Alaska summit: why Donald Trump should heed the lessons of Munich 1938 when he meets Putin

Source: The Conversation – UK – By Tim Luckhurst, Principal of South College, Durham University

Betrayal: where were the Czechs when their country was given away? Bundesarchiv, CC BY-ND

Donald Trump meets Russian president Vladimir Putin in Alaska on September 15 for their first summit of Trump’s second term. Their topic of discussion will be the war in Ukraine. The pair may decide the fate of the country which Putin began to illegally occupy in 2014 and which Russian forces invaded in an outright war of aggression in February 2022.

Trump has hinted that he could agree, in a two-way summit without the involvement of the Ukrainian president Volodymyr Zelensky, to the handing over of Ukrainian territory to Russia. If he does, this would bear close resemblance to an act of betrayal which took place in Munich on September 30 1938 and, ominously, is now understood as a key step on the road to the second world war.

The deal struck by the then British prime minister, Neville Chamberlain, and his French counterpart, Édouard Daladier, with the German leader Adolf Hitler handed Hitler territory in Germany’s neighbour Czechoslovakia in return for what Chamberlain erroneously boasted would be “peace in our time”. Within months Nazi Germany would take control of much of the rest of Czechoslovakia and in less than a year the whole of Europe would be at war.

Similar to the Trump-Putin summit’s exclusion of Zelensky, the Czech leader Edvard Beneš was not included in the Munich summit. There had already been ample indication of Hitler’s bad faith in the spring and summer of 1938. Hitler had begun issue increasingly strident complaints about alleged Czech mistreatment of the German-speaking minority in Sudetenland, territory which had been handed to the newly formed state of Czecholoslovakia after the first world war, but which contained 3 million ethnic Germans.

By May Hitler was openly talking about destroying Czechoslovakia and on September 12 he made a speech vowing to “solve the question” once and for all. In response Chamberlain flew to see Hitler at Bad Godesberg, where they agreed that Germany would take control of all areas of the Sudetenland with a greater than 50% concentration of Germans.

The British prime minister persuaded the Czech president Edvard Beneš to accede to this demand, but within days Hitler had reneged, saying he would have the whole territory by October 1. This prompted Britain and France to accelerate their rearmament efforts. Chamberlain ordered the British fleet to put out to sea and on September 25 France ordered its army to mobilise.

The next step was choreographed with the help of Italy’s fascist dictator Benito Mussolini who – in the knowledge that Italy was not ready for a European war at that stage – set up another conference for September 29-30 in Munich. Britain and France agreed to travel to meet Hitler, who at that stage was aware that there was little appetite for war either among the German people or his own generals.

Beneš, meanwhile, was preparing his people to resist the German threat. Troops were sent to the borders between Sudetenland and Germany where Czechoslovakia had built considerable fortifications.

Chamberlain and Daladier duly met Hitler in Munich where over two days an agreement for the occupation of Sudetenland was thrashed out and a four page document signed by the three leaders and Mussolini. No Czech official was involved in either the negotiations or the signing of the agreement.

Map of Czechoslovakia in 1938 with Sudetenland.
Czechoslovakia in 1938 with Sudetenland.
Weiner Holocaust Library

On hearing of the deal, Beneš said: “Munich is a betrayal that will be its own punishment,” adding: “Britain and France think they will save themselves from war and revolution at our expense, but they are wrong.” He stepped down a few days later.

Relief – but a disastrous outcome

At the time, the British press cheered Chamberlain as a hero and the agreement as a diplomatic triumph. It’s important to remember that at that stage, just 20 years after the catastrophic Great War had finished, there was very little appetite for another major conflict in Europe.

As The Times, which was in lockstep with the government on this issue, explained in an editorial “feelings were running so high” that the separation of the Sudetenland from Czechoslovakia “without a plebiscite seemed the only solution”. The newspapers editor at the time, Geoffrey Dawson, was a convinced supporter of Chamberlain so closely connected to the British Government that he has been described as “an ex officio member of the Cabinet”.

Hitler’s gamble had paid off. His troops occupied the Sudetenland on October 1 1938, securing for Germany the extensive border fortifications Czechoslovakia had prepared for its own defence. Within a matter of months Germany was ready to execute the second part of Hitler’s plan for Czechoslovakia.

On March 15, having used the same strategy of reporting the mistreatment of ethnic Germans in Bohemia and Moravia, Hitler summoned Emil Hácha, a quietly spoken lawyer who had been drafted in to replace Beneš after Munich.

Informing the new Czech leader that the order had already been given to the Luftwaffe to launch bombing raids over Prague and other big cities, the German leader forced Hácha to agree to accept an agreement whereby his country would become a German protectorate.

Chamberlain’s efforts to appease Hitler may have secured time for Britain to rearm and prepare for war. However, this had not been Chamberlain’s objective. He believed that by offering the Nazi regime what it wanted, he could secure an enduring peace. In fact, his concessions encouraged Hitler’s belief that threats of force could secure territorial gains.

The concern now must be that if Donald Trump accedes too readily to Putin’s territorial demands, Ukraine may suffer the same fate. Trump has already talked of “land swaps”.

If he agrees to allow Russia to annex what is left of the Donbas, it will mean that a vital area of territory where Ukraine’s armed forces have been holding Russia at bay since 2014 will be handed to Russia. This would leave the way clear for a resumption of hostilities at a later date, this time without the barriers of Ukraine’s fortified defensive line.

Ukraine – and Europe – will be hoping that Trump can hold his nerve when he meets Putin in Alaska on Friday.

The Conversation

Tim Luckhurst has received funding from News UK and Ireland Ltd. He is a member of the Free Speech Union and a member of the Editorial Board of The Conversation UK. His latest book, Reporting the Second World War – The Press and the People 1939-1945 is published by Bloomsbury Academic.

ref. Alaska summit: why Donald Trump should heed the lessons of Munich 1938 when he meets Putin – https://theconversation.com/alaska-summit-why-donald-trump-should-heed-the-lessons-of-munich-1938-when-he-meets-putin-263125

Botox: unlicensed injections are increasingly being linked to serious illness in the UK

Source: The Conversation – UK – By Adam Taylor, Professor of Anatomy, Lancaster University

A confirmed 41 cases of botulism have been reported in the UK between June and August of this year. Prostock-studio/ Shutterstock

Botox is the most common non-surgical procedure performed globally – with nearly 9 million procedures estimated to take place each year. In the UK alone, around 900,000 Botox injections are carried out each year.

But with a the growing popularity of this procedure comes an increase in risks and unwanted outcomes.

The UK Health Security Agency has recently reported a significant rise in clinically confirmed cases of botulism – a rare illness that can cause symptoms ranging from fatigue, headaches and dizziness to difficulty breathing. Between June 4 and August 6 2025, 41 cases have been confirmed in the UK. While these cases appear to be linked to the use of unlicensed products which are much more potent than Botox, even licensed products can sometimes come with risks.

Botox is short for botulinum toxin. It’s the most lethal toxin known to man. Even just a small fragment of botulinum toxin – weighing a fraction of the weight of a grain of salt – can be enough to kill a human. This is a key reason why only approved Botox products should be used, as their ingredients and strength have been carefully scrutinised.

Botox is produced by a bacterium called Clostridium Botulinum, which is usually found in water, soil and the intestinal tracts of animals. These bacteria can produce seven distinct types of toxin. Only types A and B are used clinically, though Botox type A is the one most commonly used in cosmetic procedures.

Botulinum toxin acts as a neurotoxin – meaning it impacts nerve function. It specifically inhibits the function of the neurotransmitter acetylcholine which is found in the neuromuscular junction between the nerve and muscle. A variety of nerves use this neurotransmitter – including those involved in key bodily functions such as digestion, breathing and movement.

Botox works cosmetically by inhibiting the function of the neuromuscular junction, which paralyses the nerve. This means the muscle doesn’t contract, limiting the overlying skin’s ability to wrinkle. This same function is also the reason Botox is used to treat eye twitches, chronic migraines, neck spasms, excess sweating, overactive bladder and crossed eyes.

It can take a few days after injection for the full effect of the Botox to occur. From here, the body begins breaking it down. After around three to four months its effects have fully diminished, which is why follow-up treatments are required.

Botox and botulism

As with any procedure, Botox comes with risks.

The most common side-effects people experience are some initial bruising and swelling and tenderness around then injection site.

An older man receives a Botox injection into his forehead from a woman who is wearing scrubs and organ surgical gloves.
Even licensed Botox products can come with risks.
Tijana Simic/ Shutterstock

But the more concerning side-effect is the risk of botulism. This is a rare complication that can cause symptoms ranging from mild to severe. It isn’t known how common botulism is in people who get Botox, but up to 25% of people who receive cosmetic Botox have complications. Botulism symptoms usually appear the day after receiving botox – but in some cases, they can manifest as many as 36 days later.

Mild symptoms include fatigue, headaches, dropping eyelids and visual disturbances. Moderate symptoms involve mild symptoms and difficulty swallowing.

In the worst case scenario, botulism can lead to anaphylactic shock and respiratory failure. Around 5-10% of untreated botulism cases result in death.

Thankfully, if identified early, treatments are available and effective. But it’s important to note that these treatments cannot reverse any damage that has already been done. They only work to halt further damage. Recovery from botulism can take months.

Botuslism can sometimes be mistaken for myasthenia gravis or Guillain-Barre syndrome, two autoimmune conditions that have overlapping symptoms. This is why it’s important to tell your doctor if you’ve had Botox, as there’s no immediate test for the toxin and those tests that show its presence take several days to produce results.

Staying safe

A few key factors can increase your risk of developing botulism from Botox.

Improper administration increases the likelihood of Botox spreading away from the injection site. This increases the risk of experiencing side-effects – including botulism.

Exceeding the maximum dose is another factor that increases your risk of botulism. This can happen through basic calculation errors and injecting the wrong amount for the injection site. For instance, men require a higher dose than women due to their increased muscle mass. Not accounting for this could easily result in a dosing error.

Repeated Botox use can also lead to Botox resistance, where a patient has built antibodies against the toxin or metabolises the Botox very quickly. This means they wouldn’t get the required Botox effect. It may mean that a patient would request a higher dose – potentially above recommended administration levels – to get any effect.

This can be dangerous and also counterproductive as increasing amounts of Botox runs the risk of increasing antibody production and further reducing the effectiveness of Botox. It also increases the risk of botulism.

Unlicensed Botox products also come with the risk of botulism. The recent spike of botulism cases in the UK have been linked to two unlicensed products, Innonox and Toxpia. Both are illegal to supply and use in the UK because their safety hasn’t been assessed by regulatory bodies.

These products also work differently to Botox. For instance, Innonox is also a “ready-made solution”, which means it can be injected without having to be dissolved in saline. This could lead to an increased risk of dosing errors if a practitioner is not used to the product or switches between using licensed Botox products and unlicensed ones.

Using a reputable and qualified practitioner is the best way to avoid contracting botulism. They will know how to properly inject Botox, which dose is safe for you and will only use products that are approved for cosmetic use.

The Conversation

Adam Taylor does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Botox: unlicensed injections are increasingly being linked to serious illness in the UK – https://theconversation.com/botox-unlicensed-injections-are-increasingly-being-linked-to-serious-illness-in-the-uk-262398

Edinburgh Festival: ten of the best art shows to see this summer

Source: The Conversation – UK – By Katarzyna Kosmala, Chair in Culture Media and Visual Arts, University of the West of Scotland

Edinburgh is once again joyfully alive with creativity and originality as the UK’s largest arts event returns. Staged in the oak grove of the city’s Botanical Gardens, the opening night of the 2025 Edinburgh Art Festival presented a sensory explosion that set the tone for the entire run.

British artist Linder’s dazzling, genre-defying performance spectacle fused Holly Blakey’s visceral choreography, Maxwell Sterling’s haunting soundscapes and Ashish Gupta’s flamboyant fashion, showcasing an eerie synthesis of body and nature.

This year – the 21st edition – offers a rich celebration of memory, identity and imagination, and with 82 exhibitions across 45 venues, it’s the biggest yet. Here’s our pick of the best from a visual feast for lovers of contemporary art.

1. Linder: Danger Came Smiling

This exciting show is a retrospective spanning five decades of fearless, boundary-pushing art. From punk and feminist photomontages to surreal fashion interventions and video work, Linder dissects our cultural obsessions with feminism, fairytales, flora and the human form. A rich tapestry of provocation and enchantment, this is a show not to be missed.

Royal Botanic Garden, Arboretum Place until October 19 2025, free

2. Who Will Be Remembered Here

Lewis Hetherington and CJ Mahony present a powerful, poetic film connecting queer lives across Scottish heritage sites. Developed in collaboration with Historic Environment Scotland, this is a deeply moving multilingual tribute to silenced histories and a comment on the erasure of cultures and identities. Personal stories are performed with passion in English, Scots, Gaelic and BSL. The show features places imbued with personal meaning, such as the industrial ruins of Biggar gasworks and the 2000-year-old Machrie Moor stone circle on Arran.

EAF Pavilion, 45 Leith Street until August 24 2025, free

3. Drama 1882

The UK premiere of Egyptian artist Wael Shawky’s exhibition explores the Anglo-Egyptian war through film installation featuring puppetry, drawings and historical narrative. Visually stunning and politically resonant, Shawky narrates religious wars, the Crusades and events leading up to the British occupation of Egypt from an Arab perspective. The show embraces lesser known and contradictory accounts to represent the making of history from an alternative perspective.

Talbot Rice Gallery, South Bridge until September 28 2025, free

4. Fire on the Mountain, Light on the Hill

Buenos Aires-based artist Mercedes Azpilicueta’s monumental tapestry weaves stories of protest and political expression in a vibrant collage of archival and contemporary imagery. Referencing war, food economies, collective action and women-led rights movements, this is a powerful and insightful commentary on overlooked histories. August 22 marks Azpilicueta’s live performance exploring themes of the struggles and resistance of women – real and fictional – across time.

The Collective Gallery, City Observatory at Calton Hill until September 7 2025, free; live performance on Calton Hill, August 22, free

5. Humpty Dumpty

British artist Mike Nelson has appropriated the Fruitmarket’s Warehouse space to recreate a haunting labyrinth of a derelict housing estate in his latest show. Unable to put things back together again, the installations arise from two sets of photographs documenting the condemned Heygate council estate in London, and new infrastructure building plans in Mardin, a city in eastern Turkey, near the Syrian border. The work captures cities in flux, commenting on construction and destruction, global politics and people’s struggle against regeneration, gentrification and social cleansing.

Fruitmarket Gallery, 45 Market Street until October 5, 2025, free

6. Give Light And People Will Find The Way (Ella Baker)

Scottish-Pakistani artist Rabiya Choudhry joins Chloe Reith (The Common Guild) and Martha Burns (National Library of Scotland) in conversation to discuss her new installation. Drawing on the legacy of African-American civil rights activist Ella Baker, it merges her powerful and inspiring words with Andrew Carnegie’s flaming torch – a symbol of enlightenment and public access to knowledge.

The illuminated work, representing collective strength, resilience and the power of learning, finds its permanent home at Craigmillar Library, a civic space rooted in community. The unveiling coincides with Dear Library, a new exhibition celebrating the centenary of the National Library of Scotland, and reflecting the role of libraries as beacons of hope and empowerment.

Craigmillar Library, 101 Niddrie Mains Road; Dear Library in-conversation event with Rabiya Choudhry, National Library of Scotland, George IV Bridge, August 14, 5.30pm, free

7. Resistance

Curated by British artist and filmmaker Steve McQueen, this striking show explores how countercultures and acts of protest have shaped life across the UK, and the powerful role of photography in documenting and driving change. It features renowned photographers such as Paul Trevor, Fay Godwin, Vanley Burke, John Deakin and Tish Murtha alongside lesser-known names. Underrepresented and marginalised voices are highlighted in this compelling exploration of overlooked histories.

Modern Two, National Galleries of Scotland, 73 Belford Road until January 4 2026, £14 (£2-£12 concession)

8. The Edinburgh Seven Tapestry

This extraordinary piece of work designed by Scottish artist Christine Borland and created by the city’s Dovecot Studios, commemorates the first women to enrol at Edinburgh University to study medicine. In 1870, the Surgeons’ Hall riot saw student and public protesters attempting to block the seven women from sitting an anatomy exam. Although the riot proved unsuccessful, the women’s fight to qualify as doctors eventually led to the Medical Act of 1876, legally permitting women to practise medicine.

The tapestry was created using a combination of traditional and modern materials and techniques. Borland’s organic shapes are ingeniously based on cellular structure in motion, with magenta and cyan hues representing the dyes that were used in both textiles and the scientific staining of human cells in the 19th century.

Edinburgh Futures Institute, 1 Lauriston Place until December 31 2025, free

9. Ring of Truth

A rare fusion of art, music and ancient philosophy makes up this collaboration between artists, musicians and historians. The show explores cosmic harmony and mysticism inspired by the Music of the Spheres manuscripts – ancient Coptic compositions from 5th and 6th-century Egypt. It features the work of Nurah Farahat, Haroon Mirza, Jack Jelfs, Craig Coulthard, Luke Fowler, David Maclean, Julie Johnstone, Edward Summerton, Alan Grieve and William Voelkle.

Blackie House, 6 Wardrop’s Court until August 24, free

10. Let Me Show You Who I Am

Created to be shown on billboards across the city, Alice Rekab’s arresting work delves into themes of diaspora, migration, queer identity and mixed heritage. The artworks have been created through a dynamic series of workshops exploring Black and Irish legacies of community activism and creativity across the UK. The artist’s explorations of Irish, Sierra Leonean, and Syrian family histories create powerful visual narratives of belonging.

Across Edinburgh until August 24, free


Looking for something good? Cut through the noise with a carefully curated selection of the latest releases, live events and exhibitions, straight to your inbox every fortnight, on Fridays. Sign up here.


The Conversation

Katarzyna Kosmala does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Edinburgh Festival: ten of the best art shows to see this summer – https://theconversation.com/edinburgh-festival-ten-of-the-best-art-shows-to-see-this-summer-262748

The Materialists: a sadly conservative view on marriage

Source: The Conversation – UK – By Sarah Louise Smyth, Lecturer in Department of Literature Film and Theatre Studies, University of Essex

This article contains spoilers for The Materialists

The Materialists purports to be a romantic comedy with a cynical and pragmatic look at romantic relationships. Its protagonist, Lucy (Dakota Johnson), a professional matchmaker, insists that a successful partnering is all about pairing the right numbers: salary, assets, height, weight, age. The man should be tall, the woman should be young and slim; both need to be rich.

This is a world of traditional gender norms, so the film does not concern itself with queer relationships. That is beyond one gag when Lucy interviews a woman who wants to find a Republican lesbian.

As the film goes on, Lucy’s matchmaking philosophy is tested when she becomes acquainted with Harry (Pedro Pascal) – tall, slim, handsome, wealthy, single (what the matchmaking business in the film calls “a unicorn”). At the same time, she runs into her ex-boyfriend John (Chris Evans), who, despite also being tall, slim and handsome, is poor and living in a squalid apartment with dysfunctional flatmates (all reasons they broke up the first time around). The film hinges on the question: what will Lucy choose, love or money?

As an expert in romantic comedies, I can tell you they have long been concerned with the marriage of romance and money, even if economics are tastefully relegated to the background.

Ground zero for the romance plot was Jane Austen’s Pride and Prejudice, which set the template. Elizabeth Bennet fell in love with Mr Darcy – and it was a wonderful coincidence that he just so happened to be rich.

Since then, this plot has repeated in Pretty Woman (1990), Sex and the City (1998-2004), Bridget Jones’s Diary (2001), You’ve Got Mail (1998) and Crazy Rich Asians (2018), to name a few. In these romances, a key part of the fantasy is not only that the woman (for it is always a woman) is saved from abject singledom, but that she enters the upper echelons of society through her partner’s wealth.

The Materialists attempts to puncture this fantasy by foregrounding the role of money in relationships. A delicious scene occurs early on when Lucy is summoned to a bridal suite where her client is having cold feet about the man she is marrying. The suite looks expensive and the bride is beautiful.

Lucy asks the bride why, in her darkest moments, she wants to marry her fiancé. The bride sheepishly replies that it makes her sister jealous. Her fiancé is better looking, taller and richer than her sister’s husband. A flash in Lucy’s eyes suggests she can work with this. This is about being valued, Lucy reassures the bride, you want to be seen and to get what you deserve.

The stakes of this world are made clear: a good match is about perception and prestige and the emotional implications that come with it can be manipulated to justify these standards.

However, the burgeoning love triangle between Lucy, Harry and John confuses these insights. Director and writer Celine Song’s beautiful, tender and restrained debut, Past Lives (2023), also explored a love triangle. While the romantic entanglements of this film were nuanced, the emotional stakes were always clear eyed. This is less true in The Materialists.

Lucy insists that marrying someone wealthy is non-negotiable for her but then breaks up with Harry for no discernible reason. Just before the breakup scene, the film reveals a strange twist in the story. Harry got painful and invasive leg lengthening surgery, enabling him to reach the critical height of six foot. Lucy is insistent that this is not the reason she breaks up with Harry and the film seems to believe her, so the role of this storyline is unclear. Is it that, in this world, women (except for Lucy, perhaps) are as shallow as men?

Lucy then gets back together with John despite no clear indication of what he offers her emotionally or financially, especially as there has been no change in his circumstances. And this is to say nothing of a sexual assault storyline that is uncomfortably shoe-horned in, or the role of race and ethnicity in matchmaking.

Like queer sexuality, race is introduced as a joke by a white character who only wants to date other white people. Also, the role of Harry’s heritage (Pascal is Latino) was not mentioned as a potential problem for the wasps (white Anglo-Saxon protestants) who make up the majority of New York’s elite.

Ultimately, The Materialists suggests that people should stay in their lane. Lucy and Harry come from different worlds, while Lucy and John’s are very similar. As they admit to each other, as well as coming from modest backgrounds, they are both smokers, come from “shitty families” and support left-wing politics. The Pride and Prejudice plot may be a crass fantasy of social mobility, but The Materialists appears all the more conservative. If it is not clear whether Lucy and John marry for love nor money, what do they marry for?


Looking for something good? Cut through the noise with a carefully curated selection of the latest releases, live events and exhibitions, straight to your inbox every fortnight, on Fridays. Sign up here.


The Conversation

Sarah Louise Smyth does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. The Materialists: a sadly conservative view on marriage – https://theconversation.com/the-materialists-a-sadly-conservative-view-on-marriage-263136

From bees doing maths to fish driving cars: teaching animals irrelevant skills can help unlock the secrets of cognition – podcast

Source: The Conversation – UK – By Gemma Ware, Host, The Conversation Weekly Podcast, The Conversation

Scientists can get animals to do the strangest things. They’ve taught goldfish to drive cars, primates to perform calculations with Arabic numerals and giraffes to do statistical reasoning. But what’s the point?

In this episode of The Conversation Weekly podcast, biologist Scarlett Howard from Monash University in Australia – who has taught bees to tell the difference between odd and even numbers – defends the importance of these seemingly ecologically irrelevant experiments.

She argues that they can help us understand the secrets of animal cognition, and even potentially unlock future technological developments for humanity too.

Howard got hooked on working with bees when she realised it was possible to train individual bees using sugar water as a reward. “We work with a single bee for hours and hours at a time and she comes back and forth from the hive to the experimental area,” she says.

She began wondering what bees’ cognitive boundaries were, which led to experiments exploring how bees count and tell the difference between pictures with odd and even numbers of objects.

“ I wasn’t doing these experiments just flippantly,” she says. “There is a fun aspect to them, but I was also doing them because I thought they really had value to other areas of science.”

Howard argues that these kinds of experiments are important for the field of neuromorphic technology, computer systems inspired by animals. Learning about cognition from animals, and particularly how they do tasks very efficiently compared to their brain size, can help to develop “technology based on biological systems”, Howard says.




Read more:
Fish driving cars and chimps doing maths: what teaching animals ‘irrelevant’ skills reveals about our own minds


And she says that while these human-centric tasks may seem ecologically irrelevant to an animal’s species now, we may just not know yet. “Maybe one day we’ll find out that they choose flowers or remember flowers by looking at the petal number and remembering if it’s an even number, that’s a good flower,” she posits.

Listen to the conversation with Scarlett Howard on The Conversation Weekly podcast.


This episode of The Conversation Weekly was written and produced by Katie Flood. Gemma Ware is the host and executive producer. Mixing and sound design by Eloise Stevens and theme music by Neeta Sarl.

Listen to The Conversation Weekly via any of the apps listed above, download it directly via our RSS feed or find out how else to listen here. A transcript of this episode is available on Apple Podcasts or Spotify.

The Conversation

Scarlett Howard currently has funding from the Australian Research Council and the Hermon Slade Foundation.

ref. From bees doing maths to fish driving cars: teaching animals irrelevant skills can help unlock the secrets of cognition – podcast – https://theconversation.com/from-bees-doing-maths-to-fish-driving-cars-teaching-animals-irrelevant-skills-can-help-unlock-the-secrets-of-cognition-podcast-262288

Glacial lake flood hits Juneau, Alaska, reflecting a growing global risk as mountain glaciers melt

Source: The Conversation – USA (2) – By Alton C. Byers, Faculty Research Scientist, Institute of Arctic and Alpine Research, University of Colorado Boulder

U.S. Geological Survey staff check monitoring equipment in Suicide Basin in June 2025. By August, the basin had filled with meltwater. Jeff Conaway/U.S. Geological Survey

Each summer in the mountains above Juneau, Alaska, meltwater from the massive Mendenhall Glacier flows into mountain lakes and into the Mendenhall River, which runs through town.

Since 2011, scientists and local officials have kept a close eye on one lake in particular: Suicide Basin, an ice-dammed bowl on an arm of the glacier. Glacier ice once covered this area, but as the ice retreated in recent decades, it left behind a large, deep depression.

In the summers of 2023 and 2024, meltwater filled Suicide Basin, overflowed and escaped through tunnels in the ice, sending surges of water downstream that flooded neighborhoods along the river.

On Aug. 12-13, 2025, the basin flooded again.

The surge of water from Suicide Basin reached record levels at Mendenhall Lake on Aug. 13 on its way toward Juneau, the state capital. Officials urged some neighborhoods to evacuate ahead of the surge. As the water rose, new emergency flood barriers were able to limit the damage.

The glacial flood risks that Juneau is now experiencing each summer are becoming a growing problem in communities around the world. As an Earth scientist and a mountain geographer, we study the impact that ice loss can have on the stability of the surrounding mountain slopes and glacial lakes, and we see several reasons for increasing concern.

Two photo shows the same scene 125 years apart. The glacier loss is evident, and the lake didn't exist in 1983
Two photo shows the same scene 125 years apart. The glacier loss is evident, and the lake didn’t exist in 1893.
NOAA/Alaska Climate Adaptation Science Center

The growing risk of glacial floods

In many mountain ranges, glaciers are melting as global temperatures rise. Europe’s Alps and Pyrenees lost 40% of their glacier volume from 2000 to 2023.

These and other icy regions have provided freshwater for people living downstream for centuries – almost 2 billion people rely on glaciers today. But as glaciers melt faster, they also pose potentially lethal risks.

Water from the melting ice often drains into depressions once occupied by the glacier, creating large lakes. Many of these expanding lakes are held in place by precarious ice dams or rock moraines deposited by the glacier over centuries.

A glacial lake with high peaks behind it shows how dams build up from the glacier's movement
Imja Lake, a glacial lake in the Mount Everest region of Nepal, began as meltwater ponds in 1962 and now contains 90 million cubic meters of water. Its water level was lowered to protect downstream communities.
Alton Byers

Too much water behind these dams or a landslide or large ice discharge into the lake can break the dam, sending huge volumes of water and debris sweeping down the mountain valleys, wiping out everything in the way.

The Mendenhall Glacier floods, where glacial ice holds back the water, are classic jökulhlaup, or “glacier leap” floods, first described in Iceland and now characteristic of Alaska and other northern latitude regions.

Erupting ice dams and landslides

Most glacial lakes began forming over a century ago as a result of warming trends since the 1860s, but their abundance and rates of growth have risen rapidly since the 1960s.

Many people living in the Himalayas, Andes, Alps, Rocky Mountains, Iceland and Alaska have experienced glacial lake outburst floods of one type or another.

A glacial lake outburst flood in the Sikkim Himalayas in October 2023 damaged more than 30 bridges and destroyed a 200-foot-high (60 meters) hydropower plant. Residents had little warning. By the time the disaster was over, more than 50 people had died.

Scientists investigate flooding from Mendenhall Glacier’s Suicide Basin.

Avalanches, rockfalls and slope failures can also trigger glacial lake outburst floods.

These are growing more common as frozen ground known as permafrost thaws, robbing mountain landscapes of the cryospheric glue that formerly held them together. These slides can create massive waves when they plummet into a lake. The waves can then rupture the ice dam or moraine, unleashing a flood of water, sediment and debris.

That dangerous mix can rush downstream at speeds of 20-60 mph (30-100 kph), destroying homes and anything else in its path.

The casualties of such an event can be staggering. In 1941, a huge wave caused by a snow and ice avalanche that fell into Laguna Palcacocha, a glacial lake in the Peruvian Andes, overtopped the moraine dam that had contained the lake for decades. The resulting flood destroyed one-third of the downstream city of Huaraz and killed between 1,800 and 5,000 people.

A satellite view of a large glacial lake at the edge of a deep valley.
Teardrop-shaped Lake Palcacocha, shown in this satellite view, has expanded in recent decades. The city of Huaraz, Peru, is just down the valley to the right of the lake.
Google Earth, data from Airbus Data SIO, NOAA, U.S. Navy, NGA, GEBCO

In the years since, the danger there has only increased. Laguna Palcacocha has grown to more than 14 times its size in 1941. At the same time, the population of Huaraz has risen to over 120,000 inhabitants. A glacial lake outburst flood today could threaten the lives of an estimated 35,000 people living in the water’s path.

Governments have responded to this widespread and growing threat by developing early warning systems and programs to identify potentially dangerous glacial lakes. In Juneau, the U.S. Geological Survey starts monitoring Suicide Basin closely when it begins to fill.

Some governments have taken steps to lower water levels in the lakes or built flood-diversion structures, such as walls of rock-filled wire cages, known as gabions, that divert floodwaters from villages, infrastructure or agricultural fields.

Where the risks can’t be managed, communities have been encouraged to use zoning that prohibits building in flood-prone areas. Public education has helped build awareness of the flood risk, but the disasters continue.

Flooding from inside and thawing permafrost

The dramatic nature of glacial lake outburst floods captures headlines, but those aren’t the only risks.

Englacial conduit floods originate inside of glaciers, commonly on steep slopes. Meltwater can collect inside massive systems of ice caves, or conduits. A sudden surge of water from one cave to another, perhaps triggered by the rapid drainage of a surface pond, can set off a chain reaction that bursts out of the ice as a full-fledged flood.

An englacial conduit flood begins in the Himalayas. Elizabeth Byers.

Thawing mountain permafrost can also trigger floods. This permanently frozen mass of rock, ice and soil has been a fixture at altitudes above 19,685 feet (6,000 meters) for millennia.

As permafrost thaws, even solid rock becomes less stable and is more prone to breaking, while ice and debris are more likely to become detached and turn into destructive and dangerous debris flows. Thawing permafrost has been increasingly implicated in glacial lake outburst floods because of these new sources of potential triggers.

A glacial outburst flood in Barun Valley started when nearly one-third of the face of Saldim Peak in Nepal fell onto Langmale Glacier and slid into a lake. The top image shows the mountain in 2016. The lower shows the same view in 2017.
Elizabeth Byers (2016), Alton Byers (2017)

How mountain regions can reduce the risk

A study published in 2024 counted more than 110,000 glacial lakes around the world and determined 10 million people’s lives and homes are at risk from glacial lake outburst floods.

To help prepare and protect communities, our research points to some key lessons:

  1. Some of the most effective early warning systems have proven to be cellphone alerts. If combined with apps showing real-time water levels at a dangerous glacial lake, residents could more easily assess the danger.

  2. Projects to lower glacier lakes aren’t always effective. In the past, at least two glacial lakes in the Himalayas have been lowered by about 10 feet (3 meters) when studies indicated that closer to 65 feet (20 meters) was needed. In some cases, draining small, emerging lakes before they develop could be more cost effective than waiting until a large and dangerous lake threatens downstream communities.

  3. People living in remote mountain regions threatened by glacial lakes need a reliable source of information that can provide regular updates with monitoring technology.

  4. Recently it has become clear that even tiny glacial lakes can be dangerous given the right combination of cascading events. These need to be included in any list of potentially dangerous glacial lakes to warn communities downstream.

The U.N. declared 2025 the International Year of Glaciers’ Preservation and 2025-2034 the decade of action in cryospheric sciences. Scientists on several continents will be working to understand the risks and find ways to help communities respond to and mitigate the dangers.

This is an update to an article originally published March 19, 2025, to include the latest Alaska flooding.

The Conversation

Suzanne OConnell receives funding from The National Science Foundation

Alton C. Byers does not work for, consult, own shares in or receive funding from any company or organization that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. Glacial lake flood hits Juneau, Alaska, reflecting a growing global risk as mountain glaciers melt – https://theconversation.com/glacial-lake-flood-hits-juneau-alaska-reflecting-a-growing-global-risk-as-mountain-glaciers-melt-263109

Investing that protects people and the planet is growing: new study maps the progress in South Africa

Source: The Conversation – Africa – By Kara Nel, Contract lecturer in Business Management, Stellenbosch University

Institutional investors who invest on behalf of others are increasingly considering environmental conservation and safe working conditions as investment criteria.

Sustainable investment has gained momentum in the last 20 years as asset managers – people who manage the day-to-day activities of institutional investors – have accepted the need to include sustainability criteria in their decision-making. In particular environmental, social and governance factors.

A study done in 2023 in North America, Europe and Asia reported that 80% of asset managers had sustainable investment policies. Five years earlier it was only 20%.

In South Africa, this trend has been particularly marked since 2011 following changes to pension fund legislation. The amendments require pension funds to take environmental, social and governance issues into account in their investment decisions.

Nevertheless, the momentum of investment decisions based on sustainability criteria has been slower in South Africa compared with other countries.

As part of my PhD research, I investigated the views of 26 asset managers about sustainable investing. I asked them to define what corporate social responsibility meant to them.

They identified specific corporate social responsibility practices they focus on. Human rights and stakeholder relationships were the most prominent. Most interviewees (15 of the 26) believed that the companies they invest in should have sound sustainability practices.

The research also highlighted a number of barriers to asset managers applying sustainability criteria. These included the fact that the South African equity market is quite small, and shrinking as the number of companies delisting from the Johannesburg Stock Exchange grows. There are therefore fewer companies to invest in. There is also limited client demand for such investments.

These barriers make it harder for investors to make a significant social investment impact.

Sustainable investment matters because asset managers control vast amounts of capital. In the absence of suitable impact-oriented investment opportunities, capital can’t be directed to solving pressing problems. These include poverty, inequality and climate change.

The barriers

The interviewees said it was challenging to integrate corporate social responsibility practices into institutional investment decision-making. They listed a number of reasons.

Seven commented that the local equity market was too small to make a significant social investment impact.

One interviewee said that if, for example, an asset manager wanted to build a fund with only environmental performers, it was not possible, since

you are not exactly spoiled for choice.

The already limited local investable market continues to shrink. Companies are delisting at a disconcerting rate. This means that there are limited sustainability-focused investment opportunities in the country.

Another challenge is low client demand for sustainable investment products. The interviewees mentioned that a limited number of asset owners and beneficiaries are requesting such products.

In addition, many companies don’t provide sufficient data on their sustainability practices. This makes it difficult for corporate role-players to make informed decisions.

Another complicating factor is that there isn’t consistency among data providers on how sustainability performance of companies should be measured. In South Africa this is further complicated by unique aspects of the country’s laws. For example, interviewees mentioned that popular global environmental, social and governance databases didn’t take into account broad-based black economic empowerment legislation. This was introduced after the end of apartheid to improve economic transformation and inclusion.

What needs to happen

Education is key to ensure real impact. Fund managers and their clients should thus be better informed about sustainable investing.

Here the Association for Savings and Investment South Africa could play an important role. This association aims to ensure that savings and investment in the country remain relevant and sustainable. Workshops and resources are provided to various role-players in the investment process.

In addition, having consistent, country-specific metrics for sustainability would make it easier to evaluate and compare companies. Some of the interviewees thought that the Johannesburg Stock Exchange 2022 Sustainability Disclosure Guidance was a step in the right direction. The document provides a step-by-step guide to get companies going in their sustainability reporting. It’s also designed to help locally listed companies clarify current global best practices. An example is climate-related disclosures.

Reporting standards put out in 2023 by the International Sustainability Standards Board have been another important development. These include requirements for sustainability-related financial information and climate-related initiatives.

The standards encourage more consistent, complete, comparable and verifiable information about sustainability-related risks and opportunities.

Another useful intervention would be the development of a social impact metric. This could include country-specific social considerations. A local example would be including broad-based black economic empowerment when measuring social impact.

In our view the focus for South African asset managers should be on investments that align with sustainable development. These include investing in infrastructure projects that address pressing challenges. Unemployment is one example.

Fund managers should also take advantage of tools like the Responsible Investment and Ownership guide. This provides actionable steps to improve responsible investment practices.

These resources can help asset managers integrate corporate sustainability into their decision-making. They can also be used to educate clients on the benefits of sustainable investing.

The Conversation

Kara Nel was supported by a doctoral scholarship from Stellenbosch University’ Graduate School of Economic and Management Sciences (GEM) as well as partial funding from the Banking Sector Education and Training Authority (Bankseta). The funders had no role in the study design, data collection and analysis.

Nadia Mans-Kemp is a Y-rated researcher that received funding from the National Research Foundation (2021-2026).

Pierre Erasmus received funding from the NRF (2011-2017).

ref. Investing that protects people and the planet is growing: new study maps the progress in South Africa – https://theconversation.com/investing-that-protects-people-and-the-planet-is-growing-new-study-maps-the-progress-in-south-africa-248022

For people with ADHD, medication can reduce the risk of accidents, crime and suicide

Source: The Conversation – Global Perspectives – By Adam Guastella, Professor and Clinical Psychologist, Michael Crouch Chair in Child and Youth Mental Health, University of Sydney

Attention-deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition that affects around 7% of children and 2.5% of adults.

ADHD causes difficulties holding and sustaining attention over periods of time. People with ADHD also experience hyperactivity and high levels of impulsiveness and arousal. This can make it difficult to plan, coordinate and remain engaged in tasks.

ADHD is linked to problems at work, school and home, and to higher rates of mental illnesses such as anxiety. It’s also associated with higher rates of long-term harms.

Stimulant medication, such as methylphenidate and dexamphetamine, is the most common treatment for managing ADHD symptoms. Most people with ADHD will respond to at least one ADHD medication.

But, rising rates of prescriptions in recent years has prompted concern for their effectiveness and safety.

New research published today in the journal BMJ points to additional longer-term benefits. It found people with ADHD who took medication were less likely to have suicidal behaviours, transport accidents, issues with substance misuse, or be convicted of a crime.

What did the study do?

The study tracked 148,581 people who received a new diagnosis of ADHD between 2007 and 2018.

The authors used population-based data from Swedish national registers, including everyone aged six to 64 who was newly diagnosed with ADHD. The average age was 17.4 years and 41% were female.

Participants either started or did not start medication within three months of their ADHD diagnosis.

The authors examined the effects of drug treatment for ADHD on five critical outcomes: suicidal behaviours, substance misuse, accidental injuries, transport accidents and committing crime. They looked at both first-time and recurrent events.

This study used a method that uses data from health records or registries to mimic the design of a randomised controlled trial, in an attempt to reduce bias.

The researchers accounted for age, education, other mental and physical illnesses, prior history and use of other drugs, to account for factors that may influence results.

What did they find?

Within three months of receiving an ADHD diagnosis, 84,282 (56.7%) of people had started drug treatment for ADHD. Methylphenidate was the most commonly prescribed drug, accounting for 88.4% of prescriptions.

Drug treatment for ADHD was associated with reduced rates of a first occurrence for four out of the five outcomes: a 17% reduction for suicidal behaviours, 15% for substance misuse, 12% for transport accidents and 13% for committing crime.

When the researchers looked at people with recurrent events, the rate reductions associated with ADHD medication were seen for all five outcomes (including accidental injury).

The effect of medication was particularly strong when someone had a history of these events happening frequently. This means those with the most severe symptoms may benefit most.

Stimulant drugs were associated with lower rates of all five outcomes compared with non-stimulant drugs.

It’s likely these benefits are associated with improvements in attention, impulsivity and hyperactivity. People may be less likely to be distracted while driving, to self-medicate and show impacts from other mental health challenges.

What didn’t the study do?

The large sample size, use of national linked registers and sophisticated design give greater confidence that these findings are due to medication use and not due to other factors.

But the study was not able to examine medication dosages or track whether people reliably took their medication as prescribed. It also had no way to track the severity of ADHD symptoms. This means it can’t tell us if this helped most people or just some people with severe symptoms.

We know that ADHD medication helps most people, but it is not effective for everyone. So, we still need to understand why some people don’t benefit from ADHD medication, and what other treatments might also be helpful.

Finally, even though the study was rigorous in its design and adjusted for many factors, we can’t rule out that other unaccounted factors could be associated with these effects.

As prescribing increases, the size of the benefit decreases

A second study, published in June, used the same Swedish national registers and self-controlled case series design.

This study also concluded ADHD medication was associated with reduced risks for self-harm, accidental injuries, transport accidents and committing crime.

However, this study also showed that as prescribing rates increased nearly five-fold between years 2006 to 2020, the size of the observed benefits of ADHD medications reduced.

While remaining significant, the size of the associations between ADHD medication use and lower risks of unintentional injury, traffic crashes, and crime weakened over this time.

This could mean people who are less likely to need ADHD medications are now receiving them.

What are the impacts for patients and policymakers?

People need to know that if ADHD medications are helpful for them or their children, it might also improve many other areas of life.

These findings can also give governments confidence that their recent initiatives and efforts to increase access to ADHD support and treatment may have positive downstream impacts on broader social outcomes.

But medications aren’t the only ADHD treatment. Medication should only represent one part of a solution, with other psychological supports for managing emotional regulation, executive and organisational skills and problem-solving also beneficial.

Psychological therapies are effective and can be used in combination with, or separately to, medication.

Yet research shows drug treatments are relied on more frequently in more disadvantaged communities where it’s harder to access psychological supports.

Policymakers need to ensure medication does not become the only treatment people have access to. People with suspected ADHD need a high-quality diagnostic assessment to ensure they get the right diagnosis and the treatment most suitable for them.

The Conversation

Adam Guastella receives independent research funding from research organisations (e.g., MRFF, NHMRC, ARC) to investigate the effecicy of supports for children and adults with neurodevelopmental conditions. He is employed as the Michael Crouch Chair in Child and Youth Mental Health at the University of Sydney.

Kelsie Boulton receives funding from research organisations (MRFF) to evaluate the efficacy of interventions for neurodevelopmental conditions.

ref. For people with ADHD, medication can reduce the risk of accidents, crime and suicide – https://theconversation.com/for-people-with-adhd-medication-can-reduce-the-risk-of-accidents-crime-and-suicide-263044

At 50, The Rocky Horror Picture Show is ‘imperfectly’ good (and queer) as ever

Source: The Conversation – Global Perspectives – By Craig Martin, Lecturer in Screen Studies, Swinburne University of Technology

Stanley Bielecki Movie Collection/Getty Images

For half a century, The Rocky Horror Picture Show has lured costumed fans to cinemas for late-night screenings. Its raunchy mix of Broadway musical, science fiction and schlock horror was originally a box-office flop. However, after its first midnight screening on April Fool’s Day 1976 at the Waverly theatre in New York, it never left the late-night circuit and became the ultimate cult film.

Tim Curry’s powerhouse performance as Frank-N-Furter is central to the film’s success. Yet, his truly astounding work often overshadows the film’s many other dynamic performances.

Rocky Horror’s supporting characters and chorus feature alluring oddballs who irreverently challenge norms of physical desirability. Their “imperfect” bodies are not only a tribute to diversity: they radically upturn genre expectations of stage and screen musicals, and discredit broader cultural ideals of beauty.

It’s so dreamy, oh fantasy free me!

Brad Majors (Barry Bostwick) and Janet Weiss (Susan Sarandon) are an attractive young couple seeking help at an isolated castle when their car blows a tyre. During their night, they find the castle’s inhabitants are of a variety of sizes, physiques and galaxies.

Adapted from Richard O’Brien’s 1973 stage musical, Rocky Horror’s anti-Broadway aesthetic is apparent as soon as the “butler” Riff Raff (O’Brien) opens the castle door. This wiry framed hunchback with tangled hair is a far cry from the athletic ideal of the Broadway body.

Inside the creepy mansion, we are dazzled by a festive troupe of alien “Transylvanians” wearing off-beat tuxedos and textured waistcoats. It’s a broad assortment of unconventional body types squeezed into colourful costumes.

Lanky actor Stephen Calcutt stands at 198 centimetres tall, and Sadie Corré at just over 120cm. Hugh Cecil, then 62, has alopecia, which exaggerates his stark monocled whiteness. Fran Fullenwider, with her wild, teased-out coiffure and curvy frame, is clad in skin-tight pants.

Cecil and Fullenwider were among a handful of Transylvanians director Jim Sharman recruited from London-based Ugly Models. While this agency’s name and viability is, to say the least, unfortunate, Rocky Horror’s rejection of cookie-cutter casting was celebratory, not diminishing.

The Transylvanians’ subversion of “sameness” is especially powerful because of the history of its film genre. Busby Berkeley, one of film musicals’ founding innovators in the 1930s and 1940s, is famously quoted as approving the “girls” in his ensembles as being “matched, just like pearls”.

Inverting such sexist tropes, the crass collective of Transylvanians is widely adored as the chorus of the film’s legendary song, Time Warp. They are also welcomingly representative of the throngs of fans who the film has continued to assemble these past five decades.

I can make you a man

Once Frank-N-Furter has invited everyone “up to the lab”, we encounter two more vital characters: the dichotomous Eddie and Rocky.

Gregarious rocker Meat Loaf’s Eddie refuses the lean hypersexual image typical of frontmen in 1970s rock acts. Eddie motorbikes around Frank’s lab and delights his sweetheart Columbia (Nell Campbell). He is loud, sexy and very nearly loved.

Overtly parodying Frankenstein’s creation of a grotesque monster, Frank-N-Furter scientifically “births” the perfectly chiselled Rocky (Peter Hinwood).

With Rocky, Frank-N-Furter has made a “perfect specimen of manhood”: muscular, a sharp jawline, blonde hair and a tan. But Rocky does not have Eddie’s charismatic body positivity, which Frank-N-Furter resents.

Rocky’s blonde hair and sculpted physique bears more than a passing resemblance to Jack Wrangler or Casey Donovan, superstars in the “Golden Age of Porn” of 1969 to 1984.

Wrangler was a pioneering porn star who adopted a rugged Marlborough Man aesthetic. Not unlike Frank-N-Furter, Wrangler was sexually fluid, working in gay porn for ten years from 1970 before crossing over to straight porn.

Donovan found fame in Wakefield Poole’s successful X-rated film Boys in the Sand (1971). Both Donovan and Poole were newcomers to filmmaking and porn. Poole (himself a Broadway dancer) applied a dreamlike narrative and an artistically verité shooting style to his hardcore yet poetic pornography.

On its release, Boys in the Sand was reviewed in Variety, and ads for the film appeared in the New York Times. Poole’s film achieved an enviable level of critical legitimacy and public appeal, which evaded Rocky Horror until it gained legitimacy via its enduring cult status.

Rocky Horror’s presentation of the creature as a queer ideal of masculine physical perfection spicily mirrors the coveted masculine form on display in much gay pornography.

Yet, among Rocky Horror’s eclectic cast, Rocky’s musclebound physique is positioned as very much the exception.

Don’t dream it, be it

Unlike gay icon Wrangler, the blonde Adonis Rocky figure is not a rugged hero, but the monster: an aberration whose existence is the result of “mad science”.

In this reading, the alluring but destructive Frank-N-Furter represents western society’s beauty machine, intent on artificially creating bodies designed to be looked at as objects of sexual desire, queer or straight.

The Rocky Horror Picture Show US poster art.
LMPC via Getty Images

This insight is far from outdated. Indeed, since 1975, Rocky’s queer-inflected bodily “perfection” has today become a problematic norm in the mainstreaming of men’s body sculpting and the proliferation of homoerotic imagery marketed to men.

However, Rocky Horror remains a place where people of all shapes, sizes, ages, abilities, and colours can dance and sing and celebrate without such constraints. In fact, Riff Raff, the “imperfect” figure who first welcomes us to the castle, ultimately kills Frank-N-Furter and halts his exploitation.

Rocky Horror offers many and varied midnight-movie audiences freedom from society’s troubling and relentless obsession with body image, even 50 years on.

The Conversation

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

ref. At 50, The Rocky Horror Picture Show is ‘imperfectly’ good (and queer) as ever – https://theconversation.com/at-50-the-rocky-horror-picture-show-is-imperfectly-good-and-queer-as-ever-261852

The hidden costs of cancer for young survivors is derailing their financial futures

Source: The Conversation – Canada – By Giancarlo Di Giuseppe, PhD Candidate, Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto

Imagine being 25, fresh out of post-secondary education and full of optimism about starting your career, and then you hear the words: “You have cancer.”

You are suddenly faced with an unexpected health shock that not only threatens your physical health, but also your financial future. Most of your time is now spent feeling unwell and travelling to and from the hospital for treatment, while your friends and colleagues continue to build their careers.

This is the reality for nearly 1.2 million adolescents and young adults diagnosed with cancer each year worldwide, a number that is projected to rise. Just over 9,000 Canadian adolescents and young adults are diagnosed with cancer annually, and 85 per cent of them will survive their illness.

And while survival is the primary goal, many don’t realize that it comes with a hidden price that extends far beyond immediate medical costs.

It is estimated that the average Canadian affected by cancer faces $33,000 in lifetime costs related to their illness, totalling $7.5 billion each year for patients and their families.

But we have recently discovered the true economic impact on adolescents and young adults with cancer is often far greater than the previous numbers show and lasts much longer than previously recognized.

The financial penalty of survival

We compared 93,325 Canadian adolescents and young adults diagnosed with cancer and 765,240 similar individuals who did not experience cancer, and found that surviving cancer leads to long-term reduced income, which may last a lifetime.

On average, a cancer diagnosis results in a greater than five per cent reduction in earnings over a 10-year period after diagnosis.

As expected, income loss is more pronounced right after diagnosis, with survivors earning 10 to 15 per cent less in the first five years.

However, these hidden survival costs are not the same for everyone, and the financial toll varies greatly depending on the type of cancer. For instance, survivors of brain cancer see their average annual income drop by more than 25 per cent. This is a devastating financial burden — and one that endures.

The true lifetime effects are unknown, but it is not difficult to imagine how a financial setback like this can completely derail a young person’s financial future.

Why cancer costs young survivors more

Adolescents and young adults who are survivors of cancer experience “financial toxicity,” which refers to the direct costs of cancer, such as treatment or medication costs, and indirect costs like reduced work ability, extended sick leave and job loss.

Over one-third of young cancer patients report financial toxicity.

Many cancer survivors experience lasting adverse physical and cognitive effects that limit everyday functioning.

Even in the Canadian universal health-care system, which does not require payment for cancer treatment, many younger Canadians are unable to work and need to rely on family members for financial support.

The impact on work capacity is significant for adolescents and young adults who are just beginning their careers, causing them to miss critical years of career development during treatment and recovery that can have cascading economic effects.

These challenges can ultimately lead to financial instability and hardship.

Paying the price

Beyond the individual hardships, the issue of financial instability among young cancer survivors is becoming a broader societal challenge.

In 2025, young Canadian cancer survivors are entering an economy with an unfavourable job market and rising youth unemployment, as well as a widening gap between wages and housing affordability.
Rising inflation and general unaffordability are also compounding financial difficulties young Canadian cancer survivors face, ultimately making financial recovery more challenging.

Income is a fundamental social determinant of health, and financial inequities can perpetuate health disparities in cancer survivors after treatment.

Patients are forced into making devastating financial choices like depleting their savings and incurring debt.

Policy

A Canadian Cancer Society 2024 report highlights the urgency for support systems to address financial well-being after cancer.

Based on our research, which assesses the financial life of adolescent and young adult survivors of cancer, we have some recommendations for Canadian policymakers, businesses and primary care providers.

Policymakers should:

  • Make employment insurance benefits that better support survivors post-treatment.
  • Provide tax credits for groups of cancer survivors disproportionately affected by financial toxicity, such as those with brain cancer.

Primary care providers should:

  • Incorporate financial navigation counselling into their cancer care.
  • Provide resources for navigating insurance and financial assistance programs.
  • Routinely screen for financial toxicity as part of survivorship care.

Employers should:

Young cancer survivors have already faced one of life’s most difficult challenges. They shouldn’t have to struggle with financial insecurity.

By recognizing that survivorship starts at cancer diagnosis, we must broaden the conversation about cancer care beyond the clinical to the economic.

The Conversation

Jason D. Pole does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointments.

Giancarlo Di Giuseppe does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

ref. The hidden costs of cancer for young survivors is derailing their financial futures – https://theconversation.com/the-hidden-costs-of-cancer-for-young-survivors-is-derailing-their-financial-futures-256420