Podcasts about samfund

(01:00): ”Tåbelig”: Skatteordfører revser Nordisk Råds skatteundtagelse. Men hvad med hans egen? Medvirkende: Hans Kristian Skibby, skatteordfører for Danmarksdemokraterne. (12:00): Det Jødiske Samfund i Danmark har registreret det højeste antal antisemitiske hændelser nogensinde. Medvirkende: Jeppe Lilholt, næstformand i Det Jødiske Samfund. (30:00): Liberal Alliance reagerer på Trumps toldsatser. Medvirkende: Henrik Dahl, medlem af Europaparlamentet for Liberal Alliance. (36:00): Hvor har Trump sine toldsatser fra? Medvirkende: Otto Brøns-Petersen, analysechef i den borgerligt liberale tænketank CEPOS. Værter: Anne Philipsen & Nicolai DandanellSee omnystudio.com/listener for privacy information.

Manden halter efter kvinden på en lang række parametre i Danmark – og det er i høj grad det feminiserede samfunds skyld.Det mener Asger Garde, som er aktuel med bogen “Mand kend din styrke”.Han opstiller fire grundmaskuline dyder, som mænd i højere grad skal dyrke, hvis de vil løse problemet for sig selv og for samfundet: styrke, mod, kompetence og ære.Men er han ikke med til at fastholde mænd i en rolle, hvor man ikke må vise sårbarhed og tale om det, når livet er svært? Gæst: Asger Garde, medforfatter til bogen ”Mand kend din styrke”Vært: Jacob GrosenTilrettelæggelse og klip: Mathias BondeFoto: Stine BidstrupSee omnystudio.com/listener for privacy information.

Det er mandag morgen på Holbæk sygehus. Aften-nattevagten præsenterer hvordan natten er gået - travl som sædvanlig. Da aften-nattevagten tager hjem fra sygehusets matrikel, er der ikke længere nogen yngre læger på alle Danmarks hospitaler. Året er 1981 og lægerne strejker på grund af de lange arbejdsdage og høj arbejdsløshed. Noget tyder dog på at skjulte kræfter har stået bag. Følg gæstevært Kaares Stolt´s jagt på den hemmelige skyggeorganisation der har planlagt og koordineret den megaulovlige lægestrejke i 1981. Den tilgrundliggende viden for denne episode stammer fra bøgerne: Mellem Kald og Kamp: Yngre Læger i 100 år (2004) af S.A. Nexø, J.F. Møller og K. Larsen - Lægeforenings Forlag. Ve og Velfærd: Læger, Sundhed og Samfund gennem 200 år (2017) af K. Jacobsen og K. Larsen - FADL's ForlagMedvirkende: Kirsten Franck, Finn Jespersen, Ralph Hemmingsen, Mark Krasnik, Mika Andersen, Kaare Stolt Indslag:

(03:00): Sex og Samfund: at lyve om at være på p-piller er »svindel« og »forkert«. Medvirkende: Majbrit Berlau, generalsekretær i Sex og Samfund. (16:00): På DTU kan studerende selv bestemme, om de er bestået eller ej. Medvirkende: Lars Dyreborg Christoffersen, dekan for uddannelser og studiemiljø på DTU. (31:00): Kommunal "finte" kan sende penge ned i lommen på økonomisk trængte ishockeymestre. Medvirkende: Niels Klingenberg Vistisen, krigshistoriker og foredragsholder. (42:00): Krigshistoriker: Vi er i direkte krig mod russiske soldater inden for 5 år. Medvirkende: Niels Klingenberg Vistisen, krigshistoriker og foredragsholder. Værter: Peter Marstal & Nicolai DandanellSee omnystudio.com/listener for privacy information.

(02:00): DR bad statsministeren om kommentar til Grønlands-dokumentar. Medvirkende: Sofie Frøkjær, journalist på RADIO IIII. (14:00): Sex og Samfund: at lyve om at være på p-piller er »svindel« og »forkert«. Medvirkende: Majbrit Berlau, generalsekretær i Sex og Samfund. (30:00): Det er meningsløst, idiotisk og spild af penge at opruste.... lød det fra pacifisten Tom. Medvirkende: Tom Vilmer Paamand, formand for Aldrig Mere Krig. (40:00): Israel beskylder Hamas for at bryde våbenhvile. Medvirkende: Jacob Kaarsbo, selvstændig sikkerhedspolitisk analytiker. Værter: Peter Marstal & Nicolai DandanellSee omnystudio.com/listener for privacy information.

Regeringen vil gøre det ulovligt at fjerne kondom under samleje uden partnerens viden og samtykke. Og er der en organisation, der er glad for det forslag, så er det Sex og Samfund, der længe har arbejdet for sådan en lov. Ligestillingsminister Magnus Heunicke (S) vil sende et klart signal om, at det at fjerne kondomet uden samtykke ikke er noget, vi accepterer i Danmark. Men for at tage ministeren på ordet: vil det ikke være ren signallovgivning? Eller hvordan forestiller man sig, at politiet skal efterforske sådan en kondom-forbrydelse? Og hvorfor egentlig ikke sørge for, at der også her er ligestilling, så kvinder også kan straffes for at lyve om at være på p-piller? Gæst: Generalsekretær for Sex og Samfund, Majbrit Berlau Vært: Anne Sofie AllarpSee omnystudio.com/listener for privacy information.

(15:00): Grønlands fodboldforbund, KAK, kan blive en del af Nordamerikas forbund CONCACAF. Medvirkende: Nicklas Degn, sportsjournalist på RADIO IIII. (29:00): Kontroversielt præventionsmiddel er udbredt i Grønland. Medvirkende: Charlotte Wilken-Jensen, gynækolog ved foreningen Sex og Samfund. Værter: Anne Philipsen & Nicolai Dandanell. See omnystudio.com/listener for privacy information.

På få dage er det lykkedes syriske oprørsgrupper med lederen Al-Jolani i spidsen at vælte Syriens diktator Assad. Oprørerne kom fra nord og tog den ene by efter den anden, og i weekenden gik oprørerne ind i hovedstaden Damaskus – og så var det slut for Assad. I mere end 50 år har Bashar al-Assad og hans far siddet på magten i Syrien. Med weekendens dramatiske udvikling er syrerne befriet for Assad-familiens blodige og autoritære voldsregime. Men hvad så nu? Og hvad siger syrerne selv? Det fortæller Zenia Y. Henriksen om i dagens afsnit af 'Du lytter til Politiken'. Hun er ph.d. i Mellemøstens Sprog og Samfund og har boet i Syrien og været syrisk gift.See omnystudio.com/listener for privacy information.

I Randers venter en 29-årig mand på sin dom. Han har lavet 36.000 pornografiske billeder af børn. Men der er ikke ét eneste offer.   En helt ny gren af krænkende billeder af børn har set dagens lys – skabt med kunstig intelligens og uden overgreb på virkelige børn.   Derfor kan sagen fra Randers blive principiel, og den puster samtidig nyt liv i en gammel debat: For hvad er skaden ved pædofiles seksuelle drift, hvis de ikke skader børn i virkelighedens verden?    Karen Pallesgaard Munk har i årtier forsket i pædofili, og hun er fortaler for legalisering af børnesexdukker. Alligevel er hun bekymret for den børneporno, som kan skabes ved hjælp af kunstig intelligens.    Men hvorfor mener hun, at AI-skabt børneporno er mere farligt end en børnesexdukke? Og skal vi i det hele taget hjælpe pædofile?   Gæst: Karen Pallesgaard Munk, psykolog og lektor emerita ved Institut for Kultur og Samfund på Aarhus Universitet  Vært: Jacob Grosen  Tilrettelæggelse og klip: Pernille Skytte  Illustration: Lotte Overgaard See omnystudio.com/listener for privacy information.

Eliten sidder på viden og træffer beslutninger. Men har den glemt os andre, så vi føler os oversete og klemte? Og hvordan kan det være en trussel mod demokratiet, at vi vælger nogle andre til at bestemme over os? Det er vel mest bare en trussel mod den gamle elite. Medvirkende: Johannes Andersen lektor emeritus i politologi, Institut for Politik og Samfund, AAU. og Christoph Ellersgaard lektor i sociologi, CBS. Tilrettelægger og vært: Carsten Ortmann.

"Giv Kejseren hvad der er Kejserens og Gud hvad der er Guds." Er dette første gang adskillelsen af kirke og stat bliver formuleret? Tilrettelagt af Kristian Leth og Lauge Hendriksen. Klippet af Lauge Hendriksen. Speak: Karen Straarup. Redaktør: Hanne Budtz-Jørgensen.

I juli 1863 fandt det berømte og ikke mindst berygtede slag ved Gettysburg sted. I løbet af tre døgn kostede kampene intet mindre end 50.000 dræbte og sårede og blev dermed Nordamerikas blodigste slag nogensinde. I en mindetale udlægger Donald Trump slaget som både "stort, smukt, hæsligt" og repræsentativt for "så meget af dette lands succes". Lige nu står USA på tærsklen til et præsidentvalg og synes mere polariseret end måske på noget tidspunkt siden borgerkrigen - vi vil i dagens program se på, hvilken lære amerikanerne har draget af deres blodige fortid. Hvorfor bliver en krig, der fandt sted for 160 år siden ved med at forårsage uenighed? Hvordan mindes man krigen i henholdsvis Nord og Syd? Og kunne krigen have været undgået? Det er nogle af spørgsmålene i denne uges Kampen om historien, hvor Adam Holm taler med historiker og lektor på Center for Amerikanske Studier ved Syddansk Universitet Anders Bo Rasmussen og Ph.d. i antropologi og lektor på Institut for Kultur og Samfund ved Aarhus Universitet Mads Daubjerg. Redaktionen bag: Clara Faust Spies. Musik: Adi Zukanovic.

Flere og flere bor alene. Enten som unge eller ældre. Men hvad giver det os som sociale væsener at leve en solotilværelse - og hvad får det af betydning når vi pludselig får behov for pleje og omsorg? Medvirkende: Rikke Sand Andersen. Professor ved Institut for Kultur og Samfund på Aarhus Universitet og Syddansk Universitet. Vært: Peter LøhdeSee omnystudio.com/listener for privacy information.

I jagten på meningen med livet strikker vi store fortællinger sammen og griber ud efter diverse guruer - fra Jesus og Buddha til Marie Kondo eller Svend Brinkmann. Men hvad er det for nogle narrativer vi klynger os til? Hvem har magten over dem og hermed over os? For hvor fri er du egentligt - bestemmer du selv din skæbne? Medvirkende: Religionsforsker Marie Vejrup Nielsen, Institutleder, Kultur og Samfund på Aarhus Universitet. Vært: Emma Elisabeth Holtet.See omnystudio.com/listener for privacy information.

(07:02) Militærekspert skyder hemmelige Rusland-planer ned: - Danmark er et oplagt atommål. Medvirkende: Peter Viggo Jakobsen, militærekspert og lektor ved Forsvarsakademiet. (07:11) Ligestillingsministeren vil gøre op med wokeisme og juridisk kønsskifte. Medvirkende: Marie Bjerre, ligestillingsminister for Venstre. (07:44) Debatten om børn underkender kvindernes ret til at bestemme over egen krop. Medvirkende: Majbrit Berlau, Generalsekretær i Sex & Samfund. Værterne er Mathias Wissing og Silas Moody.See omnystudio.com/listener for privacy information.

(08:02) Mikkel Bjørn bombarderer ministrene med spørgsmål. Medvirkende: Mikkel Bjørn, medlem af Folketinget for Dansk Folkeparti. (08:15)  SF vil give forældre ret til at blive hjemme fem dage med sygt barn. Medvirkende: Jakob Mark, gruppeformand. (08:30) Enhedslisten mener, at S har overtaget deres synspunkt. Medvirkende: Per Clausen, MEP for Enhedslisten. (08:40) Borgere i Skærbæk ønsker asylcenter lukket. Medvirkende: Christian Albrekt Larsen, Professor på Institut for Politik og Samfund på Aalborg Universitet. Værterne er Mathias Wissing og Silas Moody.See omnystudio.com/listener for privacy information.

Er civilsamfundet bedre rustet til at afhjælpe stigende sociale problemer som ensomhed og mistrivsel end den offentlige sektor? Og hvad kan vi lære af Grækenland, når det gælder samarbejdet mellem civilsamfundet og det offentlige? Disse spørgsmål søger vært Anne-Mette Steinmeier at besvare i en samtale med denne måneds podcasts to gæster.I månedens udgave af Ledelsesalmanakken taler vi med Mads Roke Clausen, direktør i LOS og forfatter til den netop udkomne bog ”Det civile potentiale”. Sammen med Mobilize-partner, Dorte Bukdahl, drøftes civilsamfundets muligheder og potentialer.  Civilsamfundsorganisationer spænder fra små lokale foreninger til store landsdækkende organisationer.  Nogle tilbyder indsatser og aktiviteter til alle borgere i samfundet, fx idrætsforeningerne, mens andre er skabt med det formål at hjælpe mennesker, der har særlige udfordringer – fx de store sociale og humanitære organisationer.Begge gæster argumenterer for, at effektive initiativer i civilsamfundet skal skaleres, så de bliver tilgængelige for flere, men har forskellige perspektiver på, i hvor høj grad skaleringen kan baseres på færdige koncepter. De drøfter også, hvordan sektorerne kan styrke deres indbyrdes samarbejde. Der peges blandt andet på, at der er brug for nytænkning i forhold til finansiering af civilsamfundet, andre incitamenter i det offentlige og langvarige fælles governancestrukturer.Rigtig god lyttelyst!Månedens gæster: Mads Roke Clausen, direktør i LOS og forfatter, og Dorte Bukdahl, partner i Mobilize Strategy ConsultingVært: Anne-Mette Steinmeier, seniorkonsulent i Mobilize Strategy ConsultingTitelmusik: “Idéer ad omveje” af Asbjørn Busk Jørgensen

I den lille forstadsby Hedehusene ligger noget, der ligner et gult parcelhus. Men faktisk er det et kunstværk, som hedder Sisters Hope Home. Performancekunstner og ph.d fra Københavns Universitet, Gry Worre Hallberg, inviterer os ind i huset, som er et forsøg på at finde en ny og radikalt anden måde at være i verden på. Sammen med Gry rejser vi til et 2049, hvor økonomisk rationalitet er erstattet af et sanseligt og bæredygtigt paradigme.Podcasten er støttet af Novo Nordisk Fonden med fuld redaktionel frihedGæst: Gry Worre HalbergVært: Denis RivinRedaktør: Brit JensenOptagelser og klip: Brit Jensen Lydmix: Anne ObelMusik: Tim HinmanProducer: Tim HinmanRedaktionel support: Miriam Nielsen, Rebecca Bannor Addae og Liva BlendstrupIllustration: Miriam Nielsen– Hosted on Acast. See acast.com/privacy for more information.

Børsens brand har mindet os om, at arkitekturen er mere end blot stablede mursten. Bygninger står gennem skiftende tider og udgør en form for fælles reference. Men hvordan kommer arkitekturen dertil, hvor vi virkelig sørger over at miste den?  Det spørger Anne Katrine Harders om i dette afsnit af Byen Forfra. Her gæster kultur- og fritidsborgmester Mia Nyegaard (R), og direktør i Arkitektforeningen, Lars Autrup. Sammen med dem diskuterer vi, hvad der skal til for at arkitekturen går over i historien – og om den behøver det?  Byen forfra er optaget til Dansk Arkitektur Centers ugentlige live-event, MorgenDAC, som er for dig, der vil have et nuanceret indblik i byens udvikling og arkitektur. Her samler vi beslutningstagere, branche og borgere til samtaler om de emner, der fylder på dagsordenen og former fremtiden. Podcasten er produceret af Dansk Arkitektur Center, og redigeret af Munck Studios.     

Vi ser nærmere på principperne for den nye bibeloversættelse og får det første fingerpeg om hvilken bibel, vi har i vente. Oplæget holdes af Morten Hørning Jensen, der er faglig leder af NT-oversættelsen for Bibelen 2036. Optagelsen er fra Indre Missions Årsmødefestival den 7. juni 2024.

TV 2-dokumentaren Den sorte svane har i denne uge afsløret, hvordan Over- og Underdanmark mødes i dybt forgrenet økonomisk kriminalitet med hvidvask, skatteunddragelse og svindel som omdrejningspunkt.  Voldsparate rockere og bandemedlemmer har ved hjælp af advokater og andre hjælpere infiltreret samfundets bærende strukturer. Præcis ligesom i Sverige, som journalist Leny Malacinski fortæller i dagens program. Er vores tillidsbaserede, hyggelige danske samfund ved at blive eroderet indefra? Er vi i virkeligheden langt mere korrupte og beskidte, end vi selv tror? Programmet er tilrettelagt og produceret af Marie Louise Vesthardt og Birgit Nissen Pedersen.See omnystudio.com/listener for privacy information.

Kveldens foredrag har tittelen: "Roseslottet: en historie om krig og seier, frihet og fred. - Roseslottet skjer i nåtid" kunstner Vebjørn Sand.Christiania Militære Samfund ble stiftet 1. mars 1825 av en gruppe subalterne offiserer. I 1925 ble navnet endret fra Christiania Militære Samfund til Oslo Militære Samfund (OMS). Samfundet har i dag over 1400 medlemmer. Du kan lese mer om medlemskap og hvordan du søker om dette her .På vår hjemmeside finner du oversikt over kommende arrangementer samt tidligere gjennomførte foredrag og podcaster. Du finner også relevant informasjon knyttet til Oslo Militære Samfund og medlemskap, samt vår stolte historie. Hosted on Acast. See acast.com/privacy for more information.

Kveldens foredrag har tittelen: Nytt lys på General Fleischer, ved professor Tom Kristiansen.Christiania Militære Samfund ble stiftet 1. mars 1825 av en gruppe subalterne offiserer. I 1925 ble navnet endret fra Christiania Militære Samfund til Oslo Militære Samfund (OMS). Samfundet har i dag over 1400 medlemmer. Du kan lese mer om medlemskap og hvordan du søker om dette her .På vår hjemmeside finner du oversikt over kommende arrangementer samt tidligere gjennomførte foredrag og podcaster. Du finner også relevant informasjon knyttet til Oslo Militære Samfund og medlemskap, samt vår stolte historie. Hosted on Acast. See acast.com/privacy for more information.

Kveldens foredrag har tittelen: «Status og utfordringer i Sjøforsvaret», ved kontreadmiral Oliver Berdal, Sjef Sjøforsvaret.Christiania Militære Samfund ble stiftet 1. mars 1825 av en gruppe subalterne offiserer. I 1925 ble navnet endret fra Christiania Militære Samfund til Oslo Militære Samfund (OMS). Samfundet har i dag over 1400 medlemmer. Du kan lese mer om medlemskap og hvordan du søker om dette her .På vår hjemmeside finner du oversikt over kommende arrangementer samt tidligere gjennomførte foredrag og podcaster. Du finner også relevant informasjon knyttet til Oslo Militære Samfund og medlemskap, samt vår stolte historie. Hosted on Acast. See acast.com/privacy for more information.

Nye anbefalinger foreslår, at en passus om “kønsreflekteret praksis” skrives inde i folkeskolens formålsparagraf for at hjælpe drenge, der oftere end piger har problemer i skolen. Men den idé synes undervisningsminister Mattias Tesfaye ikke om. Han mener nemlig ikke, at folkeskolen skal være en kønspolitisk kampplads. Vi spørger ham, om det i så fald ikke er et problem, at den politiske organisation Sex og Samfund - med deres normkritiske agenda - har de facto monopol på seksualundervisning?  Der refereres i programmet til Kristeligt Dagblad: https://www.kristeligt-dagblad.dk/danmark/flydende-koen-og-omskaerings-myter-seksualpolitisk-lobbyorganisation-har-mange-dagsordener  Vært: Astrid Johanne Høg, debatredaktør på B.T. Medvært: Joachim B. Olsen, politisk kommentator på B.T.  Gæst: Mattias Tesfaye (S), undervisningsminister Producer: Teis Zacho og Maria Asmine Dam Programansvarlig: Astrid Johanne Høg Få vært og debatredaktør Astrid Johanne Høgs holdning til dagens emne direkte  i din indbakke ved at skrive dig op til ‘Borgerlig Tabloids' nyhedsbrev lige her: https://www.bt.dk/debat/borgerlig-tabloid-faa-borgerlighed-direkte-i-din-indbakkeSee omnystudio.com/listener for privacy information.

Nye anbefalinger foreslår, at en passus om “kønsreflekteret praksis” skrives inde i folkeskolens formålsparagraf for at hjælpe drenge, der oftere end piger har problemer i skolen. Men den idé synes undervisningsminister Mattias Tesfaye ikke om. Han mener nemlig ikke, at folkeskolen skal være en kønspolitisk kampplads. Vi spørger ham, om det i så fald ikke er et problem, at den politiske organisation Sex og Samfund - med deres normkritiske agenda - har de facto monopol på seksualundervisning?  Der refereres i programmet til Kristeligt Dagblad: https://www.kristeligt-dagblad.dk/danmark/flydende-koen-og-omskaerings-myter-seksualpolitisk-lobbyorganisation-har-mange-dagsordener  Vært: Astrid Johanne Høg, debatredaktør på B.T. Medvært: Joachim B. Olsen, politisk kommentator på B.T.  Gæst: Mattias Tesfaye (S), undervisningsminister Producer: Teis Zacho og Maria Asmine Dam Programansvarlig: Astrid Johanne Høg Få vært og debatredaktør Astrid Johanne Høgs holdning til dagens emne direkte  i din indbakke ved at skrive dig op til ‘Borgerlig Tabloids' nyhedsbrev lige her: https://www.bt.dk/debat/borgerlig-tabloid-faa-borgerlighed-direkte-i-din-indbakkeSee omnystudio.com/listener for privacy information.

Nye anbefalinger foreslår, at en passus om “kønsreflekteret praksis” skrives inde i folkeskolens formålsparagraf for at hjælpe drenge, der oftere end piger har problemer i skolen. Men den idé synes undervisningsminister Mattias Tesfaye ikke om. Han mener nemlig ikke, at folkeskolen skal være en kønspolitisk kampplads. Vi spørger ham, om det i så fald ikke er et problem, at den politiske organisation Sex og Samfund - med deres normkritiske agenda - har de facto monopol på seksualundervisning?  Der refereres i programmet til Kristeligt Dagblad: https://www.kristeligt-dagblad.dk/danmark/flydende-koen-og-omskaerings-myter-seksualpolitisk-lobbyorganisation-har-mange-dagsordener  Vært: Astrid Johanne Høg, debatredaktør på B.T. Medvært: Joachim B. Olsen, politisk kommentator på B.T.  Gæst: Mattias Tesfaye (S), undervisningsminister Producer: Teis Zacho og Maria Asmine Dam Programansvarlig: Astrid Johanne Høg Få vært og debatredaktør Astrid Johanne Høgs holdning til dagens emne direkte  i din indbakke ved at skrive dig op til ‘Borgerlig Tabloids' nyhedsbrev lige her: https://www.bt.dk/debat/borgerlig-tabloid-faa-borgerlighed-direkte-i-din-indbakkeSee omnystudio.com/listener for privacy information.

Kveldens foredrag har tittelen: "Russlands krig mot Ukraina. Status etter vinterens operasjoner", ved generalløytnant (p) Arne Bård Dalhaug.Christiania Militære Samfund ble stiftet 1. mars 1825 av en gruppe subalterne offiserer. I 1925 ble navnet endret fra Christiania Militære Samfund til Oslo Militære Samfund (OMS). Samfundet har i dag over 1400 medlemmer. Du kan lese mer om medlemskap og hvordan du søker om dette her .På vår hjemmeside finner du oversikt over kommende arrangementer samt tidligere gjennomførte foredrag og podcaster. Du finner også relevant informasjon knyttet til Oslo Militære Samfund og medlemskap, samt vår stolte historie. Hosted on Acast. See acast.com/privacy for more information.

Foto: Kim Vadskær  Angst er udbredt både hos børn, unge og voksne. Jeg taler som regel om angst hos voksne, da stress og angst hos voksne er mit eget speciale. Jeg bliver dog ofte spurgt om angst hos børn og unge. Derfor har jeg inviteret en erfaren og dygtig kollega til en snak om, hvordan man som forælder kan forholde sig, hvis man har et barn eller en ung med angst. Jeg har længe kendt Marie Tolstrup på afstand og har fulgt hendes arbejde på sidelinjen. Det er ofte Marie og hendes psykologpraksis, jeg henviser til, når jeg bliver spurgt om god psykologbehandling til børn med angst. Det var en stor fornøjelse endelig at møde Marie. Jeg oplevede, at det jeg mærker på afstand - at Marie er en varm, kompetent og skøn psykolog - også viste sig at være tilfældet i virkeligheden. Lyt med her, hvor Marie Tolstrup fortæller om de forskellige typer af angst, og hvordan vi kan arbejde med dem både som forældre og i klinikken Marie Tolstrup er uddannet cand.psych. i 2004. Hun er autoriseret af Psykolognævnet og er specialist og supervisor i psykoterapi med børn og unge. Maries fokus er især angstlidelser og OCD hos børn og unge. Marie var en del af Dansk Psykolog Forenings Corona-ekspertpanel, og er også en del af Dansk Psykolog Forenings Ukraine Beredskabspanel. Marie er medforfatter på flere forskningsartikler og bøger. Hun er stifter og medejer af forskningsenheden MODIG, som pt. har fokus på forældreudbrændthed i Danmark. Og sidst, men ikke mindst, så er hun indehaver af Psykolog Marie Tolstrup - Børne- og Ungepsykologisk Praksis i København. Lyt til samtalen herunder, hvor vi bla. kommer ind på: Maries vej til psykologfaget, en særligt inspirerende gymnasielærer og hvordan hendes uddannelse og arbejde i udlandet har givet et særligt perspektiv på psykologien. Hvor udbredt er angst, relaterede lidelser og mistrivsel generelt og hvad Marie ser som hovedårsagen. Hvordan angst kommer til udtryk hos børn og unge (vi gennemgår generaliseret angst, separationsangst, social angst og fobisk angst). Hvordan angst nogle gange kan være tegn på underliggende autisme eller ADHD. Hvorfor OCD adskiller sig fra de andre angstlidelser (og snart ikke hører under samme kategori i diagnosemanualen). Vi taler om forskellen på kognitiv adfærdsterapi og metakognitiv terapi, og hvornår disse tilgange er relevante eller ikke er relevante. Frygten forældre kan have for at være besværlige, og at vi derfor ofte forsøger at klare tingene på egen hånd alt for længe. Hvad du som forælder kan gøre, når du har et barn med angst, og hvorfor det vigtigste er at bede om hjælp. Og andre gode ting! Tjek også disse episoder ud, som måske kan inspirerede Sorg i det særlige forældreskab – hvordan regulering af følelser kan mindske stress Kis Laursen om stress pga. børn, der kræver noget særligt Charlotte Runge om at give dit barn indre ro

Flere danskere vælger bevidst ikke at få børn. Den lave fødselsrate kan ende med at få store konsekvenser for velfærdsstaten, men skylder vi ligefrem samfundet at få flere børn? Vi tager debatten i dagens program, hvor vi også spørger, om det skal være tilladt at bære religiøse symboler, eksempelvis et tørklæde, i Forsvaret. Medvirkende: Steen Holm Iversen, sektionsleder i Forsvaret og 2. viceborgmester for de Konservative i Varde Kommune. Christian Friis-Bach, forsvarsordfører for Radikale Venstre. Peter Have, forsvarsordfører for Moderaterne. Lene Kühle, professor ved Institut for Kultur og Samfund ved Aarhus Universitet. Agnes Vesth, journalist og skaber af podcasten "Aldrig Mor". Peter Fallesen, forskningsprofessor i Rockwool Fondens Forskningsenhed. Rune Lindahl, professor i epidemiologi og demografi på Syddansk Universitet. See omnystudio.com/listener for privacy information.

Sådan reagerer forpersonen for Adoption og Samfund på, at Reporterne i dag kan afsløre, at ministeren på et lukket møde i Social-, Bolig- og Ældreministeret udtrykte et ønske om at “lukke al international adoption”. Det bekræfter flere kilder, som var til stede til mødet, som blev afholdt tilbage i februar 2023. Har socialministeren i lang tid haft et ønske om, at lukke for al international adoption i Danmark? Gæster: Michael Paaske, forperson i Adoption og SamfundKarina Adsbøl, familieordfører Danmarks DemokraterneTilrettelægger: Mollie FengerNiels Frederik Rickers Vært: Niels Frederik RickersProducer: Mollie FengerRedaktør: Mille Ørsted

Nationalbankens halvårlige pressemøde den 20. marts 2024 tog traditionen tro udgangspunkt i en analyse om udsigterne for dansk økonomi samt monetære og finansielle tendenser. I denne podcast er Alexander Meldgaard Otte, seniorøkonom i Nationalbanken og medforfatter til sidstnævnte analyse, i studiet til en snak om, hvordan det går med renterne, pengepolitikken og centralbankernes udsigter.

Advarsel! Efter dagens program vil du ikke kunne lade være med at nynne dine yndlings-børnesange. For af en eller anden grund så hænger den musik, vi hørte, da vi var børn stadigvæk fat i os som voksne. Men hvad er det som børnesange kan - og kan man tale om, at den danske tradition med at lave sange for de yngste er noget ganske særligt? I dag er Kraniebrud taget til Historiske Dage for at få et gensyn med tonerne fra vores barndom og undersøge den næsten 100 år lange tradition for at lave skøre, vrøvlende, fjollede og gode børnesange herhjemme. Medvirkende: Esben Strunk, musikjournalist, Iben Wurbs, skuespiller og Helle Strandgaard Jensen, lektor i samtidskulturhistorie på Institut for Kultur og Samfund, Aarhus Universitet. Vært: Peter LøhdeSee omnystudio.com/listener for privacy information.

DNA-undersøgelser viser at danskernes genetik og kulturarv bl.a. stammer fra en migration for godt 5000 år siden. Migranterne, der i dag kendes som de snorekeramiske grupper, var folk fra det nuværende Ukraine og sydvestlige Rusland, der blandede sig kulturelt og genetisk. Gennem analyser af forhistoriske genomer kan forskerne nu påvise, at de bevægede sig ind i Central- og Nordeuropa og op til det, der i dag er Danmark. Hvad betyder det her fund? Og hvordan kan forskernes nye indsigter gøre os klogere på os selv og vores tid - men måske også endda på fremtiden og kommende migrationer? Medvirkende: Niels Nørkjær Johannsen, lektor i arkæologi ved Institut for Kultur og Samfund på Aarhus Universitet. Vært: Emma Elisabeth Holtet See omnystudio.com/listener for privacy information.

Man melder sig ud af det gode selskab ved at udtrykke mistillid til systemet. Det lugter af konspirationsteori, men mosteren har problemer med at tro på myndighederne. Hvorfor forbyder vi ikke reklamer for pengespil, når vi har næsten en halv million ludomaner? Følg pengene. Spilreklamer og sponsorater giver os billigere tv-pakker og stadionbilletter. Og sådan er det hele vejen igennem. Vi gennemgår en række eksempler, hvor vi skal være på vagt. 

Dette er 2. del af min samtale om ADHD med Charlotte Heje Haase i 'Skab Dig'. Har du endnu ikke hørt del 1 - så gå tilbage og hør det først. I dette afsnit sætter vi spot på både ADHD's styrker og udfordringer, men også ens syn på sig selv og fra omverdenens side. Hør Charlottes personlige podcast 'Skab Dig' (denne sæson om AHD) her: https://podcasts.apple.com/dk/podcast/skab-dig/id1534702515Her kan du finde Charlotte Heje Haases blog om sin ADHD rejse. Skriv dig på maillisten og hør, når der er nyt om emnet:www.harjegadhd.dkHer er Charlottes shownotes fra det oprindelige afsnit: “Vi med ADHD er ikke syge - vi er en neuropsykologisk minoritet”, udtaler Cleoh i denne episode.Hun ønsker, at vi tager sygdomsbilledet væk fra ADHD, og det rammer lige i Charlottes hjerte og tårekanal.Cleoh understreger, at vores måde at tænke på er anderledes end flertallet, men vi er helt rigtige som vi er, OG vi har udfordringer i forhold til de krav og forventninger, der stilles i dagens Danmark. Tak for denne vigtige påmindelse. Dette er anden del af Charlotte Heje Haases samtale med klinisk psykolog, ekspert i traumer, self-compassion og selvværd Cleoh Søndergaard. Lyt også til den første del om Cleohs personlige rejse og hendes største blinde vinkel - sin egen ADHD.I denne episode ser vi på fordelene ved ADHD - giver det os nogle gaver? Men vi ser også ærligt på udfordringerne, og Cleoh guider til at eje og tage ansvar for vores ADHD, selvom den er besværlig.Hvis du også er kvinde og midt i livet, før du har fået mistanke om ADHD/ en ADHD diagnose, så er du også mester i at maskere og begå dig neurotypisk i verden. Og det har tjent dig godt. Men måske er du nu også udmattet - og træt af den selvkritiske indre snak eller at gemme dig selv væk og kamuflere. Så lyt med her! Hør mere om: ✔️ At maskere fordi det har haft en funktion. ✔️ Frygten for hvad andre folk vil tænke, hvis vi viser eller mærker hele os.✔️ At anerkende og tage sine udfordringer seriøst. ✔️ At give slip på overansvar og ikke over-undskylde eller forklare✔️ Den befriende humor ✔️ At lave strategier✔️ At have helt unikke evner også. Links:Hør Charlottes personlige podcast 'Skab Dig' (denne sæson om AHD) her: https://podcasts.apple.com/dk/podcast/skab-dig/id1534702515Her kan du finde Charlotte Heje Haases blog om sin ADHD rejse:www.harjegadhd.dkInnervention - Cleoh Søndergaards psykologihus og arbejde:https://innervention.dk/Hvorfor gik du ikke bare? Podcast om psykisk vold:https://cleoh.dk/hvorfor-gik-du-ikke-bare/

Mellemøstforsker: Vi har et medansvar for at bremse Israel. "Børnemorder" og "FolkemordsMette": Socialdemokratiet reagerer på beskyldningerne. Mystik om betonkar: Nordic Waste smed flyveaske og restprodukter fra et jernstøberi sammen med PFOS. USA vil have whistlebloweren Julian Assange udleveret. Det Jødiske Samfund har registreret rekord mange antisemitiske hændelser i 2023. Værter: Kasper Harboe & Michael Robak.See omnystudio.com/listener for privacy information.

Danish International Adoption, DIA, er stoppet med at formidle adoptioner fra udlandet til Danmark efter socialministeriet har besluttet at suspendere adoption fra de sidste 5 lande, som DIA samarbejdede med. Dette gør det i praksis umuligt for danskere at adoptere børn fra udlandet. Vi spørger i dagens P1 Debat: Bør Danmark sætte en permanent stopper for international adoption? Er international adoption en redning for mange barnløse forældre og udsatte børn i fattige lande eller lugter konceptet, efter flere skandaler, af menneskehandel og white savior complex? Og bør man så få igangsat en uvildig og juridisk undersøgelse? Gæster: Michael Paaske, Formand, Adoption & Samfund. Niels Peder Ravn, Medlem af Borgerrepræsentationen (K). Camilla Fabricius, socialordfører (S). Aniella Bonnichsen, forfatter til bogen: Mit barn - hvor er du? Netra Sommer, adopteret fra Indien og kendt fra dokumentar. Thomas Lerche, Danish Korean Rights Group. Chamila Bjerregaard Nielsen Sten, adopteret fra Sri Lanka Chefrådgiver. Vært: Cecilie Lange.

Danmarksdemokraterne langer ud efter SF. Det Jødiske Samfund i Danmark mener, at fejringen af Hanukkah er særlig vigtig i år. Luftvejssygdomme stiger markant. Styrelse undersøger sag om “belastende” video med folketingsmedlem. Smørkrigen er i gang. Værter: Michael Robak & Mette Vibe UtzonSee omnystudio.com/listener for privacy information.

(00:55) Forsøger EDC at lægge låg på omfattende hackerangreb?Ejendomsmæglerkæden EDC har været ramt af et omfattende russisk hackerangreb, så følsomme oplysninger fra kunderne nu ligger frit tilgængeligt på nettet. EDC siger selv, at kunderne ikke skal bekymre sig, selv om eksperter kalder angrebet alvorligt. Forsøger EDC at lægge låg på sagen?(21:00) Nu skal vi vinke farvel til tusindlappenNationalbanken har besluttet at afskaffe den største pengeseddel i danske kroner, nemlig 1.000-kr.-sedlen. Er det endnu et skridt mod det kontantløse samfund?(31:15) Diabetesforeningen blev forlovet med Krifa. Få dage efter var det slutEfter blot fire dage har Diabetesforeningen droppet et samarbejde med Krifa. Diabetesforeningen frygter, at de bliver set som »politiske« på grund af samarbejdet. Hvorfor må en patientforening ikke samarbejde med en af de såkaldte gule fagforeninger?(43:00) Kåring af ugens optur og nedturI studiet: Direktør i Axcelfuture Joachim Sperling, adm. direktør i IT-Branchen Natasha Friis Saxberg, kommunikationsrådgiver Anders Heide Mortensen og nyhedsredaktør Rasmus Bendtsen.Teknik: Kasper Søegaard.

Efter års venten er dagen kommet hvor de tidligere anbragte i sær- og åndssvageforsorgen, der har været udsat for svigt og overgreb, får en undskyldning fra Social- og boligminister Pernille Rosenkrantz-Theil (S). Historieprofessor på Institut for Politik og Samfund på Aalborg Universitet, Poul Duedahl, fortæller om den historiske udredning, der danner baggrund for ministerens undskyldning. I de her uger har vi på forskellige måder fokus på, hvad regeringens lovforslag om koranafbrændinger betyder for kunsten og ytringsfriheden. Derfor taler vi i dag med kunstnerne Jens Haaning og Jens Galschiøt om, hvordan det er at være en udøvende kunstner under pres. Værter: Jesper Dein og Linnea Albinus Lande.

Corydon & Co. er tilbage efter sommerferien og starter med en af sommerens største politiske debatter, nemlig forslaget om privat opsparing til velfærdsservice i alderdommen. Forslaget kommer fra Socialdemokratiets politiske ordfører Christian Rabjerg og har skabt stor debat – også internt i partiet. Børsens chefredaktør, Bjarne Corydon, og Børsens økonomiske redaktør og cheføkonom, Steen Bocian, forsøger at skære igennem den retoriske tåge og se på, hvilken betydning en opsparingsmodel kan have for ulighed, skat og velfærdssystemet.

For et halvt år siden var Danmark på vej i krise. Vi måtte af med Store Bededag. Nu bruger man fem milliarder kr. på sundhedsvæsnet, samtidig med at statskassen fortsat bugner af penge. Og det er jo et problem for SVM, der blev dannet som en kriseregering. Det og meget andet i ugen, der gik i dansk politik, taler vi om, mens vi forsøger at uddele Ugens Fidusbamse til en værdig modtager.De Grønnes dansk-talende leder Robert Habeck, ser ud til at være i krise. Analyse af seneste udvikling i tysk politik af Siegfried Matlok, tidligere chefredaktør for Der Nordschleswiger.Abortspørgsmålet rører på sig igen her 50 år efter, at den frie abort blev indført i Danmark. Denne gang går diskussionen ud på, om man, som Enhedslisten og organisationen Sex og Samfund foreslår, bør hæve grænsen fra at kunne få abort fra 12. uge som i dag til i fremtiden fra 22. uge. Debat mellem Rosa Eriksen, Socialordfører for Moderaterne, der vil hæve grænsen til 18. uge og Mette Abildgaard familieordfører for Konservative, der ønsker at bevare abortgrænsen.See omnystudio.com/listener for privacy information.

Er den nye samtykkelov vigtig for kvinder og farlig for mænd? Er retssikkerheden på spil? Og skal stealthing - at rive kondomet af under samleje - skrives ind i loven? Du kan blande dig i debatten ved at ringe ind fra 12:15-13:30 på 7021 1919. Medvirkende: Julie Stage advokat, Eva Smith tidl juraprofessor, Mikael Sjøberg formand Dommerforeningen, Eva Aagaard medstifter af voldtægtsofres vilkår, Lene Stavngaard national chef Sex og Samfund, Marianne Stidsen forfatter, Rosa Lund (Ø) retsordfører, Steffen Larsen (LA) retsordfører. Vært: Gitte Hansen.

Sø- og Handelsretten har i dag dømt ernæringseksperten Christian Bitz og virksomheden F & H til at betale en millionstor erstatning til keramikeren Kasper Würtz. Erstatningen skal betales for krænkelse af ophavsretten. Hos Forbundet Arkitekter og Designere har de fulgt sagen tæt, og vi giver en vurdering af dommens betydning fremadrettet. Børnebogen 'Den magiske lænestol' handler om Oda, der lige så stille begynder at finde nydelse i at sidde på armlænet i den lænestol, der står inde i familiens stue. Hun gnubber sig op ad stolen, indtil "magien kommer, og hun bliver varm og slap over hele kroppen." Men skal vi tale om 'onani' med vores børn helt ned til 4-års alderen? Bogens forfatter Jacinta Madsen, Pernille Ane Egebæk, pædagogisk konsulent ved Sex & Samfund og sexolog Christian Graugaard fra Aalborg Universitet tager debatten. Værter: Tore Leifer og Karen Secher.

Anders Kjærulff, journalist, privatlivsaktivist, bevarkontanter.dk; Birgitte Arent Eiriksson, Vicedirektør, Justitia; Philip, tidligere hjemløs + hund; Jesper Olsen, Transparency International; Peter Schleidt, direktør, Jyske bank; Jeppe Møller-Herskind, kommerciel direktør, HORESTA, Jens-Kristian Lütken, beskæftigelses- og integrationsborgmester. Vært: Thomas Tjaerandsen. Lytterne er velkomne til at komme med indspark til debatten på telefon 7021 1919. www.dr.dk/p1debat

I dette afsnit taler jeg med ekspert i feminin ledelse, Louise Walther. Louise fortæller om, hvad feminine værdier og feminin ledelse er, og om hvorfor det er vigtigt, at vi kender til (og praktiserer) feminin ledelse i et samfund, der domineres af maskuline værdier. Det skal nævnes, at feminine værdier ikke kun hører hjemme hos kvinder og maskuline værdier ikke kun hører hjemme hos mænd. Alle (køn) kan have og leve efter både feminine og maskuline værdier. Og vi bør finde en balance imellem de to. I afsnittet kommer vi bl.a. ind på:Hvad feminine værdier og feminin ledelse er.Hvorfor det er problematisk, at samfundet domineres af maskuline værdier.Hvordan alle kan og bør praktisere mere feminin ledelse.Hvorfor feminin ledelse kan gøre os gladere, friere og sundere.... og meget mere.Vil du gerne støtte podcasten her? Det kan du gøre ved at dele på sociale medier, at du lytter/følger med og tag'e @MindCareCollective.Du kan også støtte podcasten ved at donere et valgfrit beløb via Mind Care Collectives MobilePay: 155503.Musik: Max Ulver Hosted on Acast. See acast.com/privacy for more information.

Samtalen tager udgangspunkt i Stefans nye bog Danish Capitalism in the 20th Century: A Business History of an Innovistic Mixed Economy, som netop er udkommet på det anerkendte videnskabelige forlag Palgrave Macmillan. Bogen forklarer Danmarks særegne økonomiske udvikling for et udenlandsk publikum. Stefan er Ph.d. i Økonomi ved Institut for Strategi og Innovation ved CBS og arbejder som uddannelsesleder i CEPOS, hvor han blandt andet står for CEPOS Akademi, der uddanner ca. 50 unge studerende hvert år. Han underviser desuden ca. 3.000 gymnasieelever om året. Kontakt til podcastvært Martin Ågerup: martin@cepos.dk  Optaget d. 19. november 2022.  Links: Link til Undervisningsbogen Borger & Stat: https://www.borgerstat.dk/ Link til økonomi-podcasten EconRoots:https://feeds.captivate.fm/econroots/Link til information om CEPOS Akademiet:https://cepos.dk/undervisning/cepos-akademi/Link tilden omtalte bog: Danish Capitalism in the20th Century: A Business History of an Innovistic Mixed Economy:https://www.saxo.com/dk/danish-capitalism-in-the-20th-century-a-business-history-of-an-innovistic-mixed-economy_bog_9783031042683

Den 4. oktober fejrede RumSnak både 65-året for opsendelsen af Sputnik 1 og 2022-udgaven af den globale Space Week-festival. Vi gjorde de to begivenheder til en slags anledning til at tage temperaturen på den danske rumbranche 2022. RumSnak er jo et projekt som forsøger at omfavne hele RumDanmark. Vores tagline lyder jo noget i retning af, at vi er “...en podcast om rumnationen Danmark, og ser på de danske rumaktiviteter indenfor både forskning og forretning.” Hertil kan vi så nemt tilføje teknologi, så det hedder “...inden for både forskning, teknologi og forretning…” – for rumbranchen i dag er afgjort en kombination af alle tre områder. Derfor har vi også delt vores uofficielle status op i tre dele, med tre gæster til at fortælle mere om hhv. videnskaben, teknologien og den benhårde business i Rumnationen Danmark. De tre gæster er Hans Kjeldsen fra Aarhus Universitet, Henning Skriver fra DTU Space, og Richard B. Larsen fra Dansk Industri. Optagelsen skulle have været transmitteret live på YouTube, men på grund af tekniske problemer endte med "kun" at blive optaget til podcasten. Det var selvfølgelig ærgerligt ikke at have folk til at se med på de ægte levende billeder, men vi håber at det også bliver spændende "bare" at lytte til

In this ASCO Education episode moderated by Dr. Rami Manochakian (Mayo Clinic), two-time cancer survivor and patient advocate Ms. Samantha Watson and medical oncologist Dr. Lidia Schapira (Stanford) discuss the multifaceted impact of high cancer care cost on patients and survivors. They also review communication strategies and resources oncology providers can offer to help alleviate financial toxicity. If you liked this episode, please subscribe. Learn more at education.asco.org, or email us at education@asco.org.   TRANSCRIPT Dr. Rami Manochakian: Hello, and welcome to the ASCO Education Podcast Series. My name is Dr. Rami Manochakian. I'm a thoracic medical oncologist at the Mayo Clinic in Jacksonville, Florida. As today's host, I'll be moderating a discussion on what I believe is a very important topic when it comes to cancer care and its financial toxicity. I am very excited to have two wonderful guest speakers who are joining us today. Dr. Lidia Schapira, who's a medical oncologist with a focus and specialty in breast cancer and cancer survivorship. She's a professor of medicine and oncology and director of the Cancer Survivorship Program at Stanford University. We also have with us, Miss Samantha Watson. She's a two-time cancer survivor, patient advocate, and Managing Director of Stewardship at Expect Miracles Foundation, which is an organization dedicated to providing emotional and financial assistance to people with cancer. It's a pleasure to have you both with us today. Samantha Watson: Thank you so much for the opportunity. Dr. Rami Manochakian: Miss Watson, I'm going to start with you. Your story that I got to learn about is very inspiring. You had cancer twice as a young adult. You've gone through a lot. Can you tell us what was it like to go through that journey with two cancers, and a lot of treatments? Also, during that journey, definitely, you must have experienced a lot of financial and other social challenges. I'd like to hear more about that, please. Samantha Watson: So, I was a senior in college, and I'd had recurring knee pain that nobody could really diagnose for any reason. And it would come and go throughout my years of college. And finally, when I was a senior in college, I had extensive testing and they found Ewing sarcoma, which I had never heard of. My mom actually was an oncology nurse at Memorial Sloan Kettering. And so, I don't think it was on anybody's radar screen, but she understood the language way better than I did. What I came to learn was that Ewing sarcoma was typically diagnosed in boys under 20. And I was female and 21 at that time, and it was diagnosed about 300 times a year. So, I had no frame of reference for this. I had been around Sloan Kettering when I was a kid because my mom worked there, but I didn't know what it meant. I didn't know what cancer felt like. And I certainly did not know anybody else who had gone through it. But at that age and life stage, I was getting ready for my future. I was looking forward to graduating from college, I was looking forward to living on my own and everything stood still. So, the cancer was in my leg. When I was diagnosed, I went through nine months of high-dose chemotherapy. I went through a 12-hour surgery. I had to relearn how to walk and did a lot of PT. In that time, my friends graduated and they started moving forward and they started creating their lives. And I sat back and watched. I spent about four months at home after my treatment for Ewing's and I did my physical therapy. And I tried to figure out where to place cancer in my life as a young adult. And I went back to school and I had one semester left and I started to catch every cold that went around and strep. Just everything that goes around a college campus, I was constantly down and my doctors kept saying, ‘Don't worry, your immune system just has been devastated by this chemo and you just need time to recover.' The day before my 23rd birthday, they did a bone marrow biopsy and found that I had Myelodysplastic syndrome, which was a very early form of leukemia. And a month before I graduated from college, I was told that I needed a bone marrow transplant. Thankfully, because the search was long, and did not really involve me as a patient, I was able to go back to school and graduate from college. I sort of closed that chapter and had a bone marrow transplant about three months later in August of 2001. And so, again, I was stuck in the hospital for months and months and months, watching all of my friends, again, graduate, go forward, get their jobs, and go on dates. And I sat back and watched and so my recovery, the second time, was very different because when I was freed from the hospital and able to sort of take my steps forward, I didn't really have anywhere to go. I had already graduated from school, I had not yet started working, and I have a very, very wonderful network of support from friends and family. But I wasn't really sure who I was and what I wanted to do. So, to make a long story a little bit shorter. I started working for a nonprofit organization feeling like there was something more I was supposed to be doing. One of the things I started to become aware of, in my own survivorship experience, was that the aftermath was really hard. And it was uniquely challenging as a young adult without very much financial stability, or no experience, really in the healthcare system on my own. But also, I didn't have any peers. Everyone that I had gone through treatment with had passed away with the exception of me being one person. So, I didn't have anyone to ask about this issue of young adult cancer and how to get my self-esteem back when I looked and felt different. And as I was sort of navigating these things, I got a bill in the mail for $275,000, which is an absurd number, anytime. But as a 24-year-old, who didn't really have any money in the bank. I mean, that was just completely impossible. Dr. Rami Manochakian: Absolutely. Wow! Samantha Watson: Yeah! So, very, fortunately, again, my mom was my best advocate. She spent two years fighting that bill, but I started to put the pieces together and realize that not only is survivorship hard, but it's financially challenging when you're on your own. And so, I put those two pieces together and created an organization called the Samfund to provide financial support to young adults once treatment has finished because what I kept hearing was that we all share this experience of feeling like we got pushed off a cliff. And then they threw all sorts of bills on top of us while we were down there. Dr. Rami Manochakian: Wow! Thank you. We're so glad you're with us after this many years. And you're doing well. That's wonderful, but definitely, I think what you've experienced on the other side, is what's after treatments. Dr. Schapira, we hear that term a lot, we as treating physicians, what does it mean to have financial toxicity and to go through it? Dr. Lidia Schapira: Well, first of all, I do think that Sam's story is so inspiring, and really illustrates what the lived experience is for so many people treated for and living with and beyond cancer. I think of financial toxicity as sort of an umbrella term that refers to the harm caused by the cost of receiving treatment for cancer. And the way that people are penalized with all of these bills that reflect a really difficult and broken healthcare system. I think of it in terms of the pain and suffering in a way caused by the burden of cost. So, there can be material aspects, such as new debt accumulation, selling or refinancing a home, a decline in income, having to take loans to pay for cancer treatments, and even bankruptcy. But there can also be psychological aspects, such as worrying about paying for treatment and being distressed. And there can be behavioral aspects, such as avoiding care or skipping doses of medications to save money. That is a story that we also hear as cancer clinicians. Dr. Rami Manochakian: Absolutely. I think you mentioned it, and I couldn't agree more with the burden. I mean, the patients have so much to worry about, the patients and the caregivers, about their journey, fighting cancer, going through treatment, and then adding that extra burden and worrying about day-to-day life, their kids, and their future. Definitely, that's a lot. Miss Watson, with you with the society or the organization that you're leading, you're getting a lot of calls from a lot of patients who need help. How are we doing in the last decade or so in this field, in this aspect? Samantha Watson: On the one hand, I take it as a very promising sign that we're talking about it, because when I got that $275,000 bill in the mail, if my mom had not been a nurse and known that system enough to navigate the appeals process and all of that, I would still be paying that bill off, if I hadn't already declared bankruptcy. Nobody was talking about it back then. Financial toxicity was not a term that anyone brought it. Nobody talked to us about our bills. So, I do think that conversations like this, and many others like it are very hopeful signs that we are headed in a good direction. That said, the costs are only getting higher and the economy is only getting harder, and I think we're starting to see the many ways in which this plays out for anyone who's touched by cancer. At the Samfund, we were focused on the young adult population. Two and a half years ago, we merged with an organization called Expect Miracles Foundation, and we still provide Samfund grants to young adults. But we also provide funding for innovative cancer research and hear from thousands of people every year who are diagnosed with all sorts of cancer diagnoses at all ages. One of the things that have become very clear to me is that young adults face financial toxicity in a unique way because they have a lot of things stacked on top of each other given their age and their life stage. But the issues really aren't unique to young adults at all. I think what we have seen is that financial toxicity affects essentially anybody who is diagnosed with cancer and/or as you said, is that the caregiver or family member and is directly impacted in that way too. So, I think, on the one hand, the problem is getting worse, but I do think it's hopeful that we're getting closer to finding solutions and at least a willingness to talk about this. Dr. Rami Manochakian: Thank you! Dr. Schapira, we live in an era of hope for patients with cancer. The number of drugs, the number of procedures or advancements in science, the research, and education really are great, and we're helping many patients live better and live longer. But that's of course, coming at a cost. I'm a lung cancer specialist. Half of our patients now with advanced cancer have their cancer harbor mutation that we prescribe some great treatments, very effective, but very expensive bills. I think when we talk about financial toxicity, there are so many aspects, there are the drugs, the pills, the infusion, the scan, and employment, can I keep up my bills? What can you tell us about the different aspects of financial toxicity? Dr. Lidia Schapira: As you say a lot of innovation is associated with a high price tag, and rising healthcare costs are being increasingly offloaded to patients by ways of rising premiums and out-of-pocket costs. So, when you talk about targeted treatments that bring a lot of hope, we also have to remember that with a rising number of prescriptions, some of the drug plans have tiered formularies, where expensive specialty drugs typically fall into the highest tier. And so, patients are often responsible for a percentage of the total cost of the drug, as opposed to a fixed co-payment. So, if we get more granular about this, we can say some of these drugs may cost in excess of $10,000 a month and are covered through some of these outpatient prescriptions as part of a health insurance plan. But in such cases, a patient who has a tiered formulary that requires a 20% coinsurance for a $10,000 oral cancer drug may have an out-of-pocket cost of about $2,000 a month. I'm just putting some figures to this because these numbers are very hard to manage for so many of our patients, and we're all in a bind. We all want this to be different. But this is the reality that we as oncology clinicians, and our patients and families face every day. Dr. Rami Manochakian: Absolutely. Thank you. We want and the patient wants the most effective treatment, regardless of cost. But then how can we integrate that into our shared treatment decision planning or making? Samantha Watson: I do think that there are things that we can do, I think it's really important to recognize that this is the responsibility of a group. It is not just a provider's responsibility to bring it up, because then as Dr. Schapira was saying, you have to know the details of every individual patient's insurance situation, and income situation, there are just so many variables that can affect people. And it's unreasonable to expect any one oncologist to keep track of all of that. So, as a patient, I recognize how big that ask is. At the same time on the patient side, I think it's one of these situations where patients don't know what we don't know. And as someone who is diagnosed with cancer, especially at an age when I have never had to advocate for myself before, I wouldn't have even known what questions to ask, I think when your doctor says, here's the drug I'm prescribing, you take it. And I think that even now, with all of the research that's been done, and all of the focus on financial toxicity, still most patients' inclination is to trust their doctor and not ask, is there a more affordable option, because there's still this perception, as you said that the most effective treatment is also the most expensive and nobody wants to sacrifice their chances of survival to save money. And so, I think in the end, this is a group discussion. I think there need to be financial navigators or patient navigators, if they are available to the patient. I also think that patients, caregivers, partners, parents, children sometimes, depending, can also be part of that conversation because, in everything that I have learned in the last 20-plus years, I still think that had someone tried to talk to me about my bills too early, I probably would have tuned it out. But that's not to say those conversations aren't important and sometimes somebody else in the room who can hear it better. And so, I think if this is a collaborative effort on the part of patients and providers and family members, and other professionals within the hospital, then absolutely it should play a part because there may be other ways to either manage the high cost of treatment or lower the cost altogether. And sometimes it requires getting creative, knowing if somebody is going to need to take time off work for these treatments or to deal with the side effects that could have a devastating effect because, in the end, financial toxicity isn't just about the cost of treatment. It's about the full financial impact with many moving parts and employment is one of them. So, I think it's really important also that this is an ongoing conversation, this is not a one-time conversation and people's situations change, and the ability to hear, and process information changes depending on where the patient is and how they're feeling on that day. And so, I think this is certainly an ongoing effort, but also has to include more people than just the provider and the patient alone. Dr. Rami Manochakian: I love it! I couldn't agree more. Here is a caveat or challenge, which I'm going to ask Dr. Schapira. As an oncologist. I couldn't agree more with what you're saying, but I don't know and maybe a majority of oncologists, Dr. Schapira, we don't know a lot about the cost, at least upfront, we know the drug is cost like this, or the scan or what's going to happen, but an individual, we don't know what's the patient insurance plan. I feel sometimes that I'm not able or equipped to discuss the cost of care up front. And that sometimes could create friction, because maybe we owe it to our patients to discuss. So, what do we do as oncologists or as oncology healthcare providers as a team? Dr. Lidia Schapira: You ask a wonderful, multifaceted question. So, the first thing I would say, and what I've spent my entire career doing is we need to be empathic listeners. And we need to create a safe space in our consultation and exam rooms so people can tell us what's on their mind. So, we may not be able to fix it but we need to be able to talk about this, if it is burdening our patient, just as we talk about any other toxic effect of the diagnosis and treatment. That's one thing we can do. We can do that by routinizing the conversation by asking at multiple points when somebody is ready, or before they're ready, perhaps talking to somebody in the family, we need to be thinking about it. But I think that it's complicated for us too because we are also stakeholders and we also are committed to treating patients with beneficence and advocating for justice, and we see all the harm that's been caused by the system where all of these burdens are placed on people at their most vulnerable time. And we all think it's not particularly fair. So, I think that part of the conflict for us is that we feel we could do more for each patient. We feel we would like to do more collectively for all of the patients under our care and the care of our colleagues. So, I think that part of that sensation, a feeling that we don't have sufficient power to fix it, may get in the way of us really collaborating in an open and empathic way with our patients who are experiencing these issues every day. We can think about what tests we order. We can think about the co-payments for the imaging tests. We can think about talking about whether or not they can afford those ancillary medications that we prescribe with great intentions to make their life more bearable. So, there's a lot we can do. There's a lot we can do. I think we need to support each other. We need to link arms and advocate together for a more just system, but we can't not do anything about it. Dr. Rami Manochakian: Thank you. This is, I think, very important. It really struck me when you say, look, even if we don't know, well, we're going to talk later on about resources and referring patients. But I do think that patients would like to see their oncologist or hear their oncologist or their treatment providers, or caring providers bring up the cost. I think just like we asked them about their side effects and about how are you doing and what's happening and quality of life. I think bringing that up, making them feel that we are with them on this journey, even in these details, which often don't come and I'm sure many of our listeners are interested in asking what resources are out there? Of course, each institution may have its own resources. But, generally speaking, what should we tell our patients? Where should they start from the patient caregiver? What resources are available to avoid or reduce financial toxicity? Samantha Watson: I think in order to answer that, I also want to reiterate something that Dr. Schapira said from the patients' side, because I think that oncologists don't have to have the answers, that is obviously asking way too much. I think sometimes just bringing it up or acknowledging that there is a cost to this and that it is going to have an impact on someone's life is exactly the validation that a patient needs because culturally, we don't really like to talk about money. We're not really all that comfortable talking about illness either. And so, when you put those two things together, it is a conversation that nobody wants to have. And so, what we hear from thousands of patients every year is that they are so ashamed by all of this. They feel like they have done something wrong. They feel like their doctors aren't going to get paid if they have an outstanding balance. And there's so much just misperception about how all of this works. I think just to bring it up to a patient to acknowledge it is so critically important. As one example, when we were trying to find ways to tell the story of young adult cancer and financial toxicity at the Samfund, we ended up using 'Cancer isn't free', as our tagline. And when the team of volunteers who came up with that presented it to me, I actually cried, they will tell you that I cried in a meeting when they told me that because it was exactly what we needed. I think, especially in the survivorship. Everyone, patients, family members, and friends assume that you're cancer free, and that, therefore you're fine. And so, to flip the script a little bit and say, ‘Well, wait for a second, cancer isn't free,' opened up so many conversations. We certainly didn't get any closer to lowering the cost of cancer, but not carrying around the weight of this shame and just fundamental discomfort in asking for help after treatment especially, it just opened up more conversations, and we saw so many young adults and other people take a deep breath. And so, I think bringing up these conversations, even if they don't lead to immediate solutions is a really important first step. And so, with that in mind, I would say that any nonprofit hospital has to have a financial assistance program. They don't always advertise it very well and they don't always make it very easy to find on the websites. Some hospitals do a better job than others, but these programs are there. The parameters vary, as you said, depending on the hospital and its resources. But I think as a starting point, anyone who's interfacing with that patient should at least say, ‘If you're struggling financially, if a bill comes in that you don't know how to handle, please give a call to this.' It can either be the patient assistance program, a financial navigator, whatever your particular hospital calls it, and just give the person the resources that they can access it when they're ready. So, I think that's a really important first step and a doable one, because it's a referral, nobody has to become an expert in that particular program just to know that it exists and to share that contact information. The other thing I would say is that there are many, many more patient advocacy groups now than there were 10 years ago, and certainly than there were 20 years ago. And so many of the people that find us as one example, find us in a Google search. So, anyone that is looking for help with finances, help with bills, cancer bills, I mean, there are all sorts of combinations of words they can search for, they will find the groups that they need. They just don't always know that they're supposed to search for it. I think, again, bringing up this conversation, whether it's put in clinical terms like financial toxicity, or more informally, like, ‘Hey, how are you doing? How's your job? How's your stress level?' Trying to gauge what their biggest challenge is, can sort of inspire them to go home and seek out the resources they need. But until these conversations even start, they don't know what they don't know. Dr. Rami Manochakian: Absolutely, thank you! These are very helpful. Dr. Schapira, on our end, the providers, what tools and resources can we go to help us, clinicians, discuss financial toxicity more comfortably with patients? Dr. Lidia Schapira: First, I would say to be comfortable in just talking about it and being open and receptive. The second is to build some expertise in the team. We don't have to carry this. We need to be part of the solution but we don't have to have all the fixes. I think the idea of financial navigation is gaining traction with our colleagues. There are some people who actively are embarking on research, including a very interesting randomized control trial of a financial navigation intervention that's currently underway. So, I think that we need to have people who are available to us that we can call, who can help patients understand their bills, who can help patients find sources, perhaps that can help them with payment, to find the nonprofits or charitable organizations, that can help them fill out forms, help them with legal aid, if that's what they need, help them apply for pharmaceutical assistance or health insurance. All of these are very concrete tasks, and we need to have some capacity in a cancer team to deliver these. And I think for us, as oncologists, what I would love to leave us with is the idea that we can't wait. There is an urgency of getting all these things implemented. And we can do it in any number of ways, but it's something we absolutely need to deliver to our patients. Dr. Rami Manochakian: Absolutely. Thank you for bringing that up. As you both mentioned, it's very good that we're talking about it more. I'm remembering a patient of mine who told my social worker, and kudos to all the wonderful social workers and case managers out there, these patients advocates out there are a very important part of the team, not just the doctors, the nurses, the others. They're looking after the patient in so many aspects. I remember my social worker telling me, well, the patient did say, ‘Please don't bring this into much detail to Dr. Manochakian.' And when she asked her why? And she said, ‘Well, because I don't want him to worry about that part. Let us worry about this part.' That struck me. The patient doesn't want me to worry about her or his financial toxicity. I mean, of course, we need to but I don't want to make it sound like the sky is blue. That, yes, that should be something easy. No, it's not easy. An important challenge is time. A lot of time the social worker would tell us, ‘Well, we also understand that you don't have time for it. Your visit with the patient is 30 minutes or an hour. We do know that in the community, sometimes visits are shorter, you don't want to just ask and then change the topic. And if you ask for a candid conversation about financial toxicity, it's gonna take time. Where do you have that time?' So, I don't know. Dr. Schapira, if you have a solution for that, or an idea because it is, I think a major challenge is time and this is maybe where the social worker and other people help. But this conversation needs time and there is in this day and age in health care, there is not much time. Dr. Lidia Schapira: My short answer to that is we need to build teams that have the capacity to absorb these issues, just as we've learned to deal with other difficult conversations and other difficult topics that are such an important part of people's lives. And remember that this just doesn't affect cancer care. There may be other specialists, there may be primary care physicians who were also there trying to assist patients and families, and there may be other decisions that are linked to whether or not they receive cancer care, or what kind of cancer care they receive. So, I think that we're all in this together and my take home is that we all need to have this capacity in our settings wherever we deliver cancer care. Samantha Watson: One thing I would add also is that cancer is not a single appointment, right? We all know that. I probably spent more hours in the clinic, the years of my treatment, than I did in my own house. So, we have a lot of opportunities to do this. I'm thinking about the many days either inpatient or outpatient, when, for example, a nutrition specialist would come and see me because I couldn't eat and my weight was dropping, and everybody was concerned about that. And on some days, I just didn't want to hear it, I wasn't hungry, I couldn't stomach whatever she was trying to give me. But on other days, I took it and was ready to try and put the weight back on and take her suggestions, and I was just in a different frame of mind. And so, I think that if there is a social worker, a financial navigator, somebody who can make some of these referrals to organizations and to assistance programs within the hospital, that even joins one of the appointments for the last five minutes, or pokes their head in every so often to check-in. We have a lot of different opportunities to do that because most people also are spending time inpatient. And so, I think this probably also is a learning opportunity, right? We see what works. And we see we will learn from this because we're figuring this out in real-time. And hopefully, five years from now, 10 years from now, we will look back on this time when we started to have these conversations and try out different strategies and get to the root causes of some of these issues, and we will have figured out solutions. But I think for right now we just need to try. Dr. Rami Manochakian: Well, thank you. This has been really very insightful from both of you. I really appreciate everything you share today. As we are reaching the end of this podcast, I'd like to ask each one of you to give all these wonderful patients and caregivers, anyone who's involved in cancer care out there, a final message. I'll start with you, Miss Watson. Samantha Watson: One of the things that we have touched on in this conversation is that financial toxicity is not limited to the cost of treatment, and therefore the experience is not only felt while someone undergoes treatment. It extends well into survivorship. It extends to employment issues. It extends especially for young adults to family building challenges, which can be very expensive. And this is an ongoing issue but the thing that I would leave people with is that there is a way through it. I have done this work for 20 years. I have heard thousands upon thousands of very similar stories, not just about profound financial struggle, but about resilience and about determination. And if this is just a matter of connecting the dots, and we know that there are some resources out there, we have to make sure patients know about them. We have to arm providers, social workers, and other professionals with the confidence and the information to share but I think if we can do that well, and when we do that well, we have already seen that, especially in the young adult community, which is the one that I know best, so many of these incredible patients go on to live very happy and wonderful lives. And if I have an example, I had my bone marrow transplant almost 21 years ago. I have dealt with plenty of side effects and a lot of bills. I've been happily married for 15 years. I have a career that I love, and I'm a mom to two beautiful children. So, with the right support, and with the right mechanisms and conversations in place, people absolutely can move forward through this. Dr. Rami Manochakian: Thank you! Dr. Schapira? Dr. Lidia Schapira: My final comment is that we have learned a lot through research and through conversations, we know that there are some who are at greater risk for financial toxicity and harm, and those who are the younger patients are the ones with lower income, particularly black rural patients. So, we need to redouble our efforts. We need to do this with compassion. We need to do this as part of the work that we do. We need to involve people who have special expertise in this and bring them into our cancer team. And we too, I think, need to feel that this is a general fight that we all need to get involved in to make cancer treatments, and particularly the novel, cutting edge cancer treatments more accessible for everybody who comes to our care, and without burdening them for the rest of their life with the consequences of treatment. Dr. Rami Manochakian: Thank you! You couldn't have said it any better. I do like to mention here also since this is an ASCO podcast, I'd like to highlight the efforts by ASCO, the American Society of Clinical Oncology, and many other societies to be fair out there in their advocacy efforts with Congress, with the government about what can be done more also at a higher level to try to increase access in more effective, more affordable health care. And this was very insightful. I'm positive, it's very helpful for many listeners, patients, and caregivers out there. As you both mentioned, to further highlight the importance of keep talking about these topics, to tell every patient out there that help is there. But you need sometimes to remind yourself to ask for help. Don't be ashamed of talking about financial toxicity, bring it up. We as healthcare providers know we're not doing a great job yet at it, but we need to help each other patients and healthcare providers, and all the team members to talk about this topic more and see how we can help. The conversation needs to be continued about financial toxicity for patients, cancer survivors, continue to communicate, share the resources, and definitely, I think the future will be better. It needs time, but hopefully, we can get there slowly. Thank you so much, both of you Dr. Schapira and Miss Watson. Thank you so much to our wonderful ASCO staff. Thank you to our listeners. We appreciate you tuning in to this episode of the ASCO Education Podcast. Have a good day everyone. 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