Dix ans après leur entrée en vigueur, les directives de fin de vie sont peu utilisées. Voici pourquoi

Source: The Conversation – in French – By Ariane Plaisance, Research scientist, Université Laval

Les directives médicales anticipées (DMA), qui permettent à une personne de faire connaître ses volontés pour le jour où elle ne serait plus capable de s’exprimer ou de décider pour elle-même, restent encore peu utilisées, tant par les citoyens que par les professionnels de la santé. Pourtant, leur valeur juridique est bien établie.

Cette faible utilisation peut s’expliquer par plusieurs lacunes déjà soulevées par des juristes, que notre équipe a voulu explorer de plus près.

Instaurées le 10 décembre 2015 lors de la mise en vigueur de la Loi concernant les soins de fin de vie (LCSFV), les directives médicales anticipées permettent à une personne majeure et apte à consentir aux soins d’accepter ou de refuser en avance cinq soins médicaux, soit la réanimation cardiorespiratoire, la ventilation assistée par un respirateur, la dialyse, l’alimentation artificielle et l’hydratation artificielle.

Ces directives s’appliquent dans trois circonstances bien précises :

  • En cas de maladie grave et incurable, en fin de vie

  • En situation de coma irréversible ou d’état végétatif permanent

  • En cas de démence avancée sans possibilité d’amélioration.

Les DMA sont complétées par acte notarié ou devant témoins au moyen du formulaire prescrit par le ministre, puis déposées dans un registre administré par la Régie de l’assurance maladie du Québec.

Dans son rapport quinquennal 2018-2023 déposé le 18 février dernier, la Commission sur les soins de fin de vie soulève des questionnements quant au nombre limité de personnes ayant complété des DMA et sur l’effet presque inexistant du régime.

Et si une partie de la réponse se trouvaient dans les écrits juridiques ?

Nous sommes une équipe de recherche interdisciplinaire comprenant des étudiantes à la maîtrise en droit notarial et moi-même, chercheuse spécialisée sur les pratiques de fin de vie. Grâce à un financement de la Chambre des notaires du Québec, nous avons fait une analyse des écrits de spécialistes du droit ayant émis des réserves face au régime des DMA.




À lire aussi :
Emploi et handicap au Québec : un modèle à bout de souffle


L’aptitude à consentir : un fondement légal fragile

Selon Robert P. Kouri, docteur en droit et professeur titulaire à la Faculté de droit de l’Université de Sherbrooke, les dispositions de la loi par rapport à l’aptitude à consentir aux soins présentent une incohérence. Bien que cette aptitude soit présumée, certaines personnes peuvent ne pas être en mesure de l’exercer pleinement.

Le notaire a une obligation de diligence pour vérifier la capacité du signataire, mais ne possède généralement pas l’expertise pour évaluer l’aptitude à consentir aux soins. Quant aux DMA signées devant témoins, aucun mécanisme ne permet de vérifier l’aptitude, malgré la mention préimprimée affirmant que la personne est « majeure et apte ».

Comme le soulignait déjà Me Danielle Chalifoux en 2015, le rôle des témoins se limite à valider la signature, sans exigence d’indépendance ou de vérification de l’aptitude. Si la DMA a été reçue devant notaire et surtout lorsqu’elle a été reçue devant témoins, comment des professionnels de la santé pouvaient s’assurer, des années plus tard, qu’il s’agit bel et bien de l’expression émanant d’une personne légalement apte au moment de la complétion et que ces volontés sont toujours les mêmes, questionne Me Kouri ?

Le consentement éclairé : un idéal souvent irréaliste

La Loi sur les soins de fin de vie part du principe que la personne qui remplit des DMA a reçu toute l’information nécessaire pour prendre une décision éclairée. Or, selon Me Kouri et Me Chalifoux, cette présomption repose sur l’hypothèse d’une consultation avec un professionnel de la santé compétent. Dans les faits, il est peu réaliste de croire que des personnes en bonne santé prennent cette initiative dans un contexte hypothétique de fin de vie.

Il est même irréaliste de croire que des personnes malades aient eu accès à un médecin en mesure de leur expliquer les risques et bénéfices d’accepter ou de refuser les cinq soins contenus dans les DMA. Une telle conversation prend du temps, plus longtemps que la durée d’un seul rendez-vous médical ! Il devient donc difficile d’affirmer honnêtement que la décision est réellement éclairée, d’autant que la volonté exprimée peut évoluer, parfois considérablement, avec le temps.




À lire aussi :
Planification anticipée de l’AMM : les notaires sont-ils prêts à leur nouveau rôle ?


Quand les proches sont exclus des décisions

Dans un texte publié en 2019, Louise Bernier, professeure de droit de la santé à l’Université de Sherbrooke, et Catherine Régis, professeure à la Faculté de droit de l’Université de Montréal, critiquent l’exclusion des proches dans le processus d’application des DMA. Une fois le formulaire entre les mains des professionnels de la santé, la loi n’accorde aucun rôle officiel à la famille pour compléter l’information ou interpréter les volontés exprimées.

Pourtant, les proches sont souvent les mieux placés pour comprendre l’évolution des valeurs ou des préférences de la personne. Les professeures Bernier et Régis dénoncent une conception réductrice et individualiste de l’autonomie, qui fait fi de la dimension relationnelle essentielle dans les soins palliatifs et en fin de vie.


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Un régime à repenser

L’analyse des critiques juridiques permet de mieux comprendre la faible adhésion aux DMA. Les enjeux entourant la présomption d’aptitude, la présomption de consentement éclairé et l’absence de rôle reconnu pour les proches minent la crédibilité et l’efficacité de ce mécanisme légal.

Dans ce contexte, il n’est pas surprenant que les professionnels de la santé puissent hésiter à se fier pleinement aux DMA. De même, la population semble peu encline à recourir à cet instrument, soit par méconnaissance, soit par doute quant à sa capacité réelle de refléter leurs volontés profondes dans des circonstances imprévisibles.

Ces constats invitent à revoir en profondeur ce régime. Peut-être serait-il temps de miser davantage sur les objectifs de soins – un processus évolutif déjà en place depuis 1994, qui consiste à discuter avec la personne et ses proches pour établir les grandes orientations de traitement selon son état de santé, ses volontés et ses valeurs. Ce mécanisme, plus souple, évolutif, et mieux adapté à l’accompagnement clinique, permet aussi l’implication des proches.

La Conversation Canada

Les auteurs ne travaillent pas, ne conseillent pas, ne possèdent pas de parts, ne reçoivent pas de fonds d’une organisation qui pourrait tirer profit de cet article, et n’ont déclaré aucune autre affiliation que leur organisme de recherche.

ref. Dix ans après leur entrée en vigueur, les directives de fin de vie sont peu utilisées. Voici pourquoi – https://theconversation.com/dix-ans-apres-leur-entree-en-vigueur-les-directives-de-fin-de-vie-sont-peu-utilisees-voici-pourquoi-257179

Célibataire ? Voici 5 conseils pour vous épanouir

Source: The Conversation – in French – By Yuthika Girme, Associate Professor, Department of Psychology, Simon Fraser University

De nombreuses personnes passent la vingtaine et la trentaine à se découvrir et à construire une vie indépendante. Parallèlement, la société leur dit qu’elles devraient chercher l’amour, se ranger et fonder une famille. Ces étapes sont encore largement considérées comme des symboles de l’âge adulte et de la réussite.

Comment cela se traduit-il pour le nombre croissant de célibataires dans la vingtaine et la trentaine ?

Au Canada, le célibat est en constante augmentation chez les jeunes adultes. Malgré cette tendance, le discours dominant continue de présenter les relations romantiques comme l’idéal à atteindre. Le célibat est souvent perçu comme une étape temporaire, plutôt que comme un mode de vie légitime et épanouissant.

Je suis professeure agrégée à l’Université Simon Fraser, où je dirige le laboratoire «Singlehood Experiences and Complexities Underlying Relationships» (Expériences du célibat et complexités sous-jacentes aux relations). Mes recherches visent à comprendre les conditions qui permettent aux célibataires et aux couples de s’épanouir et d’être heureux.

Voici ce que j’ai appris au fil des ans sur ce que vivent les adultes célibataires dans la vingtaine et la trentaine.


25-35 ans : vos enjeux, est une série produite par La Conversation/The Conversation.

Chacun vit sa vingtaine et sa trentaine à sa façon. Certains économisent pour contracter un prêt hypothécaire quand d’autres se démènent pour payer leur loyer. Certains passent tout leur temps sur les applications de rencontres quand d’autres essaient de comprendre comment élever un enfant. Notre série sur les 25-35 ans aborde vos défis et enjeux de tous les jours.

Le célibat est de plus en plus répandu

Au Canada, 59,8 % des 25-29 ans et 37,6 % des 30-34 ans déclarent ne pas être mariés ni vivre en union libre.

La proportion de jeunes de 20 à 34 ans qui ne vivent pas en couple est passée de 50,5 % en 1996 à 60,3 % en 2021.

En outre, parmi les personnes qui souhaitent un jour s’engager dans une relation, nombreuses sont celles qui repoussent leur décision. L’âge moyen du mariage au Canada a augmenté de près de huit ans depuis les années 1970, passant de 23,3 ans en 1971 à 31,2 ans en 2020.

Ces tendances peuvent être le reflet de divers facteurs : priorisation de la carrière, volonté de voyager, difficulté à rencontrer quelqu’un ou préférence pour le célibat au début de l’âge adulte.

Elles peuvent également refléter le fait qu’un nombre croissant de personnes se considèrent comme des «célibataires dans l’âme» et choisissent délibérément le célibat, car elles apprécient leur liberté et leur solitude.

La pression de former un couple

Malgré le nombre croissant de personnes dans la vingtaine et la trentaine qui sont célibataires, que ce soit par choix ou en raison des circonstances, la pression sociétale incite les gens à vivre une relation amoureuse et à se ranger. Cela s’explique en grande partie par le fait que notre société met fortement l’accent sur le couple, le mariage et la vie de famille.

Il est certain que vouloir fonder une famille et entretenir une relation amoureuse est un choix de vie commun et légitime. Toutefois, placer les relations amoureuses sur un piédestal peut se faire au détriment des célibataires.


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Les célibataires sont souvent considérés comme incomplets, simplement parce qu’ils ne sont pas en couple. Une étude que j’ai menée avec des collègues montre que les célibataires se sentent souvent exclus, mis à l’écart ou pris en pitié, ce qui peut nuire à leur bien-être. Ils peuvent également être victimes de stéréotypes négatifs et avoir le sentiment d’être perçus comme égoïstes, sans cœur, solitaires ou antisociaux.

Ces discours ne viennent pas uniquement de la société : les célibataires peuvent aussi les intérioriser, ce qui peut avoir des conséquences néfastes.

Dans une autre étude, nous avons examiné ce que nous appelons «les croyances liées à l’idéalisation de la vie amoureuse», c’est-à-dire la mesure dans laquelle les gens pensent qu’ils doivent être en couple pour être vraiment heureux. Nous avons constaté que les célibataires qui y adhèrent sont plus susceptibles de craindre le célibat et, par conséquent, de se déclarer insatisfaits de leur vie.

Comment être célibataire et heureux ?

Comment les célibataires peuvent-ils mener une vie heureuse, établie et satisfaisante, malgré les messages de la société sur l’importance des relations amoureuses ?

Pour répondre à cette question, mes collègues et moi-même avons passé en revue les études sur le célibat afin de mieux comprendre la différence entre les célibataires qui s’accommodent de leur situation et ceux qui s’y épanouissent. Nous avons constaté que, si certains célibataires trouvent la vie en solo difficile et aspirent à être en couple, de nombreux autres sont heureux et épanouis.

Voici quelques facteurs associés à un célibat heureux :

1) Avoir confiance en soi. Les personnes sûres d’elles qui sont capables de faire confiance à leurs proches et de compter sur eux font partie des célibataires heureux. Elles se disent plus satisfaites de leur vie et ont de bonnes habiletés en matière de régulation émotionnelle. Les célibataires sûrs d’eux peuvent être ouverts à l’idée de vivre une relation amoureuse tout en étant heureux et épanouis dans leur célibat.

2) Avoir des amis qui nous soutiennent. Les célibataires ont tendance à accorder davantage d’importance à leurs relations amicales que les personnes en couple. Les célibataires qui s’investissent dans leurs amitiés ont un sentiment d’appartenance, affichent une bonne estime de soi et sont satisfaits leur célibat.

Trois personnes assises autour d'une table de café en train de discuter
Les célibataires ont tendance à accorder davantage d’importance à leurs relations amicales que les personnes en couple.
(Shutterstock)

3) Répondre à ses besoins d’intimité. Les célibataires ont également des besoins sexuels et d’intimité. Selon les recherches, les célibataires qui savent y répondre apprécient davantage leur célibat et cherchent moins à être en couple. Par ailleurs, les célibataires satisfaits sur le plan sexuel finissent souvent par former un couple avec le temps.

4) Être plus âgé. Plus on approche de la quarantaine, plus le célibat est bien vécu. Cela découle sans doute du fait que les personnes d’âge mûr s’investissent pleinement dans leur vie de célibataire et ont moins tendance à subir la pression sociale qui les incite à correspondre à certaines attentes.

5) Accorder de l’importance à la liberté, au plaisir et à la créativité. Les recherches nous apprennent que les personnes célibataires qui apprécient la liberté, le plaisir et la créativité se sentent généralement plus heureuses.

Si on est célibataire dans la vingtaine et la trentaine, ce peut être un bon moment pour se concentrer sur son développement personnel, sa carrière, ses aspirations et ses relations avec la famille, les amis et la communauté. Ce sont des éléments importants pour vivre une vie heureuse, et ce, peu importe si on choisit de vivre seul ou en couple.

La Conversation Canada

Yuthika Girme bénéficie d’un financement du Conseil de recherches en sciences humaines du Canada.

ref. Célibataire ? Voici 5 conseils pour vous épanouir – https://theconversation.com/celibataire-voici-5-conseils-pour-vous-epanouir-256933

Here’s a way to save lives, curb traffic jams and make commutes faster and easier − ban left turns at intersections

Source: The Conversation – USA – By Vikash V. Gayah, Associate Professor of Civil Engineering, Penn State

Research shows left turns at intersections are dangerous and slow traffic. Benjamin Rondel/The Image Bank via Getty Images

More than 60% of traffic collisions at intersections involve left turns. Some U.S. cities – including San Francisco, Salt Lake City and Birmingham, Alabama – are restricting left turns.

Dr. Vikash Gayah, a professor of civil engineering at Penn State University and the interim director of the Larson Transportation Institute, discusses how left turns at intersections cause accidents, make traffic worse and use more gas.

Dr. Vikash Gayah discusses why left turns should be banned at some intersections.

The Conversation has collaborated with SciLine to bring you highlights from the discussion, edited for brevity and clarity.

How dangerous are left turns at intersections?

Vikash Gayah: When you make a left turn, you have to cross oncoming traffic. When you have a green light, you need to wait for a gap in the oncoming traffic before turning left. If you misjudge when you decide to turn, you could hit the oncoming traffic, or be hit by it. That’s an angle crash, one of the most dangerous types of crashes.

Also, the driver of the left-turning vehicle is typically looking at oncoming traffic. But pedestrians may be crossing the street they’re turning on to. Often the driver doesn’t see the pedestrians, and that too can cause a serious accident.

On the other hand, right turns require merging into traffic, but they’re not conflicting directly with traffic. So right turns are much, much safer than left turns.

What are the statistics on the unique dangers of left turns?

Gayah: Approximately 40% of all crashes occur at intersections − 50% of those crashes involve a serious injury, and 20% involve a fatality.

About 61% of the crashes at intersections involve a left turn. Left-hand turns are generally the least frequent movement at an intersection, so that 61% is a lot.

Why are left turns inefficient for traffic flow?

Gayah: When left-turning vehicles are waiting for the gap, they can block other lanes from moving, particularly when several vehicles are waiting to turn left.

Instead of the solid green light, many intersections use the green arrow to let left-turning vehicles move. But to do that, all other movements at the intersection have to stop. Stopping all other traffic just to serve a few left turns makes the intersection less efficient.

Also, every time you move to another “phase” of traffic – like the green arrow – the intersection has a brief period of time when all the lights are red. Traffic engineers call that an all-red time, and that’s when the intersection is not serving any vehicles. All-red time is two to three seconds per phase change, and that wasted time adds up quickly to further make the intersection less efficient.

An aerial view of a cars traveling around a roundabout.
Roundabouts reduce the need for left turns, but they don’t work everywhere.
Pete Ark/Moment via Getty Images

What restrictions have been tried in different cities?

Gayah: When a downtown is not very busy – in the off-peak periods – allowing left turns is fine because you don’t need that additional ability to move vehicles at each intersection.

Some cities are implementing signs that say no left turns at intersections from 7 to 9, which is the morning peak period, or 4 to 6, which is the afternoon peak period. In San Francisco, for example, Van Ness Avenue restricts left turns during peak periods.

But cities aren’t implementing these restrictions on a larger scale. Restrictions are more along individual corridors or isolated intersections instead of essentially the entire downtown, where possible. That would make the downtown street network more efficient.

Roundabouts are one approach to avoiding left turns.

Gayah: Roundabouts are safe because there’s no longer a need to cross opposing traffic. Everyone circulates in the same direction. You find where you need to go and then exit.

But restricting left turns, in general, is more efficient. Roundabouts aren’t as efficient when it’s busier. The roundabout gets full, which can cause a gridlock, and no vehicle can move. Traditional intersections are less prone to gridlock.

Roundabouts also take up more space. Installing a roundabout might mean expanding the intersection. In some downtowns, that means tearing down buildings or removing sidewalks. Restricting left turns only requires a sign that says “no left turns” or “no left turns during peak periods.” That’s it.

What are the benefits to banning left turns in urban areas?

Gayah: Any way you cut it, eliminating left turns will result in longer travel distances. I’ll have to travel a longer distance to get to where I need to go. The worst case is having to circle the block. I’m actually traveling four extra block lengths to get to where I need to go.

But not all trips require circling the block. In a typical downtown, each trip will be about one block length longer on average. That’s not a lot of extra distance. And that extra driving is more than offset by the fact that each intersection with banned left turns is now moving more vehicles. Which means every time you’re at an intersection, you wait less time, on average. So you travel a slightly longer distance but get to where you’re going more quickly.

Does avoiding left turns improve fuel efficiency?

Gayah: Our research found that even though vehicles travel longer distances on average with the restricted left turns, they spend less fuel – about 10% to 15% less per trip – because they don’t stop as much at intersections.

This is why UPS and other fleets route their vehicles to avoid left turns. There’s less idling and fewer stops.

Do you think banning left turns could become widely accepted?

Gayah: It’s a new strategy, so it’s uncomfortable for some people. But when they get to their destination faster, I think people will latch onto it.

Watch the full interview to hear more.

SciLine is a free service based at the American Association for the Advancement of Science, a nonprofit that helps journalists include scientific evidence and experts in their news stories.

The Conversation

Vikash V. Gayah’s research has been funded by various State Departments of Transportation (including Pennsylvania, Wisconsin, Washington State, Montana, South Dakota and North Carolina), US Department of Transportation (via the Mineta National Transit Research Consortium, the Mid-Atlantic Universities Transportation Center, and the Center for Integrated Asset Management for Multimodal Transportation Infrastructure Systems), Federal Highway Administration, National Cooperative Highway Research Program, and National Science Foundation..

ref. Here’s a way to save lives, curb traffic jams and make commutes faster and easier − ban left turns at intersections – https://theconversation.com/heres-a-way-to-save-lives-curb-traffic-jams-and-make-commutes-faster-and-easier-ban-left-turns-at-intersections-257877

Nations are increasingly ‘playing the field’ when it comes to US and China – a new book explains explains why ‘active nonalignment’ is on the march

Source: The Conversation – Global Perspectives – By Jorge Heine, Outgoing Interim Director of the Frederick S. Pardee Center for the Study of the Longer-Range Future, Boston University

Brazil President Luiz Inacio Lula da Silva, center, flanked by India Prime Minister Narendra Modi, left, and South Africa President Cyril Ramaphosa, speaks at the summit of Group of 20 leading economies in Rio de Janeiro on Nov. 19, 2024. Mauro Pimentel/AFP via Getty Images

In 2020, as Latin American countries were contending with the triple challenges of the COVID-19 pandemic, a global economic shock and U.S. policy under the first Trump administration, Jorge Heine, research professor at Boston University and a former Chilean ambassador, in association with two colleagues, Carlos Fortin and Carlos Ominami, put forward the notion of “active nonalignment.”

A book cover with the title 'The Non-Aligned World.'

Polity Books

Five years on, the foreign policy approach is more relevant than ever, with trends including the rise of the Global South and the fragmentation of the global order, encouraging countries around the world to reassess their relationships with both the United States and China.

It led Heine, along with Fortin and Ominami, to follow up on their original arguments in a new book, “The Non-Aligned World,” published in June 2025.

The Conversation spoke with Heine on what is behind the push toward active nonalignment, and where it may lead.

For those not familiar, what is active nonalignment?

Active nonalignment is a foreign policy approach in which countries put their own interests front and center and refuse to take sides in the great power rivalry between the U.S. and China.

It takes its cue from the Non-Aligned Movement of the 1950s and 1960s but updates it to the realities of the 21st century. Today’s rising Global South is very different from the “Third World” that made up the Non-Aligned Movement. Countries like India, Turkey, Brazil and Indonesia have greater economic heft and wherewithal. They thus have more options than in the past.

They can pick and choose policies in accordance with what is in their national interests. And because there is competition between Washington and Beijing to win over such countries’ hearts and minds, those looking to promote a nonaligned agenda have greater leverage.

Traditional international relations literature suggests that in relations between nations, you can either “balance,” meaning take a strong position against another power, or “bandwagon” – that is, go along with the wishes of that power. The notion was that weaker states couldn’t balance against the Great Powers because they don’t have the military power to do so, so they had to bandwagon.

What we are saying is that there is an intermediate approach: hedging. Countries can hedge their bets or equivocate by playing one power off the other. So, on some issues you side with the U.S., and others you side with China.

Thus, the grand strategy of active nonalignment is “playing the field,” or in other words, searching for opportunities among what is available in the international environment. This means being constantly on the lookout for potential advantages and available resources – in short, being active, rather than passive or reactive.

So active nonalignment is not so much a movement as it is a doctrine.

Two men in suits sit behind a desk chatting.
Tunisian President Habib Bourguiba, right, and Egyptian President Gamal Abdel Nasser attend the first Conference of Non-Aligned Countries in Belgrade, Yugoslavia, in September 1961.
Keystone/Hulton Archive/Getty Images

It’s been five years since you first came up with the idea of active nonalignment. Why did you think it was time to revisit it now?

The notion of active nonalignment came up during the first Trump administration and in the context of a Latin America hit by the triple-whammy of U.S. pressure, a pandemic and the ensuing recession – which in Latin America translated into the biggest economic downturn in 120 years, a 6.6% drop of regional gross domestic product in 2020.

ANA was intended as a guide for Latin American countries to navigate those difficult moments, and it led us to the publication of a symposium volume with contributions by six former Latin American foreign ministers in November 2021, in which we elaborated on the concept.

Three months later, with the Russian invasion of Ukraine and the reaction to it by many countries in Asia and Africa, nonalignment was back with a vengeance.

Countries like India, Pakistan, South Africa and Indonesia, among others, took positions that were at odds with the West on Ukraine. Many of them, though not all, condemned Russian aggression but also wanted no part in the West’s sanctions on Moscow. These sanctions were seen as unwarranted and as an expression of Western double standards – no sanctions were applied on the U.S. for invading Iraq, of course.

And then there were the Hamas attacks on Israel on Oct. 7, 2023, and the resulting war in the Gaza Strip. Countries across the Global South strongly condemned the Hamas attacks, but the West’s response to the subsequent deaths of tens of thousands of Palestinians brought home the notion of double standards when it came to international human rights.

Why weren’t Palestinians deserving of the same compassion as Ukrainians? For many in the Global South, that question hit very hard – the idea that “human rights are limited to Europeans and people who looked like them did not go down well.”

Thus, South Africa brought a case against Israel in the International Court of Justice alleging genocide, and Brazil spearheaded ceasefire efforts at the United Nations.

A third development is the expansion of the BRICS bloc of economies from its original five members – Brazil, Russia, India, China and South Africa – to 10 members. Although China and Russia are not members of the Global South, those other founding members are, and the BRICS group has promoted key issues on the Global South’s agenda. The addition of countries such as Egypt and Ethiopia has meant that BRICS has increasingly taken on the guise of the Global South forum. Brazil President Luiz Inácio Lula da Silva, a leading proponent of BRICS, is keen on advancing this Global South agenda.

All three of these developments have made active nonalignment more relevant than ever before.

How are China and the US responding to active nonalignment – or are they?

I’ll give you two examples: Angola and Argentina.

In Angola, the African country that has received most Chinese cooperation to the tune of US$45 billion, you now have the U.S. financing what is known as the Lobito Corridor – a railway line that stretches from the eastern border of the Democratic Republic of the Congo to Angola’s Atlantic coast.

Ten years ago, the notion that the U.S. would be financing railway projects in southern Africa would have been considered unfathomable. Yet it has happened. Why? Because China has built significant railway lines in countries such as Kenya and Ethiopia, and the U.S. realized that it was being left behind.

For the longest time, the U.S. would condemn such Chinese-financed infrastructure projects via the “Belt and Road Initiative” as nothing but “debt-trap diplomacy” designed to saddle developing nations with “white elephants” nobody needed. But a couple of years ago, that tune changed: The U.S. and Europe realized that there is a big infrastructure deficit in Asia, Africa and Latin America that China was stepping in to reduce – and the West was nowhere to be seen in this critical area.

In short, the West changed it approach – and countries like Angola are now able to play the U.S. off against China for its own national interests.

Then take Argentina. In 2023, Javier Milei was elected president on a strong anti-China platform. He said his government would have nothing to do with Beijing. But just two years later, Milei announced in an Economist interview that he is a great admirer of Beijing.

Why? Because Argentina has a very significant foreign debt, and Milei knew that a continued anti-China stance would mean a credit line from Beijing would likely not be renewed. The Argentinian president was under pressure from the International Monetary Fund and Washington to let the credit line with China lapse, but Milei refused to do so and managed to hold his own, playing both sides against the middle.

Milei is a populist conservative; Brazil’s Lula a leftist. So is active nonalignment immune to ideological differences?

Absolutely. When people ask me what the difference is between traditional nonalignment and active nonalignment, one of the most obvious things is that the latter is nonideological – it can be used by people of the right, left and center. It is a guide to action, a compass to navigate the waters of a highly troubled world, and can be used by governments of very different ideological hues.

Two men in suits turn away from each other.
Brazil President Luiz Inacio Lula da Silva and Argentina President Javier Milei at the 66th Summit of leaders of the Mercosur trading bloc in Buenos Aires on July 3, 2025.
Luis Robayo/AFP via Getty Images

The book talks a lot about the fragmentation of the rules-based order. Where do you see this heading?

There is little doubt that the liberal international order that framed world politics from 1945 to 2016 has come to an end. Some of its bedrock principles, like multilateralism, free trade and respect for international law and existing international treaties, have been severely undermined.

We are now in a transitional stage. The notion of the West as a geopolitical entity, as we knew it, has ceased to exist. We now have the extraordinary situation where illiberal forces in Hungary, Germany and Poland, among other places, are being supported by those in power in both Washington and Moscow.

And this decline of the West has not come about because of any economic issue – the U.S. still represents around 25% of global GDP, much as it did in 1970 – but because of the breakdown of the trans-Atlantic alliance.

So we are moving toward a very different type of world order – and one in which the Global South has the opportunity to have much more of a role, especially if it deploys active nonalignment.

How have events since Trump’s inauguration played into your argument?

The notion of active nonalignment was triggered by the first Trump administration’s pressure on Latin American countries. I would argue that the measures undertaken in Trump’s second administration – the tariffs imposed on 90 countries around the world; the U.S. leaving the Paris climate agreement, the World Health Organization and the U.N. Human Rights Council; and other “America First” policies – have only underscored the validity of active nonalignment as a foreign policy approach.

The pressures on countries across the Global South are very strong, and there is a temptation to give in to Trump and align with U.S. Yet, all indications are that simply giving in to Trump’s demands isn’t a recipe for success. Those countries that have gone down the route of giving in to Trump’s demands only see more demands after that. Countries need a different approach – and that can be found in active nonalignment.

The Conversation

Jorge Heine 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. Nations are increasingly ‘playing the field’ when it comes to US and China – a new book explains explains why ‘active nonalignment’ is on the march – https://theconversation.com/nations-are-increasingly-playing-the-field-when-it-comes-to-us-and-china-a-new-book-explains-explains-why-active-nonalignment-is-on-the-march-260234

Thailand’s judiciary is flexing its muscles, but away from PM’s plight, dozens of activists are at the mercy of capricious courts

Source: The Conversation – Global Perspectives – By Tyrell Haberkorn, Professor of Southeast Asian Studies, University of Wisconsin-Madison

Thai Prime Minister Paetongtarn Shinawatra is swarmed by members of the media after a cabinet meeting at Government House on July 1, 2025. Anusak Laowilas/NurPhoto via Getty Images

Thai Prime Minister Paetongtarn Shinawatra is currently feeling the sharp end of the country’s powerful judiciary.

On July 2, 2025, Thailand’s Constitutional Court suspended Paetongtarn from office as a result of a leaked phone conversation in which she was heard disparaging Thailand’s military and showing deference to former the prime minister of Cambodia, Hun Sen, despite an ongoing border dispute between the two countries. Initially set for 14 days, many onlookers believe the court’s suspension is likely to become permanent.

Meanwhile, far from the prime minister’s office is Arnon Nampa, another Thai national whose future is at the mercy of the Thai judiciary – in this case, the Criminal Court.

Arnon, a lawyer and internationally recognized human rights defender, is one of 32 political prisoners imprisoned over “lèse majesté,” or insulting the Thai monarchy. He is currently serving a sentence of nearly 30 years for a speech questioning the monarchy during pro-democracy protests in 2020. Unless he is both acquitted in his remaining cases and his current convictions are overturned on appeal, Arnon will likely spend the rest of his life in prison.

The plights of Paetongtarn and Arnon may seem distant. But as a historian of Thai politics, I see the cases as connected by a judiciary using the law and its power to diminish the prospects for democracy in Thailand and constrain the ability of its citizens to participate freely in society.

Familiar troubles

The Shinawatra family is no stranger to the reach of both the Thai military and the country’s courts.

Paetongtarn is the third of her family to be prime minister – and could become the third to be ousted. Her father, Thaksin Shinawatra, was removed in a 2006 military coup. Her aunt, Yingluck Shinawatra, was ousted prior to the May 22, 2014, coup. In common with past coups, the juntas who fomented them were shielded from the law, with none facing prosecution.

For now, it is unclear whether Paetongtarn’s suspension is the precursor to another coup, the dissolution of parliament and new elections, or a reshuffle of the cabinet. But what is clear is that the Constitutional Court’s intervention is one of several in which the nine appointed judges are playing a critical role in the future of Thai democracy.

Protecting the monarchy

The root of the judiciary’s power can be found in the way the modern Thai nation was set up nearly 100 years ago.

On June 24, 1932, Thailand transitioned from an absolute monarchy to a constitutional monarchy. Since then, the country has experienced 13 coups, as the country has shifted from democracy to dictatorship and back again.

But throughout, the monarchy has remained a constant presence – protected by Article 112 of the Criminal Code, which defines the crime and penalty of lese majesté: “Whoever defames, insults, or threatens the king, queen, heir-apparent or regent shall be subject to three-to-fifteen years imprisonment.”

The law is widely feared among dissidents in Thailand both because it is interpreted broadly to include any speech or action that is not laudatory and innocent verdicts are rare.

Although Article 112 has been law since 1957, it was rarely used until after the 2006 coup.

Since then, cases have risen steadily and reached record levels following a youth-led movement for democracy in 2020. At least 281 people have been, or are currently being, prosecuted for alleged violation of Article 112, according to Thai Lawyers for Human Rights.

Challenging the status quo

The 2020 youth-led movement for democracy was sparked by the Constitutional Court’s dissolution of the progressive Future Forward Party at the beginning of that year, the disappearance of a Thai dissident in exile in Cambodia, and economic problems caused by the COVID-19 pandemic.

In protests in Bangkok and in provinces across the country, they called for a new election, a new constitution and an end to state repression of dissent.

A man next to illuminated building gestures to the crowd
Pro-democracy activist leader Arnon Nampa speaks to protesters.
Peerapon Boonyakiat/SOPA Images/LightRocket via Getty Images

On Aug. 3, 2020, Nampa added another demand: The monarchy must be openly discussed and questioned.

Without addressing such a key, unquestionable institution in the nation, Arnon argued, the struggle for democracy would inevitably fail.

This message resonated with many Thai citizens, and despite the fearsome Article 112, protests grew throughout the last months of 2020.

Students at Thammasat University, the center of student protest since the 1950s, expanded Arnon’s call into a 10-point set of demands for reform of the monarchy.

Making it clear that they did not aim to abolish the monarchy, the students’ proposal aimed to clarify the monarchy’s economic, political and military role and make it truly constitutional.

As the protests began to seem unstoppable, with tens of thousands joining, the police began cracking down on demonstrations. Many were arrested for violating anti-COVID-19 measures and other minor laws. By late November 2020, however, Article 112 charges began to be brought against Arnon and other protest leaders for their peaceful speech.

In September 2023, Arnon was convicted in his first case, and he has been behind bars since. He is joined by other political prisoners, whose numbers grow weekly as their cases move through the judicial process.

Capricious courts

Unlike Arnon, Paetongtarn Shinawatra is not facing prison.

But the Constitutional Court’s decision to suspend her from her position as prime minister because of a leaked recording of an indiscreet telephone conversation is, to many legal minds, a capricious response that has the effect of short-circuiting the democratic process.

So too, I believe, does bringing the weight of the law against Arnon and other political prisoners in Thailand who remain behind bars as the current political turmoil plays out.

The Conversation

Tyrell Haberkorn 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. Thailand’s judiciary is flexing its muscles, but away from PM’s plight, dozens of activists are at the mercy of capricious courts – https://theconversation.com/thailands-judiciary-is-flexing-its-muscles-but-away-from-pms-plight-dozens-of-activists-are-at-the-mercy-of-capricious-courts-260408

How can the James Webb Space Telescope see so far?

Source: The Conversation – USA – By Adi Foord, Assistant Professor of Astronomy and Astrophysics, University of Maryland, Baltimore County

This is a James Webb Space Telescope image of NGC 604, a star-forming region about 2.7 million light-years from Earth. NASA/ESA/CSA/STScI

Curious Kids is a series for children of all ages. If you have a question you’d like an expert to answer, send it to CuriousKidsUS@theconversation.com.


How does the camera on the James Webb Space Telescope work and see so far out? – Kieran G., age 12, Minnesota


Imagine a camera so powerful it can see light from galaxies that formed more than 13 billion years ago. That’s exactly what NASA’s James Webb Space Telescope is built to do.

Since it launched in December 2021, Webb has been orbiting more than a million miles from Earth, capturing breathtaking images of deep space. But how does it actually work? And how can it see so far? The secret lies in its powerful cameras – especially ones that don’t see light the way our eyes do.

I’m an astrophysicist who studies galaxies and supermassive black holes, and the Webb telescope is an incredible tool for observing some of the earliest galaxies and black holes in the universe.

When Webb takes a picture of a distant galaxy, astronomers like me are actually seeing what that galaxy looked like billions of years ago. The light from that galaxy has been traveling across space for the billions of years it takes to reach the telescope’s mirror. It’s like having a time machine that takes snapshots of the early universe.

By using a giant mirror to collect ancient light, Webb has been discovering new secrets about the universe.

A telescope that sees heat

Unlike regular cameras or even the Hubble Space Telescope, which take images of visible light, Webb is designed to see a kind of light that’s invisible to your eyes: infrared light. Infrared light has longer wavelengths than visible light, which is why our eyes can’t detect it. But with the right instruments, Webb can capture infrared light to study some of the earliest and most distant objects in the universe.

A dog, shown normally, then through thermal imaging, with the eyes, mouth and ears brighter than the rest of the dog.
Infrared cameras, like night-vision goggles, allow you to ‘see’ the infrared waves emitting from warm objects such as humans and animals. The temperatures for the images are in degrees Fahrenheit.
NASA/JPL-Caltech

Although the human eye cannot see it, people can detect infrared light as a form of heat using specialized technology, such as infrared cameras or thermal sensors. For example, night-vision goggles use infrared light to detect warm objects in the dark. Webb uses the same idea to study stars, galaxies and planets.

Why infrared? When visible light from faraway galaxies travels across the universe, it stretches out. This is because the universe is expanding. That stretching turns visible light into infrared light. So, the most distant galaxies in space don’t shine in visible light anymore – they glow in faint infrared. That’s the light Webb is built to detect.

A diagram of the electromagnetic spectrum, with radio, micro and infrared waves having a longer wavelength than visible light, while UV, X-ray and gamma rays have shorter wavelengths than visible light.
The rainbow of visible light that you can see is only a small slice of all the kinds of light. Some telescopes can detect light with a longer wavelength, such as infrared light, or light with a shorter wavelength, such as ultraviolet light. Others can detect X-rays or radio waves.
Inductiveload, NASA/Wikimedia Commons, CC BY-SA

A golden mirror to gather the faintest glow

Before the light reaches the cameras, it first has to be collected by the Webb telescope’s enormous golden mirror. This mirror is over 21 feet (6.5 meters) wide and made of 18 smaller mirror pieces that fit together like a honeycomb. It’s coated in a thin layer of real gold – not just to look fancy, but because gold reflects infrared light extremely well.

The mirror gathers light from deep space and reflects it into the telescope’s instruments. The bigger the mirror, the more light it can collect – and the farther it can see. Webb’s mirror is the largest ever launched into space.

The JWST's mirror, which looks like a large, roughly hexagonal shiny surface made up of 18 smaller hexagons put together, sitting in a facility. The mirror is reflecting the NASA meatball logo.
Webb’s 21-foot primary mirror, made of 18 hexagonal mirrors, is coated with a plating of gold.
NASA

Inside the cameras: NIRCam and MIRI

The most important “eyes” of the telescope are two science instruments that act like cameras: NIRCam and MIRI.

NIRCam stands for near-infrared camera. It’s the primary camera on Webb and takes stunning images of galaxies and stars. It also has a coronagraph – a device that blocks out starlight so it can photograph very faint objects near bright sources, such as planets orbiting bright stars.

NIRCam works by imaging near-infrared light, the type closest to what human eyes can almost see, and splitting it into different wavelengths. This helps scientists learn not just what something looks like but what it’s made of. Different materials in space absorb and emit infrared light at specific wavelengths, creating a kind of unique chemical fingerprint. By studying these fingerprints, scientists can uncover the properties of distant stars and galaxies.

MIRI, or the mid-infrared instrument, detects longer infrared wavelengths, which are especially useful for spotting cooler and dustier objects, such as stars that are still forming inside clouds of gas. MIRI can even help find clues about the types of molecules in the atmospheres of planets that might support life.

Both cameras are far more sensitive than the standard cameras used on Earth. NIRCam and MIRI can detect the tiniest amounts of heat from billions of light-years away. If you had Webb’s NIRCam as your eyes, you could see the heat from a bumblebee on the Moon. That’s how sensitive it is.

Two photos of space, with lots of stars and galaxies shown as little dots. The right image shows more, brighter dots than the left.
Webb’s first deep-field image: The MIRI image is on the left and the NIRCam image is on the right.
NASA

Because Webb is trying to detect faint heat from faraway objects, it needs to keep itself as cold as possible. That’s why it carries a giant sun shield about the size of a tennis court. This five-layer sun shield blocks heat from the Sun, Earth and even the Moon, helping Webb stay incredibly cold: around -370 degrees F (-223 degrees C).

MIRI needs to be even colder. It has its own special refrigerator, called a cryocooler, to keep it chilled to nearly -447 degrees F (-266 degrees C). If Webb were even a little warm, its own heat would drown out the distant signals it’s trying to detect.

Turning space light into pictures

Once light reaches the Webb telescope’s cameras, it hits sensors called detectors. These detectors don’t capture regular photos like a phone camera. Instead, they convert the incoming infrared light into digital data. That data is then sent back to Earth, where scientists process it into full-color images.

The colors we see in Webb’s pictures aren’t what the camera “sees” directly. Because infrared light is invisible, scientists assign colors to different wavelengths to help us understand what’s in the image. These processed images help show the structure, age and composition of galaxies, stars and more.

By using a giant mirror to collect invisible infrared light and sending it to super-cold cameras, Webb lets us see galaxies that formed just after the universe began.


Hello, curious kids! Do you have a question you’d like an expert to answer? Ask an adult to send your question to CuriousKidsUS@theconversation.com. Please tell us your name, age and the city where you live.

And since curiosity has no age limit – adults, let us know what you’re wondering, too. We won’t be able to answer every question, but we will do our best.

The Conversation

Adi Foord 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. How can the James Webb Space Telescope see so far? – https://theconversation.com/how-can-the-james-webb-space-telescope-see-so-far-257421

Turbulent research landscape imperils US brain gain − and ultimately American prosperity

Source: The Conversation – USA – By Marc Zimmer, Professor of Chemistry, Connecticut College

International students have been a big part of American STEM. Rick Friedman/AFP via Getty Images

Despite representing only 4% of the world’s population, the United States accounts for over half of science Nobel Prizes awarded since 2000, hosts seven of The Times Higher Education Top 10 science universities, and incubates firms such as Alphabet (Google), Meta and Pfizer that turn federally funded discoveries into billion-dollar markets.

The domestic STEM talent pool alone cannot sustain this research output. The U.S. is reliant on a steady and strong influx of foreign scientists – a brain gain. In 2021, foreign-born people constituted 43% of doctorate-level scientists and engineers in the U.S. They make up a significant share of America’s elite researchers: Since 2000, 37 of the 104 U.S. Nobel laureates in the hard sciences, more than a third, were born outside the country.

China, the U.S.’s largest competitor in science, technology, engineering and math endeavors, has a population that is 4.1 times larger than that of the U.S. and so has a larger pool of homegrown talent. Each year, three times as many Chinese citizens (77,000) are awarded STEM Ph.D.s as American citizens (23,000).

To remain preeminent, the U.S. will need to keep attracting exceptional foreign graduate students, budding entrepreneurs and established scientific leaders.

Funding and visa policies could flip gain to drain

This scientific brain gain is being threatened by the Trump administration, which is using federal research funding, scholarships and fellowships as leverage against universities, freezing billions of dollars in grants and contracts to force compliance with its ideological agenda. Its ad hoc approach has been described by higher education leaders as “unprecedented and deeply disturbing,” and a Reagan-appointed judge ruled that 400 National Institutes of Health grants be reinstated because their terminations were “bereft of reasoning, virtually in their entirety.”

Experts caution that these moves not only risk immediate harm to scientific progress and academic freedom but also erode the public’s trust in science and education, with long-term implications for the nation’s prosperity and security.

Citing national security concerns, the White House has also targeted visas for Harvard University’s international students and instructed embassies worldwide to halt visa interviews for all international students, citing national security and alleged institutional misconduct. Against a backdrop of court injunctions and legal appeals, the government continues its heightened “national-security” vetting, so thousands of international scholars remain in limbo.

These measures, combined with travel bans, intensified scrutiny and revocations of existing visas, have disrupted research collaborations and threaten the nation’s continued status as a global leader in science and innovation.

What US misses with fewer foreign scientists

The U.S. research brain gain starts with the 281,000 foreign STEM graduate students and 38,000 foreign STEM postdoctoral scholars who annually come to the U.S. I am one of them. After earning my bachelor’s and master’s degrees in South Africa, I left in 1986 to avoid the apartheid‑era military service, completed my chemistry doctorate and postdoc in the U.S., and joined the United States’ brain gain. It’s an opportunity today’s visa climate might have denied me.

poster announcing 'Safe Place For Science'
Some other countries are eager to scoop up STEM talent that is unwelcome or unfunded in the U.S.
Clement Mahoudeau/AFP via Getty Images

Incentives for the best and brightest foreign science students to come to the U.S. are diminishing at the same time its competitors are increasing their efforts to attract the strongest STEM researchers. For instance, the University of Hong Kong is courting stranded Harvard students with dedicated scholarships, housing and credit-transfer help. A French university program, Safe Place for Science, drew so many American job applicants that it had to shut the portal early. And a Portuguese institute reports a tenfold surge in inquiries from U.S.-based junior faculty.

Immigrants import new ways of thinking to their research labs. They come from other cultures and have learned their science in different educational systems, which place different emphases on rote learning, historical understanding and interdisciplinary research. They often bring an alternative perspective that a homogeneous scientific community cannot match.

Immigrants also help move discoveries from the lab to the marketplace. Foreign-born inventors file patents at a higher per‑capita rate than their domestic peers and are 80% more likely to launch a company. Such firms create roughly 50% more jobs than enterprises founded by native-born entrepreneurs and pay wages that are, on average, one percentage point higher.

The economic stakes are high. Growth models suggest that scientific advances now account for a majority of productivity gains in high‑income countries.

L. Rafael Reif, the former president of MIT, called international talent the “oxygen” of U.S. innovation; restricting visas chokes that supply. Ongoing cuts and uncertainties in federal funding and visa policy now jeopardize America’s scientific leadership and with it the nation’s long‑term economic growth.

The Conversation

Marc Zimmer received funding from NIH and NSF.

ref. Turbulent research landscape imperils US brain gain − and ultimately American prosperity – https://theconversation.com/turbulent-research-landscape-imperils-us-brain-gain-and-ultimately-american-prosperity-258537

Social media can support or undermine democracy – it comes down to how it’s designed

Source: The Conversation – USA – By Lisa Schirch, Professor of the Practice of Peace Studies, University of Notre Dame

A protester calls out Facebook for facilitating the spread of disinformation. AP Photo/Jeff Chiu

Every design choice that social media platforms make nudges users toward certain actions, values and emotional states.

It is a design choice to offer a news feed that combines verified news sources with conspiracy blogs – interspersed with photos of a family picnic – with no distinction between these very different types of information. It is a design choice to use algorithms that find the most emotional or outrageous content to show users, hoping it keeps them online. And it is a design choice to send bright red notifications, keeping people in a state of expectation for the next photo or juicy piece of gossip.

Platform design is a silent pilot steering human behavior.

Social media platforms are bringing massive changes to how people get their news and how they communicate and behave. For example, the “endless scroll” is a design feature that aims to keep users scrolling and never reaching the bottom of a page where they might decide to pause.

I’m a political scientist who researches aspects of technology that support democracy and social cohesion, and I’ve observed how the design of social media platforms affects them.

Democracy is in crisis globally, and technology is playing a role. Most large platforms optimize their designs for profit, not community or democracy. Increasingly, Big Tech is siding with autocrats, and the platforms’ designs help keep society under control.

There are alternatives, however. Some companies design online platforms to defend democratic values.

Optimized for profit

A handful of tech billionaires dominate the global information ecosystem. Without public accountability or oversight, they determine what news shows up on your feed and what data they collect and share.

Social media companies say they are in the business of connecting people, but they make most of their money as data brokers and advertising firms. Time spent on platforms translates to profit. The more time you spend online, the more ads you see and the more data they can collect from you.

This ad-based business model demands designs that encourage endless scrolling, social comparison and emotional engagement. Platforms routinely claim they merely reflect user behavior, yet internal documents and whistleblower accounts have shown that toxic content often gets a boost because it captures people’s attention.

Tech companies design platforms based on extensive psychological research. Examples include flashing notifications that make your phone jump and squeak, colorful rewards when others like your posts, and algorithms that push out the most emotional content to stimulate your most base emotions of anger, shame or glee.

How social media algorithms work, explained.

Optimizing designs for user engagement undermines mental health and society. Social media sites favor hype and scandal over factual accuracy, and public manipulation over designing for safety, privacy and user agency. The resulting prevalence of polarizing false and deceptive information is corrosive to democracy.

Many analysts identified these problems nearly a decade ago. But now there is a new threat: Some tech executives are looking to capture political power to advance a new era of techno-autocracy.

Optimized for political power

A techno-autocracy is a political system where an authoritarian government uses technology to control its population. Techno-autocrats spread disinformation and propaganda, using fear tactics to demonize others and distract from corruption. They leverage massive amounts of data, artificial intelligence and surveillance to censor opponents.

For example, China uses technology to monitor and surveil its population with public cameras. Chinese platforms like WeChat and Weibo automatically scan, block or delete messages and posts for sensitive words like “freedom of speech.” Russia promotes domestic platforms like VK that are closely monitored and partly owned by state-linked entities that use it to promote political propaganda.

Over a decade ago, tech billionaires like Elon Musk and Peter Thiel, and now Vice President JD Vance, began aligning with far-right political philosophers like Curtis Yarvin. They argue that democracy impedes innovation, favoring concentrated decision-making in corporate-controlled mini-states governed through surveillance. Embracing this philosophy of techno-autocracy, they moved from funding and designing the internet to reshaping government.

Techno-autocrats weaponize social media platforms as part of their plan to dismantle democratic institutions.

The political capture of both X and Meta also have consequences for global security. At Meta, Mark Zuckerberg removed barriers to right-wing propaganda and openly endorsed President Donald Trump’s agenda. Musk changed X’s algorithm to highlight right-wing content, including Russian propaganda.

Designing tech for democracy

Recognizing the power that platform design has on society, some companies are designing new civic participation platforms that support rather than undermine society’s access to verified information and places for public deliberation. These platforms offer design features that big tech companies could adopt for improving democratic engagement that can help counter techno-autocracy.

In 2014, a group of technologists founded Pol.is, an open-source technology for hosting public deliberation that leverages data science. Pol.is enables participants to propose and vote on policy ideas using what they call “computational democracy.” The Pol.is design avoids personal attacks by having no “reply” button. It offers no flashy newsfeed, and it uses algorithms that identify areas of agreement and disagreement to help people make sense of a diversity of opinions. A prompt question asks for people to offer ideas and vote up or down on other ideas. People participate anonymously, helping to keep the focus on the issues and not the people.

The civic participation platform Pol.is helps large numbers of people share their views without distractions or personal attacks.

Taiwan used the Pol.is platform to enable mass civic engagement in the 2014 democracy movement. The U.K. government’s Collective Intelligence Lab used the platform to generate public discussion and generate new policy proposals on climate and health care policies. In Finland, a public foundation called Sitra uses Pol.is in its “What do you think, Finland?” public dialogues.

Barcelona, Spain, designed a new participatory democracy platform called Decidim in 2017. Now used throughout Spain and Europe, Decidim enables citizens to collaboratively propose, debate and decide on public policies and budgets through transparent digital processes.

Nobel Peace Laureate Maria Ressa founded Rappler Communities in 2023, a social network in the Philippines that combines journalism, community and technology. It aims to restore trust in institutions by providing safe spaces for exchanging ideas and connecting with neighbors, journalists and civil society groups. Rappler Communities offers the public data privacy and portability, meaning you can take your information – like photos, contacts or messages – from one app or platform and transfer it to another. These design features are not available on the major social media platforms.

screenshot of a website with two rows of four icons
Rappler Communities is a social network in the Philippines that combines journalism, community and technology.
Screenshot of Rappler Communities

Tech designed for improving public dialogue is possible – and can even work in the middle of a war zone. In 2024, the Alliance for Middle East Peace began using Remesh.ai, an AI-based platform, to find areas of common ground between Israelis and Palestinians in order to advance the idea of a public peace process and identify elements of a ceasefire agreement.

Platform designs are a form of social engineering to achieve some sort of goal – because they shape how people behave, think and interact – often invisibly. Designing more and better platforms to support democracy can be an antidote to the wave of global autocracy that is increasingly bolstered by tech platforms that tighten public control.

The Conversation

Lisa Schirch receives funding from the Ford Foundation. I know the founder of Pol.is and Remesh platforms, mentioned in this article, as well as Maria Ressa of Rappler Communities.

I will not benefit in any way from describing their work.

ref. Social media can support or undermine democracy – it comes down to how it’s designed – https://theconversation.com/social-media-can-support-or-undermine-democracy-it-comes-down-to-how-its-designed-257103

Le changement climatique a doublé le nombre de vagues de chaleur dans le monde : quel impact en Afrique ?

Source: The Conversation – in French – By Joyce Kimutai, Climate Scientist and Research Associate in the Centre for Environmental Policy – Faculty of Natural Sciences, Imperial College London

Une étude mondiale sur les chaleurs extrêmes a révélé qu’entre mai 2024 et mai 2025, près de la moitié de la population mondiale (49 %, soit 4 milliards de personnes) a subi 30 jours supplémentaires de fortes chaleurs. Ces journées ont été plus chaudes que 90 % des jours enregistrés entre 1991 et 2020.

Des scientifiques de World Weather Attribution, du Centre climatique de la Croix-Rouge et du Croissant-Rouge et de Climate Central ont découvert que le changement climatique avait également doublé le nombre de vagues de chaleur dans le monde. Cette étude a également recensé 67 épisodes de chaleur extrême influencés par le changement climatique.

The Conversation Africa s’est entretenu avec la climatologue Joyce Kimutai, l’une des auteurs du rapport.


Quel est le lien entre le changement climatique et les vagues de chaleur ?

Le changement climatique modifie les phénomènes météorologiques extrêmes. En d’autres termes, il augmente l’intensité et la probabilité des vagues de chaleur et d’autres phénomènes météorologiques extrêmes. Il ne les provoque pas puisque les phénomènes météorologiques extrêmes ont toujours existé. Mais il rend les vagues de chaleur beaucoup plus graves et plus nocives.

Beaucoup de gens ne se rendent toujours pas compte du danger que représentent les vagues de chaleur. Nous les appelons « tueurs silencieux » car elles causent souvent de graves dégâts sans les images spectaculaires qu’on voit avec les tempêtes ou des inondations. Les vagues de chaleur peuvent entraîner une déshydratation, des coups de chaleur, voire la mort, en particulier chez les personnes vulnérables telles que les personnes âgées, les enfants et celles souffrant de problèmes de santé préexistants.

Par exemple, notre étude porte sur une vague de chaleur qui a vu les températures dépasser les 45 °C au Sahel (région semi-aride de l’ouest et du centre-nord de l’Afrique). Pendant cet épisode, les températures ont dépassé les 45°C. Au Mali, on a même approché les 50°C.

Nous avons constaté que cette vague de chaleur était 1,5 °C plus chaude et dix fois plus susceptible de se produire en raison du changement climatique. Pour certaines personnes, 1,5 °C peut sembler insignifiant. Mais pour les personnes vulnérables, cela peut être une question de vie ou de mort.

Comment avez-vous déterminé les épisodes de chaleur extrême liés au changement climatique ?

Nous avons utilisé une méthodologie scientifique d’attribution et des modèles climatiques pour calculer l’impact du changement climatique sur un événement de température extrême. En d’autres termes, nous avons utilisé un système que nous avons inventé, appelé « Climate Shift Index », pour calculer le nombre de jours de chaleur extrême qui se seraient produits si les humains n’avaient jamais provoqué le changement climatique. Nous avons ensuite comparé ce chiffre au nombre de jours de chaleur extrême réellement enregistrés.

Cela nous a permis de compter le nombre de jours de chaleur extrême supplémentaires causés par le changement climatique au cours de l’année écoulée. Cela nous permet également de prédire que les vagues de chaleur deviendront plus fréquentes et plus intenses si les émissions de gaz à effet de serre des grandes entreprises polluantes qui brûlent des combustibles fossiles ne sont pas réduites de manière drastique.

Pour voir comment le changement climatique a affecté les températures au cours de l’année écoulée, nous avons d’abord déterminé ce qui était considéré comme une chaleur inhabituelle. Nous nous sommes basés sur les températures des 10 % des jours les plus chauds entre 1991 et 2020. Nous avons ensuite compté le nombre de jours entre le 1er mai 2024 et le 1er mai 2025 qui étaient plus chauds que ce niveau. Enfin, nous avons estimé combien de ces jours étaient dus au changement climatique.




Read more:
Le changement climatique impacte la santé au Sénégal : voici comment y remédier


Comment l’Afrique a-t-elle été touchée ?

Plusieurs pays africains ont connu plus de 90 jours de chaleur extrême. Cela signifie que ces journées ont été plus chaudes que 90 % des journées entre 1991 et 2020. Il s’agit du Burundi, des Comores, du Congo, de la Guinée équatoriale, du Gabon, du Ghana, du Liberia, de Mayotte, du Rwanda et de Sao Tomé-et-Principe. En d’autres termes, ces pays ont tous connu au moins trois mois (certains plus de quatre mois) de températures extrêmement élevées.

Les pays africains ont également connu 14 des 67 épisodes de chaleur extrême dans le monde. Une vague de chaleur extrême est un événement qui provoque d’importants préjudices aux personnes et aux biens, tels que la destruction des récoltes ou la fissuration des bâtiments. Ces vagues de chaleur ont touché 42 des 54 pays africains.

En Afrique, la vague de chaleur la plus fortement influencée par le climat s’est produite entre le 14 et le 30 décembre 2024. Nous avons constaté que le changement climatique avait multiplié par au moins 15 la probabilité de cet événement. Les pays particulièrement touchés se trouvaient en Afrique occidentale et centrale.

Une autre vague de chaleur a eu lieu en février 2025 au Soudan du Sud. Les écoles ont dû fermer pendant deux semaines car les enfants s’évanouissaient à cause des coups de chaleur. Toute la population a été invitée à rester à l’abri du soleil et à s’hydrater. Cela a posé problème car de nombreuses maisons au Soudan du Sud sont construites avec des toits en tôle et ne disposent ni de climatisation, ni de ventilateurs électriques, ni d’électricité. Toutes ne disposent pas d’eau potable.

L’Afrique australe a connu quatre vagues de chaleur extrême en 2024, dont deux épisodes de cinq jours. Ces événements ont été jusqu’à neuf fois plus probables à cause du changement climatique. Les pays d’Afrique du Nord ont aussi subi plusieurs vagues de chaleur sévères.

Cette analyse souligne les graves conséquences de la hausse des températures en Afrique. Chaque petite augmentation du réchauffement climatique exposera davantage de personnes à travers le continent à des chaleurs extrêmes qui menacent leur santé et leur bien-être.

Le changement climatique rend déjà la vie plus difficile sur tout le continent. Et si le climat continue de se réchauffer, les épisodes de chaleur extrême vont empirer. Les stratégies d’adaptation ne suffiront plus à protéger les populations.

Il est urgent de financer l’adaptation des pays africains face à ces chaleurs extrêmes. Ces fonds doivent aller en priorité aux pays les plus touchés.

Pour éviter que les épisodes de chaleur extrême ne s’aggravent à l’avenir, la seule solution est que le monde cesse, dès que possible, d’utiliser les combustibles fossiles responsables du réchauffement climatique.

The Conversation

Joyce Kimutai bénéficie d’un financement de l’Imperial College London, de Danida et du gouvernement kenyan.eter Macharia est financé par le Fonds voor Wetenschappelijk Onderzoek- Belgique (FWO, numéro 1201925N) pour sa bourse postdoctorale senior

ref. Le changement climatique a doublé le nombre de vagues de chaleur dans le monde : quel impact en Afrique ? – https://theconversation.com/le-changement-climatique-a-double-le-nombre-de-vagues-de-chaleur-dans-le-monde-quel-impact-en-afrique-260440

What people really want from their GP – it’s simpler than you might think

Source: The Conversation – UK – By Helen Atherton, Professor of Primary Care Research, University of Southampton

Stephen Barnes/Shutterstock.com

Booking a GP appointment is a routine task, yet for many people it’s a source of frustration. Long waits, confusing systems and impersonal processes have become all too familiar. While much attention has been paid to how difficult it is to get an appointment, less research has asked a more fundamental question: what do patients actually want from their general practice?

To answer this, my colleagues and I reviewed 33 studies that were a mixture of study designs, and focused on patients’ expectations and preferences regarding access to their GP in England and Scotland.

What people wanted was not complicated or cutting edge. People were looking for connection; a friendly receptionist and good communication from the practice about how they could expect to make an appointment. And they wanted a general practice in their own neighbourhood with clean, calm waiting rooms. So far, so simple.


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People wanted booking systems that were simple and user-friendly, without long automated phone menus (“press one for reception”). Preferences varied. Some patients valued the option to book appointments in person at the reception desk, while others preferred the convenience of online booking.

Regardless of how they booked, patients wanted shorter waiting times or, at least, clear information about when they could expect an appointment or a callback.

Ideally, general practice would be open on Saturdays and Sundays for those who cannot attend during the week.

Remote consultations – by phone, video or email – have become more common since the pandemic, and many patients found them helpful. For those with caring responsibilities or mobility issues, they offered a convenient way to access care without needing to leave home.

However, remote appointments weren’t suitable for everyone. Some patients lacked privacy at work, while others – particularly those with hearing impairments – found telephone consultations difficult or impossible to use.

What patients consistently wanted was choice, particularly when it came to remote consultations. While in-person appointments were seen as the gold standard, many recognised that telephone or video consultations could be useful in certain situations. Preferences varied widely, which made the ability to choose the type of consultation especially important.

Patients also wanted choice over who they saw, especially for non-urgent issues or when managing ongoing health conditions.

In today’s general practice, care is often delivered by a range of professionals, including nurses, pharmacists and physiotherapists. While many patients were open to seeing different healthcare professionals, older adults and people from minority ethnic backgrounds were more likely to prefer seeing a GP.

Overall, patients wanted the option to choose a GP over another healthcare professional – or at least be involved in that decision.

Satisfaction at all-time low

Unsurprisingly, what patients want from general practice varies, reflecting different lifestyles, needs and circumstances. But what was equally clear is that many people are not able to get what they want from the appointment system.

According to a recent British Social Attitudes survey, patient satisfaction with general practice is at an all-time low, with just below one in three people reporting that they are very or quite satisfied with GP services.

Some elements of the UK government’s recently announced ten-year plan for the NHS in England may address some of these concerns, but it remains far from certain. The emphasis on the NHS app as a “doctor in your pocket” does not align with what many patients are asking for: genuine choice over whether they access care online or in person.




Read more:
NHS ten-year plan for England: what’s in it and what’s needed to make it work


A mobile phone showing the NHS app.
Not everyone wants a doctor in their pocket.
NHS/Shutterstock.com

The proposal to open neighbourhood health centres on weekends could benefit those who need more flexible access. However, simply increasing the number of appointments misses the point: patients want more than just availability. They want care that is accessible, personalised and responsive to their individual needs.

The evidence is clear and the solutions simple, yet patient satisfaction remains at an all-time low. The government must stop assuming technology is the answer and start listening to what patients are actually telling them. The cost of ignoring their voices is a healthcare system that serves no one well.

The Conversation

Helen Atherton receives funding from the National Institute for Health Research and the Research Council of Norway.

ref. What people really want from their GP – it’s simpler than you might think – https://theconversation.com/what-people-really-want-from-their-gp-its-simpler-than-you-might-think-260520