Money dysmorphia: why I can’t let myself have nice things

I worry that if I actually let myself accept that I have money now, it will be even more of a shock if poverty does come

There is a $400 red silk jacket hanging in my wardrobe that makes me feel so uncomfortable that I have zipped it away in a blue $3 garment bag. It is something unaffordable that I have somehow afforded, and looking at it disgusts me.

I bought the jacket last year while I was back in London. I had a TV appearance the next day and wanted to wear something “nice” – an adjective too generous for anything in my suitcase. After my best friend Cassie and I combed through H&M and Topshop, she pulled me into a designer store. I stroked a row of clothes, and she saw my hand hesitate on the jacket sleeve. “Buy it,” she said.

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Shortage of GPs will never end, health experts say

Pharmacists, physiotherapists and other staff will have to fill widening gap, say thinktanks

Patients will have to get used to seeing a pharmacist or physiotherapist instead of a family doctor because the NHS will never overcome its chronic lack of GPs, health experts are warning.

The NHS in England will no longer be able to care properly for patients without a major shake-up of GP services, the country’s three main health thinktanks argue in a report published on Thursday.

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Addiction to social media isn’t a disease | Letter

Conceptualising this disorder as a disease wrongly suggests the origin of the problem lies within people, writes Simon Gibbs

By suggesting that social media “addiction” might be treated as a disease (Report, 18 March), MPs risk doing society a grave disservice. Conceptualising this disorder as a disease suggests the origin of the problem lies within people. As Professor Mike Oliver (who died earlier this month) advocated, we should treat disabling phenomena as products of society, not as a problem of individuals. As the MPs’ report acknowledges, tech companies have a highly significant role in encouraging the use of social media. Young people then become the innocent victims of commercial and social pressures. There is growing evidence of increasing mental ill-health in society, and among young people in particular. Trying to cure or inoculate them from a supposed disease puts the cart before the horse. There is an increasingly urgent need to address the social and economic factors that may be causing the distress without further scapegoating young people themselves.
Dr Simon Gibbs
Reader in educational psychology, Newcastle University

• Join the debate – email guardian.letters@theguardian.com

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San Francisco officials propose ban on sale of e-cigarettes

Legislation would ban sale of tobacco vaping devices from companies such as Juul: ‘The FDA has failed to do its job’

San Francisco officials have proposed legislation that would ban the sale of e-cigarettes from companies such as Juul, pending a review by the US Food and Drug Administration, as part of the city’s efforts to tackle underage vaping.

Shamann Walton, the district supervisor, will also introduce legislation at a meeting of the city’s board of supervisors to prohibit the manufacture and distribution of all tobacco products, including e-cigarettes, on city property.

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UK retirees in EU say NHS plans under no-deal Brexit are ‘sick’

Government offer to cover NHS costs for up to one year are insulting, says expat group

The government has been described as sick and uncaring by an organisation representing more than 10,000 British nationals in Europe over NHS healthcare plans for pensioners in a no-deal Brexit scenario.

British nationals who have retired to EU countries have reacted with fury to what they describe as an insulting and offensive offer by the government to cover healthcare costs for up to one year if they had applied for or are undergoing treatment before exit day.

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Rodent leather and designer kidneys: art in the age of bio-revolution

Bespoke breasts, cloned frog meat and a gold gimp suit all feature in a remarkable new exhibition exploring the cutting edge of science

John A Douglas has a lot to thank medical science for – not least the new kidney he received in 2014 from an anonymous donor. “Since the operation, I’ve become a gym bunny, and lost 35 kilograms,” says the Australian artist over Skype. “But the main thing is I’d be dead otherwise.”

Still, the procedure left him with complicated feelings to process. “I was absolutely devastated after the surgery. At the beginning, you lose your sense of self. I’ve been surgically altered with the DNA and tissue of another person. So in a sense I’m a post-human whose death has been deferred at the cost of lifelong compliance programmes of medication, diet and fitness. My body will be monitored and observed for the rest of my life. In a sense it’s not my body any more – it’s been successfully invaded.”

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Health secretary wants NHS to rollout genetic tests to detect diseases

Matt Hancock claims technology is ‘a game-changer’ but critics raise racial bias and ‘fatalism’ concerns

The health secretary is calling for predictive genetic tests for common cancers and heart disease to be rolled out on the NHS without delay.

Matt Hancock, speaking at the Royal Society on Wednesday, revealed he recently took a commercial genetic test that showed he is at heightened risk of developing prostate cancer, saying he was shocked by the result. Hancock called for a national debate about the ethical issues around testing for diseases, some of which could not readily be treated.

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Abandoned at 18: the young people denied mental health support because they are ‘adults’

It is one of the most tumultuous periods of a person’s life. Yet, when children with mental health problems turn 18, they are dumped into the chronically underfunded adult system, sometimes with devastating results

When does a child become an adult? The answer to this question is in many ways muddier than it was. Over the last decades, the traditional landmarks of adulthood in the west – a job, a marriage, a home of one’s own and a child – have been delayed or have disappeared. Legally, though, the answer is still clearcut: 18.

Jessica, 19, lives in south Wales and hopes to go to college to study childcare. She likes to spend her time chatting with friends in Costa or on the phone; she loves dancing and singing, and she plays the ukulele. She used to enjoy hanging out at her local youth club, having pizza and playing games, but since turning 18, she has had to leave. At times, her voice is soft and playful and she sounds younger than her age; at others, her tone has an edge of irony and she sounds far older. She has spent the past few years in mental health services, and says of her experiences: “You’re in a sea of your own because you’re so young and naive.”

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Pilot, lawyer, medic: meet the people who turned video game careers into real ones

Games can offer a window on to other jobs as well as other worlds. Three players explain how their favourite games guided working life choices

Back in 2016, the current Manchester United boss Ole Gunnar Solskjaer revealed that his interest in the managerial aspect of the beautiful game came from a video game. Having led an illustrious career as a United striker, famously the super-sub who scored the winning goal in the 1999 Champion’s League final, it was Solksjaer’s experience with team sim Football Manager that encouraged him to continue a football career after he hung up his boots.

He’s not the only gamer who ever discovered a real-world passion through playing. Games can often offer a window on to other careers as well as other worlds, and sometimes inspire people to explore options they’d never considered before. Here, three video-game fans explain how their favourite games guided their real-life careers.

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Travellers turned away from GP surgeries despite NHS guidance

Charity issues warning after ‘mystery shopper’ patient is repeatedly rejected

Travellers and other vulnerable groups without a fixed address or proof of ID are being turned away from GP surgeries despite NHS guidance that they should be treated, a charity has claimed.

The Friends, Families and Travellers (FFT) charity issued the warning after a “mystery shopper” exercise where a prospective patient who said she was a traveller without proof of address or ID contacted 50 GP surgeries.

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