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

<p dir="ltr">A woman has gone head-to-head with her mother-in-law over the name she has chosen for her unborn child. </p> <p dir="ltr">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. </p> <p dir="ltr">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. </p> <p dir="ltr">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. </p> <p dir="ltr">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. </p> <p dir="ltr">“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.</p> <p dir="ltr">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. </p> <p dir="ltr">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. </p> <p dir="ltr">“We took forever to pick a name,” she said. “Shawn is the only one we could agree on.”</p> <p dir="ltr">The dinner party soon ended after the argument began, but the mother-in-law didn’t back down, sending the expecting mum demanding messages.</p> <p dir="ltr">“She texted me and my husband again to ask us to find a new name for Ashley's sake.”</p> <p dir="ltr">“Would I be the a**hole for not wanting to change it? We were only able to agree on it a few weeks ago.”</p> <p dir="ltr"> 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. </p> <p dir="ltr">“My spouse and sibling have the same name. Somehow, you just compartmentalise it,” one shared.</p> <p dir="ltr">“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.”</p> <p dir="ltr">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.</p> <p dir="ltr">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.”</p> <p dir="ltr"><em>Image credits: Shutterstock</em></p>

Family & Pets

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

<p>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.</p> <div class="copy"> <p>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.</p> <p>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.</p> <p>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’.</p> <p>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?’</p> <p>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.</p> <p>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. </p> <p>“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.</p> <p>“But given this occurs whether the evidence given is correct or not, perhaps the evidence adds too much noise, thus lowering accuracy.”</p> <p>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.</p> <p>“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.</p> <p>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.</p> <p>“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.”</p> <p><em>Image credits: Getty Images</em></p> <div> <p align="center"><noscript data-spai="1"><em><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"></em></noscript></p> </div> <p><em><!-- Start of tracking content syndication. Please do not remove this section as it allows us to keep track of republished articles --> <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&amp;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" /></em><em><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>. </em></div>

Caring

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

<p dir="ltr">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. </p> <p dir="ltr">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. </p> <p dir="ltr">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. </p> <p dir="ltr">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.</p> <p dir="ltr">“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. </p> <p dir="ltr">“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. </p> <p dir="ltr">“Nothing about my reception is very typical anyway, SO I'm wondering how insane or rude or cost-effective/smart this is.”</p> <p dir="ltr">“The planner set me this as an example of how to present it to guests.”</p> <p dir="ltr">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. </p> <p dir="ltr">“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. </p> <p dir="ltr">“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.”</p> <p dir="ltr">The post was shared in another wedding shaming Facebook group and critiqued by dozens of wedding experts.</p> <p dir="ltr">“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?”</p> <p dir="ltr">“I am a veteran pro planner and would NEVER suggest this!” another said. </p> <p dir="ltr">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.”</p> <p dir="ltr"><em>Image credits: Getty Images / Facebook</em></p>

Food & Wine

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

<p>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.</p> <p>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. </p> <p>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.</p> <p><strong>Lori Burrows - Biochemist, Canada</strong></p> <p>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.</p> <p>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.</p> <p><strong>André Hudson - Biochemist, United States</strong></p> <p>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.</p> <p>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.</p> <p><strong>Ray Robins-Browne - Microbiologist, Australia</strong></p> <p>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.</p> <p>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.</p> <p><strong>Raúl Rivas González - Microbiologist, Spain</strong></p> <p>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.</p> <p>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.</p> <p><strong>Fidelma Fitzpatrick - Microbiologist, United Kingdom</strong></p> <p>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.</p> <p>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.</p> <p><strong>Juliana Côrrea - Public health expert, Brazil </strong></p> <p>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.</p> <p>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.</p> <p><strong>Yori Yuliandra -  Pharmacist, Indonesia</strong></p> <p>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.</p> <p>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.</p> <p><em>Image credits: Getty Images</em></p> <p><em>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>. </em></p>

Body

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

<p>Princess Diana's famous "black sheep" jumper has sold at auction for more than $1.1million.   </p> <p>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. </p> <p>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.  </p> <p>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. </p> <p>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.</p> <p>It was sent back to the designers along with a note from Buckingham Palace, requesting that the jumper be either repaired or replaced.</p> <p>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. </p> <p>However, Osborne later discovered the jumper, which had been preserved underneath an old cotton bedspread, while searching her attic looking for an old pattern. </p> <p>She got in touch with Sotheby's auction house which gave the garment an auction estimate of around $80,000 - $120,000.</p> <p>Speaking to <em>The Telegraph UK</em>, 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."</p> <p>"It took a while to sink in. And we're so lucky it's not fallen to pieces."</p> <p>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."</p> <p>"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."</p> <p>"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.  </p> <p>"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."</p> <p><em>Images: Getty</em></p>

Beauty & Style

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

<p><em><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></em></p> <p>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.</p> <p><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>.</p> <p>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?</p> <h2>What exactly is influenza?</h2> <p>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.</p> <p>Common symptoms include headache, sore throat, fever, runny or blocked nose and body aches that last a week or more.</p> <p>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.</p> <h2>What are flu antivirals?</h2> <p>Influenza antivirals, target specific parts of the viral life cycle, which prevents the virus replicating and spreading.</p> <p>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.</p> <p>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>.</p> <p>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.</p> <p>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>.</p> <p>Tamiflu and Relenza generally cost A$40-50 in Australia, plus the cost of the consultation fee with your doctor, if applicable.</p> <h2>How effective are antivirals for the flu?</h2> <p>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>.</p> <p>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.</p> <p>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>.</p> <p>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.</p> <p>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.</p> <h2>Are flu antivirals becoming less effective?</h2> <p>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.</p> <p>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.</p> <p>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.</p> <h2>Antivirals can also prevent the flu if you’ve been exposed</h2> <p>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.</p> <p>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%.</p> <p>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.</p> <h2>So who should talk to their GP about a prescription?</h2> <p><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.&amp;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.</p> <p>Doctors can also consider treatment for people at higher risk of developing severe disease from influenza. This includes:</p> <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> <p>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.</p> <p>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.</p> <p>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>.</p> <p>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. <!-- 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/210457/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/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></em></p> <p><em>Image </em><em>credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/i-think-i-have-the-flu-should-i-ask-my-gp-for-antivirals-210457">original article</a>.</em></p>

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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

<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> 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></em></p> <p>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.</p> <p>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.</p> <p>Encouraging more people to take up private health insurance like this might seem a good way to take pressure off the public hospital system.</p> <p>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.</p> <h2>What is the Medicare Levy Surcharge?</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>Not buying private health insurance and paying the Medicare Levy Surcharge instead would cost even more, at $1,350 (1.25% of $108,001).</p> <h2>What is being proposed?</h2> <p>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.</p> <p>It recommends increasing the Medicare Levy Surcharge to 2% for those with an income above $108,001 for singles, and $216,001 for families.</p> <p>The definition of a “complying” private health insurance policy would also change.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>But the cost of not insuring and paying the Medicare Levy Surcharge instead would go up to $2,160 (2% of $108,001).</p> <h2>Is this a good idea?</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <h2>How about needing more expensive cover?</h2> <p>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.</p> <p>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.</p> <p>So we propose keeping the current level of hospital cover required to avoid the surcharge, rather than increasing it.</p> <h2>Who loses?</h2> <p>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.</p> <p>These groups are the least likely to use private insurance so have the least to gain from upgrading their cover.</p> <h2>Where to next?</h2> <p>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.</p> <p>We also support keeping these three in the short to medium term.</p> <p>But we recommend gradually reducing public support for private health insurance.</p> <p>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.</p> <p>The goal should not be merely increasing the take-up of private health insurance, which is the focus of the current report.</p> <p>So, as well as our recommendation to better target the Medicare Levy Surcharge, we need to:</p> <ul> <li> <p>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</p> </li> <li> <p>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.<!-- 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/210981/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> </li> </ul> <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> 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></em></p> <p><em>Image 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/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>.</em></p>

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

<p><em><a href="https://theconversation.com/au/team#fron-jackson-webb">Fron Jackson-Webb</a>, <a href="http://www.theconversation.com/">The Conversation</a></em></p> <p>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.</p> <p>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.</p> <p>“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>.</p> <p>By raising the issue of weight, Brumfitt says, GPs also risk turning patients off seeking care for other health concerns.</p> <p>So should GPs bring up a patient’s weight in consultations about other matters? We asked 5 experts.</p> <p><strong>Brett Montgomery - GP academic</strong></p> <p>Yes, sometimes – but with great care.</p> <p>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.</p> <p>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>.</p> <p>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.</p> <p>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&amp;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.</p> <p>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.</p> <p><strong>Emma Beckett - Nutrition scientist</strong></p> <p>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>).</p> <p>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.</p> <p>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.</p> <p>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>.</p> <p>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?</p> <p><strong>Liz Sturgiss - GP/researcher </strong></p> <p>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.</p> <p><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. </p> <p>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.</p> <p><strong>Nick Fuller - Obesity researcher </strong></p> <p>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.</p> <p>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>.</p> <p>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>.</p> <p>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.</p> <p><strong>Helen Truby - Nutrition scientist </strong></p> <p>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.</p> <p>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>.</p> <p>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.</p> <p>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></p> <p><em><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></em></p> <p><em>Image 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/should-gps-bring-up-a-patients-weight-in-consultations-about-other-matters-we-asked-5-experts-209681">original article</a>.</em></p>

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Thief asks woman out on date after robbing her at gunpoint

<p>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.</p> <p>Amber Beraun was checking the mail one night at her Indianapolis home in May when she was approached by a man with a gun.</p> <p>The gunman was later identified as Damien Boyce.</p> <p>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.</p> <p>Before he made his escape, Boyce asked Beraun a very unexpected, and quite frankly bizarre question - to add him on Facebook.</p> <p>The thief also noted he was planning to pay her back.</p> <p>Beraun responded, telling him she “believed” him and that “times just get rough”.</p> <p>Boyce proceeded to ask the woman to “come chill”.</p> <p>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.</p> <p>He was also charged with his robbery of Beraun.</p> <p>Beraun said her local neighbourhood has been affected by the terrifying incident.</p> <p>"It makes me a little on edge knowing that people walk up and down the street, looking for places to commit crimes," she said.</p> <p>"It makes it a little different when you hear noises at night."</p> <p>Beraun insisted she "never" thought something like this would happen to her.</p> <p>"He took away my sense of safety from my home."</p> <p><em>Image credit: ABC America</em></p>

Legal

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

<p>Sarah Ferguson has spoken candidly about what life has been like in the public eye since Prince Andrew's indiscretions have been made public. </p> <p>The Duchess of York made her first appearance on <em>The Kyle and Jackie O Show,</em> sharing how she has been keeping silent on the controversy surrounding her ex-husband of 26 years.</p> <p>In a touching moment, Kyle asked how Fergie was dealing with the media storm around Prince Andrew, in an interview-first for the Duchess. </p> <p>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. </p> <p>"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?"</p> <p>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."</p> <p>"Are you kidding?" asked a shocked Sandilands, "After all these years, no one's asked how you're doing?"</p> <p>The duchess replied with a simple "No", before quickly moving on.</p> <p>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.</p> <p>"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.</p> <p>"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."</p> <p>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. </p> <p>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'."</p> <p>"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'."</p> <p><em>Image credits: Getty Images</em></p>

Caring

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Why Air NZ is asking passengers to hop on the scales

<p dir="ltr">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. </p> <p dir="ltr">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.</p> <p dir="ltr">“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.”</p> <p dir="ltr">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. </p> <p dir="ltr">“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.”</p> <p dir="ltr">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. </p> <p dir="ltr">In order for the survey to be effective, 10,000 passengers must participate over the course of five weeks. </p> <p dir="ltr">“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.”</p> <p dir="ltr">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. </p> <p dir="ltr">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. </p> <p dir="ltr">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.</p> <p dir="ltr"><em>Images: Getty</em></p>

International Travel

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

<p><a href="https://theconversation.com/profiles/heidi-norman-859">Heidi Norman</a>, <em><a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a></em></p> <p>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.</p> <p>“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”.</p> <p>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.</p> <hr /> <p><em>Review: The Queen is Dead – Stan Grant (HarperCollins)</em></p> <hr /> <p>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.</p> <p>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.</p> <p>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.</p> <p>“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.”</p> <p>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?</p> <h2>The death of the white queen</h2> <p>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.</p> <figure class="align-right zoomable"><a href="https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=237&amp;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&amp;q=45&amp;auto=format&amp;w=600&amp;h=917&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=917&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=917&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=1152&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=1152&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/527406/original/file-20230522-29-dcc0ot.jpeg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=1152&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption></figcaption></figure> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=502&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=502&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/527467/original/file-20230522-27-ts8u8f.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=502&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">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’.</span> <span class="attribution">Yui Mok/AP</span></figcaption></figure> <h2>Liberalism and democracy = tyranny and terror</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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”.</p> <h2>Love, friendships, family, Country</h2> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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.</p> <p>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" /></p> <p><a href="https://theconversation.com/profiles/heidi-norman-859">Heidi Norman</a>, Professor, Faculty of Arts and Social Sciences, <em><a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/stan-grants-new-book-asks-how-do-we-live-with-the-weight-of-our-history-204756">original article</a>.</em></p> <p><em>Images: Q+A / ABC</em></p>

Books

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6 questions you must ask yourself before downsizing

<p>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.</p> <p><strong>1. How much will I save moving to a smaller home?</strong></p> <p>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.</p> <p><strong>2. Will the new neighbourhood fit my lifestyle needs?</strong></p> <p>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.</p> <p><strong>3. How much longer will I be able to maintain my current home?</strong></p> <p>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.</p> <p><strong>4. What will I bring with me and what will I lose?</strong></p> <p>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.</p> <p><strong>5. How is your health and your partner’s health?</strong></p> <p>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.</p> <p><strong>6. How close will family and friends be?</strong></p> <p>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.</p> <p><em>Image credits: Getty Images</em></p>

Home Hints & Tips

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

<p dir="ltr">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.</p> <p dir="ltr">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.</p> <p dir="ltr">“Hi, are you truly disabled,” the note read.</p> <p dir="ltr">“You both walked from your car like athletes. Please follow the rules.”</p> <p dir="ltr">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.”.</p> <p dir="ltr">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”.</p> <p dir="ltr">Speaking to <a href="https://au.news.yahoo.com/aussie-woman-slams-entitled-parking-note-how-dare-they-041811992.html" target="_blank" rel="noopener"><em>Yahoo</em> 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”.</p> <p dir="ltr">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.</p> <p dir="ltr">"Because she has all of her limbs and is able-bodied, many people have the wrong idea and get entitled," Cheyenne added.</p> <p dir="ltr">Other Reddit users have shared similar experiences.</p> <p dir="ltr">“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.</p> <p dir="ltr">“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.</p> <p dir="ltr">“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.</p> <p dir="ltr"><em>Images: Reddit</em></p>

Caring

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Flight attendants answer frequently asked flying questions

<p dir="ltr">A flight attendant has shared the answers to a series of every traveller’s burning questions about air travel. </p> <p dir="ltr">In a video shared to TikTok, Virgin Australia crew member Brodie Capron answered commonly asked questions about why carry-on bags have a weight limit and why the window shades have such strict limits. </p> <p dir="ltr">According to Capron, the reasoning behind why carry-on bags can only weigh so much is pretty simple. </p> <p dir="ltr">"That's because the overhead lockers can only hold so much weight," she said.</p> <p dir="ltr">The Melbourne-based cabin crew member also explained why the window shades need to be up for take off and landing, and it has nothing to do with helping your eyes adjust.</p> <p dir="ltr">"It's so that everyone can see the engines and warn the cabin crew if something is wrong," she said.</p> <p dir="ltr">Capron also debunked a common plane myth, ensuring nervous passengers that the water on planes is indeed “safe to drink”. </p> <p dir="ltr">"It is filtered and it is clean," she said.</p> <p dir="ltr">For those who like to enjoy a drink or two while travelling, Capron did confirm that you can in fact get 'more' drunk when flying.</p> <p dir="ltr">"[It's] because of the lower oxygen percentage in the air, the effects of alcohol are greater," she said.</p> <p dir="ltr">"So make sure you make good choices when you're flying."</p> <p dir="ltr">Her video has received over half a million views with many people thanking her for finally answering their burning questions about flying. </p> <p dir="ltr"><em>Image credits: Shutterstock</em></p>

Travel Tips

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Will AI ever reach human-level intelligence? We asked 5 experts

<p>Artificial intelligence has changed form in recent years.</p> <p>What started in the public eye as a burgeoning field with promising (yet largely benign) applications, has snowballed into a <a href="https://www.grandviewresearch.com/industry-analysis/artificial-intelligence-ai-market">more than US$100 billion</a> industry where the heavy hitters – Microsoft, Google and OpenAI, to name a few – seem <a href="https://theconversation.com/bard-bing-and-baidu-how-big-techs-ai-race-will-transform-search-and-all-of-computing-199501">intent on out-competing</a> one another.</p> <p>The result has been increasingly sophisticated large language models, often <a href="https://theconversation.com/everyones-having-a-field-day-with-chatgpt-but-nobody-knows-how-it-actually-works-196378">released in haste</a> and without adequate testing and oversight. </p> <p>These models can do much of what a human can, and in many cases do it better. They can beat us at <a href="https://theconversation.com/an-ai-named-cicero-can-beat-humans-in-diplomacy-a-complex-alliance-building-game-heres-why-thats-a-big-deal-195208">advanced strategy games</a>, generate <a href="https://theconversation.com/ai-art-is-everywhere-right-now-even-experts-dont-know-what-it-will-mean-189800">incredible art</a>, <a href="https://theconversation.com/breast-cancer-diagnosis-by-ai-now-as-good-as-human-experts-115487">diagnose cancers</a> and compose music.</p> <p>There’s no doubt AI systems appear to be “intelligent” to some extent. But could they ever be as intelligent as humans? </p> <p>There’s a term for this: artificial general intelligence (AGI). Although it’s a broad concept, for simplicity you can think of AGI as the point at which AI acquires human-like generalised cognitive capabilities. In other words, it’s the point where AI can tackle any intellectual task a human can.</p> <p>AGI isn’t here yet; current AI models are held back by a lack of certain human traits such as true creativity and emotional awareness. </p> <p>We asked five experts if they think AI will ever reach AGI, and five out of five said yes.</p> <p>But there are subtle differences in how they approach the question. From their responses, more questions emerge. When might we achieve AGI? Will it go on to surpass humans? And what constitutes “intelligence”, anyway? </p> <p>Here are their detailed responses. </p> <p><strong>Paul Formosa: AI and Philosophy of Technology</strong></p> <p>AI has already achieved and surpassed human intelligence in many tasks. It can beat us at strategy games such as Go, chess, StarCraft and Diplomacy, outperform us on many <a href="https://www.nature.com/articles/s41467-022-34591-0" target="_blank" rel="noopener">language performance</a>benchmarks, and write <a href="https://www.theatlantic.com/technology/archive/2022/12/chatgpt-ai-writing-college-student-essays/672371/" target="_blank" rel="noopener">passable undergraduate</a> university essays. </p> <p>Of course, it can also make things up, or “hallucinate”, and get things wrong – but so can humans (although not in the same ways). </p> <p>Given a long enough timescale, it seems likely AI will achieve AGI, or “human-level intelligence”. That is, it will have achieved proficiency across enough of the interconnected domains of intelligence humans possess. Still, some may worry that – despite AI achievements so far – AI will not really be “intelligent” because it doesn’t (or can’t) understand what it’s doing, since it isn’t conscious. </p> <p>However, the rise of AI suggests we can have intelligence without consciousness, because intelligence can be understood in functional terms. An intelligent entity can do intelligent things such as learn, reason, write essays, or use tools. </p> <p>The AIs we create may never have consciousness, but they are increasingly able to do intelligent things. In some cases, they already do them at a level beyond us, which is a trend that will likely continue.</p> <p><strong>Christina Maher: Computational Neuroscience and Biomedical Engineering</strong></p> <p>AI will achieve human-level intelligence, but perhaps not anytime soon. Human-level intelligence allows us to reason, solve problems and make decisions. It requires many cognitive abilities including adaptability, social intelligence and learning from experience. </p> <p>AI already ticks many of these boxes. What’s left is for AI models to learn inherent human traits such as critical reasoning, and understanding what emotion is and which events might prompt it. </p> <p>As humans, we learn and experience these traits from the moment we’re born. Our first experience of “happiness” is too early for us to even remember. We also learn critical reasoning and emotional regulation throughout childhood, and develop a sense of our “emotions” as we interact with and experience the world around us. Importantly, it can take many years for the human brain to develop such intelligence. </p> <p>AI hasn’t acquired these capabilities yet. But if humans can learn these traits, AI probably can too – and maybe at an even faster rate. We are still discovering how AI models should be built, trained, and interacted with in order to develop such traits in them. Really, the big question is not if AI will achieve human-level intelligence, but when – and how.</p> <p><strong>Seyedali Mirjalili: AI and Swarm Intelligence</strong></p> <p>I believe AI will surpass human intelligence. Why? The past offers insights we can't ignore. A lot of people believed tasks such as playing computer games, image recognition and content creation (among others) could only be done by humans – but technological advancement proved otherwise. </p> <p>Today the rapid advancement and adoption of AI algorithms, in conjunction with an abundance of data and computational resources, has led to a level of intelligence and automation previously unimaginable. If we follow the same trajectory, having more generalised AI is no longer a possibility, but a certainty of the future. </p> <p>It is just a matter of time. AI has advanced significantly, but not yet in tasks requiring intuition, empathy and creativity, for example. But breakthroughs in algorithms will allow this. </p> <p>Moreover, once AI systems achieve such human-like cognitive abilities, there will be a snowball effect and AI systems will be able to improve themselves with minimal to no human involvement. This kind of “automation of intelligence” will profoundly change the world. </p> <p>Artificial general intelligence remains a significant challenge, and there are ethical and societal implications that must be addressed very carefully as we continue to advance towards it.</p> <p><strong>Dana Rezazadegan: AI and Data Science</strong></p> <p>Yes, AI is going to get as smart as humans in many ways – but exactly how smart it gets will be decided largely by advancements in <a href="https://thequantuminsider.com/2020/01/23/four-ways-quantum-computing-will-change-artificial-intelligence-forever/" target="_blank" rel="noopener">quantum computing</a>. </p> <p>Human intelligence isn’t as simple as knowing facts. It has several aspects such as creativity, emotional intelligence and intuition, which current AI models can mimic, but can’t match. That said, AI has advanced massively and this trend will continue. </p> <p>Current models are limited by relatively small and biased training datasets, as well as limited computational power. The emergence of quantum computing will transform AI’s capabilities. With quantum-enhanced AI, we’ll be able to feed AI models multiple massive datasets that are comparable to humans’ natural multi-modal data collection achieved through interacting with the world. These models will be able to maintain fast and accurate analyses. </p> <p>Having an advanced version of continual learning should lead to the development of highly sophisticated AI systems which, after a certain point, will be able to improve themselves without human input. </p> <p>As such, AI algorithms running on stable quantum computers have a high chance of reaching something similar to generalised human intelligence – even if they don’t necessarily match every aspect of human intelligence as we know it.</p> <p><strong>Marcel Scharth: Machine Learning and AI Alignment</strong></p> <p>I think it’s likely AGI will one day become a reality, although the timeline remains highly uncertain. If AGI is developed, then surpassing human-level intelligence seems inevitable. </p> <p>Humans themselves are proof that highly flexible and adaptable intelligence is allowed by the laws of physics. There’s no <a href="https://en.wikipedia.org/wiki/Church%E2%80%93Turing_thesis" target="_blank" rel="noopener">fundamental reason</a> we should believe that machines are, in principle, incapable of performing the computations necessary to achieve human-like problem solving abilities. </p> <p>Furthermore, AI has <a href="https://philarchive.org/rec/SOTAOA" target="_blank" rel="noopener">distinct advantages</a> over humans, such as better speed and memory capacity, fewer physical constraints, and the potential for more rationality and recursive self-improvement. As computational power grows, AI systems will eventually surpass the human brain’s computational capacity. </p> <p>Our primary challenge then is to gain a better understanding of intelligence itself, and knowledge on how to build AGI. Present-day AI systems have many limitations and are nowhere near being able to master the different domains that would characterise AGI. The path to AGI will likely require unpredictable breakthroughs and innovations. </p> <p>The median predicted date for AGI on <a href="https://www.metaculus.com/questions/5121/date-of-artificial-general-intelligence/" target="_blank" rel="noopener">Metaculus</a>, a well-regarded forecasting platform, is 2032. To me, this seems too optimistic. A 2022 <a href="https://aiimpacts.org/2022-expert-survey-on-progress-in-ai/" target="_blank" rel="noopener">expert survey</a> estimated a 50% chance of us achieving human-level AI by 2059. I find this plausible.</p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/will-ai-ever-reach-human-level-intelligence-we-asked-5-experts-202515" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Technology

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How much Kyle knocked back when asked to appear on I'm A Celebrity

<p>Kyle Sandilands has revealed the eye-watering salary he was offered to appear in the upcoming season of <em>I’m A Celebrity… Get Me Out Of Here!</em>.</p> <p>On Thursday morning the radio shock jock announced that he turned down the seven-figure offer because it wasn’t enough money.</p> <p>“They offered me one million dollars and the ability to smoke whenever I wanted but I’d have to be hidden,” he said.</p> <p>Although the deal was similar to what was offered to Shane Warne when he appeared in 2016, Sandilands declined because it was only half of what the cricket legend received.</p> <p>“I said, ‘Warnie got two [million]’ and they were like, ‘Well that’s Warnie,” he explained, to which he responded “Well forget about it then”.</p> <p>He also added that besides the money, he had already signed on to appear as a judge for<em> Channel Seven’s Australian Idol</em>.</p> <p>“They would’ve had an issue with it as well,” he added.</p> <p>The discussion came after a live on-air chat with Woody Whitelaw, who is a confirmed cast member for this season’s <em>I’m A Celebrity… Get Me Out Of Here</em>!.</p> <p>Whitelaw has suggested that he was offered around $80,000 and $150,000 to appear on the show, which is what drew out Sandilands' boast over his million-dollar offer.</p> <p>“P**s off!” Whitelaw exclaimed, “You got the Warnie deal!”</p> <p>Not quite! But now we may never know if the full offer would have been enough to entice Sandilands into the jungle.</p> <p><em>Image: KIIS FM</em></p>

Money & Banking

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We now know exactly what question the Voice referendum will ask Australians. A constitutional law expert explains

<p>The Albanese government has now released the formal wording of the proposed referendum it will introduce into parliament next week. </p> <p>It had earlier released a draft proposed amendment at the Garma Festival last year, which was intended to start a debate on the wording. Since then, this wording has been the subject of intense discussion and debate in the Referendum Working Group, comprised of Indigenous representatives, which has been advising the government.</p> <p>It has also been scrutinised by the Constitutional Expert Group, which has provided legal advice in response to questions raised by the Referendum Working Group. </p> <p>Many other Australians have raised ideas and concerns in the media and in communications with the government, which have been the subject of analysis and deliberation.</p> <h2>What do the words say?</h2> <p>The wording of the proposed amendment will be as follows:</p> <p><em><strong>Chapter IX – Recognition of Aboriginal and Torres Strait Islander Peoples</strong></em></p> <p><em><strong>129 Aboriginal and Torres Strait Islander Voice</strong></em></p> <p>In recognition of Aboriginal and Torres Strait Islander peoples as the First Peoples of Australia:</p> <p>(1) There shall be a body to be called the Aboriginal and Torres Strait Islander Voice;</p> <p>(2) The Aboriginal and Torres Strait Islander Voice may make representations to the Parliament and the Executive Government of the Commonwealth on matters relating to Aboriginal and Torres Strait Islander peoples;</p> <p>(3) The Parliament shall, subject to this Constitution, have power to make laws with respect to matters relating to the Aboriginal and Torres Strait Islander Voice, including its composition, functions, powers and procedures.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Prime Minister Anthony Albanese has emotionally revealed the wording for the referendum on an Indigenous Voice to Parliament.<a href="https://twitter.com/hashtag/auspol?src=hash&amp;ref_src=twsrc%5Etfw">#auspol</a> <a href="https://twitter.com/hashtag/voicetoparliament?src=hash&amp;ref_src=twsrc%5Etfw">#voicetoparliament</a> <a href="https://t.co/4o4ZU5ykz3">pic.twitter.com/4o4ZU5ykz3</a></p> <p>— The Saturday Paper (@SatPaper) <a href="https://twitter.com/SatPaper/status/1638699476826353664?ref_src=twsrc%5Etfw">March 23, 2023</a></p></blockquote> <h2>What is new?</h2> <p>First, it is now clear this amendment will be placed in its own separate chapter at the end of the Constitution in a new section 129. </p> <p>The title of the chapter makes clear it is directed at the “recognition” of Aboriginal and Torres Strait Islander peoples in the Constitution. </p> <p>This recognition then flows through to some introductory words which form a preamble at the beginning of the section. These words provide “recognition” of Aboriginal and Torres Strait Islander peoples as the “First Peoples of Australia”.</p> <p>The terminology used is careful. It avoids the use of “First Nations”, which is politically more contentious and might have given rise to implications drawn from the term “Nation”. </p> <p>The description “Aboriginal and Torres Strait Islander peoples” is long-standing and well-accepted, and the statement that they were the First Peoples of Australia is one of fact and recognition.</p> <p>The rest of the proposed amendment remains the same except for a minor alteration of words at the end of sub-section (3). </p> <p>Importantly, the guaranteed ability of the Voice to make representations to the executive government remains. </p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Aboriginal and Torres Strait Islander people are asking the country for two simple things. </p> <p>Recognition in the constitution. </p> <p>And a Voice to Parliament. </p> <p>Today the Referendum Working Group has announced the proposed wording for a referendum that will do just that. <a href="https://t.co/NbS6ihhlon">pic.twitter.com/NbS6ihhlon</a></p> <p>— Anthony Albanese (@AlboMP) <a href="https://twitter.com/AlboMP/status/1638691913166651392?ref_src=twsrc%5Etfw">March 22, 2023</a></p></blockquote> <p>However, concerns about this have been addressed by the alteration to sub-section (3). </p> <p>The concern that had been raised was the High Court might draw an implication from sub-section (2) the representations by the Voice must be considered by government decision-makers before they can validly make a decision, potentially resulting in litigation and the delay of decision-making. </p> <p>While this concern had little to no substance, there was a suggestion some words should be added to the end of sub-section (3) to make it abundantly clear it was a matter for parliament to decide what the legal effects of the Voice’s representations would be. </p> <p>Parliament could make the decision that in some cases decision-makers would be obliged to consider representations first, but there would be no such obligation in relation to other types of decisions.</p> <p>This has now been accommodated by a compromise set of words added to the end of sub-section (3). </p> <p>These words say parliament can make laws with respect to “to matters relating to the Aboriginal and Torres Strait Islander Voice, including its composition, functions, powers and procedures.”</p> <p>The words “relating to” and “including” broaden the scope of this power. </p> <p>They are intended to permit parliament to legislate about the effect of the Voice’s representations, so it is a matter for parliament to decide whether the representations of the Voice must be considered by decision-makers when making administrative decisions. </p> <p>They are also intended to permit parliament to extend the powers and functions of the Voice as and when needed in the future.</p> <h2>The question on the ballot</h2> <p>The ballot paper never sets out the whole constitutional amendment, as in many cases, it would go for pages. </p> <p>Instead, voters are asked to approve the proposed law, as it is described in its long title. </p> <p>So the question put on the ballot will be set out as follows:</p> <p>"A Proposed Law: to alter the Constitution to recognise the First Peoples of Australia by establishing an Aboriginal and Torres Strait Islander Voice."</p> <p>"Do you approve of this alteration?"</p> <p>Voters then write Yes or No.</p> <h2>What now?</h2> <p>The amendment bill is intended to be introduced next week. When it is introduced, a parliamentary committee will be set up to allow the public to make their own submissions about the amendment. </p> <p>Anyone who has concerns can have their voice heard by the committee and it remains possible that the committee might recommend alterations to the wording. </p> <p>After the committee reports, the amendment bill will be debated in June and if passed, it will go to a referendum between two and six months after its passage. It will then be a matter for the people to decide.</p> <p><em>Image credits: Twitter</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/we-now-know-exactly-what-question-the-voice-referendum-will-ask-australians-a-constitutional-law-expert-explains-202143" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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Five vital questions to ask yourself before booking your next cruise

<p dir="ltr">When it comes to booking your next holiday on the seas, there are a few vital questions to consider before setting sail. </p> <p dir="ltr">It isn't uncommon to be lured in by a seemingly great sale fare, but taking a minute to contemplate the best arrangement for you could stop you making an expensive mistake. </p> <p dir="ltr">Who you go with, where you go, and when you set sail can all greatly impact the quality of your holiday, so ask yourself these questions before you pack your bags. </p> <p dir="ltr"><strong>Who am I travelling with?</strong></p> <p dir="ltr">Picking your travel companions can make or break your holiday, as who you decide to set sail with can drastically change where and when you go. </p> <p dir="ltr">For example if you're travelling with young children, that will rule out most expeditions to Antarctica, as most cruise lines recommend children be at least eight years of age to head to the icy South Pole. </p> <p dir="ltr">If the holiday is a venture for the whole family, most cruise lines advertise which journeys are more kid-friendly, with entertainment onboard for people of all ages.</p> <p dir="ltr"><strong>Where am I going?</strong></p> <p dir="ltr">While there are many spectacular destinations on every cruise lover's bucket list, there are others that require a little more consideration. </p> <p dir="ltr">Do you prefer something tropical featuring a beach-heavy itinerary or fancy something cool climate with plenty of adventure? What was the last holiday you truly enjoyed and what did you love about it? What are you keen to avoid (bustling cities, plenty of days at sea etc)?</p> <p dir="ltr">Once you narrow down what kind of holiday you’re looking for, it’s time to shortlist potential destinations that will tick your every box. </p> <p dir="ltr"><strong>How much is it going to cost me?</strong></p> <p dir="ltr">The first thing every traveller must do before making holiday plans is figuring out how much money you have, and what you are willing to spend.</p> <p dir="ltr">Writing down a budget and designating certain costs is a sure fire way to keep on top of your spending, such as allocating set figures for transport, accommodation, daily spending and luxuries. </p> <p dir="ltr">While you're working out your budget, it's also a good idea to research the cost of meals, drinks, activities and transport at the ports the cruise will be visiting. </p> <p dir="ltr"><strong>What do I want to spend my time onboard doing?</strong></p> <p dir="ltr">Whether you're into golf, felines, death metal, food or general nudity, you can rest assured there's a cruise for you out there.</p> <p dir="ltr">Many cruise lines have started operating themed cruises to match the very niche interests of every traveller, while still giving holidaymakers the chance to see the world with like minded people. </p> <p dir="ltr">Simply Google 'cruise' and your particular interest and prepare to be amazed at what's out there. </p> <p dir="ltr"><strong>Is cruising the best holiday for me?</strong></p> <p dir="ltr">If you've never cruised before, you might be feeling uncertain if you're the kind of person who'll enjoy a cruise. </p> <p dir="ltr">While there's certainly a cruise for every person, whether that be river cruising through Europe or adventures in the Arctic Circle, it's probably not the best idea to book in for a 24-day voyage if you're unsure you'll enjoy it. </p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

Cruising

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Woman slammed for asking disabled man to move on the bus

<p dir="ltr">A woman has been slammed online for asking a disabled man on a bus to move so that she and her daughter could sit together. </p> <p dir="ltr">The 32-year-old mother took to Reddit’s “<em>Am I The A**hole?</em>” platform to ask social media users if she was in the wrong. </p> <p dir="ltr">In the post, she wrote that her and her five-year-old daughter boarded the bus at a “busy stop”, noting that “there were no empty seats available, except for one near a person using a wheelchair” – who she described as a man aged about 40. </p> <p dir="ltr">“I asked the person if [he] could move [his] wheelchair to another spot so that my daughter and I could sit together, but the person declined,” she wrote. </p> <p dir="ltr">The man in the wheelchair responded to her request and said no, saying he needed the space for his “mobility device”. </p> <p dir="ltr">“I was taken aback and frustrated by his response,” she wrote. </p> <p dir="ltr">She told the man that her daughter “was very young and needed to sit next to me for safety reasons” – yet the person still “refused to move”. </p> <p dir="ltr">“I ended up having to stand for the entire ride with my daughter in tow, which was uncomfortable and tiring for both of us,” she said.</p> <p dir="ltr">The woman recalled how she told her friend about the public transport incident, to which her friend told her she was being “insensitive and ableist”. </p> <p dir="ltr">The writer’s friend told her “that the person in the wheelchair had a right to the space” he needed, and “that it was unfair” of her to ask the man in the wheelchair to move on such a crowded bus. </p> <p dir="ltr">“Now, I’m questioning whether or not I was wrong for asking the person to move,” the mother concluded her post.</p> <p dir="ltr">The post, which has racked up thousands of comments, was flooded by horrified users questioning how someone could ask a disabled person to move out of their designated space.</p> <p dir="ltr">“Imagine being so entitled that you genuinely think standing up on your perfectly good, working legs is so awful and tiring that you ask someone who is physically unable to stand to get out of your way,” one person wrote.</p> <p dir="ltr">“The five-year-old could have just stood. Seriously, when did five-year-olds become so fragile that they can’t stand for a bus trip. Parenting like this damages children. They are being taught that they are pathetic,” someone else wrote.</p> <p dir="ltr">Another person defended the mum’s insistence that her daughter be able to sit down for the bus ride. </p> <p dir="ltr">“It’s about safety. Children can easily fall in buses because they can’t reach the places to hold onto, since those are made for adults,” they wrote. </p> <p dir="ltr">But others who “used to take the bus a lot” declared that “mothers with kids are the most entitled bus users [that] exist”. </p> <p dir="ltr">“One can only hope [the woman] comes to realise how lucky she is she can even stand and walk without any trouble at all, and that the next time there are no seats on the bus, she would just suck it up for a few minutes of the ride,” one wrote.</p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

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