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“Worth the wait”: Jacinda Ardern ties the knot

<p dir="ltr">Jacinda Arden and her long-term partner Clarke Gayford have tied the knot, five years after getting engaged. </p> <p dir="ltr">The former New Zealand prime minister shared a series of loved-up photos from the big day, as she beamed from ear to ear as she embraced her new husband. </p> <p dir="ltr">Posting the photos to Instagram, she captioned the post, “13.01.24 Worth the wait”.</p> <p dir="ltr">Ardern, 43, and Gayford, 47, tied the knot at the Craggy Range vineyard in New Zealand’s Hawkes Bay region on Saturday, surrounded by their friends and family. </p> <p dir="ltr">The couple’s five-year-old daughter, Neve, accompanied her father down the aisle, wearing a dress made from her grandmother’s wedding dress.</p> <p dir="ltr">Jacinda wore a white halter neck gown by New Zealand designer Juliette Hogan, paired with a floor-length white veil and an all white bouquet. </p> <p dir="ltr">The wedding came after almost five years of engagement, with the former first couple originally planning to hold the ceremony in 2022 before the Covid pandemic forced the plans into disarray.</p> <p dir="ltr">“My wedding won’t be going ahead but I just join many other New Zealanders who have had an experience like that as a result of the pandemic,” she told reporters in January 2022, adding, “Such is life.”</p> <p dir="ltr">​​The couple began dating in 2014 after Gayford, a marine enthusiast and host of local fishing shows, contacted the then-Labour list MP about proposed legislation in 2013.</p> <p dir="ltr"><em>Image credits: Instagram - Felicity Jean Weddings</em></p>

Relationships

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How does Australia’s health system stack up internationally? Not bad, if you’re willing to wait for it

<p><em><a href="https://theconversation.com/profiles/stephen-duckett-10730">Stephen Duckett</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>When things are going bad in the health system, we are reassured we’ve got one of the best health systems in the world. But we’re rarely told where we actually stand relative to others.</p> <p>A <a href="https://www.oecd.org/health/health-at-a-glance/">new report</a> from the Organisation for Economic Cooperation and Development (OECD) shows where Australia is doing relatively well – and not so well. The report is more than 200 pages with dozens of charts and tables.</p> <p>Here we highlight five charts showing Australia’s relative performance. Overall, Australia’s health system performs well, but can come after long waits. And our use of antibiotics is trending in the wrong direction.</p> <h2>1. We spend less than average but live longer than average</h2> <p>Despite the rhetoric about the unsustainability of the health system, Australia performs well. When mapping health expenditure against life expectancy, Australia (marked by the red dot) sits in the best performing quadrant – and has done so for the past decade.</p> <p><iframe id="tc-infographic-996" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/996/32f7548791bf05b7559d74976bfa0b955319adc5/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <p>In contrast, the United States is stuck in the worst performing quadrant for the whole period – significantly higher spending than other countries with worse life expectancy.</p> <p>The life expectancy measure is used here but it involves an implicit assumption that the principal impact on life expectancy is from the health system, which is not really the case. Nevertheless, it is a good measure of overall system performance and combined with spending provides a good measure.</p> <h2>2. Most Australians rate their health as good or very good</h2> <p>The vast majority of Australians (about 85%) rate their health as good or very good, with Australia performing better on this metric than most other similar countries. Often good health is conflated with good health care, and the data show that Australia also has more doctors per head than other countries.</p> <p><iframe id="Ygo7Z" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/Ygo7Z/1/" width="100%" height="400px" frameborder="0"></iframe></p> <p>The founding charter of the World Health Organization (WHO) recognised that health is not just the absence of disease, but a “<a href="https://www.who.int/about/accountability/governance/constitution">state of complete physical, mental and social well-being</a>”. This points to a flaw in the nexus between good health and more health professionals. The WHO focus on well-being helps to explain why it is not surprising that, looking across countries, the number of doctors doesn’t appear to be a key determinant of performance on self-rated health.</p> <h2>3. It’s harder to get a bed in aged care</h2> <p>About 30% of people in OECD countries are over 65, while the Australian proportion is about 20%. The proportion of over-65s is rising everywhere.</p> <p>A minority of older Australians (14%) use aged care, with most of these using home care. However, monitoring access to residential aged care (represented here by the number of long-term care beds per thousand population over 65) might act as a “canary in the coal mine”, highlighting where access problems exist.</p> <p><iframe id="lBe4O" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/lBe4O/1/" width="100%" height="400px" frameborder="0"></iframe></p> <p>In Australia, access to aged care beds is falling, by about 27% between 2011 and 2021. We started in the middle of the pack so this is a concern and probably contributes to more Australians being stuck in acute hospitals, rather than being in more appropriate accommodation in residential aged care. This “<a href="https://www.ama.com.au/articles/hospital-exit-block-symptom-sick-system">exit block</a>” in turn leads to problems of ambulance ramping.</p> <h2>4. Australians wait too long for public hospital hip replacements</h2> <p>Most publicly funded health systems are characterised by long waiting times for access to planned procedures such as hip replacements. Some waiting is to be expected as part of efficient management of operating theatre scheduling. But long waits, especially when the person is in pain, reflect poorly on management of the public hospital system.</p> <p><iframe id="LNntD" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/LNntD/2/" width="100%" height="400px" frameborder="0"></iframe></p> <p>The data shows that almost two-thirds of people waiting for hip replacement surgery in Australia waited more than three months. This is marginally worse than the OECD average. Unfortunately, our performance is deteriorating.</p> <p>A number of states, such as <a href="https://www.health.vic.gov.au/planned-surgery-reform-blueprint">Victoria</a>, have developed strategies to improve the performance of the planned procedure system, or have identified opportunities for <a href="https://www.sahealth.sa.gov.au/wps/wcm/connect/public+content/sa+health+internet/about+us/about+sa+health/reporting+and+advisory+groups/health+performance+council/health+performance+council+reports">efficiency improvements in public hospitals</a> which would help address this issue.</p> <p>Although it’s understandable that <a href="https://www.sciencedirect.com/science/article/pii/S2049080122011554">planned procedures were affected</a> by the first few years of the COVID pandemic, governments should have adapted their funding and provision systems to bring waiting times back to the pre-pandemic levels.</p> <h2>5. Our use of antibiotics is going in the wrong direction</h2> <p>Antibiotics have saved millions of lives. But public health experts have long recognised the emerging <a href="https://www.who.int/news-room/fact-sheets/detail/antimicrobial-resistance">problem of antimicrobial resistance</a>, where inappropriate use of these drugs can lead to their reduced effectiveness over time.</p> <p>Worldwide campaigns to promote appropriate use of antibiotics are bearing fruit and across the OECD, use of antibiotics is going down.</p> <p>Unfortunately, Australia’s trend is in the reverse direction.</p> <p><iframe id="AK4GO" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/AK4GO/1/" width="100%" height="400px" frameborder="0"></iframe><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/218031/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/stephen-duckett-10730">Stephen Duckett</a>, Honorary Enterprise Professor, School of Population and Global Health, and Department of General Practice, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image </em><em>credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-does-australias-health-system-stack-up-internationally-not-bad-if-youre-willing-to-wait-for-it-218031">original article</a>.</em></p>

Caring

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"It's too late": Sister of mother who died waiting for ambulance speaks out

<p><em>A Current Affair </em>host Ally Langdon teared up during an interview with the heartbroken sister of Cath Groom, the Brisbane mum who <a href="https://www.oversixty.com.au/health/caring/mother-dies-after-ambulance-fails-to-arrive" target="_blank" rel="noopener">died after waiting for an ambulance</a> that never arrived. </p> <p>Groom had initially complained of severe chest pain in the hours before she was found dead by her son, Nicholas, on the morning of her 52nd birthday.</p> <p>Groom's sister, Bec McQuilty said that her family will never get over the tragedy, as she details exactly what happened that night. </p> <p>McQuilty said her sister had not only complained of severe chest pains, but was also vomiting profusely and had pain between the shoulder blades. </p> <p>She said Nicholas, Grooms's only son, called triple zero "multiple times" to request an ambulance, but after 90 minutes of no help, Groom decided to go to sleep. </p> <p>She got up at some point in the night, collapsed and died. </p> <p>"For a young boy to have to see his mum like that, it just shouldn't happen," McQuilty said.</p> <p>"He was petrified he didn't know what to do.</p> <p>"He's been taught through all his life that you can rely on these people and to make a phone call to triple zero and them not be there for him when they should have been, is just blatant neglect.</p> <p>"I will never forget the look on his face of just absolute despair."</p> <p>The <em style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">A Current Affair </em>broke down the moment McQuilty recalled Nicholas calling her in a panic after finding his dead mum. </p> <p>"I just think this hits all of us, hearing this," Langdon said. </p> <p>"That scene no doubt will haunt you for a long time."</p> <p>McQuilty shared that prior to Groom's passing the family was experiencing "the highest of highs to the lowest of lows in the space of 24 hours," after celebrating Nicholas' high school graduation on the Friday. </p> <p>"To get to such an incredible point of his high school graduation and just to be so proud of him on that day," McQuilty said. </p> <p>"I could see it in her face that she was just, you know, so so proud.</p> <p>"And literally 24 hours later he's finding his mother deceased, unnecessarily. </p> <p>"He's numb, he's angry and he's got a really long road ahead of him."</p> <p>Nicholas has now lost both parents, as his dad passed away when he was a baby. </p> <p>McQuilty revealed that her mum was admitted to the ER after finding out the devastating news and "never come back from this". </p> <p>"She herself was taken to the ER from just complete shock and her own heart," McQuilty said.</p> <p>"So I have my sister deceased in the house. I have my mom in the ER.</p> <p>"You know, it's just, no family, Ally, should ever ever have to go through what our family has gone through."</p> <p>McQuilty hopes that there will be changes made to emergency health system in the wake of her sister's death.</p> <p>"Put some more money into our hospital system and our health system maybe.</p> <p>"It's too late for my family, it's too late. But maybe that can save somebody else."</p> <p><em>Images: Nine/ A Current Affair</em></p>

Caring

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Does private health insurance cut public hospital waiting lists? We found it barely makes a dent

<p><em><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>; <a href="https://theconversation.com/profiles/jongsay-yong-10803">Jongsay Yong</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/ou-yang-937801">Ou Yang</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>The more people take up private health insurance, the <a href="https://www.aph.gov.au/parliamentary_business/committees/senate/community_affairs/completed_inquiries/1999-02/pubhosp/report/c05">less pressure</a> on the public hospital system, including <a href="https://www.privatehealthcareaustralia.org.au/australians-sign-up-to-private-health-insurance-in-record-numbers-to-avoid-hospital-waiting-lists/#:%7E:text=%22Private%20health%20insurance%20is%20the,and%20keep%20pressure%20off%20premiums.">shorter waiting lists</a> for surgery. That’s one of the key messages we’ve been hearing from government and the private health insurance industry in recent years.</p> <p>Governments <a href="https://www.privatehealth.gov.au/health_insurance/surcharges_incentives/index.htm">encourage us</a> to buy private hospital cover. They tempt us with carrots – for instance, with subsidised <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Private-health-insurance-rebate/">premiums</a>. With higher-income earners, the government uses sticks – buy private cover or pay the <a href="https://www.ato.gov.au/Individuals/Medicare-and-private-health-insurance/Medicare-levy-surcharge/">Medicare Levy Surcharge</a>. These are just some of the <a href="https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/delivering-australias-lowest-private-health-insurance-premium-change-in-21-years#:%7E:text=Home-,Delivering%20Australia's%20lowest%20private%20health%20insurance%20premium%20change%20in%2021,be%202.70%20percent%20in%202022">billion-dollar strategies</a> aimed to shift more of us who can afford it into the private system.</p> <p>But what if private health insurance doesn’t have any meaningful impact on public hospital waiting lists after all?</p> <p>That’s what we found in our <a href="https://melbourneinstitute.unimelb.edu.au/publications/working-papers/search/result?paper=4721936">recent research</a>. Our analysis suggests if an extra 65,000 people buy private health insurance, public hospital waiting lists barely shift from the average 69 days. Waiting lists are an average just eight hours shorter.</p> <p>In other words, we’ve used hospital admission and waiting-list data to show private health insurance doesn’t make much difference.</p> <h2>What we did</h2> <p>Our <a href="https://melbourneinstitute.unimelb.edu.au/publications/working-papers/search/result?paper=4721936">work</a> looked at data from 2014-2018 on hospital admissions and waiting lists for elective surgery in Victoria.</p> <p>The data covered all Victorians who were admitted as an inpatient in all hospitals in the state (both public and private) and those registered on the waiting list for elective surgeries in the state’s public hospitals.</p> <p>That included waiting times for surgeries where people are admitted to public hospitals (as an inpatient). We didn’t include people waiting to see specialist doctors as an outpatient.</p> <p>The data was linked at the patient level, meaning we could track what happened to individuals on the waiting list.</p> <p>We then examined the impact of more people buying private health insurance on waiting times for surgeries in the state’s public hospitals.</p> <p>We did this by looking at the uptake of private health insurance in different areas of Victoria, according to socioeconomic status. After adjusting for patient characteristics that may affect waiting times, these differences in insurance uptake allowed us to identify how this changed waiting times.</p> <h2>What we found</h2> <p>In our sample, on average <a href="https://melbourneinstitute.unimelb.edu.au/__data/assets/pdf_file/0005/4721936/wp2023n09.pdf">44% of people</a> in Victoria had private health insurance. This is close to the national average of <a href="https://www.apra.gov.au/private-health-insurance-annual-coverage-survey">45%</a>.</p> <p>We found that increasing the average private health insurance take-up from 44% to 45% in Victoria would reduce waiting times in public hospitals by an average 0.34 days (or about eight hours).</p> <p>This increase of one percentage point is equivalent to 65,000 more people in Victoria (based on <a href="https://www.abs.gov.au/AUSSTATS/abs@.nsf/Lookup/3101.0Main+Features1Jun%202018?OpenDocument">2018 population data</a>) taking up (and using) private health insurance.</p> <p>The effects vary slightly by surgical specialty. For instance, private health insurance made a bigger reduction to waiting times for knee replacements, than for cancer surgery, compared to the average. But again, the difference only came down to a few hours.</p> <p>Someone’s age also made a slight difference, but again by only a few hours compared to the average wait.</p> <p>Given the common situation facing public and private hospitals across all states and territories, and similar private health insurance take-up in many states, our findings are likely to apply outside Victoria.</p> <h2>Why doesn’t it reduce waiting lists?</h2> <p>While our research did not address this directly, there may be several reasons why private health insurance does not free up resources in the public system to reduce waiting lists:</p> <ul> <li> <p>people might buy health insurance and not use it, preferring to have free treatment in the public system rather than risk out-of-pocket costs in the private system</p> </li> <li> <p>specialists may not be willing to spend more time in the public system, instead <a href="https://onlinelibrary.wiley.com/doi/epdf/10.1111/1753-6405.12488">favouring working</a> in private hospitals</p> </li> <li> <p>there’s a growing need for public hospital services that may not be available in the private system, such as complex neurosurgery and some forms of cancer treatment.</p> </li> </ul> <h2>Why is this important?</h2> <p>Government <a href="https://www.privatehealth.gov.au/health_insurance/surcharges_incentives/index.htm">policies</a> designed to get more of us to buy private health insurance involve a significant sum of public spending.</p> <p>Each year, the Australian government spends about <a href="https://www.health.gov.au/ministers/the-hon-greg-hunt-mp/media/delivering-australias-lowest-private-health-insurance-premium-change-in-21-years#:%7E:text=Home-,Delivering%20Australia's%20lowest%20private%20health%20insurance%20premium%20change%20in%2021,be%202.70%20percent%20in%202022">$A6.7 billion</a> in private health insurance rebates to reduce premiums.</p> <p>In the 2020-21 financial year, Medicare combined with state and territory government expenditure provided almost <a href="https://www.aihw.gov.au/reports/hospitals/australias-hospitals-at-a-glance/contents/spending-on-hospitals">$6.1 billion</a> to fund services provided in private hospitals.</p> <p> </p> <p>There might be an argument for this public spending if the end result was to substantially take pressure off public hospitals and thereby reduce waiting times for treatment in public hospitals.</p> <p>But the considerable effort it takes to encourage more people to sign up for private health insurance, coupled with the small effect on waiting lists we’ve shown, means this strategy is neither practical nor effective.</p> <p>Given the substantial costs of subsidising private health insurance and private hospitals, public money might be better directed to public hospitals and primary care.</p> <p>In addition, people buying private health insurance can skip the waiting times for elective surgery to receive speedier care. These people are often <a href="https://melbourneinstitute.unimelb.edu.au/__data/assets/pdf_file/0005/4682822/wp2023n08.pdf">financially well off</a>, implying unequal access to health care.</p> <h2>What’s next?</h2> <p>The Australian government is currently <a href="https://consultations.health.gov.au/medical-benefits-division/consultation-on-phi-studies/">reviewing</a> private health insurance.</p> <p>So now is a good time for reforms to optimise the overall efficiency of the health-care system (both public and private) and improve population health while saving taxpayer money. We also need policies to ensure equitable access to care as a priority.</p> <p>When it comes to reducing hospital waiting lists, we’ve shown we cannot rely on increased rates of private health insurance coverage to do the heavy lifting.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211680/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><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>; <a href="https://theconversation.com/profiles/jongsay-yong-10803">Jongsay Yong</a>, Associate Professor of Economics, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/ou-yang-937801">Ou Yang</a>, Senior Research Fellow, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/does-private-health-insurance-cut-public-hospital-waiting-lists-we-found-it-barely-makes-a-dent-211680">original article</a>.</em></p>

Money & Banking

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Police lie in wait for Kyle Sandilands after on-air boasts

<p>Well, well, well, it seems like Kyle Sandilands has become quite the sensation among the law enforcement agencies.</p> <p>This Tuesday morning was no ordinary day for the radio star, as he drove into KIIS FM's studios only to find himself caught in a wild ambush by the cops. Yes, you read that right!</p> <p>In a video that was later shared on The Kyle and Jackie O Show's Instagram account, viewers were shown several police officers patiently waiting for Sandilands to arrive at the ungodly hour of 5:30 am. </p> <p>As Kyle stepped out of his luxurious $250,000 Cadillac Escalade Platinum 4WD, the officers approached him, ready to take action. But wait – it turns out this encounter wasn't your typical traffic stop. In fact, it was all about Kyle's on-air shenanigans!</p> <p>The station's employees spilled the beans, revealing that the police had a little chat with them while they eagerly waited for Kyle's arrival. Turns out, the boys in blue just wanted to have a friendly discussion with the father-of-one about his knack for making outrageous comments on the radio. </p> <p>"The highway patrol dude[s], they've come out and they've said, 'Listen, we've heard you on the air saying you think the coppers are after you," said Kyle. "And they've come out to tell me they're not after me."</p> <p>Kyle, being the smooth talker that he is, managed to talk himself out of any real trouble, with the audio recording from the station capturing his finesse in action. </p> <p>But here's the kicker: he didn't entirely believe their explanation. In fact, he expressed concern about his dwindling points on his driver's license, mentioning that he only had four left. </p> <p>However, the encounter did not end in tears or sirens blaring. In a surprising turn of events, Kyle decided to call one officer's fiancée, who happened to be a fan of the show, just to tell her that she had landed herself "a good one" in her law enforcement beau. Smooth move, Kyle, smooth move!</p> <p>Now, let's rewind to 2021 when Sandilands confessed to accumulating a whopping $16,000 worth of fines in just one year. He practically treats parking fines like they're going out of style.</p> <p>During a lively conversation with his manager and pal, Bruno Bouchet, on The Kyle and Jackie O Show, Kyle spilled the beans on his parking escapades. Apparently, he has witnessed firsthand the magical art of getting away with parking violations. </p> <p>According to Bruno, there are a few parking rangers who are loyal fans of the show and would rather not deal with the hassle of booking Kyle. But Kyle takes his parking rebellion to the next level. He boldly declared, "I never buy a ticket, I say f**k the local council, I'm not paying you $4, screw yourself!"</p> <p>The numbers don't lie, and neither does Jackie O's shocked expression. Let's break down the fines, shall we? 18 fines for "parking continuously longer than indicated" racked up a bill of $2,088. Kyle's blatant disregard for stop signs earned him 25 violations, totalling $5,675. And if that wasn't enough, stopping in a loading zone like it's his personal VIP parking spot resulted in a staggering 42 charges, adding up to $8,148. The grand total for the year? A jaw-dropping $15,911!</p> <p>Naturally, Jackie couldn't hide her disbelief and told Kyle that it was a "waste of money." But Kyle had an explanation (or maybe an excuse?) up his sleeve. He admitted that sometimes he mistakes the ticket fines for Domino's flyers on his car window. Ah, the struggles of a wealthy and famous man!</p> <p>In the grand scheme of things, $16,000 is pocket change for Kyle, who reportedly rakes in a mind-boggling $5 million per year for hosting The Kyle and Jackie O Show.</p> <p>Well, there you have it, folks, a true rebel fighting against the system, one parking ticket at a time.</p> <p><em>Images: KIIS FM</em></p>

Legal

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Why you shouldn’t wait to explore incredible Iceland

<p dir="ltr">Iceland, also called the Land of Fire and Ice, is the most peaceful country in the world. It ranks high in social stability, equality, democracy and more. One of the reasons it is so high on the Peace Index is because it is without a standing army - meaning no army, navy or air force.</p> <p dir="ltr">It's got a lot more to offer though as it's home to some of the most remarkable natural landmarks in the world. </p> <p dir="ltr"><strong>1. Jökulsárlón Glacier Lagoon</strong></p> <p dir="ltr">A constantly changing natural wonder located on the edge of Vatnajökull National Park in southeast Iceland, Jökulsárlón Glacier Lagoon is famous for its icebergs that break away from the glacier and float in the lagoon before they drift out to sea.</p> <p dir="ltr">Sculptural mountains make for a majestic backdrop with seals swimming between the icebergs and reindeer roaming around the shores.</p> <p dir="ltr"><strong>2. Diamond Beach</strong></p> <p dir="ltr">Just minutes from the lagoon you’ll find Diamond Beach. It features striking black sand and glistens with iceberg fragments drifting ashore. </p> <p dir="ltr">The beach won’t look the same every time you go as new icebergs form once the old ones disappear. A truly unique destination.</p> <p dir="ltr"><strong>3. Skógafoss Waterfall</strong></p> <p dir="ltr">With a width of 25 metres and a drop of 60 metres, Skógafoss Waterfall is one of the largest and most elegant waterfalls in Iceland. Its size leads to a lot of spray, often showcasing single or double rainbows on sunny days. </p> <p dir="ltr"> You can get up close to it by following the river below or taking the stairs next to it to get a stunning view from above. </p> <p dir="ltr"><strong>4. Seljalandsfoss Waterfall</strong></p> <p dir="ltr">Seljalandsfoss Waterfall is located by a main road, making it one of the most accessible waterfalls and very hard to miss. </p> <p dir="ltr">It drops 60 metres into a tranquil pool below and is one of the few places in the world where you can walk behind a waterfall. </p> <p dir="ltr"><strong>5. Reynisfjara Black Sand Beach</strong></p> <p dir="ltr">Reynisfjara Black Sand Beach is one of the most well-known black sand beaches in the world. It features fine textured soft black sand and a cave with huge geometric columns.  </p> <p dir="ltr">You can see the powerful waves of the Atlantic Ocean meet the shore and the towering basalt sea stacks jutting out from the ocean at 66 metres into the air.<span id="docs-internal-guid-65d3faf7-7fff-1267-2a1e-810c72dfce35"></span></p> <p dir="ltr"><em>Image credit: Getty</em></p>

International Travel

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Autism and ADHD assessment waits are up to 2 years’ long. What can families do in the meantime?

<p>Reports have emerged from around Australia of waitlists of <a href="https://www.smh.com.au/national/nsw/unacceptable-wait-to-screen-children-for-developmental-delays-autism-20220125-p59r1d.html">up to two years</a> to receive a diagnostic assessment for neurodevelopmental conditions, such as autism and attention deficit hyperactivity disorder (ADHD).</p> <p>Assessment delays can create additional stress for families who are already worrying their child may be developing differently.</p> <p>These waiting times are a symptom of the significant strain our health systems are under. System reform will take time, and in the meantime, there are many children who require urgent support.</p> <p>But supporting your child doesn’t need to be put on hold while you wait for assessment.</p> <p><strong>Why are waitlists so long?</strong></p> <p><a href="https://theconversation.com/wondering-about-adhd-autism-and-your-childs-development-what-to-know-about-getting-a-neurodevelopmental-assessment-197528">Diagnostic assessments</a> are an important part of the <a href="https://www.autismcrc.com.au/access/national-guideline">clinical pathway</a> for children developing differently.</p> <p>Diagnoses can provide parents and carers with a deeper understanding of their child. A diagnosis allows the child, their family and the supporting health professionals to benefit from all the information we have about that diagnosis, to understand how best to <a href="https://www.autismcrc.com.au/access/supporting-children">support the child going forward</a>.</p> <p>One reason why our diagnostic systems are currently under so much strain is because of expanding diagnostic boundaries. The criteria for autism and ADHD have <a href="https://theconversation.com/from-deficits-to-a-spectrum-thinking-around-autism-has-changed-now-there-are-calls-for-a-profound-autism-diagnosis-194049">changed over time</a>, meaning more children meet criteria for these conditions than before.</p> <p>Another reason is that our health, disability and education systems often require a formal diagnosis for a child to receive support. This further increases demand for diagnostic assessments.</p> <p>Often, long waitlists result in children and families not getting timely access to crucial early therapy services. Delays can mean that many of the best opportunities to support children’s development early in life are missed, which can further <a href="https://www.sciencedirect.com/science/article/abs/pii/S1750946719301849">entrench developmental disability and disadvantage</a>.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Parents turn to equine therapy for children with autism, ADHD as disability services wait times blow out <a href="https://t.co/JezFJ2TmuV">https://t.co/JezFJ2TmuV</a> via <a href="https://twitter.com/ABCaustralia?ref_src=twsrc%5Etfw">@ABCaustralia</a></p> <p>— Robert Koenig-Luck (@koenig_luck) <a href="https://twitter.com/koenig_luck/status/1645227611193475077?ref_src=twsrc%5Etfw">April 10, 2023</a></p></blockquote> <p>However, importantly, there are many beneficial things that families can do in the meantime to pave the way for the future.</p> <p><strong>3 things families can do</strong></p> <p>While a diagnosis may help a child access support services, they are still able to access services without a diagnosis.</p> <p>If a parent is worried about their child’s development, then it is important they continue to seek out support services while the child is on a diagnostic waitlist.</p> <p>A GP is typically the best person to consult in the first instance. They can then refer the child and family to public or private therapy services. However, private service options may involve out-of-pocket expenses, which can create inequity in access to services.</p> <p>Parents can also take steps to:</p> <p><strong>1. Build connections with their child</strong></p> <p>A key part of all early supports is nurturing the connection parents have with their child. All children benefit from having frequent, meaningful time set aside to <a href="https://clinikids.telethonkids.org.au/information-hub/blog/serve-and-return-interactions/">connect</a> with their primary caregivers.</p> <p>During this special connection time, parents might focus on slowing down, approaching their child with curiosity, being open to following their child’s special interests, and trying a variety of communication strategies (including words, gestures or using pictures) to <a href="https://clinikids.telethonkids.org.au/information-hub/blog/shared-attention/">support communication</a>.</p> <p>Parents needn’t feel pressure to spend all their time engaging with their child – but any time that can be dedicated to this will be time well spent.</p> <p><strong>2. Gather information to support diagnosis</strong></p> <p>Diagnoses of <a href="https://www.cdc.gov/ncbddd/adhd/diagnosis.html">ADHD</a> and <a href="https://www.cdc.gov/ncbddd/autism/hcp-dsm.html">autism</a> are based on the observation of certain behaviours. A clinician will be able to observe some of these behaviours in their assessment, but they will also rely on information from parents about how their child usually behaves or interacts in different situations.</p> <p>Parents can support this process by noting examples of the patterns of behaviours they’ve observed. These might include special interests, repetitive activities, social interactions, emotional regulation, sensory preferences or how their child communicates.</p> <p>It is important parents don’t only note what a child finds difficult, but also their strengths and interests. Sometimes, the things a child is particularly good at can tell us just as much as their challenges.</p> <p><strong>3. Prioritise family wellbeing</strong></p> <p>While parents are often proactive in seeking support for their child, they can sometimes neglect their own need for support. Parents are the most important person in a child’s life, and parental capacity and wellbeing can have a significant influence on their child’s outcomes.</p> <p>While waiting for a diagnosis, parents should start to plan how they are also going to get the support they need. This can include staying connected within the community and making time for activities that bring them and their family joy.</p> <p><strong>Looking beyond diagnosis</strong></p> <p>When parents seek out a diagnosis for their child, they want help to support their child’s development. But long waits for assessment and diagnosis can present barriers between Australia’s health, education and disability systems and the help families need. The long waiting lists to receive a diagnostic assessment are at odds with what we know about the importance of early intervention.</p> <p>Recent <a href="https://jamanetwork.com/journals/jamapediatrics/fullarticle/2784066">clinical trials</a> have shown how providing support to babies and parents at the first sign of developmental concern can lead to <a href="https://theconversation.com/therapy-for-babies-showing-early-signs-of-autism-reduces-the-chance-of-clinical-diagnosis-at-age-3-167146">positive developmental outcomes</a> for children.</p> <p>This approach prioritises acting quickly over diagnostic clarity, and makes it more likely children and families receive support during critical times in brain development.</p> <p>As Australia seeks to reform our early childhood development system, the need of families to receive prompt support should be front of mind.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Can we have a twitter thread where we list all of the therapies and supports that parents -can- use to help their autistic kid? <a href="https://twitter.com/hashtag/OtherWaysThanABA?src=hash&amp;ref_src=twsrc%5Etfw">#OtherWaysThanABA</a> <a href="https://twitter.com/hashtag/SayNotoABA?src=hash&amp;ref_src=twsrc%5Etfw">#SayNotoABA</a> <a href="https://twitter.com/hashtag/AskingAutistics?src=hash&amp;ref_src=twsrc%5Etfw">#AskingAutistics</a> <a href="https://twitter.com/hashtag/ActaullyAutistic?src=hash&amp;ref_src=twsrc%5Etfw">#ActaullyAutistic</a></p> <p>My go-to is ear defenders/earplugs/sunglasses/hoodies/fidget toys/punching bag</p> <p>— AutisticSciencePerson, MSc (@AutSciPerson) <a href="https://twitter.com/AutSciPerson/status/1116527158564986880?ref_src=twsrc%5Etfw">April 12, 2019</a></p></blockquote> <p><em>Image credit: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/autism-and-adhd-assessment-waits-are-up-to-2-years-long-what-can-families-do-in-the-meantime-203232" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Family & Pets

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“Worth the wait”: Backstage with Rod Stewart

<p>Rod Stewart has finally returned to Australia, after years of Covid-19 restrictions meant he had to postpone his highly anticipated tour Down Under. </p> <p>Long time fan and friend of the musician Richard Wilkins was one of many who saw the entertainer at his very best during his show in Melbourne, with Wilkins telling Today that the show did not disappoint. </p> <p>"He was in sparkling form last night, putting on a fabulous show and I had the pleasure of catching up with the great man, both backstage and on stage in his inner sanctum," Wilkins said.</p> <p>Stewart have Wilkins an exclusive tour of the stage being set up, while he candidly shared one of the many reasons behind his success: the closeness of his band. </p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">EXCLUSIVE: We went backstage with Sir Rod Stewart ahead of his Melbourne show last night! 🌟<a href="https://twitter.com/hashtag/9Today?src=hash&ref_src=twsrc%5Etfw">#9Today</a> | WATCH LIVE 5.30am <a href="https://t.co/0RhkPD0k8J">pic.twitter.com/0RhkPD0k8J</a></p> <p>— The Today Show (@TheTodayShow) <a href="https://twitter.com/TheTodayShow/status/1635756324712480772?ref_src=twsrc%5Etfw">March 14, 2023</a></p></blockquote> <p>"They're a good bunch of guys, brothers and sisters - We party with each other, go out to dinner, drink together - No shagging though, they're all spoken for," Stewart said with a cheeky grin.</p> <p>Rod Stewart has regularly toured in Australia since the 1970s and has been itching to get back to the place that has always been encouraging of his music. </p> <p>"This is very special, we haven't been able to come down here since 2017 - we waited a long time for this," he said.</p> <p>"I wouldn't take their money without putting on a show. You know that, Richard, I'm an old showman."</p> <p>Rod Stewart's <a href="https://www.ticketmaster.com.au/rod-stewart-tickets/artist/736200" target="_blank" rel="noopener">Australian tour</a> will conclude with his performance at the A Day on the Green festival in Bowral, NSW, before he heads to New Zealand where he will share the stage with Cyndi Lauper. </p> <p><em>Image credits: Today</em></p>

Music

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"Elvis is waiting for her": Dolly Parton's hopes for Lisa Marie Presley

<p>Country music legend Dolly Parton has paid tribute to the late Lisa Marie Presley.</p> <p>Lisa Marie, who was the only child of Elvis and Priscilla Presley, passed away at the age of 54 from cardiac arrest. The news was confirmed by her mother in an emotional statement on Friday January 13th.</p> <p>Dolly initially took to Instagram to express her love and support for the Presley family, and to offer her condolences, writing, “Priscilla, I know how sad you must be … Elvis, I know how happy you must be to finally have her home and to have her back with you. Lisa Marie, may you rest in peace. We all love all of you.” </p> <p>Speaking to Entertainment Tonight, 76-year-old Dolly referenced her first statement, adding, “that was a sad, sad loss, and when I had made my statement that I just wanted to send my sympathies to Priscilla 'cause I can only imagine, but I knew he'd be waiting for her.”</p> <p>Lisa is survived by her mother and children: Riley Keough, Finley Aaron Love Lockwood, and Harper Vivienne Ann Lockwood. She lost her eldest son, Benjamin Keough, in 2020, and her father in 1977. Both Elvis and Benjamin were laid to rest at the Graceland estate’s Meditation Garden, where Lisa will be buried alongside her son. </p> <p>“We just all love that family, like family, and just wish them the best," Dolly reflected, "that was a sad, sad loss."</p> <p>The singer-songwriter confessed that while she has not had a chance to speak directly to Priscilla, she expressed her hope that “Priscilla will find some peace through the love we all have for her.” </p> <p>Despite Dolly’s grief, a feeling shared by fans and friends from around the world, the singer holds hope in her heart that with this tragedy, Lisa Marie and Elvis have been reunited, and that “they are up there being happy together."</p> <p>In lieu of a funeral, a  public memorial service is set to be held at Graceland in Memphis, Tennessee, on the 22nd of January. The event will be livestreamed for the public to pay their respects with the family. </p> <p><em>Images: Getty Images</em></p>

Caring

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"Getting onto the wait list is a battle in itself": insiders on what it takes to get social housing

<p>Social housing has become extremely difficult to access; in 2021 around <a href="https://cityfutures.ada.unsw.edu.au/documents/685/Waithood_paper.pdf">160,000 households</a> were on the waiting list.</p> <p>To have any chance of getting a social housing spot in a reasonable time frame, applicants must be on the priority waiting list; people on the general waiting list <a href="https://www.facs.nsw.gov.au/housing/help/applying-assistance/expected-waiting-times">may never get social housing</a>. </p> <p>However, to get on the priority list, applicants need to</p> <ul> <li>have complex needs</li> <li>not be in a position to rent privately and</li> <li>be in danger <a href="https://www.facs.nsw.gov.au/housing/help/applying-assistance/waiting-times">of becoming homeless</a></li> <li>show they have tried to find private rental accommodation.</li> </ul> <p>In short, they have to prove they are massively disadvantaged.</p> <p>To find out more, we interviewed 43 people involved in the social housing application process in NSW, Tasmania and Queensland. This included assessment workers, support workers and government staff.</p> <p>Our <a href="https://www.tandfonline.com/doi/full/10.1080/14036096.2022.2085169">study</a>, published in the journal Housing, Theory and Society, found an applicant’s chances of getting on the priority waiting list are much greater if they have help from advocates who know what arguments to make and how. </p> <p>Success can depend on whether advocates can invest a significant amount of emotional effort to help the applicant and connect them to professionals who can track down supporting documentation.</p> <h2>‘An overwhelming process’</h2> <p>The application form for social housing is demanding.</p> <p>In NSW it requires answering 31 questions and – depending on the applicant’s situation – up to 18 supporting documents. </p> <p>Completing the form optimally requires a fair amount of literacy and “cultural capital” – things such as presenting and speaking “well” or being able to draw on the benefits of a good education.</p> <p>Claire (all names used are pseudonyms), a NSW community housing provider worker, said even understanding the application form is challenging, "I think sometimes it’s the interpretation of what is actually required. What are they asking in this question? And if you don’t have the context of why that question is being asked, sometimes it can be very difficult to know how much information to put [in]. Do I just skip it or […] what do I do with that [question], or what does that even mean?"</p> <p>Jess, an assessment team manager in Tasmania, said, "… [the] majority would need assistance and do get help from supports, family and advocates, as it is onerous. Also literacy, language interpretation would be an issue, especially for lower socio-economic cohorts."</p> <p>James, an assessment worker in NSW, said some applicants simply abandon the process, "It’s really an overwhelming process […] Sometimes people will say, “You know […] this is too much. Forget about it.”</p> <p>Marie, a Queensland homelessness worker, said, "It’s more common that they won’t know how to do the process, and so I’ll go through it with them. I assist them with identifying well-being barriers, complete the application with them, get it, and then when it’s approved, also do community housing applications with them if they wish."</p> <h2>The challenge of gathering ‘evidence’</h2> <p>Producing evidence of clients’ vulnerabilities is potentially challenging. </p> <p>Karim, a homelessness support worker in Queensland, said, "So, getting onto the wait list, that is a battle in itself, right? [Part of that is] getting people document ready […] So, say someone is on the streets, we know they are very, very unwell, but they don’t have documents to prove that. We have done the housing application, it’s gone to department of housing and they’re waiting for further information, because this person’s checked that they have chronic health issues. So [the department] want medical documents or confidential medical report from the GP. This person does not have a GP. What do we do? We try and link them in with the GP, take them there […]"</p> <p>Lots of people, their stuff’s stolen. They’re more worried about where the next meal is coming from instead of worrying about IDs. So getting ID documents, medical documents to go along with the housing application, to get it approved, is the first battle."</p> <p>Susan, a women’s refuge worker in Sydney, said, "Every question has […] evidence requirements […] and they have to gather all of that and you know obviously just gathering all of that is a challenge […] But that’s definitely something that we support them with; to get all the support letters and stuff in order."</p> <p>In Queensland and NSW, an applicant who needs social housing because they are fleeing domestic violence needs to provide substantiation.</p> <p>Susan told us, "The types of documents people would have to collect for this question are copies of AVOs (apprehended violence orders), police event numbers, doctor reports (GP or psychiatrist), support letters from social services. So, as you can imagine, these are quite onerous as many people don’t report to police or perhaps their doctor doesn’t record the injuries as resulting from violence. On top of that, if they’ve just experienced violence they might not feel like running around."</p> <h2>Emotional capital: care, empathy and compassion</h2> <p>Working with vulnerable people requires empathy and compassion. </p> <p>Avril, an assessment worker in Tasmania, said, "So much of it is about rapport. These people who are often really sick of systems, really sick of them and they don’t want to divulge their entire life to someone that they’ve just met once. They don’t want to sit still in a small room for an hour and a half."</p> <p>"What we’ve found is that by having Pat, she’s our specialist rough sleeper front door worker, [and] is based in services that they know and frequent. She’s known to them and they do tend to [open up] bit by bit."</p> <p>Jill, an ex-manager in a community housing provider in NSW, explained, "Also refugees or people who are trauma, torture survivors, DFV (domestic and family violence) survivors […] experience additional layers and complexities in applying."</p> <p>"Whilst the system aims to only ask a client to tell their story once and not multiple times, this is not always possible. So it adds further challenges to these applicants and brings up the trauma again, especially if not handled well by untrained staff."</p> <p>Applying for social housing is fraught, onerous and competitive; applicants have to “prove” their vulnerability is greater than others.</p> <p>Assistance from skilled advocates clearly helps get you on the priority wait list, which begs the question: what hope do others have?</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/getting-onto-the-wait-list-is-a-battle-in-itself-insiders-on-what-it-takes-to-get-social-housing-184838" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Real Estate

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Cut your wait time in half with this sneaky baggage claim trick

<p dir="ltr">One airport worker has shared a handy little tip that could save you the time otherwise spent doing one of the most annoying things – waiting for your luggage at baggage claim.</p> <p dir="ltr">Guests could often wait over 45 minutes for their suitcases to appear, and that is the last thing you’d want to be doing after a 20-hour flight. </p> <p dir="ltr">Thomas Lo Sciuto is a ramp worker and gate agent at a regional airport in the US and said getting your bag early can depend on when you check in.</p> <p dir="ltr">"Your best option is to be one of the last passengers to check your bags," he <a href="https://www.thesun.co.uk/travel/18722529/travel-expert-luggage-hack-airport/">shared</a> on an online thread.</p> <p dir="ltr">"Bags will always be loaded front to back on the bag carts so if you check in last your bags will be in the last bag cart, which will make them the last on the aircraft, and the first off the aircraft at your destination.</p> <p dir="ltr">"Same logic goes for the other end. If they are the first off the aircraft they will most likely be the first on the bag carts and then the first to be unloaded at baggage claim."</p> <p dir="ltr">Of course, you don't want to risk missing your flight though, so don't leave check in too late simply for the sake of this advice. </p> <p dir="ltr">It comes after a flight attendant revealed a 'sneaky' trick they often use to get <a href="https://www.oversixty.com.au/travel/international-travel/flight-attendant-s-hack-to-get-more-carry-on-luggage" target="_blank" rel="noopener">additional carry on baggage</a> on board when they travel.</p> <p dir="ltr">Flight attendant Miguel Muñoz said he "always" does this as a passenger, calling it the 'duty free hack', as duty free bags don't count as carry on baggage.</p> <p dir="ltr">"Ask for one at the duty free shop and you place whatever you want in the shopping bag," he said.</p> <p><span id="docs-internal-guid-6160f5b8-7fff-7e24-8edd-3a7c86b0bc32"></span></p> <p dir="ltr">Another popular hack to sneak extra items onto the plane that has been doing the rounds on TikTok involves hiding items inside your travel pillow.</p> <p dir="ltr"><em>Image: Getty</em></p>

Travel Tips

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Terminally ill nurse caught in desperate waiting game

<p dir="ltr">A nurse who has months to live as a result of her diagnosis of motor neuron disease (MND) is “virtually paralysed” and waiting for the NSW government to decide how she will die.</p> <p dir="ltr">Sara Wright had been a nurse for 33 years before she was diagnosed with amyotrophic lateral sclerosis (ALS) - a subtype of MND - two years ago, and is now dependent on a carer 24 hours a day.</p> <p dir="ltr">“The disease started as a weakness in my right foot, travelled up my right leg, then my left foot and leg,” the 54-year-old told <em><a href="https://7news.com.au/news/public-health/virtually-paralysed-nurse-waits-for-nsw-parliament-to-decide-how-she-will-die-c-6699939">7NEWS.com.au</a></em>.</p> <p dir="ltr">“Then it travelled up my torso affecting my upper body, firstly my abdominal muscles, and now it affects both of my arms and hands, my lungs and my swallowing and speaking muscles.”</p> <p dir="ltr">Ms Wright, who shared her story via dictation since speaking is difficult and painful, is waiting to see whether voluntary assisted dying laws (VAD) will be passed in the NSW Upper House next week.</p> <p dir="ltr">If they don’t pass, she says she will likely “have to deal with suffocating or choking to death”.</p> <p dir="ltr">“It’s a terminal illness and the average life expectancy is three to five years,” she explained.</p> <p dir="ltr">“Given I have already been living with the disease for three years, and the progression has been faster than I ever could have expected, I don’t know how long I will live.</p> <p dir="ltr">“I don’t think that I will live for more than another six to eight months, as my breathing capacity is reducing very fast and I do not wish to have a tracheostomy (an operation where a breathing hole is cut into the front of the neck and windpipe).”</p> <p dir="ltr">ALS/MND is more common among adults aged between 40 and 70 years, with 384 people diagnosed each day according to the <a href="https://www.als-mnd.org/what-is-alsmnd/" target="_blank" rel="noopener">International Alliance of ALS/MND Associations</a>.</p> <p dir="ltr">Ms Wright’s career as a nurse made her all too aware of the “limitations of palliative care in the final stages of terminal illness”, so she initially planned to book into Dignitas, a non-profit organisation in Switzerland that offers a range of end-of-life services.</p> <p dir="ltr">But, the COVID-19 pandemic derailed her plan with the closure of international borders.</p> <p dir="ltr">She then considered moving interstate, where VAD is legal, but she worried about uprooting her 15-year-old daughter, Ester, from her home and friends, especially since most of their family is UK-based.</p> <p dir="ltr">“(Ester) is now 15 and she needs to have her community around her for support when I die,” she said.</p> <p dir="ltr">“Obviously this is an incredibly difficult conversation to have with your own child.</p> <p dir="ltr">“We have not specifically spoken about what could happen to me if the laws aren’t passed … but I have tried to assure her that family in the UK will fly out to be with her as soon as they can if I die unexpectedly.”</p> <p dir="ltr">Ms Wright’s fate is tied to the voluntary assisted dying bill, which passed through the NSW Parliament’s lower house last year and is legal or will soon be legal in <a href="https://end-of-life.qut.edu.au/assisteddying" target="_blank" rel="noopener">every other state</a> except NSW.</p> <p dir="ltr">“I know that all my family, my parents, my brothers, my ex-husband are all in support of voluntary assisted dying and helping me relieve my suffering,” she said.</p> <p dir="ltr">“But none of us want to break the law or risk anyone being imprisoned if they helped me.”</p> <p dir="ltr">Since the bill entered the upper house last March, it has been debated passionately and passed through a second reading stage last week.</p> <p dir="ltr">It has even divided the state’s core leadership, with Premier Dominic Perrottet opposing the bill in favour of improving palliative care and Health Minister Brad Hazzard supporting it - despite opposing euthanisia for 29 years.</p> <p dir="ltr">Ms Wright, a strong supporter of VAD laws, has been brought close to the death of others during her nursing career and said she was “pretty certain” that if members debating the bill had seen people die uncomfortable, drawn-out deaths like she had, they would support the bill.</p> <p dir="ltr">“I have seen far too many people, elderly people, in the middle of the night in a ward without anyone there to hold their hand because nobody knew that was going to be their time to die,” she said.</p> <p dir="ltr">“I think that most people don’t think enough about death because we are all frightened of it.</p> <p dir="ltr">“And this could be the reason that some people are refusing to consider VAD laws, because it’s a topic that is deeply uncomfortable and taboo.</p> <p dir="ltr">“If we as a society were more mindfully aware and thoughtful about death, as it is the only certain outcome of life, then perhaps people would develop more compassion.”</p> <p dir="ltr">Though the laws could still be passed at some point if it fails to pass in next week’s final vote, Ms Wright said it would affect her whole family if it was too late for her to take advantage of it.</p> <p dir="ltr">“This will not only cause suffering to me but also to all of my family,” she said.</p> <p dir="ltr">“I wonder how many people have really stopped to think about what they would like, if they were in a position where they were going to die of (an) unpleasant and drawn-out death.”</p> <p><span id="docs-internal-guid-efb8451b-7fff-fb48-8f9b-0af951ee000d"></span></p> <p dir="ltr"><em>Image: 7News</em></p>

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Elderly man dies waiting for state borders to reopen

<p>A man has died at a NSW caravan park while waiting for the Queensland border to reopen so he could be reunited with his son. </p> <p>The 78-year-old man had been living with his wife and daughter in the northern NSW town of Tenterfield for 14 weeks before his sudden death. </p> <p><a rel="noopener" href="https://www.couriermail.com.au" target="_blank">The Courier Mail</a> reports that the family had been trying to relocate to the Southern Downs region of Queensland to live with their son. </p> <p>However, as Queensland's tough border rules remain in place, the family stayed in Tenterfield: 50km from their destination. </p> <p>NSW Police confirmed that emergency services were called to the caravan park in Tenterfield on November 22nd, following reports of a man suffering a medical episode. </p> <p>Members of the public started CPR on the man, but could not be revived once paramedics arrived and he died at the scene. </p> <p>Following news of the man's death, his wife and daughter he was living with were both granted an exemption to be with their remaining family in Queensland.</p> <p>It has been reported that the man had applied for a border exemption in early November, but he later withdrew the exemption request for an unknown reason. </p> <p>According to the <a rel="noopener" href="https://www.qld.gov.au/health/conditions/health-alerts/coronavirus-covid-19/current-status/public-health-directions/travelling-to-queensland" target="_blank">QLD Government Health website</a>, to enter the state you must apply for a Queensland Entry Pass and produce a negative Covid PCR test, which costs approximately $200. </p> <p>According to other residents of the caravan park, the elderly man was "very stressed" at the thought of having to pay for the test done to enter Queensland. </p> <p><em>Image credits: Getty Images</em></p>

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I’m over 50 and hesitant about the AstraZeneca COVID vaccine. Should I wait for Pfizer?

<p>It’s been well documented that there’s a significant level of <a href="https://www.smh.com.au/politics/federal/older-australians-especially-older-women-most-concerned-about-covid-vaccines-20210519-p57tc4.html">vaccine hesitancy</a> in the Australian community at the moment. This appears to be a particular issue among adults over 50 concerning the AstraZeneca vaccine, for which this group is now eligible.</p> <p>Hesitancy over the AstraZeneca vaccine, likely to be stemming largely from the very small risk of blood clots, is leading <a href="https://www.abc.net.au/news/2021-05-21/experts-urge-over-50s-to-get-astrazeneca-covid19-vaccine/100154574">some people to ask</a>: can’t I just wait and get the Pfizer vaccine later?</p> <p>It didn’t help things when federal health minister Greg Hunt <a href="https://www.theguardian.com/australia-news/2021/may/20/do-not-wait-to-be-vaccinated-greg-hunt-says-after-earlier-comments-sparked-confusion">said yesterday</a> there will be enough supply of the mRNA vaccines (Pfizer and Moderna) later in the year for anyone concerned about the AstraZeneca shot. Hunt has since pedalled back on his remarks.</p> <p>Despite the mixed messaging, you shouldn’t wait for a Pfizer or Moderna vaccine later. There are a number of benefits to getting the AstraZeneca jab now.</p> <h2>Thinking about the blood clot risk</h2> <p>Thrombosis with thrombocytopenia syndrome (<a href="https://www.health.gov.au/initiatives-and-programs/covid-19-vaccines/learn-about-covid-19-vaccines/about-the-astrazeneca-covid-19-vaccine#thrombosis-with-thrombocytopenia-syndrome-tts">TTS</a>), an unusual blood clotting disorder, has been associated with the AstraZeneca vaccine.</p> <p>It’s important to emphasise it’s not unreasonable to have concerns about the risk of a potentially serious side effect from the AstraZeneca vaccine, or any other vaccine. The challenge is in understanding the magnitude of this risk, putting this risk into perspective, and then weighing up the risks versus the benefits before making a decision.</p> <p>The difficulty is your brain plays a variety of tricks on you when you try to make sense of risks like this. For example, we have a <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5773401/">tendency to perceive</a> the risks of very rare adverse outcomes (such as TTS) as being greater than they are.</p> <p>We also tend to be more concerned about negative consequences that may arise as a result of our actions than our inactions. That is, we’re generally <a href="https://www.frontiersin.org/articles/10.3389/fpubh.2020.614113/full">more worried</a> about a potential adverse outcome from taking a vaccine than any adverse outcome that may result from not taking it. This of course isn’t logical, but is another one of the errors we make in processing risks.</p> <p>In terms of assessing the risk of TTS associated with the AstraZeneca vaccine for over 50s, we’ve always known the risk is very low.</p> <p>At the time of writing this article the Therapeutic Goods Administration’s <a href="https://www.tga.gov.au/periodic/covid-19-vaccine-weekly-safety-report-20-05-2021">COVID-19 weekly vaccine safety report</a> reported there had been 21 confirmed cases of TTS out of about 2.1 million doses of the AstraZeneca vaccine administered. This is equivalent to one case per 100,000 vaccinations.</p> <p>Importantly, as we’ve got better at detecting and treating this condition, the <a href="https://www.theage.com.au/national/nsw/thousands-of-astrazeneca-shots-pile-up-in-federal-run-clinics-as-gps-wait-20210520-p57tqp.html">likelihood of severe outcomes</a> from TTS have come down considerably. So the rare risk of serious illness from this syndrome looks to be even rarer than we first thought.</p> <p>To put TTS into perspective, it’s also useful to note we see around <a href="https://www1.racgp.org.au/newsgp/clinical/blood-clot-death-likely-linked-to-astrazeneca-covi">50 blood clots</a> unrelated to TTS every day in Australia.</p> <h2>Weighing the risks against the benefits</h2> <p>The benefits of getting the AstraZeneca vaccine are considerable for over 50s, from both an individual and a community perspective.</p> <p>When opting to get a vaccine, you’re protecting yourself against the future risk of infection and possible severe illness. For over 50s who contract COVID the risk of severe illness and death is <a href="https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/older-adults.html">very real</a>. We’re also learning many people who get COVID-19 suffer with ongoing and sometimes debilitating symptoms, a phenomenon called “<a href="https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/coronavirus-and-your-health/long-covid">long COVID</a>”.</p> <p>Another factor which may be driving hesitancy around the AstraZeneca vaccine is the perception the Pfizer vaccine works better. But the most recent data suggest any difference in the performance of these vaccines may be smaller than we originally believed.</p> <p>Although phase 3 clinical trial data indicated the AstraZeneca vaccine had an efficacy of <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)32661-1/fulltext">around 70%</a>, new real-world data <a href="https://www.theage.com.au/world/europe/two-astrazeneca-shots-could-be-85-90-per-cent-effective-uk-data-suggests-20210521-p57ttr.html">from the United Kingdom</a> tells us it could be as much as 85%-90% effective in protecting against symptomatic COVID-19.</p> <p>This is positive news and not far off the 95% figure for the Pfizer vaccine seen in <a href="https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-conclude-phase-3-study-covid-19-vaccine">clinical trials</a> and in <a href="https://www.independent.co.uk/news/health/pfizer-vaccine-coronavirus-israel-data-b1842617.html">the real world</a>.</p> <p>And apart from effectively protecting against severe illness and death from the original strain, the AstraZeneca vaccine appears to work <a href="https://theconversation.com/im-over-50-and-can-now-get-my-covid-vaccine-is-the-astrazeneca-vaccine-safe-does-it-work-what-else-do-i-need-to-know-159814">almost as well</a> in protecting against more severe outcomes for variants of concern, such as the UK variant. Early signs also suggest the vaccine is working quite well to reduce transmission of the virus.</p> <p>It’s also important to understand — and this applies to all age groups — that we’re getting vaccinated for the health of the community as a whole.</p> <p>Although a great deal of the success or failure of the vaccination program has been framed in terms of reaching herd immunity, we don’t need to reach a certain threshold for the community to reap benefits. Every vaccine delivered makes a difference as the greater the proportion of the population vaccinated, the more difficult it is for the virus to spread.</p> <p>As we’ve seen in <a href="https://www.bbc.com/news/world-asia-57153195">Taiwan</a> in recent weeks, being complacent about COVID is flirting with danger.</p> <p>Even though we don’t have community transmission of COVID in Australia now, and we may feel safe and secure in this climate, we need to remember things could change very quickly.</p> <h2>Get the jab</h2> <p>There’s really no logical reason for someone over 50 to wait for an alternative to the AstraZeneca vaccine, like Pfizer or Moderna. If you do choose to wait, there’s no guarantee when any alternative might be available, and in the interim you risk leaving yourself vulnerable.</p> <p>By stepping up to get your vaccine as soon as you can, you protect yourself against severe COVID and make a significant contribution to putting this pandemic behind us, including getting Australia closer to opening up international borders.</p> <hr /> <p><em>Correction: this article previously referred to data from the Department of Health on the prevalence of TTS. But this was international data; the TGA figures are the most up-to-date for the Australian context.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;" src="https://counter.theconversation.com/content/161283/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><span><a href="https://theconversation.com/profiles/hassan-vally-202904">Hassan Vally</a>, Associate Professor, <em><a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a></em></span></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/im-over-50-and-hesitant-about-the-astrazeneca-covid-vaccine-should-i-wait-for-pfizer-161283">original article</a>.</p>

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Man dies after harrowing 26-hour wait in ER

<p>A former nurse has vowed to "fight to the bitter end" to force change to Queensland's beleaguered health system after his father died following a 26-hour wait in an emergency department.</p> <p>Neville Clayton died less than a week after he endured multiple heart attacks amid a traumatic wait at Ipswich Hospital as the state's bed shortage reached "crisis" point.</p> <p>His son, Anthony, who worked as a nurse on the Gold Coast for close to 30 years said he was "disgusted" in the state's health system.</p> <p>In March, a paramedic arrived at the family's Ipswich home 20 minutes after being called and said Neville would need to be transported more than an hour away to the Toowoomba Hospital because the local facility was at capacity.</p> <p>But before the 67-year-old began the long journey west, an advance care ambulance team arrived and the man was transported to the Ipswich Hospital after protests from the patient's family, said Anthony.</p> <p>The family said he waited in excruciating pain for an hour until a doctor admitted him into the emergency department where the long wait to be transferred to the specialist ward began.</p> <p>With no coronary care beds available at the facility, Anthony said his dad suffered several smaller heart attacks in the time he waited for dedicated cardiac treatment.</p> <p>It wasn’t until another patient suffering from a heart condition was transported to the Princess Alexandra Hospital in Brisbane that a bed became available for Neville on Wednesday afternoon.</p> <p>Five days after arriving at the hospital, Neville rang his wife in unbearable pain to say it “felt like a horse was laying on my chest”.</p> <p>She let him know she loved him and that would soon be at the hospital and be by his side, but he passed 30 minutes after the call.</p> <p>A spokesperson for the body responsible for the management of the Ipswich Hospital offered condolences to the Claytons and extended an invitation to “sit down and discuss his care”.</p> <p>West Moreton Health insists Neville received clinical care and monitoring while waiting in the ED.</p> <p>“The Ipswich Hospital emergency department is equipped with critical care monitoring and staffed by specialists, meaning patients continue to receive quality care within the ED while awaiting transfer to the ward,” the spokesperson told NCA NewsWire.</p> <p>“If anyone has concerns, complaints or questions about their healthcare, including treatment options and outcomes, we want to hear from them. We improve how we deliver care through the ongoing review of our practices and procedures.”</p> <p>Anthony applauded the tireless work of doctors and nurses, insisting “I blame the politicians and the health sector for not paying enough attention to these issues”.</p> <p>“I’m very frustrated that these people are waiting on an ambulance bed or in an emergency room without being treated properly,” he said.</p>

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"They should have waited": Thomas Markle's response to Oprah interview

<div class="post_body_wrapper"> <div class="post_body"> <div class="body_text redactor-styles redactor-in"> <p>Meghan Markle's estranged father Thomas Markle has spoken out about the controversial tell-all interview between Prince Harry, Meghan Markle and Oprah.</p> <p>Thomas spoke to <em>Good Morning Britain</em> about the interview, saying it was "way over the top".</p> <p>"I totally agree that they went way over the top with these stories with Oprah and should have waited considering the Queen's age and Philip's age they certainly should have waited or tried to wait," he said.</p> <p>He also said that he felt let down by his daughter and son-in-law as they didn't visit him in hospital.</p> <p>"I was in a hospital bed the last time we talked and I never heard from them again. They didn't care if I died, I never heard from them again … and they have not talked to me since," he said.</p> <p>"When my father was in the hospital, me and my three brothers showed up the very next day. That's what family does."</p> <p>Thomas mentioned that he doesn't think the royal family are racist, despite claims from Meghan and Harry that they are.</p> <p>"This whole thing about the colour and how dark the baby is, is bulls---. I married a very beautiful black woman and had a beautiful child and if she had turned out dark it wouldn't have been a problem, anything in between it wouldn't have been a problem, (she was) a beautiful baby."</p> <p>"The thing about what colour will her baby be or how dark will her baby be, I'm guessing and hoping it's just a dumb question from somebody. It could just be that simple, somebody's asked a stupid question rather than it being a total racist."</p> <blockquote class="twitter-tweet"> <p dir="ltr">Thomas Markle reacts to bombshell Oprah interview in GMB world exclusive<a href="https://t.co/DN185hhPmc">https://t.co/DN185hhPmc</a></p> — Good Morning Britain (@GMB) <a href="https://twitter.com/GMB/status/1369216040748650498?ref_src=twsrc%5Etfw">March 9, 2021</a></blockquote> <p>When Thomas was asked about Meghan's revelations that she had contemplated suicide, he said he would have supported his daughter.</p> <p>"I've been pushed around and knocked down for one thing I did (releasing part of a personal letter from Meghan to the press), for one big mistake I made, and I've apologised for it as many times as I possibly can," he said.</p> <p>"However I love my daughter very much, had I known she was having psychological problems I would have been there for her."</p> <p>He said that "the biggest problem … is she's pretty much ghosted all of her family, on her mother's side and my side".</p> <p>"She really had no one to reach out to, she would have had us if she kept us."</p> <p>Thomas also revealed why he sells stories to the press.</p> <p>"Bottom line, I’ve never heard back from Meghan and Harry in any way shape or form.</p> <p>"What I do if I don’t hear from them, is I’ll do another story for the press."</p> <p>"I’ve yet to hear from them. I would love to hear from them. They’re not talking to me. When they decide to talk to me, I’ll stop talking to the press.”</p> <p>"I’ve been pushed around and knocked down for one big mistake I made." </p> </div> </div> </div>

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"Proud mum moment": Sylvia Jeffreys can't wait for second bub

<p>Sylvia Jeffreys is one busy mum. When she's not in the TV spotlight alongside David Campbell on hit breakfast show<span> </span><em>Today Extra</em>, she's at home getting ready for the arrival of her second baby boy as well as looking after one-year-old Oscar.</p> <p>Thankfully, her mum Janine flew to Sydney to celebrate Oscar's first birthday so she's able to get some peace.</p> <p>Peace is quickly disrupted after Oscar is solidly standing and grabbing onto a flower.</p> <p>"To see him standing like this for an extended period is a first," Sylvia, 34, explained to <a rel="noopener" href="https://www.nowtolove.com.au/parenting/celebrity-families/sylvia-jeffreys-second-baby-66819" target="_blank"><em>Now To Love.</em></a></p> <p>"Because we're so on edge, waiting for him to take a few steps, which could happen any day now, we're always ready with the phone to capture that moment. This is a very proud mum moment."</p> <p>The Stefanovic and Jeffrey family waited for years for Oscar's arrival, who was conceived through IVF, despite Jeffreys being upset she might never have a child of her own.</p> <p>"There were a million stories written about me being pregnant while I was trying to get pregnant and not being able to," she said.</p> <p>"That was probably more upsetting than any of the other ridiculous things you read [about yourself] because it's just so insensitive."</p> <p>The second time round, the family is more prepared.</p> <p>"The second time around it was… spontaneous I'd say," Sylvia says, chuckling.</p> <p>"We hadn't planned to go down that path so soon, but having had not an entirely easy path the first time around, you can't be anything but thankful or grateful to have fallen pregnant this way.</p> <p>"Having said that, it's definitely a tight turnaround and people think we're nuts! When we tell them our boys will be 14 or 15 months apart, they roll their eyes and say, 'Good luck!' But the silver lining is that, with the world being the way it is right now, we're not missing out on anything being stuck in the baby bubble. So we may as well stay here in the zone and ride it out."</p> <p>Despite wanting a big family like the one she grew up with, Jeffreys is quick to joke she's not Octomum.</p> <p>"Look, I'm no Octomom – we're not going to pump out a dozen," she says with a laugh.</p> <p>"But both Pete and I grew up really close to our cousins and aunts and uncles, and we'd like to replicate that for our children. We've been fortunate that, on both sides of our family, Oscar was born at a similar time to other babies. So we've got a lovely little gang of cuzzies, which is great."</p> <p><em>Today Extra</em><span> </span>co-host David Campbell has been incredibly supportive of the family as they continue to grow.</p> <p>"I get very overwhelmed when people tell me happy news like that," David admits. "The eyes start to water. It's not a very manly reaction, I know. It's very much in touch with my feelings. But I'm just overwhelmed for her because I saw what she and Pete went through, and how much Oscar means to them – just how invested they are with him.</p> <p>"To know it's going to happen all over again and it's going to be just as good? I'm so happy. I don't have more of a visceral reaction than that."</p> <p>"I love who Sylvia and Pete are as people, and they should create more humans because they are good people. We need more humans from them – that's a good combination in the world."</p>

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