Twilight at 20: the many afterlives of Stephenie Meyer’s vampires

Source: The Conversation – UK – By Sarah Olive, Senior Lecturer in Literature, Aston University

This year marks the 20th anniversary of Stephenie Meyer’s novel, Twilight. The book series of the same name has sold over 160 million copies, been translated into 38 languages and adapted into five blockbuster films.

Vampires are perennially popular, largely because we make and remake them to help us address our social concerns and fears. As author Nina Auerbach argues in her 1995 book Our Vampires, Ourselves: “We make the vampires we need for the times we live in.”

The vampires of Twilight captured the spirit of 2005. Fantasy fiction and film with a central struggle between good and evil abounded: think Harry Potter and The Lord of the Rings. The melancholy of Twilight’s characters also chimed with chart-topping emo music (which formed some of the soundtrack for the film adaptations).

The novel follows the relationship between teenage human Bella Swan and vampire Edward Cullen, a centenarian soul in an immortal late-teenage boy’s body. The book appealed to the millennial feminism of 2005: it was told from Bella’s point of view, and Edward’s aesthetic (preppy minimalism) and pastimes (reading and playing piano) offered an alternative to machismo. But does Twilight offer the vampires we need in 2025?


This article is part of a mini series marking 20 years since the publication of Stephenie Meyer’s first Twilight novel.


Criticism of the Twilight saga has gained momentum in recent years. Much attention has focused on the series’ representations of abstinence. Some of the abstinence has been widely celebrated, including the way that Edward eschews human blood and has converted his family to “vegetarian” vampirism. They feed off animals rather than humans. Other instances are more divisive, such as his refusal to “turn” Bella into a vampire – despite her repeated requests – and insistence on abstaining from sex until they are married in the fourth novel, Breaking Dawn (2008). He only relents and turns her into a vampire when she nearly dies during childbirth.

Edward’s leading role in determining the couple’s physical relationship, and their subsequent dominant-submissive dynamic, has attracted much feminist critique. Especially about the suitability of a Bella as role model for young women.

Critics and those who “love to hate” Twilight alike have also explored a prominent moment where Edward gaslights Bella. Gaslighting refers to consciously manipulating someone into thinking their perception of reality is untrue.

A fan video about Edward’s ‘gaslighting’ behaviour with over 1.5 million views on YouTube.

Meyer describes him racing across a carpark in time to stop an out-of-control car from crushing Bella using only his bare hands. Fearing his supernatural nature will become public, he repeatedly tells Bella that she’s deluded because of her injuries – he claims he was stood next to her at the time of the accident. He makes Bella and other characters question her true version of events and persuades them to believe his lie.

Another behaviour that has met with debate is Edward repeatedly breaking into Bella’s bedroom to watch her sleep – is it romantic, creepy or criminal?

Meyer’s response

Partly in response to these accusations of anti-feminism, Meyer published the novel, Life and Death: Twilight Reimagined in 2015 to celebrate the tenth anniversary of Twilight’s release.

Stephenie Meyer at a microphone stand
Stephenie Meyer in 2012.
Gage Skidmore, CC BY-SA

The novel is a gender-swapped version of Twilight with vampire Edythe and human Beau. The debate around turning Beau into a human takes up far less space than in Twilight. He is turned after being attacked by a vampire from another coven, a marked departure from Bella’s slower trajectory. Meyer’s claims in the book’s introduction that it is possible to invert the protagonists’ genders and have the same story were therefore undercut.

Meyer has retold the saga from the perspective of other characters too. There’s The Short Second Life of Bree Tanner (2010) based on the third book in the saga, Eclipse (2007), and Midnight Sun (2020), which recounts Twilight from Edward’s point of view.

There has been much speculation that Meyer has a tricky relationship with Twilight fan fiction, such as the Fifty Shades of Grey series by E.L. James – best-selling sado-masochistic erotica novels and blockbuster films that began life as Twilight fan fiction.

Creating alternative versions of her novels seems to be Meyer’s way of regaining control over them in the face of the abundant, unauthorised, creative responses made by fans.

Twilight’s lack of diversity

In addition to its debated feminist credentials, shortfalls in the diversity of the series may also influence Twilight’s longevity.

Where the Me Too movement has made a significant impression on attitudes towards sexual assault, movements such as Black Lives Matter and We Need Diverse Books have shifted them in relation to race, sexuality and other marginalised identities since the saga was first published.

A scene showing adult werewolf Jacob Black “imprinting” on baby Renesmee in Breaking Dawn has been decried not only in relation to consent and age inappropriateness, but also racist stereotyping.

The moment Jacob ‘imprints’ on Bella and Edward’s infant daughter in the film.

Imprinting in the saga is depicted as an involuntary phenomenon wherein Quileute shape-shifters (an Indigenous community to which Jacob belongs) are bound for life to someone instinctively perceived to be their soulmate. It works a little like love at first sight, except that it immediately entails the imprinter’s utter dedication to and responsibility for their imprintee.

Openly queer characters aren’t a feature of Twilight but, as with gaps in its racial and gender representation, fans have filled the voids they identify with their own interpretations and creations.

Meyer is currently collaborating with Netflix to adapt Midnight Sun as an animation. This may add impetus to the “Twilight renaissance” exemplified by user-generated content in recent years, but the truly powerful reincarnations that will enable Twilight to navigate the challenges thrown at it in recent years, and in years to come, will continue to come from the Twihards (as fans of the series are known) themselves.


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The Conversation

Sarah Olive 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. Twilight at 20: the many afterlives of Stephenie Meyer’s vampires – https://theconversation.com/twilight-at-20-the-many-afterlives-of-stephenie-meyers-vampires-263008

Caribbean coral reefs are running out of time to keep up with rising seas – new study

Source: The Conversation – UK – By Chris Perry, Professor in Tropical Coastal Geoscience, University of Exeter

Weedy corals colonise a dead reef structure in the Turks and Caicos Islands. Lauren T Toth, CC BY-NC-ND

Caribbean coral reefs are sounding the alarm. These ecosystems, which protect millions of people and sustain billion-dollar industries, are on the verge of collapse – not in some distant future, but within our lifetimes.

We have been studying reefs across the western Atlantic region for more than 25 years to understand the ways reef communities are changing, and how this affects their ability to keep growing.

Our new research shows that reefs across the region are now reaching a point where they will no longer keep pace with sea-level rise. This will affect the ability of reefs to buffer coastlines from wave energy, threatening nearshore habitats.

Unless global warming by 2100 is limited to below 2°C (relative to pre-industrial levels), our study suggests nearly every reef will stop growing – and most will start eroding by the end of this century. The consequences for coastal communities will be severe.

Coral reefs aren’t just attractive dive sites. They are living breakwaters: dampening wave energy, reducing storm damage, and creating sheltered environments for habitats like seagrass meadows that serve as fish nurseries. Lose the reef structure and you don’t just lose biodiversity – you expose shorelines, weaken food security, and put lives at risk.




Read more:
Safe havens for coral reefs will be almost non-existent at 1.5°C of global warming – new study


Globally, reefs protect an estimated 5.3 million people and coastal assets worth more than US$100 billion (£74 billion) every decade. Even if reef decline seems like a distant issue for many, the changes taking place now – and the consequences of these changes in future – are illustrative of what happens when regional ecosystems pass thresholds for their persistence.

Many of the world’s coastal ecosystems, which also provide protection and habitable land, are equally threatened – with implications for us all.

A coral bleaching time series in Mexico.

Historically, Caribbean reefs grew upward at rates averaging 4–5 millimetres a year – fast enough to keep up with past sea level changes. Our research shows that their average growth rate has slowed to less than 1 millimetre per year, or just a centimetre each decade.

Reefs have been battered for decades by overfishing, disease outbreaks and pollution. Climate change is accelerating their decline; a trend we have been monitoring at many reef sites. Unprecedented levels of thermal stress occurred in 2023 and 2024 across the western Atlantic, leading to widespread coral bleaching.

Rising ocean temperatures can kill corals outright, slow the growth of surviving corals and increase coral vulnerability to disease, while simultaneously driving sea levels higher.

This “double squeeze” means reefs are moving in the wrong direction. Instead of building upward as sea levels rise, many are starting to erode. Our new modelling shows that by 2040, more than 70% of Caribbean reefs will be in states where their structures are starting to erode away. If warming passes 2°C, that figure rises to over 99% by 2100.

coral reef, surface of waves in blue sea
A degraded reef crest in the Caribbean island of St Croix.
Lauren T Toth, CC BY-NC-ND

Modelling reef growth rates

One of the big challenges in our research is linking today’s reef ecology with reef growth potential – in other words, how the balance of living organisms translates into vertical “accretion” (reef building).

We analysed sequences of corals preserved in fossilised reefs from locations across the tropical western Atlantic region, and used that information to improve our understanding of how reef growth rates vary depending on the types of coral present on a reef.

We then combined this with ecological data collected during diving surveys to determine the types and abundance of corals that contribute to reef building. These surveys were conducted on more than 400 modern reef sites across the region. We collected data on corals and other marine species, such as parrot fish and urchins, that contribute to reef building.

This allowed us to calculate present-day reef growth rates – and to project how rates will change in the future. We could then compare these rates against present and future sea level rise projections for different levels of climate warming.

Climate scientists predict we are on track for around 2.7°C of warming by the end of the century under current climate policies and emission levels. That would drive sea levels up by 8-10 millimetres a year by 2100 – far faster than reefs can currently match.

By 2060 under such warming, reefs in the region are likely to see an extra 30–40cm of water above today’s levels. By 2100, the figure could reach in excess of 70cm, and would exceed one metre under higher warming trends. The consequences will be stark: reduced storm protection, faster shoreline erosion, disrupted ecosystems and damaged infrastructure.




Read more:
Restored coral reefs can grow as fast as healthy reefs after just four years – new study


We also investigated whether reef restoration could reverse these trends. Efforts to plant corals and breed heat-tolerant strains are under way and offer some hope. In small areas, with enough resources, they have been shown to boost growth and recovery.

However, the scale of the problem – thousands of square miles of reef – means restoration alone is very unlikely to be enough. Cutting emissions is critical to halting declines in reef growth, and essential to give restoration efforts any chance.

turquoise ocean, waves breaking, brown coral reefs visible underwater
A wave breaks over a reef crest in Mexico.
Lorenzo Alvarez-Filip, CC BY-NC-ND

The uncomfortable truth

The science is blunt: our emissions trajectory will decide whether reefs can continue to grow or will start to erode away. Staying close to 1.5°C of warming would offer reefs a fighting chance. Push much beyond that and we condemn them – and the people who depend on them – to widespread loss.

Technologies that help cut emissions and reduce greenhouse gas concentrations in the atmosphere already exist, and new technologies are emerging. Green energy, carbon capture and ecosystem restoration can all play a role, but require political will and investment. Our own choices matter too – from how we live on a daily basis to the politicians we elect.

Coral reefs are the canaries in the climate coal mine. If we allow their degradation to continue, it won’t stop there. It will be shorelines, food systems and communities next.


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The Conversation

Chris Perry receives funding from the Natural Environment Research Council, The Leverhulme Trust and the Bertarelli Foundation.

Christopher Cornwall receives funding from The Royal Society of New Zealand and the Tertiary Education Commission.

Lorenzo Alvarez-Filip 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. Caribbean coral reefs are running out of time to keep up with rising seas – new study – https://theconversation.com/caribbean-coral-reefs-are-running-out-of-time-to-keep-up-with-rising-seas-new-study-265203

Is acupuncture worth it for back pain? New study has answers

Source: The Conversation – UK – By Kieran O’Sullivan, Professor, Physiotherapy, University of Limerick

Papa Wor/Shutterstock.com

Lower back pain is the leading cause of disability worldwide, yet most treatments offer limited relief. One of the most divisive is acupuncture – recommended in US guidelines for lower back pain but not in the UK. A new study has now examined whether it truly helps.

The study found that acupuncture does provide some relief for people with lower back pain, though the benefit was modest. Having additional maintenance sessions did not boost the effect.

More significantly, the improvement was smaller than that seen in studies using different approaches from Australia and the US. Although acupuncture is unlikely to be the best treatment for lower back pain, the fact that it helps at all reveals something important about the condition and how people can find relief.

The study included 800 older adults who were randomly assigned to “usual care” or one of two acupuncture plans. The standard programme involved 11 sessions over 12 weeks, while the enhanced version added five more maintenance sessions over the following 12 weeks. The trial took place with 55 acupuncturists in different parts of the US and focused on older adults.

After six and 12 months, both acupuncture groups had similar results, so the extra follow-up sessions didn’t help. Both acupuncture groups had less pain and disability after six months than those who received usual care – and about 40% improved by at least 30%. These improvements persisted until the 12-month evaluation, and no major safety concerns emerged.

Woman sitting on the edge of a bed, holding her lower back in agony.
Lower back pain is the leading cause of disability.
Fizkes/Shutterstock.com

These findings align with large reviews of lower back pain treatments focusing on acupuncture or all non-drug and non-surgical approaches. Overall, acupuncture performs somewhat better than no treatment or usual care at improving pain and disability, though this benefit is typically small.

More tellingly, reviews show that any benefit from acupuncture appears even smaller when compared with sham (pretend) or placebo treatments. This means some of the benefit may come from the experience of being treated, not the acupuncture itself.

What patients expect can affect how much they say they improve, which is important in all studies that rely on self-reported pain. This makes it crucial to consider what comparison treatment was used when any study claims acupuncture helps, as usual-care groups – who typically receive less time and attention – are easiest to outperform.

Better options exist

Some people might say that any relief from lower back pain is worth celebrating or even paying for. But it’s also important to think about whether safer and cheaper options are available.

The benefits of different mind-body treatments for lower back pain studied in Australia and the US are worth considering, as they appear to offer greater reductions in pain and disability without increasing costs or risks.

The Australian study showed much greater reductions in disability and pain (using the same outcome measures) through a rehabilitation programme delivered by physiotherapists that addressed both physical and psychological aspects of back pain. Even more importantly, the economic analysis revealed significant cost savings.

The US study involved teaching people that back pain comes from their brain being overprotective, rather than actual damage to their back. It used talk therapy techniques to help the participants think about and respond to pain differently. As with the Australian study, the US study also demonstrated much larger reductions in pain and disability than those seen with acupuncture – albeit using slightly different measures.

The fact that these holistic, mind-body rehabilitation programmes outperform acupuncture – and other relatively basic interventions such as massage and medication – reflects the emerging international consensus that comprehensive approaches help people manage their lower back pain.

Effective help for people with lower back pain exists; the challenge is ensuring healthcare professionals are properly trained to deliver these treatments, and that sufferers are aware of the available approaches.

Without accessible alternatives, people with lower back pain will understandably continue seeking treatments such as acupuncture which they know about, can access and provide some modest symptom relief. It is hard to fault them when alternatives that are both accessible and affordable are not available.

The Conversation

Kieran O’Sullivan receives funding from the EU (Erasmus+) and the Irish Government (Research Ireland) for research on low back pain. He also receives honoraria and expenses for speaking about low back pain at conferences. He is a co-author on one of the studies cited in this article.

ref. Is acupuncture worth it for back pain? New study has answers – https://theconversation.com/is-acupuncture-worth-it-for-back-pain-new-study-has-answers-265342

Earth’s inner core: nobody knows exactly what it’s made of – now we’ve started to uncover the truth

Source: The Conversation – UK – By Alfred Wilson-Spencer, Research fellow of Mineral Physics, University of Leeds

Alfred Wilson-Spencer, CC BY-SA

The iron-rich core at the centre of our planet has been a crucial part of Earth’s evolution. The core not only powers the magnetic field which shields our atmosphere and oceans from solar radiation, it also influences plate tectonics which have continually reshaped the continents.

But despite its importance, many of the most fundamental properties of the core are unknown. We do not know exactly how hot the core is, what it is made of or when it began to freeze. Fortunately, a recent discovery by me and my colleagues brings us much closer to answering all three of these mysteries.

We know the temperature of Earth’s inner core is very roughly about 5,000 Kelvin (K) (4,727°C). It was once liquid, but has cooled and become solid over time, expanding outwards in the process. As it cools, it releases heat to the overlying mantle, driving the currents behind plate tectonics.

This same cooling also generates the Earth’s magnetic field. Most of the field’s energy today comes from freezing the liquid part of the core and growing the solid inner core at its centre.

However, because we cannot access the core, we have to estimate its properties to understand how it is cooling.

A key part of understanding the core is knowing its melting temperature. We know where the boundary between the solid inner core and liquid outer core is from seismology (the study of earthquakes). The temperature of the core must equal its melting temperature at this location, because this is where it is freezing. So, if we know what the melting temperature is exactly, we can find out more about the exact temperature of the core – and what it’s made of.

Mysterious chemistry

Traditionally, we have two ways to figure out what the core is made of: meteorites and seismology. By examining the chemistry of meteorites – which are thought to be pieces of planets that never formed, or pieces of the cores of destroyed Earth-like planets – we can get an idea of what our core could be made of.

The problem is that this only gives us a rough idea. Meteorites show us that the core should be made of iron and nickel, and maybe a few percent of silicon or sulphur, but it’s difficult to be more specific than this.

Seismology, on the other hand, is far more specific. When the sound waves from earthquakes travel through the planet, they speed up and slow down depending on what materials they pass through. By comparing the travel time of these waves, from earthquake to seismometer, with how fast waves travel through minerals and metals in experiments, we can get an idea of what the interior of the Earth is made of.

It turns out these travel times require that the Earth’s core is about 10% less dense than pure iron, and that the liquid outer core is denser than the solid inner core. Only some known chemistry of the core can explain these properties.

But even among a small selection of possible constituents, the potential melting temperatures vary by hundreds of degrees – leaving us none the wiser about the precise properties of the core.

A new constraint

In our new research, we’ve used mineral physics to study how the core might first have begun to freeze, discovering a new way to understand the chemistry of the core. And this approach appears to be even more specific than seismology and meteorites.

Supercooled water.
Supercooled water.
wikipedia, CC BY-SA

Research simulating how atoms in liquid metals come together to form solids has found that some alloys require more intense “supercooling” than others.
Supercooling is when a liquid is cooled below its melting temperature. The more intense the supercooling, the more often atoms will come together to form solids, making a liquid freeze faster. A water bottle in your freezer can be supercooled to -5°C for hours before freezing, whereas hail forms in minutes when water droplets are cooled to -30°C in clouds.

By exploring all possible melting temperatures of the core, we find that the most supercooled the core could have been is around 420°C below the melting temperature – any more than this and the inner core would be larger than seismology finds it to be. But pure iron requires an impossible ~1000°C of supercooling to freeze. If cooled this much, the entire core would have frozen, contrary to seismologists’ observations.

Adding silicon and sulphur, which both meteorites and seismology suggest could be present in the core, only make this problem worse – requiring even more supercooling.

Our new research explores the effect of carbon in the core. If 2.4% of the core’s mass was carbon, around 420°C of supercooling would be needed to begin freezing the inner core. This is the first time that freezing of the core has been shown to be possible. If the carbon content of the core was 3.8%, only 266°C of supercooling is needed. This is still a lot, but far more plausible.

This new finding shows that while seismology can narrow the possible chemistry of the core down to several different combinations of elements, many of these cannot explain the presence of the solid inner core at the centre of the planet.

The core cannot be made just of iron and carbon because the seismic properties of the core require at least one more element. Our research suggests it is more likely to contain a bit of oxygen and possibly silicon as well.

This marks a significant step toward understanding what the core is made of, how it started freezing, and how it has shaped our planet from the inside out.

The Conversation

Alfred Wilson-Spencer receives funding from the Natural Environment Research Council (NERC) grants NE/T000228/1 and NE/V010867/1. He works for the University of Leeds.

ref. Earth’s inner core: nobody knows exactly what it’s made of – now we’ve started to uncover the truth – https://theconversation.com/earths-inner-core-nobody-knows-exactly-what-its-made-of-now-weve-started-to-uncover-the-truth-265408

Canada’s $43-billion subsidy scheme for critical minerals misses supply chain steps

Source: The Conversation – Canada – By Chris Arsenault, Chair of the Master of Media in Journalism and Communication Program (MMJC) and assistant professor of journalism, Western University

Construction workers gather at facility in Kingston, Ont., which will be used as a start-up laboratory to test new processes related to critical minerals and other emerging technologies. (Chris Arsenault), CC BY-NC-SA

As climate change intensifies, companies and countries are attempting to build new low-carbon supply chains. From electric vehicles to solar panels and wind turbines, these technologies require vast amounts of critical minerals.

These are commodities such as cobalt, lithium and nickel, and also include a smaller set of 17 rare earth elements like dysprosium, neodymium, praseodymium and terbium.

Canada’s federal government, and provincial officials in Ontario, have pledged some of the biggest public subsidies to private companies in a generation — more than $43 billion — to create this new supply chain.

Plans for new mines in Northern Ontario’s “Ring of Fire” to extract critical minerals parallel billions in production subsidies to EV producers and related manufacturers in the province’s southern manufacturing heartland.

The idea is to supply southern factories with northern minerals. Instead of only exporting unrefined primary commodities like oil, copper or lumber, Canadian industry would also export high-value, renewable technology-related products.

In addition to promises around jobs, innovative industries and fighting climate change, politicians, business executives and military analysts frame the country’s critical minerals strategy around countering China’s dominance.

However, our new study identified several challenges to subsidizing supply chain integration in Canada.

Based on 20 interviews with government officials and industry leaders in Ontario’s critical minerals sector, and a review of existing literature, we identified challenges including: opposition to new mining and infrastructure projects, particularly from some Indigenous communities; some policymakers lacking understanding of the complexity of supply chains; slowing global EV demand and regional trade barriers at a time of uncertainty for the sector.

Processing: The weak link

First, there is a weak link in the planned supply chain: processing. Policymakers and average Canadian can picture a mine or an EV factory, business leaders said.

Understanding how to separate terbium, a rare earth element used to make stronger alloys for EVs, from mined stock is a more difficult process conducted in unassuming industrial parks. It doesn’t necessarily excite the public imagination.

A 2023 map of critical minerals mining and processing projects.
Advanced mining and processing projects for battery minerals in Ontario.
(Natural Resources Canada/Eric Leinberger), CC BY-NC

This is not merely complicated chemistry. Processing and refining critical minerals is where China dominates, controlling about 90 per cent of the industry. Under the current plan, even if mines are built in Northern Ontario, the minerals would likely be sent to China to be processed and then shipped back, leaving manufacturers dependent on the Chinese.

As one long-time chemical processing executive said: “Governments have convoluted the resource sector, the stuff in the ground, the product in the end (EVs and related technologies) and forgotten this middle section” before adding “infrastructure isn’t sexy and [processing facilities] are weirdo infrastructure nobody sees.”

Companies in Canada or the United States, the executive said, don’t want to pay a premium for rare earths processed in Canada. China can do the work more cheaply.

Investments suspended and delayed

Second, many high-profile manufacturing projects have been shelved or suspended, despite billions in promised subsidies. Of eight major EV manufacturing plants in Ontario selected to receive a combined $43.6 billion in subsidies, five have suspended or delayed their activities, including the European firm Umicore’s planned $2.7 billion battery plant near Kingston, Stellantis’ EV jeep production in Brampton and GM’s EV van plant in Ingersoll, which halted then reduced production earlier this year.

Subsidies promised to these firms are far higher than what the companies themselves pledged to invest. Our analysis suggests pledged public subsidies for the eight renewable manufacturing projects, including money from the federal government and Ontario, are more than 13 per cent higher than what the companies themselves promised to spend from their own coffers.

This doesn’t seem like a good use of the public purse. Subsidies can certainly help spur growth in new industries if leveraged effectively: South Korea and Taiwan’s development from the 1960s illustrates this. But spending more public money than private companies themselves are willing to invest does not seem wise in the current trade climate, especially considering government deficits and the costs of financing them given high interest rates.

In fairness to provincial and federal officials, much of the pledged money has not left the treasury. A substantial portion of the promised funds are production subsidies for each car or battery produced.

The cancelled projects, and uncertainty over access to U.S. markets and EV sales in North America, are making companies skittish, subsidies be damned. Canada this month suspended its own planned EV mandate which would have required 20 per cent of all new vehicles sold here to be electric by next year.

A map showing proposed EV manufacturing facilities and their costs.
Location of battery and EV manufacturing investments in Canada and Ontario (millions of Canadian dollars).
(Author provided/Eric Leinberger), CC BY-NC

Subsidies and the new mercantalism

Recent problems in the EV industry notwithstanding, the broader subsidy race to build out renewable energy supply chains, and the geopolitical scramble to control critical minerals, has a distinctly 19th century, neo-mercantalist vibe.

Hearkening back to the days of the British East India Company and gunboat diplomacy, corporations are working arm-in-arm with governments to advance commercial and military objectives. U.S. President Donald Trump has demanded Ukraine give American companies preferential access to the country’s vast critical minerals deposits in exchange for continued military aid amid the war with Russia.

China currently mines roughly 70 per cent of the world’s rare Earth elements, according to Canadian government data. More importantly, it processes nearly 90 per cent of the strategic commodities and also holds near processing monopolies for graphite (95 per cent), manganese (91 per cent), and cobalt (78 per cent).

China is not afraid to weaponize its control of rare earths, limiting access for U.S. companies following Trump’s tariff threats or temporarily cutting them off to Japan following a dispute over fishing and territorial rights in 2010.

“If China embargoed rare earths right now, that would put us out of business,” said one senior Ontario government official we interviewed. “They are a critical part of the supply chain.”

Against that backdrop, and threats against Canada from the Trump government, there is value in building coherent public policy around critical minerals.

However, following billions in pledged subsidies delivering mixed results, federal and provincial governments need to focus their limited financial firepower on what’s actually achievable. Developing the means to refine and process critical minerals extracted here would be a good first step.

The Conversation

Chris Arsenault has received funding from the Michener Awards Foundation under the 2025 Michener-L. Richard O’Hagan Fellowship for Journalism Education. His journalism has also been supported by The Pulitzer Center.

Philippe Le Billon receives funding from the Social Sciences and Humanities Research Council of Canada.

Raphael Deberdt 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. Canada’s $43-billion subsidy scheme for critical minerals misses supply chain steps – https://theconversation.com/canadas-43-billion-subsidy-scheme-for-critical-minerals-misses-supply-chain-steps-264742

Paul Biya at 92: will defections weaken his grip on absolute power in Cameroon?

Source: The Conversation – Africa (2) – By David E Kiwuwa, Associate Professor of International Studies, University of Nottingham

Cameroonians go to the polls in October 2025 in what some people hoped might be a break from the country’s troubled recent past. They thought that President Paul Biya (92) might stand aside to allow a transition.

Three years ago I was one of those who expressed optimism about the 2025 poll. But I was wrong.

Biya is set to run yet again for an 8th term. He is already one of Africa’s longest ruling presidents, behind only Equatorial Guinea’s Teodoro Nguema.

Biya is on the cusp of achieving lifetime presidency since taking office in 1982.

In July 2025, after months of speculation, he confirmed in a tweet that he would run again.

Having weathered coups, silenced dissent, defied death rumours, and outlasted generations of challengers, he reminded friend and foe alike that he remains at the centre of Cameroon’s political ecosystem.

I am a long time scholar of and commentator on African politics, regime transformation, democratic transition and broader governance. Given regional developments that have seen the military deposing long term leaders, one might expect Biya to superintend a managed transition. The intriguing question is: what is it about the situation in Cameroon that continues to defy logic?

There is evident restlessness and frustration among young Cameroonians as well as clear clamour for change. Yet, the incumbent remains the front-runner, supported by the ruling party, the Cameroon People’s Democratic Movement, and his near-total command of the state’s political machinery.

Simply, the system has been designed to serve Biya’s interests. With government control of the media, resources, and judicial and electoral institutions, it is unlikely that the opposition can bring about systemic change.

Some things have changed, however. Biya’s previous wins were landslides that left no room for debate. This time things could potentially be different on account of high-profile defections from his party. These men will be challenging him at the polls.

The field

The last electoral cycle, leading up to the 2018 poll, was characterised by subdued challenges and a co-opted or deeply divided opposition. This time Biya appears to face a relatively organised opposition.

Initially, 83 candidates signalled their interest. In July the electoral commission cleared 13 to run. The commission controversially disqualified Maurice Kamto, a renowned legal scholar who performed respectably in the 2018 electoral cycle with 14% of the vote.

Human Rights Watch warned that this would cast a shadow over the credibility of the electoral process.

Nevertheless, several credible figures across the political spectrum remain in the race and present alternatives.

Biya faces two other former allies turned political adversaries.

One is Issa Tchiroma Bakary, his minister of employment and vocational training. A longtime insider of the regime, he served in various ministerial roles and was long considered a loyalist. Yet in June 2025, he resigned from the government, delivering a searing critique of the system he once represented.

He then launched his campaign, running on the ticket of the Front for the National Salvation of Cameroon.

The minister of tourism and leisure, Bello Bouba Maigari, still formally holding office, declared his intention in July 2025 to run against his boss in the October elections.

This announcement was especially striking given the deep political history between the two men. Maigari is not just any cabinet member. He is a long-standing confidant of the president, having been appointed Biya’s prime minister in 1982 and hailing from the vote-rich northern region. The decision to enter the race marks a shift from loyal lieutenant to presidential challenger, revealing the growing fissures within the ruling elite.

Others in the race worth noting are:

  • Akere Muna, a former speaker who swore in Biya in 1982 and a tireless advocate for transparency and accountability. He ran for the top job in 2018 (but withdrew at the last minute).

  • Cabral Libii, from the Cameroon Party for National Reconciliation, a young and dynamic leader who also ran for president in 2018 and garnered 6% of the total vote.

  • Joshua Osih, a seasoned politician with a strong track record.

The issues

The nation’s pressing issues remain the same as they have been for a long while.

These include:

  • Endemic corruption. Cameroon is ranked 140 out of 180 countries by Transparency International. The reasons are systemic decay of state institutions and maladministration.

  • Economic stasis, including stubborn unemployment forecast at 7.34% by Statista; 23% live below the international poverty line and 3.3 million are food insecure.

  • The ongoing anglophone regional crisis pitting the English speaking regions against the dominant francophone centre.

  • Biya’s ability to govern and the succession question, given his very advanced age and the potential vacuum or infighting if he couldn’t complete his term.

The external dimension

Western actors have been consistent critics of Biya’s regime in the recent past. However, some have adopted a more cautious tone, balancing criticism with strategic interests.

The US, for instance, suspended some military assistance to Cameroon in 2019 over human rights abuses. But it continues counter-terrorism cooperation against Boko Haram.

The European Union, while pressing for peaceful resolution of the anglophone conflict, remains an important trade and aid partner.

China has become Cameroon’s largest bilateral creditor and a top trading partner. According to a report by Business in Cameroon, in 2024 Cameroon owed about 64.8% of its external bilateral debt to China. This is primarily for infrastructure loans that have funded projects like the Kribi Deep Sea Port, the Yaoundé-Douala highway, and hydropower stations.

For regime survival, Biya has pursued a pragmatic foreign policy. Beijing’s diplomatic stance of non-interference and respect for sovereignty resonates with Cameroonian political elites wary of western scrutiny and criticism over democratic backsliding and the anglophone conflict.

But Biya has not severed ties with the west. For example, the government maintains partnerships with France for security training, with Germany for decentralisation support, and with the US for counterinsurgency.

This balancing is not simply geopolitical. It is also deeply embedded in domestic patronage networks. Foreign aid, loans and investments serve as resources to consolidate elite power, strengthen the patronage system and suppress dissent.

The October polls are sure to reaffirm the status quo.

The Conversation

David E Kiwuwa 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. Paul Biya at 92: will defections weaken his grip on absolute power in Cameroon? – https://theconversation.com/paul-biya-at-92-will-defections-weaken-his-grip-on-absolute-power-in-cameroon-264915

Robert Redford: the ‘golden boy with a darkness in him’

Source: The Conversation – UK – By Nathan Abrams, Professor of Film Studies, Bangor University

Robert Redford, who has died at the age of 89, was perhaps everybody’s idea of a classical Hollywood movie actor. His conventional good looks – his blond hair, boyish charm and chiselled chin – led him to be cast as a sex symbol and a romantic lead opposite Jane Fonda in Barefoot in the Park (1967), Barbra Streisand in The Way We Were (1973), and Meryl Streep in Out of Africa (1985).

Dustin Hoffman described him as a “walking surfboard”. But the Californian golden boy belied his appearance. No airhead, beneath the surface was a shy and sensitive actor who used his looks to his advantage, insisting on starring in and later directing movies with weight. These included a series of anti-establishment and countercultural films that reflected his anti-corruption and pro-environmental activism.

From the early 1960s through to the 2020s, Robert Redford appeared in some of the most iconic, if unconventional, films of the second half of the 20th century. Those of us born in the late 1960s and early 1970s grew up with Redford. He came to attention as the timid, newly married Paul Bratter in Neil Simon’s Broadway play, Barefoot in the Park, in 1967, before starring in the movie of the same name.

His breakout role was as the titular Sundance in the irreverent and subversive paean to the wild west, Butch Cassidy and the Sundance Kid (1969), beginning what would later be called a bromance with his co-star, Paul Newman. He teamed up again with Newman, a fellow activist, in the Depression-era set The Sting (1973), which led to Redford’s first and only Oscar nomination as an actor.

That same year, he starred in The Way We Were alongside Streisand, who described him as “the blond, suntanned California guy, surfing and riding horses”. Directed by Sydney Pollack, Redford would go on to star in a further six of his films. The director called him “an interesting metaphor for America, a golden boy with a darkness in him”.

Following his liberal instincts, Redford appeared in two of the post-Watergate and post-Vietnam War films that encapsulated the pervasive feeling of distrust and suspicion of the government that followed the administration of Richard Nixon.

In the spy thriller Three Days of the Condor (1975), Redford was an introverted CIA codebreaker caught up in a conspiracy. And in All the President’s Men (1976), he played the real-life Washington Post journalist Bob Woodward alongside Dustin Hoffman as Carl Bernstein as they exposed the Watergate Hotel scandal that helped to bring down Nixon.

The film, which Redford was instrumental in bringing to the screen, was so powerful that it has been credited by some with swinging the presidential election of that year to the Democrat Jimmy Carter.

Redford branched into directing with Ordinary People in 1980, about an upper-middle-class family’s fracturing with grief following their son’s death. The film starred Donald Sutherland and Mary Tyler Moore and won four Oscars, including for best picture and best director, beating Martin Scorsese’s Raging Bull.

Redford’s later efforts were not always as successful, but Quiz Show in 1994, about the real-life scandal of a fixed television game show in the 1950s, received Academy nominations.

Other films he directed showcased his politics. The Milagro Beanfield War (1988), about the fight to protect a small beanfield in a New Mexico village against larger business and political interests, reflected Redford’s own concerns about the environment and land preservation.

His 2007 Lions for Lambs explored the impact of US foreign policy through the intersecting lives of a US congressman (Tom Cruise), a journalist (Meryl Streep) and an academic (Redford) against the backdrop of the war on terror in Afghanistan.

In 2014, Redford even joined the Marvel cinematic universe, starring as US government leader and secret Hydra operative Alexander Pierce in 2014’s Captain America: The Winter Soldier and Avengers: Endgame in 2019. It was a callback to those 1970s paranoid thrillers, especially Three Days of the Condor. This introduced him to a younger generation of fans and audiences most likely unfamiliar with his earlier work.

“The idea of the outlaw has always been very appealing to me. If you look at some of the films, it’s usually having to do with the outlaw sensibility, which I think has probably been my sensibility. I think I was just born with it,” Redford said in 2018.

“I wanted to tell stories about the America that I grew up in. And for me, I was not interested in the red, white and blue part of America. I was interested in the grey part – that’s where complexity lies.”

The Conversation

Nathan Abrams receives and has previously received external funding from charities and government-funded, foundation or research council grants.

ref. Robert Redford: the ‘golden boy with a darkness in him’ – https://theconversation.com/robert-redford-the-golden-boy-with-a-darkness-in-him-265507

Why do big oil companies invest in green energy?

Source: The Conversation – USA (2) – By Michael Oxman, Professor of the Practice of Sustainable Business, Georgia Institute of Technology

A flare burns natural gas at an oil well on Aug. 26, 2021, in Watford City, N.D. AP Photo/Matthew Brown

Some major oil companies such as Shell and BP that once were touted as leading the way in clean energy investments are now pulling back from those projects to refocus on oil and gas production. Others, such as Exxon Mobil and Chevron, have concentrated on oil and gas but announced recent investments in carbon capture projects, as well as in lithium and graphite production for electric vehicle batteries.

National oil companies have also been investing in renewable energy. For example, Saudi Aramco has invested in clean energy while at the same time asserting that it’s unrealistic to phase out oil and gas entirely.

But the larger question is why oil companies would invest in clean energy at all, especially at a time when many federal clean energy incentives are being eliminated and climate science is being dismantled, at least in the United States.

Some answers depend on whom you ask. More traditional petroleum industry followers would urge the companies to keep focused on their core fossil fuel businesses to meet growing energy demand and corresponding near-term shareholder returns. Other shareholders and stakeholders concerned about sustainability and the climate – including an increasing number of companies with sustainability goals – would likely point out the business opportunities for clean energy to meet global needs.

Other answers depend on the particular company itself. Very small producers have different business plans than very large private and public companies. Geography and regional policies can also play a key role. And government-owned companies such as Saudi Aramco, Gazprom and the China National Petroleum Corp. control the majority of the world’s oil and gas resources with revenues that support their national economies.

Despite the relatively modest scale of investment in clean energy by oil and gas companies so far, there are several business reasons oil companies would increase their investments in clean energy over time.

The oil and gas industry has provided energy that has helped create much of modern society and technology, though those advances have also come with significant environmental and social costs. My own experience in the oil industry gave me insight into how at least some of these companies try to reconcile this tension and to make strategic portfolio decisions regarding what “green” technologies to invest in. Now the managing director and a professor of the practice at the Ray C. Anderson Center for Sustainable Business at Georgia Tech, I seek ways to eliminate the boundaries and identify mutually reinforcing innovations among business interests and environmental concerns.

People march holding signs objecting to fossil fuels.
Protesters call for companies and international organizations to reduce their spending on fossil fuels.
Kent Nishimura/Getty Images

Diversification and financial drivers

Just like financial advisers tell you to diversify your 401(k) investments, companies do so to weather different kinds of volatility, from commodity prices to political instability. Oil and gas markets are notoriously cyclical, so investments in clean energy can hedge against these shifts for companies and investors alike.

Clean energy can also provide opportunities for new revenue. Many customers want to buy clean energy, and oil companies want to be positioned to cash in as this transition occurs. By developing employees’ expertise and investing in emerging technologies, they can be ready for commercial opportunities in biofuels, renewable natural gas, hydrogen and other pathways that may overlap with their existing, core business competencies.

Fossil fuel companies have also found what other companies have: Clean energy can reduce costs. Some oil companies not only invest in energy efficiency for their buildings but use solar or wind to power their wells. And adding renewable energy to their activities can also lower the cost of investing in these companies.

Public pressure

All companies, including those in oil and gas, are under growing pressure to address climate change, from the public, from other companies with whom they do business and from government regulators – at least outside the U.S. For example, campaigns seeking to reduce investment in fossil fuels are increasing along with climate-related lawsuits. Government policies focused on both mitigating carbon emissions and enhancing energy independence are also making headway in some locations.

In response, many oil companies are reducing their own operational emissions and setting targets to offset or eliminate emissions from products that they sell – though many observers question the viability of these commitments. Other companies are investing in emerging technologies such as hydrogen and methods to remove carbon dioxide from the atmosphere

Some companies, such as BP and Equinor, have previously even gone so far as rebranding themselves and acquiring clean energy businesses. But those efforts have also been criticized as “greenwashing,” taking actions for public relations value rather than real results.

A net containing fish is pulled aboard a fishing vessel.
Fishing, like energy production, does not have to be done in ways that damage the environment.
Thomas Barwick/DigitalVision via Getty Images

How far can this go?

It is even possible for a fossil fuel company to reinvent itself as a clean energy operation. Denmark’s Orsted – formerly known as Danish Oil and Natural Gas – transitioned from fossil fuels to become a global leader in offshore wind. The company, whose majority owner is the Danish government, made the shift, however, with the help of significant public and political support.

But most large oil companies aren’t likely to completely reinvent themselves anytime soon. Making that change requires leadership, investor pressure, customer demand and shifts in government policy, such as putting a price or tax on carbon emissions.

To show students in my sustainability classes how companies’ choices affect both the environment and the industry as a whole, I use the MIT Fishbanks simulation. Students run fictional fishing companies competing for profit. Even when they know the fish population is finite, they overfish, leading to the collapse of the fishery and its businesses. Short-term profits cause long-term disaster for the fishery and the businesses that depend on it.

The metaphor for oil and gas is clear: As fossil fuels continue to be extracted and burned, they release planet-warming emissions, harming the planet as a whole. They also pose substantial business risks to the oil and gas industry itself.

Yet students in a recent class showed me that a more collective way of thinking may be possible. Teams voluntarily reduced their fishing levels to preserve long-term business and environmental sustainability, and they even cooperated with their competitors. They did so without in-game regulatory threats, shareholder or customer complaints, or lawsuits.

Their shared understanding that the future of their own fishing companies was at stake makes me hopeful that this type of leadership may take hold in real companies and the energy system as a whole. But the question remains about how fast that change can happen, amid the accelerating global demand for more energy along with the increasing urgency and severity of climate change and its effects.

The Conversation

In the past, Michael Oxman has worked with Chevron and consulted with other oil/gas companies. The views expressed in this article are his and do not necessarily reflect the views of Georgia Institute of Technology.

ref. Why do big oil companies invest in green energy? – https://theconversation.com/why-do-big-oil-companies-invest-in-green-energy-260855

Would you eat a grasshopper? In Oaxaca, it’s been a tasty tradition for thousands of years

Source: The Conversation – USA (2) – By Jeffrey H. Cohen, Professor of Anthropology, The Ohio State University

Billions of people regularly eat insects. In the southern Mexican state of Oaxaca, chapulines – toasted grasshoppers – stand out as a beloved seasonal treat that follows the start of the rainy season, a period that runs from late May through September.

My new book, “Eating Grasshoppers: Chapulines and the Women who Sell Them,” dives into the history and cultural significance of entomophagy (eating insects) and this unique snack.

Chapulineras – the women who sell chapulines – often learn their craft from their mothers and grandmothers. Most will use nets or mesh bags to capture grasshoppers in their “milpa” – alfalfa and maize fields – during the cool, early morning hours.

Teresa Silva, whom I spoke with at her home in Zimatlán, Oaxaca, shared some of her experience:

“I began with my husband’s family, following their traditions after we married. My husband would bring me chapulines in large quantities, and with him and my in-laws’ support, I started to cook and sell [them]. It wasn’t easy at first … but I liked the money I made. Now, I have been selling chapulines for 23 years.”

Prepping chapulines isn’t hard. A dip in boiling water turns the grasshoppers a rich, deep red. Then you toss them on the “comal” – a ceramic or metal cooking surface – with a little garlic, lemon, chile and “sal de gusano,” a mixture of ground agave worms, salt and other seasonings. In a few minutes, the grasshoppers are ready to eat.

Culture and cuisine in Oaxaca

Chapulines have been a staple food for thousands of years. Like other insects and their by-products – including honey – grasshoppers are easily digestible, high in protein and an excellent source of vitamins and minerals.

They are also plentiful. Archaeologist Jeffrey Parsons estimates that harvests before the arrival of European settlers might have included 3,900 metric tons of insects and their eggs, if not more, annually.

One of the earliest references to chapulines appears in Franciscan Friar Bernardino de Sahagún’s 1577 “General History of the Things of New Spain.” Sometimes called the “first anthropologist,” Sahagún describes their importance as a beloved seasonal food in the local diet.

A drawing of seven grasshoppers of various colors and sizes.
An illustration of grasshoppers from Bernardino de Sahagún’s ‘General History of the Things of New Spain.’
Mexicolore

High praise. But perhaps it isn’t surprising that Spanish colonists largely ignored grasshoppers and other Indigenous foods while introducing new crops, animals and unique ways of eating. The Spanish also reorganized life according to the casta system – a racially based hierarchy that restricted the rights and opportunities of Indigenous people.

While chapulines and other insects remained critical to the local diet, the Spanish preferred eating dishes made from the animals and crops they’d brought with them, including wheat and cattle.

Nor were these new foods readily adopted by locals. Indigenous cuisine lacked Spanish parallels. Grains and livestock were not suited to local dishes; furthermore, even as the Spanish colonists had locals grow these new crops, they usually prohibited them from keeping any of the harvest.

An old reliable

Of course, with time, the introduced crops and livestock took hold, and local cuisine incorporated these foods into many of the dishes the world knows today as Mexican.

However, whenever there’s not enough to eat – whether due to discrimination, a natural disaster or a human-made crisis – Mexicans often fall back on edible insects. They were critical following floods and famines in the 18th and 19th centuries. And when Oaxacans fled their homes and farmland during the Mexican Revolution, they turned to chapulines as a replacement for more typical proteins like chicken, turkey, beef tripe and pork.

A basket of toasted bugs with half of a lime sitting atop the pile.
Boiling chapulines gives them their rich, red color.
Artur Widak/NurPhoto via Getty Images

Most recently, when the COVID-19 lockdowns made it nearly impossible to shop for foods, chapulineras created a touchless economy that connected vendors and customers through messaging services like WhatsApp. Some chapulineras also provided no-interest loans to people who could not cover the costs of their orders.

Carmen Mendoza, whom I interviewed at Mercado Benito Juárez in Oaxaca City, described her experience of the lockdown:

“When the pandemic hit, I said to myself, ‘Look, you need to keep selling, but from home.’ I know where I am, and I know my clients. I also know how much people want, how many kilos of chapulines they will buy. So people came to my house. Sometimes they would bring me their harvest, other times they would call and ask for two or three kilos. I could do that.”

The meaning, use and value of chapulines are changing, as Oaxaca has become a popular tourist destination and has been commemorated as a UNESCO heritage site. For foodies and tourists, tasting chapulines is a way to consume and experience the past.

Chapulineras will happily sell to foodies who want to “eat bugs.” But they also know tourists cannot support their market. Visitors usually swoop in for a few days, buy a small handful of chapulines and leave. Most will never return.

And so chapulineras continue to depend on locals whose families have been eating the insects for generations. Many chapulineras have achieved financial security through their efforts, earning incomes that exceed that of most rural women in Oaxaca.

In Oaxaca, just as it was 3,000 years ago, chapulines are “what’s for dinner.”

The Conversation

Jeffrey H. Cohen received funding from the National Science Foundation (Household Producer Effects of Rural Diet Transformation, BCS award 1918324), National Geographic, Fulbright and the Ohio State University Institute for Population Studies to support this research.

ref. Would you eat a grasshopper? In Oaxaca, it’s been a tasty tradition for thousands of years – https://theconversation.com/would-you-eat-a-grasshopper-in-oaxaca-its-been-a-tasty-tradition-for-thousands-of-years-263868

Calling deaths ‘preventable’ can obscure barriers to health care access and shift blame to individuals

Source: The Conversation – USA (3) – By Zachary W. Schulz, Senior Lecturer of History, Auburn University

Deaths from so-called preventable causes often follow familiar policy lines. Tonpor Kasa/iStock via Getty Images Plus

Each year in the U.S., tens of thousands of deaths are categorized as “preventable” — meaning, in theory, they did not need to happen. A missed cancer screening, a fatal asthma attack or a death from untreated infection might all be counted as preventable.

The term is commonly used in public health reports, policy documents and local news coverage, and it generally implies that something went wrong and could have been prevented.

But it’s also deceptively simplistic. Researchers have noted that definitions of preventable death are often imprecise and shaped by subjective judgment. In clinical settings like intensive care units, reviews of mortality frequently focus on individual decisions or errors, while broader systemic issues — like hospital understaffing or regional disparities in access — may go unexamined.

I’m a historian of public health who studies how U.S. health systems have developed over time, especially in rural and underserved areas. I study how structural decisions — about Medicaid, dental care and regional health investment — shape health access and outcomes today.

The language of preventability is widely used and often well-intentioned. But it can make certain deaths appear to be caused by regrettable choices or the failures of an overburdened health system. This, in turn, can lead to policy choices based on mistaken assumptions about where responsibility lies and how solutions should be designed.

What does ‘preventable death’ really mean?

In epidemiology, a preventable death typically refers to a death that could have been avoided with timely and effective medical care, public health intervention or behavioral change. The Centers for Disease Control and Prevention uses the term to describe deaths from conditions like heart disease, diabetes, respiratory illness and certain infections — illnesses that can often be managed or averted with adequate care.

This definition is useful: It helps health departments set priorities, allocate funding and measure progress.

But when the term circulates outside that context — in news articles, political speeches or everyday conversation — it often loses its technical grounding. In those settings, “preventable” can imply that prevention is merely a matter of personal knowledge or access, obscuring the deeper structural forces at play.

A nurse sits with an older man, holds his hand while measuring his blood oxygen levels.
The term ‘preventable death’ can miscast structural forces as personal shortcomings.
alvaro gonzalez/Moment via Getty Images

For example, a person who dies from untreated high blood pressure might be counted in preventable death statistics, since their death could likely have been avoided with routine medical care, effective treatment and support for managing blood pressure.

Health outcomes shaped by policy

But the label overlooks some deeper causes. For example, it doesn’t reflect whether a patient had stable health insurance, lived near a provider or faced cost barriers to filling a prescription. And it doesn’t show whether they were one of the millions of Americans living in states that have not expanded Medicaid, which provides government-supported health insurance for low-income Americans under the Affordable Care Act. These variables can be the determining factor for whether someone is able to receive the care they need that could have made the death preventable.

Since 2010, states have had the option to expand Medicaid, and many states did. But a number of states — primarily in the South — have chosen not to. This policy choice has left many low-income adults without access to affordable health coverage, especially in Southern and rural regions.

Research shows that these decisions have real consequences. Numerous studies have linked Medicaid expansion with lower rates of premature death, better cancer outcomes and improved management of chronic diseases.

Similarly, dental care is one of the most consistently under-resourced parts of the health system. Medicare does not include dental benefits, and Medicaid dental coverage varies widely by state. Dental disease can lead to serious medical complications, including infections that can become life-threatening — yet dental deserts, especially in rural America, leave many without timely access to care.

Rural hospitals and clinics also face persistent underinvestment. According to the Chartis Center for Rural Health, more than 141 rural hospitals have closed since 2010, with hundreds more at risk. Many rural areas struggle to attract and retain health care workers, leaving residents with long travel times and limited emergency coverage.

A pattern, not a fluke

National health statistics reflect these structural gaps. According to the CDC, rates of potentially preventable death are significantly higher in the South than in other regions of the U.S. They are also higher among Black, Native and Hispanic populations compared with white populations — disparities that track closely with differences in poverty rates, insurance coverage and local health infrastructure.

In other words, when one looks more closely at who is dying from so-called preventable causes — and where — consistent patterns emerge. These are not random tragedies, but outcomes that follow familiar policy lines. They are, in many cases, the foreseeable result of long-standing policy decisions and predictable outcomes shaped by structural inequities.

Yet the language of “preventable death” rarely points directly to those decisions. Instead, it implies that the right care simply wasn’t accessed — but not why it wasn’t available or affordable in the first place.

How language shapes perception

In public health, the terms used matter — they shape how both the public and the health system perceives risk, attribute responsibility and support reform.

Without context, calling a death preventable can imply individual failure — that someone didn’t eat right, didn’t take their medication, didn’t go to the doctor in time. The word erases the conditions that make such behaviors difficult or impossible, miscasting structural faults as personal shortcomings. Someone without transportation to a clinic, or without health insurance to cover basic treatment, may not be positioned to “prevent” anything. In that sense, the death is only preventable in theory — not in practice.

As public health experts increasingly embrace the importance of structural barriers to health, some are proposing alternatives to the phrase or are calling for clearer explanations when it is used.

As the health system grapples with widening inequities and eroding trust, speaking clearly about how individual choices interact with the systems in which people make them will help guide stronger policies, more equitable health systems and genuine access to health care. For patients and families, that clarity can mean something as basic as knowing a local clinic will be open when they need it, or that cost won’t keep them from filling a prescription.

The Conversation

Zachary W. Schulz 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. Calling deaths ‘preventable’ can obscure barriers to health care access and shift blame to individuals – https://theconversation.com/calling-deaths-preventable-can-obscure-barriers-to-health-care-access-and-shift-blame-to-individuals-260915