as a <a href="https://24-7medcare.com.au/influenza/australian-gp-influenza-2023-guide/">rapid antigen test</a> (RAT) or the more accurate <a href="https://www.health.nsw.gov.au/Infectious/factsheets/Pages/influenza_factsheet.aspx">PCR test</a>, similar to what is perfomed for COVID. There are also now combo tests that can <a href="https://www.tga.gov.au/news/media-releases/first-combination-covid-19-and-influenza-self-tests-approved-australia">distinguish between SARS-CoV-2 and influenza virus</a>. Remember, the flu can cause <a href="https://www.abc.net.au/news/2023-07-23/flu-season-hitting-children-hard-antivirals-may-help/102633722">severe illness or death</a>, particularly among people from the high-risk groups. So if you think you might have the flu, wear a mask and stay away to avoid spreading the virus to others. <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/210457/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/lara-herrero-1166059">Lara Herrero</a>, Research Leader in Virology and Infectious Disease, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>; <a href="https://theconversation.com/profiles/wesley-freppel-1408971">Wesley Freppel</a>, Research Fellow, Institute for Glycomics, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a>, and <a href="https://theconversation.com/profiles/yong-qian-koo-1457640">Yong Qian Koo</a>, , <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> Image credits: Shutterstock 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/i-think-i-have-the-flu-should-i-ask-my-gp-for-antivirals-210457">original article</a>.

Body

Private health insurance is set for a shake-up. But asking people to pay more for policies they don’t want isn’t the answer

<a href="https://theconversation.com/profiles/yuting-zhang-1144393">Yuting Zhang</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nathan-kettlewell-903866">Nathan Kettlewell</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> Private health insurance is <a href="https://consultations.health.gov.au/medical-benefits-division/consultation-on-phi-studies/">under review</a>, with proposals to overhaul everything from rebates to tax penalty rules. One <a href="https://consultations.health.gov.au/medical-benefits-division/consultation-on-phi-studies/supporting_documents/Finity%20Consulting%20MLS%20and%20PHI%20Rebate%20Final%20Report.pdf">proposal</a> is for higher-income earners who don’t have private health insurance to pay a larger <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Medicare-levy-surcharge/">Medicare Levy Surcharge</a> – an increase from 1.25% or 1.5%, to 2%. And if they want to avoid that surcharge, they’d need to take out higher-level hospital cover than currently required. Encouraging more people to take up private health insurance like this might seem a good way to take pressure off the public hospital system. But <a href="https://melbourneinstitute.unimelb.edu.au/publications/working-papers/search/result?paper=4682822">our research</a> shows these proposals may not achieve this. These may also be especially punitive for people with little to gain from buying private health insurance, such as younger people and those living in regional areas who do not have access to private hospitals. <h2>What is the Medicare Levy Surcharge?</h2> The Medicare Levy Surcharge was <a href="https://www.aph.gov.au/About_Parliament/Parliamentary_Departments/Parliamentary_Library/FlagPost/2013/May/A_short_history_of_increases_to_the_Medicare_levy#:%7E:text=From%20July%201997%2C%20a%20surcharge,ancillary%20insurance%20cover%20was%20introduced">introduced in 1997</a> to encourage high-income earners to buy health insurance. People earning above the relevant thresholds need to buy “complying” health insurance, or pay the levy. This surcharge is in addition to the <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Medicare-levy/">Medicare levy</a>, which applies to most taxpayers. The surcharge varies depending on your income bracket, and the rate is <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Medicare-levy-surcharge/Medicare-levy-surcharge-income,-thresholds-and-rates/">different</a> for families. For instance, to avoid paying the surcharge currently, a single person living in Victoria earning A$108,001 can buy basic hospital cover. The lowest annual premium for someone under 65 is <a href="https://www.privatehealth.gov.au/dynamic/Search/">about $1,100</a>, after rebates. That varies slightly between states and territories. Not buying private health insurance and paying the Medicare Levy Surcharge instead would cost even more, at $1,350 (1.25% of $108,001). <h2>What is being proposed?</h2> The <a href="https://consultations.health.gov.au/medical-benefits-division/consultation-on-phi-studies/">report</a>, by Finity Consulting and commissioned by the federal health department, reviews a range of health insurance incentives. It recommends increasing the Medicare Levy Surcharge to 2% for those with an income above $108,001 for singles, and $216,001 for families. The definition of a “complying” private health insurance policy would also change. Rather than having basic hospital cover as is required now, someone would need to buy <a href="https://www.health.gov.au/resources/publications/private-health-insurance-reforms-gold-silver-bronze-basic-product-tiers-campaign-fact-sheet?language=en">silver or gold</a> cover to avoid the surcharge. Under the proposed changes, people who pay the 2% surcharge would also no longer receive any rebate, which currently reduces premiums by <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Private-health-insurance-rebate/Income-thresholds-and-rates-for-the-private-health-insurance-rebate/#Rebaterates1">about 8%</a> for people earning $108,001-$144,000. So, for a single person under 65, earning $108,001 and living in Victoria, the <a href="https://www.privatehealth.gov.au/dynamic/Search/">annual cost of buying</a> complying hospital cover would be at least $1,904 (without the rebate). Again, that varies slightly between states and territories. But the cost of not insuring and paying the Medicare Levy Surcharge instead would go up to $2,160 (2% of $108,001). <h2>Is this a good idea?</h2> However, <a href="https://melbourneinstitute.unimelb.edu.au/publications/working-papers/search/result?paper=4682822">our research</a>, out earlier this year, suggests increasing the Medicare Levy Surcharge will not meaningfully increase take-up of private health insurance. We’ve shown that people do not respond as strongly to the surcharge as theory would predict. For example, when the surcharge kicks in, we found the probability of insuring only increases modestly from about 70% to 73% for singles, and about 90% to 91% for families. It is generally cheaper to buy private health insurance than to pay the surcharge. However, we found about 15% of single people with an income of $108,001 or above don’t insure despite it being cheaper than paying the Medicare Levy Surcharge. We don’t know precisely why. Maybe people are not sure of the financial benefit due to changes in their income, or if they are, cannot be bothered, or do not have time, to explore their options. Maybe, as <a href="https://www.reddit.com/r/AusFinance/comments/x2909w/does_anyone_else_willingly_pay_the_medicare/">anecdotal reports suggest</a>, rather than buying private health insurance, some people would rather support the public system by paying the Medicare Levy Surcharge. The point is, people who are not buying private health insurance appear to be highly resistant to financial incentives. So stronger penalties might have little effect. Instead, we propose the Medicare Levy Surcharge be better targeted to true high-income earners. We can do that by increasing income thresholds for the surcharge to kick in, which are then indexed annually to reflect changes in earnings. <h2>How about needing more expensive cover?</h2> Requiring people to choose silver level cover or above would address criticisms about people buying “<a href="https://theconversation.com/getting-rid-of-junk-health-insurance-policies-is-just-tinkering-at-the-margins-of-a-much-bigger-issue-82749">junk</a>” private health insurance they never intend to use. However, people may be buying this type of product because private health insurance has little value to them. Requiring them to spend even more on a product they don’t want is a roundabout way of taking pressure off the public system. So we propose keeping the current level of hospital cover required to avoid the surcharge, rather than increasing it. <h2>Who loses?</h2> Taken together, the cost of these proposed changes would disproportionately fall on people with little to gain from private health insurance. These include younger people, those living in regional areas who do not have access to private hospitals, or those who prefer to support the public system directly. These groups are the least likely to use private insurance so have the least to gain from upgrading their cover. <h2>Where to next?</h2> The report also recommends keeping <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Private-health-insurance-rebate/">health insurance rebates</a> (a government contribution to your premiums), the <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Private-health-insurance-rebate/Lifetime-health-cover/">Lifetime Health Cover</a> loading (to encourage people to take out hospital cover while younger), as well as the Medicare Levy Surcharge. We also support keeping these three in the short to medium term. But we recommend gradually reducing public support for private health insurance. We believe the ultimate goal of reforming private health insurance is to optimise the overall efficiency of the health-care system (both public and private systems) and improve population health while saving taxpayers’ money. The goal should not be merely increasing the take-up of private health insurance, which is the focus of the current report. So, as well as our recommendation to better target the Medicare Levy Surcharge, we need to: <ul> <li> lower income thresholds for <a href="https://theconversation.com/the-private-health-insurance-rebate-has-cost-taxpayers-100-billion-and-only-benefits-some-should-we-scrap-it-181264">insurance rebates</a>, especially targeting those on genuinely low incomes. This means lower premiums only for the people who can least afford private health care </li> <li> remove rebates <a href="https://theconversation.com/private-health-insurance-premiums-should-be-based-on-age-and-health-status-122545">based on age</a> as higher rebates for older people <a href="https://www.tandfonline.com/doi/abs/10.1080/13504851.2017.1299094?journalCode=rael20">do not</a> encourage more to insure. Rebates should be tied to just income, which is a better indicator of financial means.<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/210981/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> </li> </ul> <a href="https://theconversation.com/profiles/yuting-zhang-1144393">Yuting Zhang</a>, Professor of Health Economics, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a> and <a href="https://theconversation.com/profiles/nathan-kettlewell-903866">Nathan Kettlewell</a>, Chancellor's Postdoctoral Research Fellow, Economics Discipline Group, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> Image credits: Getty Images 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/private-health-insurance-is-set-for-a-shake-up-but-asking-people-to-pay-more-for-policies-they-dont-want-isnt-the-answer-210981">original article</a>.

Money & Banking

Should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts

<a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, <a href="http://www.theconversation.com/">The Conversation</a> Australian of the Year and body positivity advocate Taryn Brumfitt has <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">called for</a> doctors to avoid discussing a patient’s weight when they seek care for unrelated matters. A 15-minute consultation isn’t long enough to provide support to change behaviours, Brumfitt says, and GPs don’t have enough training and expertise to have these complex discussions. “Many people in larger bodies tell us they have gone to the doctor with something like a sore knee, and come out with a ‘prescription’ for a very restrictive diet, and no ongoing support,” Brumfitt <a href="https://www.smh.com.au/healthcare/doctors-should-avoid-discussing-patient-s-weight-australian-of-the-year-says-20230707-p5dmhv.html">told the Nine newspapers</a>. By raising the issue of weight, Brumfitt says, GPs also risk turning patients off seeking care for other health concerns. So should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts. Brett Montgomery - GP academic Yes, sometimes – but with great care. I agree that weight stigma is damaging, and insensitively raising weight in consultations can <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251566" target="_blank" rel="noopener">hurt people's feelings and create barriers</a>to other aspects of health care. I also agree people can sometimes be “overweight” yet <a href="https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0287218" target="_blank" rel="noopener">quite healthy</a>, and that common measures and categories of weight are <a href="https://theconversation.com/bmi-alone-will-no-longer-be-treated-as-the-go-to-measure-for-weight-management-an-obesity-medicine-physician-explains-the-seismic-shift-taking-place-208174">questionable</a>. On the other hand, I know obesity <a href="https://www.racgp.org.au/FSDEDEV/media/documents/RACGP/Position%20statements/Obesity-prevention-and-management.pdf" target="_blank" rel="noopener">is associated with</a> heart disease, joint problems, diabetes and cancers. GPs should be ready to help people with their weight when they want help. <a href="https://www.bmj.com/content/377/bmj-2021-069719.full?ijkey=FnARkmvxLOMFvlb&keytype=ref">Our assistance somewhat effective</a>, though sadly dietary efforts often have minimal effect on weight in the long term. Meanwhile, treatments causing larger weight changes (<a href="https://insightplus.mja.com.au/2021/10/bariatric-surgery-public-system-access-still-terrible/">surgery</a> and <a href="https://www.nature.com/articles/s41366-022-01176-2">some medicines</a> are often financially inaccessible. I feel safe discussing weight when my patient raises the issue. Fearing hurting people, I often avoid raising it myself. I focus instead on health rather than weight, discussing physical activity and healthy diet – these are good things for people of any size. Emma Beckett - Nutrition scientist No. It’s not likely to succeed. Large systematic reviews bringing together multiple studies of multiple weight-loss diets show weight loss is not generally maintained long term (<a href="https://pubmed.ncbi.nlm.nih.gov/32238384/">12 months</a> to <a href="https://www.nature.com/articles/0802982">four years</a>). The idea that weight is about willpower is outdated. The current body of evidence <a href="https://theconversation.com/whats-the-weight-set-point-and-why-does-it-make-it-so-hard-to-keep-weight-off-195724">suggests</a> we each have a weight set point that our body defends. This is determined by genetics and environment more so than education. There may be associations between weight and health outcomes, but losing weight <a href="https://theconversation.com/just-because-youre-thin-doesnt-mean-youre-healthy-101185">does not necessarily equate</a> with improving health. Fat stigma and fatphobia are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2866597/">harmful too</a> and can <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381543/">compromise access to health care</a>. Instead, consider asking a better question. Healthy eating reduces disease risk <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935663/">regardless of weight</a>. So maybe ask how many vegetables are your patients eating. Would they like to see a dietitian to discuss strategies for a better-quality diet? Liz Sturgiss - GP/researcher No. A <a href="https://pubmed.ncbi.nlm.nih.gov/33211585/">US study</a> estimates it would take a family doctor 131% of their work hours to implement all preventive health-care recommendations. It's impossible to address every recommendation for preventative care at every consultation. One of the key skills of a GP is balancing the patient and doctor agenda. <a href="https://www.obesityevidencehub.org.au/collections/treatment/weight-bias-and-stigma-in-health-care">Weight stigma</a> can deter people from seeking health care, so raising weight when a patient doesn't have it on their agenda can be harmful. A strong <a href="https://academic.oup.com/fampra/article/38/5/644/6244494?login=false">therapeutic relationship</a> is critical for safe and effective health care to address weight. Weight is always on my agenda when there is unexpected weight loss. If a patient has rapid weight loss, I am concerned about an undetected <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7283307/">cancer</a> or infection. Additionally, I am increasingly seeing patients who are unable to afford food, who often have <a href="https://www.aihw.gov.au/reports/dental-oral-health/oral-health-and-dental-care-in-australia/contents/introduction">poor oral health</a>, who lose weight due to <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/1747-0080.12580">poverty</a>. Weight loss for the wrong reasons is also a very concerning part of general practice. Nick Fuller - Obesity researcher Yes. GPs should play a role in the early detection of weight issues and direct patients to evidence-based care to slow this progression. <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Research</a> shows many people with obesity are motivated to lose weight (48%). <a href="https://pubmed.ncbi.nlm.nih.gov/31032548/">Most</a> want their clinician to initiate a conversation about weight management and treatment options. However, this conversation <a href="https://pubmed.ncbi.nlm.nih.gov/32385580/">rarely occurs</a>, resulting in <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">significant delays to treatment</a>. Starting the conversation presents challenges. Although obesity is a complex disease related to multiple factors, it's still <a href="https://pubmed.ncbi.nlm.nih.gov/25752756/">highly stigmatised</a>in our society and even in the <a href="https://pubmed.ncbi.nlm.nih.gov/23144885/">clinical setting</a>. Sensitivity is required and the wording the clinician uses is important to make the patient feel safe and avoid placing blame on them. Patients often <a href="https://pubmed.ncbi.nlm.nih.gov/20823355/">prefer terms</a> such as “weight” and “BMI” (body mass index) over “fatness,” “size” or “obesity”, <a href="https://pubmed.ncbi.nlm.nih.gov/27354290/">particularly women</a>. Measuring weight, height and waist circumference should be <a href="https://pubmed.ncbi.nlm.nih.gov/33621413/">considered routine in primary care</a>. But this needs to be done without judgement, and in collaboration with the patient. Helen Truby - Nutrition scientist Yes. A high body weight contributes to many chronic conditions that negatively impact the <a href="https://www.aihw.gov.au/australias-health/summaries">quality of life and mental health</a> of millions of Australians. Not all GPs feel confident having weight conversations, given the sensitive nature of weight and its stigma. GPs' words matter – they are a <a href="https://doi.org/10.1111/nbu.12320">trusted source</a> of health information. It’s critical GPs gain the skills to know when and how to have <a href="https://doi.org/10.1186/s12875-019-1026-4">positive weight conversations</a>. GPs need to offer supportive and affordable solutions. But effective specialist weight management programs are few and far between. More equitable access to programs is essential so GPs have referral pathways after conversations about weight. GPs' time is valuable. Activating this critical workforce is essential to meet the <a href="https://www.health.gov.au/resources/publications/national-obesity-strategy-2022-2032?language=en">National Obesity Strategy.</a> <a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, Deputy Editor and Senior Health Editor, <a href="http://www.theconversation.com/">The Conversation</a> Image credits: Getty Images 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/should-gps-bring-up-a-patients-weight-in-consultations-about-other-matters-we-asked-5-experts-209681">original article</a>.

Body

Thief asks woman out on date after robbing her at gunpoint

A US woman has gone through the harrowing experience of being robbed at gunpoint, but it was what happened after the fact that was almost as eerie. Amber Beraun was checking the mail one night at her Indianapolis home in May when she was approached by a man with a gun. The gunman was later identified as Damien Boyce. Speaking to WRTV, Beraun said she was confronted by Boyce, who attempted to enter her home. She refused and gave him all the cash she had handy, which came to $100. Before he made his escape, Boyce asked Beraun a very unexpected, and quite frankly bizarre question - to add him on Facebook. The thief also noted he was planning to pay her back. Beraun responded, telling him she “believed” him and that “times just get rough”. Boyce proceeded to ask the woman to “come chill”. He was later arrested by the Indianapolis Metropolitan Police Department and charged over a separate armed robbery on June 12, where two people got shot and one was hit in the head with a brick. He was also charged with his robbery of Beraun. Beraun said her local neighbourhood has been affected by the terrifying incident. "It makes me a little on edge knowing that people walk up and down the street, looking for places to commit crimes," she said. "It makes it a little different when you hear noises at night." Beraun insisted she "never" thought something like this would happen to her. "He took away my sense of safety from my home." Image credit: ABC America

Legal

Caring Kyle asks Fergie the one question she's never gotten

Sarah Ferguson has spoken candidly about what life has been like in the public eye since Prince Andrew's indiscretions have been made public. The Duchess of York made her first appearance on The Kyle and Jackie O Show, sharing how she has been keeping silent on the controversy surrounding her ex-husband of 26 years. In a touching moment, Kyle asked how Fergie was dealing with the media storm around Prince Andrew, in an interview-first for the Duchess. Kyle began, "I've never heard anyone ask it how you're doing through all this – because you're going through lots of ups and downs a lot of wonderful things with the grandchildren, the career everything. "But the other side, are you doing all right? Because you're holding someone else's hand, who's holding your hand through all that?" The Duchess was caught off guard by the kind question, fumbling for words before admitting to the radio host, "You're the first person ever who's asked me, on air, how I am." "Are you kidding?" asked a shocked Sandilands, "After all these years, no one's asked how you're doing?" The duchess replied with a simple "No", before quickly moving on. Fergie went on to share the difficulties of dealing with the media probing into her public life, with Sandilands asking her about rumours that she and Prince Andrew were "scared" to move out of the Royal Lodge in fear that King Charles will kick them out for good. "It's so hard, and I think Philip Schofield summed it up when he said there is a human being at the end of this, there is a human being and I, and I think it is, it's hard, Kyle and you Jackie, you both know it's hard when...you can't answer," she said. "You can't say much you just got to get on, and I think the best way to answer any detracting is to be successful." She went on to say she has learned to be more guarded in her answers in interviews over the years, admitting that she once would've spilled all her secrets. Fergie mentioned a recent interview with Piers Morgan's wife, Celia Walden, where she asked "so many good questions, which are fantastic. And I said, you know, about 20 years ago, I would have probably jumped in with both feet and gone, 'Yeah, blah, blah, blah'." "And now, I'm more guarded about my responses and thinking of the ramifications of my actions and she said, 'I wish I could have met you 20 years ago, and then we'd have had really great front pages'." Image credits: Getty Images

Caring

Why Air NZ is asking passengers to hop on the scales

Until July 2, passengers departing on international Air New Zealand flights from Auckland International Airport are being asked to step on the scales before their trip. New Zealand’s Civil Aviation Authority are making the request as part of a “weight survey” program - one required to take place every five years - and hoping to gather more information on the weight loads and distributions for aircrafts. “We weigh everything that goes on the aircraft - from the cargo to the meals onboard, to the luggage in the hold,” Air NZ’s load control improvement specialist Alastair James explained. “For customers, crew and cabin bags, we use average weights, which we get from doing this survey.” James went on to note that they are aware “stepping on the scales can be daunting”, as weight is a personal issue that many do not want to make public knowledge. And for any passengers with such concerns, the airline has promised to protect their privacy, with the data being kept anonymous. “We want to reassure our customers there is no visible display anywhere," he said. “No one can see your weight - not even us! It’s completely anonymous.” Two scales are to be set up in Auckland International Airport’s gate lounges - one that travellers will be asked to stand on, with their weight submitted for the survey, and another for their luggage in a separate weighing process. In order for the survey to be effective, 10,000 passengers must participate over the course of five weeks. “It’s simple, it’s voluntary,” James added, “and by weighing in, you’ll be helping us to fly you safely and efficiently, every time.” Air NZ’s project also means that passengers experiencing one of the world’s longest flights - the 17-hour flagship trip from Auckland to New York City’s JFK Airport - for the first time may find themselves asked to participate. It isn’t the first time the airline has requested its passengers hop on the scales before their trips either, with a similar survey taking place in 2021. And while the international research was meant to be conducted at an earlier date as well, the pandemic brought those plans to a temporary halt. And similar surveys are undertaken all across the globe, with Flight Global revealing that a survey by the European Union Aviation Safety Agency in 2022 discovered that the average weight of passengers has remained “relatively unchanged” for the past 15 years. Images: Getty

International Travel

Stan Grant’s new book asks: how do we live with the weight of our history?

<a href="https://theconversation.com/profiles/heidi-norman-859">Heidi Norman</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> This month, journalist and public intellectual Stan Grant published his fifth book, <a href="https://www.harpercollins.com.au/9781460764022/the-queen-is-dead/">The Queen is Dead</a>. And last week, he abruptly stepped away from his career in the public realm, <a href="https://www.abc.net.au/news/2023-05-19/stan-grant-media-target-racist-abuse-coronation-coverage-enough/102368652">citing</a> toxic racism enabled by social media, and betrayal on the part of his employer, the ABC. “I was invited to contribute to the ABC’s coverage as part of a discussion about the legacy of the monarchy. I pointed out that the crown represents the invasion and theft of our land,” <a href="https://www.abc.net.au/news/2023-05-19/stan-grant-media-target-racist-abuse-coronation-coverage-enough/102368652">he wrote</a> last Friday. “I repeatedly said that these truths are spoken with love for the Australia we have never been.” And yet, “I have seen people in the media lie and distort my words. They have tried to depict me as hate filled”. Grant has worked as a journalist in Australia for more than three decades: first on commercial current affairs – and until this week, as a main anchor at the ABC, where he was an international affairs analyst and the host of the panel discussion show Q+A. The former role reflects his global work, reporting from conflict zones with esteemed international broadcasters such as CNN. His second book, <a href="https://www.harpercollins.com.au/9781460751985/talking-to-my-country/">Talking to my Country</a>, won the Walkley Book Award in 2016. <hr /> Review: The Queen is Dead – Stan Grant (HarperCollins) <hr /> In this new book, Grant yearns for a way to comprehend the forces, ideas and history that led to this cultural moment we inhabit. The book, which opens with him grappling with the monarchy and its legacy, is revealing in terms of his decision to step back from public life. Released to coincide with <a href="https://theconversation.com/coronation-arrests-how-the-new-public-order-law-disrupted-protesters-once-in-a-lifetime-opportunity-205328">the coronation</a> of the new English monarch, Charles III, The Queen is Dead seethes with rage and loathing – hatred even – at the ideas that have informed the logic and structure of modernity. Grant’s work examines the ideas that explain the West and modernity – and his own place as an Indigenous person of this land, from Wiradjuri, Kamilaroi and Dharawal country. That is: his work explores both who he is in the world and the ideas that tell the story of the modern world. He finds the latter unable to account for him. “This week, I have been reminded what it is to come from the other side of history,” he writes in the book’s opening pages. “History itself that is written as a hymn to whiteness […] written by the victors and often written in blood.” He asks “how do we live with the weight of this history?” And he explains the questions that have dominated his thinking: what is <a href="https://theconversation.com/whiteness-is-an-invented-concept-that-has-been-used-as-a-tool-of-oppression-183387">whiteness</a>, and what is it to live with catastrophe? <h2>The death of the white queen</h2> In his account, his rage is informed by the observation that the weight of this history was largely unexplored on the occasion of Queen Elizabeth II’s death last September. The death of the white queen is the touchpoint always returned to in this work – and the release of the book coincides with the apparently seamless transition to her heir, now King Charles III. <figure class="align-right zoomable"><a href="https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=237&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=917&fit=crop&dpr=1 600w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=917&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=917&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=1152&fit=crop&dpr=1 754w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=1152&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=1152&fit=crop&dpr=3 2262w" alt="" /></a><figcaption></figcaption></figure> In the lead-up to the coronation, “long live the king” echoed across the United Kingdom. Its long tentacles reached across the globe where this old empire once ruled, robbing and ruining much that it encountered. The death of the queen and the succession of her heir occurred with ritual and ceremony. Small tweaks acknowledged the changing world – but for the most part, this coronation occurred without revolution or bloodshed, without condemnation – and without contest of the British monarchs’ role in history and the world they continue to dominate, in one way or another. Grant argues the end of the 70-year rule of Queen Elizabeth II should mark a turning point: a global reckoning with the race-based order that undergirds empire and colonialism. Whereas the earlier century confidently pronounced the project of <a href="https://theconversation.com/the-power-of-yindyamarra-how-we-can-bring-respect-to-australian-democracy-192164">democracy</a> and liberalism complete, it seems time has marched on. History has not “ended”, as Francis Fukuyama <a href="https://theconversation.com/the-end-of-history-francis-fukuyamas-controversial-idea-explained-193225">declared</a> in 1989 (claiming liberal democracies had been proved the unsurpassable ideal). Instead, history has entered a ferocious era of uncertainty and volatility. Grant reminds us that people of colour now dominate the globe. Race, <a href="https://theconversation.com/racism-is-real-race-is-not-a-philosophers-perspective-82504">as we now know</a>, is a flexible and slippery made-up idea, changing opportunistically to include and exclude groups, to dominate and possess. Grant examines this with great impact as he considers the lived experience of his white grandmother, who was shunned when living with a black man, shared his conditions of poverty with pluck and defiance, then resumed a place in white society without him. And writing of his mother, the other Elizabeth, Grant elaborates the complexity of identity not confined to the colour of skin, but forged from belonging to people and kinship networks, and to place – which condemns the pseudoscience of <a href="https://humanrights.gov.au/about/news/speeches/power-identity-naming-oneself-reclaiming-community-2011">blood quantum</a> that informed the state’s control of Aboriginal lives. This suspect race science has proved enduring. Grant’s account of the death of the monarch is a genuine engagement with the history of ideas to contemplate the reality of our 21st-century present. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&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/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=502&fit=crop&dpr=1 754w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=502&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=502&fit=crop&dpr=3 2262w" alt="" /></a><figcaption>Grant argues the end of the queen’s 70-year rule should mark ‘a global reckoning with the race-based order that undergirds empire and colonialism’. Yui Mok/AP</figcaption></figure> <h2>Liberalism and democracy = tyranny and terror</h2> In several essays now, Grant has engaged with the ideas of mostly Western philosophers and several conservative thinkers to explain the crisis of liberalism and democracy. Grant argues that, like other -isms, liberalism and democracy have descended into tyranny and terror. The new world order, dominated by <a href="https://theconversation.com/friday-essay-stan-grant-on-how-tyrants-use-the-language-of-germ-warfare-and-covid-has-enabled-them-204183">China</a> and people of colour, is in dramatic contrast to the continued rule of the white queen and her descendants. In this, perhaps more than his other books and essays, Grant moves between big ideas in history – the <a href="https://theconversation.com/criticism-of-western-civilisation-isnt-new-it-was-part-of-the-enlightenment-104567">Enlightenment</a>, modernity and democracy – to consider himself, his identity, and his own lived experience of injustice, where race is an undeniable organising feature. In this story he explains himself, as an Indigenous person, “an outsider, in the middle”; “an exile, living in exile, struggling with belonging”; living with the “very real threat of erasure”. <h2>Love, friendships, family, Country</h2> In the final section of the book, Grant’s focus switches to the theme of “love”, and to friendships, family and Country. He speculates that his focus on these things is perhaps a mark of age. Now, he accounts for the things in life that are truly valuable – and this includes deep affection for the joy that emanates from Aboriginal families. Being home on his Country, paddling the river, he finds quiet and peace. The death of the monarch of the British Empire, who ruled for 70 years, should speak to the history of empire and colonial legacy and all its curses – especially in settler colonial Australia. Yet her passing – which coincides with seismic change in the global economic order with China’s ascendance and the decline of the United States and the UK, the global cultural order and the racial order – has been largely unexamined in public discourse in Australia. The history of colonisation and of ideas that have debated ways to comprehend the past have been a feature of Grant’s intellectual exploration, including on the death of the queen. As he details in his new book, the reaction from some quarters to this conversation has exposed him to unrelenting and racist attack. In this work and in others, exploration of the world of ideas to understand the past and future sits alongside accounts of the everyday; of the always place-based realities of Aboriginal accounts of self. The material deprivations and indignities, the closely held humility that comes with poverty and powerlessness - shared socks, a house carelessly demolished, burials tragically abandoned – are countered by another reality: the intimacy of most Aboriginal lives, characterised by deep love, affection, laughter and belonging. These place-based, “small” stories Grant shares sit alongside the bigger themes of modern history, such as democracy and freedom. In this latest work, Grant details his sense of “betrayal” at the discussion he sought about the monarch’s passing and the discussion that was actually had, the history of ideas and his own place in this. And now, of course, he has announced his intention to exit the public stage. Racism, we are reminded, is an enduring feature of the modern world – a world yet to allow space for an unbowing, Wiradjuri-Kamilaroi-Dharawal public intellectual.<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/204756/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/heidi-norman-859">Heidi Norman</a>, Professor, Faculty of Arts and Social Sciences, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/stan-grants-new-book-asks-how-do-we-live-with-the-weight-of-our-history-204756">original article</a>. Images: Q+A / ABC

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6 questions you must ask yourself before downsizing

For many people, retirement is the time to downsize from the family home to a smaller dwelling. It’s a big decision so before you take the plunge, first ask yourself these six questions to ensure you make an informed choice. 1. How much will I save moving to a smaller home? A big reason to downsize is to save money, but you might not always save as much as you think when you really drilldown into the costs. Carefully compare the costs of your potential new dwelling with how much you’re spending now. Consider everything including the price of the house, maintenance, utilities, transport, entertainment and food. 2. Will the new neighbourhood fit my lifestyle needs? When people retire their needs change; they no longer need to live in an area close to work or near good schools, for example. With this new change, you will have to work out what your new needs might be, and take that into consideration when looking for a place. Downsizing isn’t just about the house but the type of neighbourhood you want to live in. 3. How much longer will I be able to maintain my current home? As you age, you might find that you’re not able to maintain a big house with a big garden as well as you once did. If those little maintenance projects are taking much longer than usual, it could be time to downsize. A house takes very little time to fall into disrepair, which means the property loses vales. It’s a smart idea to sell a house when you are able to make it looks its best. 4. What will I bring with me and what will I lose? The reality of a smaller place is that there will be less space to put your things. For many people, the hardest part of downsizing is decluttering, so do the mental preparation of deciding what you’re going to bin (or give to charities) before you actually move – otherwise you might end up bringing too much with you. You will have to make some tough, sometimes emotional, decisions but don’t let your “things” hold you back from moving forward. 5. How is your health and your partner’s health? It’s always best to move when you’re fit and able rather than being forced to by circumstances later down the track. And even though you’re healthy now, you need to consider your future health needs when deciding on a new home. Will you always be able to navigate the stairs or mow the lawn? Is the place close to medical care? Is the neighbourhood senior-friendly? These are just a few questions to think through. 6. How close will family and friends be? As people age, it’s common for social circles to shrink so in retirement, it’s more important than ever to keep socially active. Therefore, it’s crucial to factor in social connections and activities into your move. How close will family and friends be from your new place? Does your new neighbourhood have activities for retirees? Are there opportunities to make new friends and discover new activities? While retirement planning mostly focuses on finances, your emotional and social needs are just as important and should be carefully considered. Image credits: Getty Images

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Woman slams parking note asking if she was “truly disabled”

A driver has been left fuming after an “entitled” parking note was left on her mother’s car accusing them of misusing a disabled parking spot. Canberra resident Cheyenne took to <a href="https://www.reddit.com/r/canberra/comments/12x8cr9/the_absolute_gall_to_leave_this_on_my_mothers_car/" target="_blank" rel="noopener">Reddit</a> to share her horrific experience and a photo of the note left on her mother’s car. “Hi, are you truly disabled,” the note read. “You both walked from your car like athletes. Please follow the rules.” Cheyenne who was left fuming at the situation captioned the post with “The absolute gall to leave this on my mother’s car in Gungahlin shops parking.”. She then explained: “My mother is disabled, her disability isn’t visible. She was legally given a disability parking permit because she is DISABLED! What a moron”. Speaking to <a href="https://au.news.yahoo.com/aussie-woman-slams-entitled-parking-note-how-dare-they-041811992.html" target="_blank" rel="noopener">Yahoo News Australia</a>, Cheyenne said that “it’s frustrating” because her mum doesn’t look like she has a disability, even though she has “multiple”. She also explained that her mum has suffered with a polycystic kidney and liver. After a kidney transplant caused further health issues, she was granted a disability badge. "Because she has all of her limbs and is able-bodied, many people have the wrong idea and get entitled," Cheyenne added. Other Reddit users have shared similar experiences. “I have arthritis in my spine and elsewhere – disabling, yet completely invisible. Have had old women yell at me for parking in the disabled spots, despite having a permit,” one user wrote. “My mother recently had surgery so she’s not able to drive. Ordinarily she has a disabled permit anyway. I picked her up from a doctor's checkup and a woman gave me a serve for parking in the disabled bay as I was picking up my mum. People are so quick to judge,” wrote another. “I’m sorry you found this note on your car. There’s no need to ever justify why you have a disabled ‘sticker’. It’s no-one’s business but your own,” commented a third. Images: Reddit

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