Cancer Inequality

Inequality is a hugely important topic for societies. Inequality has many different dimensions and differential longitudinal patterns. New data in this field of social research are helpful to inform on possible ways to prevent increasing inequality. At the same time, it is important to reflect on factors that may reduce inequality in and between societies. Inequality in health is both an outcome of inequality experienced during previous stages of the life course as well as a factor in causing inequality in the evolution of the life course later on. Disentangling the factors is a difficult research issue.
A first descriptive pattern across Europe allows to get a snapshot impression of the status quo as a first indication of what health inequality looks like. Cancer is a major cause of mortality across Europe and by 2045 it is estimated to be the leading cause of mortality.
Without precisely analyzing the causal factors the overview across European countries allows to give a first impression on fields that need more policy attention and more in depth studies. The European Cancer Inequalities Registry and the ECIR Data Tool is based on data from 2019  (Link). The overview matrix by employment status reveals the highest prevalence of smoking among the unemployed (followed by the employed, not shown in figure) and the frequency of alcohol consumption is highest among the employed. Low physical activity is mostly prevalent among the retired.  This has consequences for cancer and gives hints to how an intensified prevention may work.
The OECD report (Link) based on these data and additional country case studies and policy data base reiterates the known prevention recommendations: Reduce smoking, alcohol consumption, air pollution as well as more physical activity. The dimensions of inequality are gender, age, employment status and most of years spent in education. The curing of cancer also suffers from inequities as to the amount of and access to screening of cancer. Cost coverage and shortages in medical personnel add to multiple sources of inequality in treatment of cancer within countries by regions and between nation states. The Lancet Public Health editorial contributes to the spread of the awareness among scientists and the medical profession.
(Image: ECIR data tool download 2024-2-22)

Satellites

Every now and again satellites make headlines. In international politics the “Sputnik moment” of 1957 was such a key defining moment. Russia sending a satellite into space set off a massive investment programme in the United States to counter a potential threat from Russia coming from space. In 2024 we discuss again the next ratcheting up of in a race of armament threatening the earth from space. Russia is believed to enable satellites to carry a nuclear bomb that would orbit around the earth and could lead to mass destruction of satellites that nowadays enable navigation, communication and monitoring what is happening on earth.
As beyond the state-owned satellite networks there has been a private satellite network that assisted Ukraine to defend itself against the Russian aggression, we probably are about to witness the extension of warfare on earth into space. In addition to the so-called cyberwar, which threatens computer-based systems with viruses, ransomware or break-downs, we may face new kinds of threats. We shall have to consider this as part of modern warfare.
Since the late 1960s there exists an international agreement not to use space for nuclear arms. However, Russia does no longer seem to respect its commitment to this. A further escalation of the war of Russia in Ukraine with “conventional” weapons carries the risk to set off another arms race including the earths orbit. This is no science-fiction or whistle blowing, but based on a high-level report and press coverage by the New York Times on 2024-2-17 (Link).
The outrageous implication of such a massive explosion in space is that its implications of the globe on parts of the world and people not being a party in the war will suffer most likely as much as the opposed nations. The food shortages due to Russia’s aggression caused people in Africa to suffer or even die of hunger. Satellite outages of a massive scale will have severe consequences as well.
Information and communication systems have proven to be determining the outcome of a war. This has been one lesson of more than two hundred years of studying military strategies since Clausewitz. Space and satellites have apparently not contributed to improve the understanding of each other, but only the communication within the respective communication bubbles. Maybe artists can help us to overcome the danger of escalation. (Image: “Afrogalactica” by Kapwani Kiwanga 2011: calogue of exhibition “The length of the horizon” Wolfsburg and Copenhagen 2023).

Paper and Pastel

Sometimes the art is in the material. At least this could be a rapid conclusion of the exhibition presented in London at the Royal Academy of Art in 2024-1. From the informative Catalogue the importance of material is demonstrated. The ease of taking your equipment with you, like a sketchbook and out into nature have been an important feature of the impressionists’ movement. With artists challenging traditional techniques of painting and paintings as such even the apparently less noble material as paper had become a statement of being different from the established art academies making use of more noble materials. The impressionists made a convincing point with their additional use of materials accessible to all. Capture the moment and capture your very own impression of it. This is one way to immortalize the emotion and essence of the scene. In the catalogue of the exhibition I spotted “The Swimmer” drawn by Caillebotte with pastel on paper. Freezing the moment, freezing the motion and emotion is evident here, too. Testing different materials is part of the journey to find your artistic impression, expression or materialization of imagination. The ways and means are manifold.

Royal Academy, 2023: Impressionists on Paper. p 32

Gas Reduction

Gas consumption in the EU has been reduced by about 20% since the beginning of Russia’s war on Ukraine. This is a considerable accomplishment and has been sustained for 2 years now. The major element in this has been the reduction of gas consumption in industry, but also households have successfully managed to reduce heating of rooms and water with gas.
Diversification of provision with sizable increases in the provision by the U.S.A is another element in the beginning of a trajectory of gas reduction in Europe. Germany as a major consumer of this type of energy supply is also making strides in shifting consumption. This is my short summary of the report by IEEFA.org in 2024-1. All electric devices like heat pumps could speed up the gas reduction further according to the policy recommendation by IEEFA in 2024-2 reducing costs of living and CO2 emissions further.
Data from Eurostat allow to compare monthly data across Member States. The overall trend is a market decrease with differential patterns of refilling supply capacities. Big countries in the EU made and continue to make a real difference compared to previous years (see table below). The comparison of December and January figures across years reflect the months with high sensitivity of the public for heat and cold. Further reductions of gas consumption is feasible due to the mild winter months of 23/24 which allow to reduce heating costs for many households and offices. Good news for the planet and hopefully a move in the right direction to shift away from heating with gas.

Processed food

We eat a lot of pre-processed food. Our busy work schedules allow us to take only short breaks for meals in order to get more work done while in office or at work in general. The intensification of work has reached the next level and we move from pre-processed food to ultra-processed foods (UPFs). In medical journals and nutrition recommendations the warnings to not eat too much ultra-processed foods are abundant. The signs of obesity in societies reach higher levels from year to year. Especially younger people seem to be at higher risks to consume a lot of ultra-processed foods. Freisling et al. highlight the “risk of multimorbidity of cancer and cardiometabolic diseases” due to UPFs. The discussion between scientists is a lot on which UPFs are most harmful (beyond animal origin or and artificially sweetened beverages) and/or whether it is the combination of UPFs that additionally increases the danger of UPFs. Preventing the “too much of each” is probably the safest recommendation. Being able to read the nutrition information on the labels is already a difficult task. Just making the information abundant and very small print discourages most efforts to compare across products. Learning about basic human needs like food has never been more difficult. Combined with “shrinkflation” we have a hard time to make informed choices of what to buy and eat. There are many hurdles to overcome for a healthy meal.

Wage indexation

Currently inflation increases rapidly in many countries. Yes, Argentine. The Euro-zone and EEA have mastered the peak of inflation due to shifting away from Russian dependency and cheap prices for energy and dealt with carry-on effects related to high energy inputs. The annual rate of inflation calculated for January 2024 has returned in the Euro-area to 2.8 % close to the European Central Bank target of 2% (compare figure below).  Inflation puts wages under pressure, because household with little savings have a very hard time to cope with sudden price increases. For society as a whole, inflation raises many questions of differential impact of inflation on different parts of society. Savings become devalued, but debt might become easier to be repaid in so-called real terms.
Wage earners suffer in terms of lower purchasing power unless in subsequent wage negotiations pay rises can be achieved. This then depends of negotiation power of groups or sectors of the economy. Trade unions have to enter into tough negotiations and conflicts to even regain the same status quo previously achieved in wage negotiations. A series of conflicts and economic readjustments by more or less powerful sectors or representation comes into play.
All this is happening in a year of a series of national and regional elections as well as the European Parliament election in June. Political turbulance and the rise of extremists might be a result of a lack of taking into account the needs of lower wage groups who are likely to feel the full blast of the high inflation previously still today. Wage indexation as in Belgium, which fixes wages to the rise in inflation previously takes out most of the explosive power of a sudden rise in inflation at the risk of an upward wage-price spiral. The recent inflation figures for Belgium, however, show that this is not the case. An overshooting has been followed by an undershooting of the Euro-zone inflation. The political disturbance and risk of redistribution to more powerful groups in society can be limited through general wage indexation or indexation of for example just minimum wages.
The Russian caused spike in inflation has been successfully mastered in the EU. The political economy of redistribution through inflation will remain an important element unless wage indexation is used in more countries to escape populists’ and extremists’ voices. (Image Eurostat data and ESTATEC app)

Election Re-election

Politics is a lot about decision making, coalition building and communication strategies. Therefore, there have been well established election and re-election cycles in all democracies, even the so-called illiberal pseudo-democracies. The time span between elections is itself a constituent part of democratic practice. 4 years of office for an elected parliamentarian seems to be common sense across many countries. More intensive participation and election schedules have advantages in tighter checks and balances, but may have disadvantages with respect to democratic fatigue, i.e. the time and effort needed to stay informed and cast votes. “Liquid democracy” is a concept of decision making which requires highly engaged persons willing to get involved beyond average commitments. Delegation to politicians within parties and parliaments remains an effective version of democratic practice. Checks against corruption and illegal practices is a necessary condition of each system of delegation. Rapidly changing governments are similarly perceived as a risk to democracies as the repeated call to the ballot box might be unsettling more than calming the spirits.
Berlin in 2024 (like 2023) provides another lesson on the sense of elections and re-elections. The repetition of parts of the federal election in parts of Berlin was required by the constitutional court. Due to failures in correct provision of access to voting and voting material results might have been biased. According to an online reporting by the local radio station (rbb24) based on the official electoral statistics, the participation in the re-election decreased from 75% to 51% in the 455 out of 2.256 districts that repeated the election. There seems to be a high level of democratic fatigue in these districts where the re-election in general accounts of participation in elections marks a low point in achievement. It appears worthwhile to question the judicial decision to repeat the election to the drastic reduction of representativity of the re-election. In statistical terms we trade one form of bias against another form of bias with an unclear overall outcome.
Organising elections is a professional task and requires specific competences. As this is at the heart of democracies, we need to improve our organisation and surveillance of this fundamental democratic process. Repetition seems to be worse than other second or third best solutions. Investing in democracy starts also at the ballot box. Electronic voting is not a panacea, but might be part of the solution. (Image source: Landeswahlleiter Berlin, left: Erststimmenmehrheit, right Wahlbeteiligung, combined election + re-election)

Peaceful aggression

It is the merit of youth to try out and get away with new things. The peace movements of the 60s and 70s have had their origin in peaceful actions or sit-ins that managed to raise awareness of aggressive foreign policies of the U.S. and allies. The aim of peaceful meeting was to have an impact on government policies by not being aggressive towards anybody. The political force stems from the power of peaceful persuasion by not forcing persons of other opinions. We are many and we think differently.
The climate activists of 2023 have chosen a different route before abolishing their so-called peaceful activism. This form of protest consists in reaching media attention by blocking road circulation at critical intersections. It turned out to be perceived as an aggression for many persons much unlike the peaceful actions from decades before, which were also sit-ins, but in areas with no or little traffic.
Similar to the distinction in freedom from violence versus freedom to do something. The notion of aggression has 2 orientations. Not being aggressive towards somebody or something could be understood as peaceful aggression if the activity or non-activity has an effect on other persons as if they suffered a form of aggression. In the eyes of the spectator the peaceful road blocks may have a violent impact. Reactions might follow accordingly in a spiral of violence rather than the proclaimed peaceful impact. There is, therefore, a fundamental difference between the peaceful peace movements and the “peaceful aggression” of many of the climate activists blocking roads. Rather than spreading peace, the outcome is a rather violent reaction against perceived unacceptable hindrance to do something.
To meet in a church in the presence of priests (2023-9-23, 12 apostles in Berlin-Tiergarten) does not change the thrust of the campaign, which I coin as peaceful aggression. Therein lies the eventual failure to reach more popular support for the cause and the action of the self-proclaimed “last generation”. In ratcheting up the spiral of aggression, the movement contributed to the rising frustration of persons with no or only very difficult alternatives to their means of transportation. Aggressive opponents of the movement received undue media attention and, probably, hardened the opposition to the climate cause.
In analogy to cold versus hot war, we have entered a period with peaceful aggression versus aggressive aggression. Difficult times for peaceful peace movements.

Digital organising

Since the digital innovations continue to broaden our scope of how to organise, we have to make conscious choices which way to choose. The traditional form of sending out newsletters and waiting for responses is still a feature that is prevalent across Europe. Most organisations have shifted to digital plus physical versions by now, just like newspapers. Young organisations by founding year have started or shifted to digital only for speed of delivery, CO2 and cost saving mainly. We may derive a first dimension of organising between the digital and physical.
A second dimension consists in the central versus decentral forms of organising. Similar to the franchise principle of organising companies, organisations have a choice to keep a central structure with varying degrees of freedom at the regional, sectoral or local level. Organisation theory is helpful in this respect. Various hybrid forms are equally possible. Centralised in financial aspects, but scope for local decisions on content.
Bohn et al. (2023) define digital organising as “collective purposeful alignment and distributed action fostered through digital technologies”. Centralisation and/or Decentralization become a matter of conscious choice. The processes of datafication and connectification, whereby every bit of information becomes a data point and any electronically enabled device can be connected with each other. Organisations now have a choice of how to organize including digital organising. The opportunities are within the space opened up by the 2 dimensions (figure below). A specific subject matter may require more physical presence and maybe centralised structure, but digital only forms with highly decentralised forms are powerful tools in the 21st century. New as well as established social movements may well take advantage of these digital technologies as well. (Image: Digital Organising 2024 Protest Berlin).

Spring has Sprung

In Europe it is expected that spring follows winter. The closer you move to the equator the more you find days equally long in winter and summer. In Northern Europe we have marked differences in terms of light between winter and summer. In January and February 2024 we had a very mild winter. As of 15th of February we had 15° C in Brussels and the first few blossoms showing up. Climate change is undeniable and the call for action to intervene urgently become louder and louder. Why is it so difficult to take action? Well, there are many vested interests and countries that hope to benefit from climate change. In simple economic theory this is not a problem as long as those who gain from climate change would compensate those who lose from it. However, if the total sum of losses is so much bigger than the sum a few will gain, the global balance sheet will deteriorate rapidly.
Monitoring climate change and the shifts in national and global wealth are part of the scientific endeavour. Rising inequalities on a national as well as global scale will create numerous new challenges which are difficult to forecast due to complex feedback and reinforcement loops. It would be wise to apply the precaution principle in this respect as well, but this seems to be hardly understood, let alone, to be followed.
Sometimes it needs a cold winter, unusual flooding or a bad harvest to acknowledge to value and apply the precautionary principle in the following years. Only, this time it might be fundamentally different, because climate change is irreversible for generations to come. Early blossoms in winter as precursor of spring are nice, but we have mixed feelings considering the impact on irreversible climate change. (Image Brussels 2024-2-15)