Should AI Have Access to Your Medical Records? What if It Can Save Many Lives?

We’re constantly told that one of the potentially biggest benefits of artificial intelligence is in the area of health. By collecting large amounts of data, AI can create all sorts of drugs for diseases that have been resistant to treatment.

But the price of that could be that we have to share more of our medical information. After all, researchers can’t collect large amounts of data if people aren’t willing to part with that data.

We wanted to see where our readers stand on the balance of privacy versus public-health gains as part of our series on ethical dilemmas created by the advent of AI.

Here are the questions we posed…

AI may be able to discover new medical treatments if it can scan large volumes of health records. Should our personal health records be made available for this purpose, if it has the potential to improve or save millions of lives? How would we guard privacy in that case?

…and some of the answers we received. undefined

Rely on nonpartisan overseers

While my own recent experience with a data breach highlights the importance of robust data security, I recognise the potential for AI to revolutionise healthcare. To ensure privacy, I would be more comfortable if an independent, nonpartisan body—overseen by medical professionals, data-security experts, and citizen representatives—managed a secure database.

Anonymity cuts both ways

Yes. Simply sanitise the health records of any identifying information, which is quite doable. Although there is an argument to be made that AI may discover something that an individual needs or wants to know.

Executive-level oversight

I think we can make AI scanning of health records available with strict privacy controls. Create an AI-CEO position at medical facilities with extreme vetting of that individual before hiring them.

Well worth it

This actually sounds like a very GOOD use of AI. There are several methods for anonymising data which would allow for studies over massive cross-sections of the population without compromising individuals’ privacy. The AI would just be doing the same things meta-studies do now, only faster and maybe better.

Human touch

My concern is that the next generations of doctors will rely more heavily, maybe exclusively, on AI and lose the ability or even the desire to respect the art of medicine which demands one-on-one interaction with a patient for discussion and examination (already a dying skill).

Postmortem

People should be able to sign over rights to their complete “anonymised” health record upon death just as they can sign over rights to their organs. Waiting for death for such access does temporarily slow down the pace of such research, but ultimately will make the research better. Data sets will be more complete, too. Before signing over such rights, however, a person would have to be fully informed on how their relatives’ privacy may also be affected.

Pay me or make it free for all

As long as this is open-source and free, they can use my records. I have a problem with people using my data to make a profit without compensation.

Privacy above all

As a free society, we value freedoms and privacy, often over greater utilitarian benefits that could come. AI does not get any greater right to infringe on that liberty than anything else does.

Opt-in only

You should be able to opt in and choose a plan that protects your privacy.

Privacy doesn’t exist anyway

If it is decided to extend human lives indefinitely, then by all means, scan all health records. As for privacy, there is no such thing. All databases, once established, will eventually, if not immediately, be accessed or hacked by both the good and bad guys.

The data’s already out there

I think it should be made available. We already sign our rights for information over to large insurance companies. Making health records in the aggregate available for helping AI spot potential ways to improve medical care makes sense to me.

Overarching benefit

Of course they should be made available. Privacy is no serious concern when the benefits are so huge for so many.

Compensation for breakthroughs

We should be given the choice to release our records and compensated if our particular genome creates a pathway to treatment and medications.

Too risky

I like the idea of improving healthcare by accessing health records. However, as great as that potential is, the risks outweigh it. Access to the information would not be controlled. Too many would see personal opportunity in it for personal gain.

Nothing personal

The personal info should never be available to anyone who is not specifically authorised by the patient to have it. Medical information can be used to deny people employment or licenses!

No guarantee, but go ahead

This should be allowed on an anonymous basis, without question. But how to provide that anonymity?

Anonymously isolating the information is probably easy, but that information probably contains enough information to identify you if someone had access to the data and was strongly motivated. So the answer lies in restricting access to the raw data to trusted individuals.

Take my records, please

As a person with multiple medical conditions taking 28 medications a day, I highly endorse the use of my records. It is an area where I have found AI particularly valuable. With no medical educational background, I find it very helpful when AI describes in layman’s terms both my conditions and medications. In one instance, while interpreting a CT scan, AI noted a growth on my kidney that looked suspiciously like cancer and had not been disclosed to me by any of the four doctors examining the chart.

The suburbs where we’re building the most new homes

Australia is in the midst of a housing crisis with supply challenges and demand pressures leading to a clogged pipeline of unfinished new home builds and approvals per capita languishing at decade-lows. There aren’t enough tradies to finish the homes under construction in normal timeframes. Meantime, construction costs have risen by 40 percent since late 2019 and contributed to dramatically higher insolvencies among building companies. High interest rates and lengthy approval processes have also prompted some developers to shelve plans for new projects altogether.

All of these challenges mean the National Housing Accord, with its ambition to build 1.2 million well-located homes over the next five years, will begin shortly amid very difficult conditions. However, the Federal and state and territory governments have agreed to the plan and plenty of money was allocated in the recent Federal Budget to get the program officially underway from 1 July.

Meanwhile, the Housing Industry Association (HIA) has published a report revealing the areas that are in line to receive the most new homes soonest, based on the value of approvals during FY23. The HIA has paired this data with population figures to identify the growth hot spots across Australia.

HIA economist Maurice Tapang said the top 20 hot spots for new approvals and above-average population growth were predominantly suburbs with greenfield developments. These developments require state governments to fund and build supporting infrastructure such as power lines, sewage and water pipes, roads and footpaths to service thousands of new residential lots.

“This is testament to the role that greenfield developments play in supporting the growth of our cities,” Mr Tapang said. “The drivers of housing demand are population and economic growth. Supporting population growth will require supplying adequate homes, which will entail providing the necessary infrastructure and land supply to grow our cities.

“As the high cost of the typical house and land package in some of our capital cities becomes out of reach to the typical income earner, it is important for policymakers to facilitate the supply needed to fill housing shortages. In order to build the Australian Government’s target of 1.2 million homes, there needs to be a healthy balance between greenfield and infill developments to support building well-located homes of all types.”

 

Australia’s top 6 home building and population hot spots

 

Box Hill – Nelson

In NSW, the top new home building hot spot is Box Hill – Nelson in Sydney’s Hills District, with $597 million in approvals and population growth of 26.5% in FY23.

 

Fraser Rise – Plumpton

Fraser Rise – Plumpton in Melbourne’s west was Victoria’s biggest growth hot spot, with $660.1 million in approvals along with 26.4% population growth.

 

Marsden Park – Shanes Park

 Located in Sydney’s Blacktown area in the western suburbs, Marsden Park – Shanes Park booked $370 million in approvals and 19.7% population growth.

 

Tarneit – North

 Located in Melbourne’s western suburbs, Tarneit – North recorded $384.3 million in new home building approvals and 18.9% population growth.

 

Rockbank – Mount Cottrell

Also in Melbourne’s western suburbs, Rockbank – Mount Cottrell had $593.4 million in approvals and 18.7% population growth.

 

Chambers Flat – Logan Reserve

Chambers Flat – Logan Reserve in the City of Logan, south of Brisbane, was Queensland’s biggest growth hot spot with $264.6 million in approvals and 18.4% population growth.

How an Ex-Teacher Turned a Tiny Pension Into a Giant-Killer

Plymouth County is known for Pilgrims, cranberries—and a top-performing pension fund run by a 65-year-old former schoolteacher.

After a decade of mostly ho-hum performance, the $1.4 billion Plymouth County Retirement Association ranked in the top 10% of U.S. pensions over the past three years. Key to that success was an early—and prescient—bet that interest rates would rise. That buoyed the fund through big chunks of the past two years, when climbing rates hammered both stocks and bonds.

Now markets of all kinds have posted a six-month rally , stocks are hitting records and Plymouth risks falling behind again. But Peter Manning, the fund’s director of investments, is sticking to his guns. The hope that rates will fall soon is misplaced, he said. Another downturn could be coming for Wall Street.

And so, to Manning, the best way to enlarge the pension long term is by avoiding big losses, rather than chasing high returns.

“It ain’t about what you make. It’s about what you keep,” he said.

Beating the big guys

The fund, which manages savings for the county’s firefighters, bus drivers and custodians, delivered average annual net returns of 5.7% in the three years ending Dec. 31. That put it ahead of 92% of pensions nationally. The median U.S. public retirement fund returned 3.7% over the same period, according to Investment Metrics, a portfolio analysis provider.

Plymouth County surpassed bigger peers by slashing exposure to Treasurys and public stocks before they tanked in 2022. The fund then reinvested the money in infrastructure, private equity and inflation-protected debt.

While many other public plans have followed suit , the trades were also unusually quick for pension funds, which often change investments incrementally rather than in bold strokes.

“A lot of our clients made moves on the margin,” said Daniel Dynan, a managing principal at Meketa Investment Group, Plymouth County’s investment consultant. “The difference in Plymouth is the magnitude of the change.”

An unlikely trendsetter

With only 10,500 members, the fund is an unlikely trendsetter. U.S. public pensions guarantee retirement and benefit payments to 34 million members nationally, according to data from the Urban Institute, a nonprofit think tank. Plymouth County, which lies south of Boston, encompasses mostly middle-class suburbs, but also some wealthy enclaves and gritty urban areas. It is split between Democratic and Republican voters.

A decade ago, Plymouth County had only about half of the money it needed to make expected payments for its retirees. An accounting change in 2012 drastically widened shortfalls for most public pensions across the country.

At the same time, the board overseeing the fund, which had spent years relying solely on an outside consultant, was dissatisfied with its investment performance. The approach resembled the classic mix of 60% stocks and 40% bonds popular with ordinary investors.

“We were doing what everyone else was doing, running a 60-40 portfolio and hoping for the best,” said Tom O’Brien, Plymouth County’s treasurer and chairman of the pension board.

From teacher to investor

The county hired Manning to advise the board on investment strategy in 2012. He had never managed a pension fund before.

“I was a schoolteacher [in the 1980s] in a suburb of Boston and one day, after staring at 20 vacuous stares, I had a talk with my Uncle Bill, a currency trader,” Manning said.

He spent two decades trading commodity futures at his uncle’s brokerage in Boston and stocks at brokerages in Chicago. Then he became a financial adviser to wealthy individuals and families at Merrill Lynch on Cape Cod.

The job at Plymouth County involved a small pay cut, but offered the opportunity to run a nine-figure portfolio for public employees. He got a taste of how painful rising rates could be in May 2013, when comments by Fed Chairman Ben Bernanke sent bond prices tumbling in what became known as the “taper tantrum.”

“We lost $20 million in three trading days and it took us 36 months of clipping coupons to make that back,” Manning said. Coupons are the interest payments bondholders receive.

Initially, Manning and O’Brien focused on boosting alternative investments such as private equity and infrastructure, which made up less than 5% of the fund. They were part of a flock of pension funds seeking alternative investments for higher returns .

Plymouth County hired Meketa as a consultant in 2015, and private-equity and infrastructure investments climbed to nearly 15% by 2020, according to fund financial reports. Returns improved.

“They have a level of comfort being different,” said Dynan.

A contrarian call

Markets were on a tear the following year, lifted by the economy’s reopening from the pandemic. But Manning grew concerned in the summer about inflation. While many on Wall Street were calling price increases transitory, he worried inflation would persist, triggering rate increases and declines in stocks and bonds.

“We were going to conferences and being told that inflation was a paper tiger, or ‘this is not your father’s inflation,’” O’Brien said.

Manning consulted Bob Sydow, a high-yield bond fund manager at Mesirow who manages part of the pension’s money. Like Manning, he has worked on Wall Street since the 1980s.

“The money supply grew 43% over 26 months during Covid,” Sydow said. “I called it ‘free-range’ money and I thought it would generate a lot of inflation.”

From October 2021 to February 2022, Plymouth County pension sold about $80 million of its public stocks, or 6% of the fund’s assets, according to an email viewed by The Wall Street Journal. It shifted into real estate and infrastructure as well as short-term and floating-rate debt that is less sensitive to rising rates than traditional bonds, Manning said.

The fund lost 6.5% in 2022 while the median U.S. pension plan lost 14%. That outperformance has helped it stay ahead of other funds, even after it lagged behind the average in 2023.

Now, inflation remains above the Fed’s targets , and analysts’ forecasts for multiple rate cuts this year seem less certain. Plymouth County is keeping its strategy relatively unchanged, betting that rates will remain steady—or even climb.

Many investors are buying back into bonds because yields are at multiyear highs and they expect cuts by the Fed to trigger a rally. Manning takes a different tack. He thinks rates could stay high far longer than the Wall Street consensus, so he is using infrastructure funds to deliver income rather than bonds.

“Why do you have to own bonds at all in 2024?” Manning said. “It’s a legitimate question.”

The Problem With Behavioural Nudges

The concept of nudging has become popular in the past few years—using psychological tactics to subtly steer people toward making better decisions that are aligned with their own interests or societal goals.

Companies and governments are using nudges, for instance, by automatically enrolling people in retirement savings plans instead of having them opt in, or by placing healthier snacks at eye level in a cafeteria or by comparing people’s electricity consumption with their neighbours’.

But as nudges became increasingly popular, we wondered: Can they go the distance? Would they keep people on track beyond the initial push, like actually eating healthier foods or saving more money or reducing their energy use over the long term?

We found that, in many settings, they don’t. Lots of people simply don’t follow through on options they have been nudged to choose—making those nudges less effective than many people believe. As the old saying goes, “You can lead a horse to water, but you can’t make him drink.”

Other research has shown this effect. In 2012, a team from Cornell University published research showing that more people grabbed healthy snacks—like apples and carrots—when they were placed in contexts that made them more convenient, such as being put at eye level, among other things. The finding got wide attention and helped spread the idea of nudging.

But another aspect of the experiment didn’t get much attention at all. Those Cornell researchers didn’t just measure what went on at the cash register. They also stuck around to see what people did with the food. The nudged people ended up eating the same amount of healthy food as the ones who weren’t nudged—and the extra that was taken because of the nudge was thrown in the garbage. In the end, the effect on consumption of healthy foods was nil.

“For a long time we had always included language in these published studies lamenting the lack of long-term studies to see exactly how long the effects would last,” says one of the researchers, David R. Just, a professor of applied economics at Cornell.

Just adds: “It makes some sense that nudges would be much more effective in the short term than in the long term. Choices like food that are repeated often over time lead to learning, and eventually people are likely to recognise how the environment is interfering with their choices. This may say that nudges are most important in one-time or rare decisions like organ-donor status.”

In the long run

To be sure, sometimes a nudge is better than nothing. Let’s say somebody who wouldn’t otherwise join a gym is nudged into becoming a member. In the end, that person probably won’t use the membership regularly, but might use it occasionally—which is better than not exercising at all. And nudges may be beneficial when people don’t have to follow up on their initial choice, such as a plan that automatically puts a part of each paycheck into a 401(k).

That is only some cases, though. In others, no nudging might actually be better than a nudge. For instance, somebody might want to choose to join a gym, and plans to attend three days a week. But if nudged into the choice, this person might go there much less.

But even when nudges are better than no nudges, we have found that nudges don’t provide nearly as much benefit as initial results indicate—or as much as many nudge proponents are counting on.

We conducted studies on three of the most popular nudge strategies. In one, we gave the participants a chance to sign up with a website to get daily trivia. We described one as a way to have fun, the other as a way to get smarter every day. In reality, everybody was directed to the same site, no matter which option they picked.

When we gave participants one website as a default—in other words, we nudged them to choose it—70% opted for it, compared with 48% who chose the same one when it wasn’t preselected. That’s typically how default nudges work: People are much more inclined to pick the default, which presumably will be the one that is best for them or society.

Next came the important part. We waited. We tracked how often the study participants visited their website membership over eight months. Those who were nudged to choose the default plan visited the site 42% less often than people who chose an identical plan without nudging.

This was true for people nudged with a default option, as well as people nudged with what’s known as a decoy: a deliberate dud that makes another option really shine. In this case, the dud was an offering designed for children. So, in effect, the default and decoy strategies had a positive impact on choice, but not on long-term actions. When we nudged participants into the program, they used it less than they would have at all if they hadn’t been nudged.

Another study that we conducted threw cold water on a nudge known as the compromise effect. Think of Goldilocks choosing a bed: Nudgers know that people make choices in the same way, preferring to avoid extremes. Let’s say a store is trying to boost sales of a product that gets high ratings but is considered too expensive. The store might try to nudge customers by offering another version of the product at an even higher price—so the original looks like a better deal.

In this study, we gave people the option of choosing a plant, and steered some of them toward a compromise option (a plant that wasn’t too flashy or high maintenance). As with the trivia website, everyone ended up getting the same plant, no matter which option they chose. But people who ended up with the plant by way of the compromise effect let theirs die 16% sooner than those who chose without a compromise option. In other words, the people who were nudged into the “Goldilocks” choice weren’t as committed to caring for the plant over the long term.

A better way

Why don’t people follow through on nudged choices? When people are subtly steered toward options, it can feel as if a decision happens on autopilot. This lack of conscious effort might lead people to feel disconnected from their choices, potentially reducing their engagement with them.

This raises all sorts of questions about social programs designed to help people make better choices. Although nudges can be a powerful lever to increase sign-ups, program organisers shouldn’t conflate the popularity of a plan with the amount of people who actually use it. As our studies show, nudges can increase the latter, but decrease the former.

Encouraging individuals to save for retirement through nudges, for instance, may boost initial participation rates but may not translate into sustained engagement or prudent financial habits over time. A nudge might get people to enroll, but it doesn’t make them feel ownership, like the choice was really theirs, so they don’t follow through as much.

In designing nudges, the focus should shift toward helping individuals follow through with their decisions, complementing nudges with strategies that promote sustained engagement and behaviour change. For instance, people get more motivated for tasks when you turn the jobs into games and let them share their achievements on leaderboards. (Think of the popularity of Wordle.) It feels good to have a streak and see how you stack up to others. We might be able to transfer those competitive elements to nudged choices: If you nudge people into saving for retirement, for instance, you could show them how their savings stack up against other people’s each week.

In the end, though, the main takeaway from our research is that nudges may be a great first step. But that’s all they are: a first step. Much of the hard work is what comes next.

Judge Blocks Effort to Auction Graceland

A Tennessee judge on Wednesday blocked an allegedly fraudulent attempt to auction off Graceland, the former Memphis home of music legend Elvis Presley and a major tourist destination in the state.

Elvis’s granddaughter, actress Riley Keough , says a company that had planned a Thursday sale was fake and trying to defraud the trust that owns Graceland.

Judge JoeDae Jenkins in Chancery Court in Shelby County, Tenn., granted the injunction to stop the auction, according to a court clerk. The court had granted Keough a temporary restraining order on the sale last week.

The auction was initiated by an entity called Naussany Investments & Private Lending. It had filed a public notice for a foreclosure sale in Tennessee, alleging Lisa Marie Presley , Elvis’s only child, defaulted on a $3.8 million loan it made to her. The group said it now owns Graceland because Presley defaulted on the loan.

Presley, Keough’s mother, controlled the Graceland trust until her death in January 2023 . Keough then took over as trustee.

Lawyers for Keough said Naussany’s loan documents are forgeries, and the firm “appears to be a false entity created for the purpose of defrauding” the trust that owns Graceland, Presley’s heirs or any purchaser of Graceland.

Elvis Presley Enterprises, which manages Graceland, has also said Naussany’s claims were fraudulent. “There will be no foreclosure,” said Elvis Presley Enterprises spokeswoman Alicia Dean . “Graceland will continue to operate as it has for the past 42 years.”

Keough’s lawyer declined to comment.

Naussany Investments and Kurt Naussany, named in the complaint as acting on behalf of the entity, couldn’t be reached for comment. A phone number listed in the complaint didn’t work, and emails sent to associated addresses weren’t answered. The Wall Street Journal couldn’t separately find contact information for a Kurt Naussany. A lawyer for the entity couldn’t be identified.

The Graceland complex in Memphis, which includes an exhibition center and a 450-room hotel, attracts hundreds of thousands of visitors annually.

Elvis bought the property in 1957, when he was 22 and an ascendant star. He died in 1977 at the age of 42 and is buried on the Graceland property. Graceland opened to the public in 1982.

Lisa Marie Presley’s mother, Priscilla Presley , reached a settlement in 2023 with Keough over who would control the trust. The settlement came after Priscilla Presley challenged a 2016 amendment to the trust filed by Lisa Marie Presley that removed her mother as trustee.

Boost for World Economy as U.S., Eurozone Accelerate in Tandem

Global economic growth is becoming more broad based, with surveys indicating that business activity in both the U.S. and the eurozone gained momentum in May.

The eurozone economy contracted in the second half of 2023 following a surge in energy and food prices triggered by Russia’s invasion of Ukraine, and the subsequent rise in interest rates intended to tame that inflation.

By contrast, the U.S. economy expanded strongly over the same period, opening up an unusually wide growth gap with the eurozone. That gap narrowed as the eurozone returned to growth in the first three months of the year, while the U.S. slowed.

However, surveys released Thursday point to a fresh acceleration in the U.S., even as growth in the eurozone strengthened. That bodes well for a global economy that relied heavily on the U.S. for its dynamism in 2023.

The S&P Global Flash U.S. Composite PMI —which gauges activity in the manufacturing and services sectors—rose to 54.4 in May from 51.3 in April, marking a 25-month high and the first time since the beginning of the year that the index hasn’t slowed. A level over 50 indicates expansion in private-sector activity.

“The data put the U.S. economy back on course for another solid gross domestic product gain in the second quarter,” said Chris Williamson, chief business economist at S&P Global Market Intelligence.

Eurozone business activity in turn increased for the third straight month in May, and at the fastest pace in a year, the surveys suggest. The currency area’s joint composite PMI rose to 52.3 from 51.7.

The uptick was led by powerhouse economy Germany, where continued strength in services and improvement in industry drove activity to its highest level in a year. That helped the manufacturing sector in the bloc as a whole grow closer to recovery, reaching a 15-month peak.

By contrast, surveys of purchasing managers pointed to a slowdown in the U.K. economy following a stronger-than-expected start to the year that saw it outpace the U.S. The survey was released a day after Prime Minister Rishi Sunak called a surprise election for early July, banking on signs of an improved economic outlook to turn around a large deficit in the opinion polls.

Similar surveys pointed to a further acceleration in India’s rapidly-expanding economy, and to a rebound in Japan, where the economy contracted in the first three months of the year. In Australia, the surveys pointed to a slight slowdown in growth during May.

Businesses reported that they were raising their prices at the slowest pace since November, which should reassure the European Central Bank. However, the eurozone continued to add jobs in May, suggesting that wages might not cool as rapidly as the ECB had hoped.

The ECB released figures Thursday that showed wages negotiated by labor unions in the eurozone were 4.7% higher in the first quarter than a year earlier, a faster increase than the 4.5% recorded in the final three months of 2023

The ECB has signalled it will lower its key interest rate in early June, while the Fed is waiting for evidence that a slowdown in inflation will resume after setbacks this year.

Nevertheless, eurozone businesses and households shouldn’t bank on successive cuts to borrowing costs, ECB Vice President Luis de Guindos said. “There is a huge degree of uncertainty,” he said. “We have made no decisions on the number of interest rate cuts or on their size,” he said in an interview published Thursday. “We will see how economic data evolve.”

Continued resilience in the eurozone economy would likely make the ECB more cautious about lowering borrowing costs after its first move, economist Franziska Palmas at Capital Economics wrote in a note. “If the economy continues to hold up well, cuts further ahead may be slower than we had anticipated,” she said.

– Edward Frankl contributed to this story.

Young Australians cut back on essentials while Baby Boomers spend freely

Younger Australians in their mid-to-late-twenties have cut back on spending more than any other age group, while Baby Boomers aged over 65 years continue to spend above inflation, according to the latest CommBank iQ Cost of Living Insights Report. Those aged 25-29 years have reduced spending by 3.5 percent compared to last year, and they’re the only age group to have cut back on both essential and discretionary expenses.

CommBank and artificial intelligence company Quantium use de-identified payments data from CBA’s seven million customers every quarter to evaluate how Australians are spending their money and responding to today’s higher costs of living. One of the strongest trends is Australians reallocating more of their funds to cover essential expenses such as groceries and insurance and cutting back on discretionary items like apparel.

However, young Australians aged 25 to 29 are the only age cohort cutting back on essentials as well as discretionary items. During the March quarter, they spent 10 percent less on health insurance than they did in the March 2023 quarter, with CommBank saying this was the result of a 12 percent reduction in the number of people having coverage. They spent 7 percent less on utilities, 4 percent less on supermarket groceries and 3 percent less on insurance. The national trend encompassing all age groups was the opposite. Examples include a 3 percent increase in spending on groceries and an 8 percent increase on insurance.

“Compared to the national experience, where most people have had to increase spending on essentials, we are seeing the opposite trend amongst those in their twenties, with essential spending falling at a similar rate as discretionary,” said CommBank iQ Head of Innovation and Analytics Wade Tubman.

“This highlights the difficult choices people in this age bracket are making, with some having to make larger lifestyle changes like foregoing their health insurance altogether. The decrease in utilities spending could also suggest young Aussies are moving back in with parents or into shared accommodation to split costs.”

The average Australian is spending 3.6 percent more on essentials at an average of $1,472 per month, led by an 8 percent increase on insurance, 5 percent on medical and pharmacy, and a 3 percent bump on utilities, supermarket groceries and transport.

Many Australians are having to allocate more of their wallet to essential living expenses, rather than other areas where they may prefer to direct their spending. The cost-of-living initiatives announced in the Federal Budget, for example the energy bill rebate, reflect the increased spending by Australians on essential items like energy,” Mr Tubman said.

The data showed continued growth in spending among Baby Boomers. “The wide gap in spending patterns across age groups continues to persist, with Australians in the 60 and older age bracket spending above inflation, especially on activities like travel, which is up 11 percent, general retail up 9 percent and eating out, up 7 percent,” Mr Tubman said.

The data shows that the older Australians are, the more money they are spending. Those aged 75-plus are spending 6.5 percent more at $2,408 per month. Those aged 70-74 are spending 5.1 percent more at $2,762 per month. Those aged 65-69 are spending 4.4 percent more at $3,253 per month and those aged 60-64 are spending 3.7 percent more at $3,331 per month. At the other end of the scale, Australians aged 25-29 are spending 3.5 percent less at $2,099 per month and those aged 30-34 are spending 0.6 percent less at $2,568 per month.

Australians living in regional areas are holding up better amid today’s high cost of living.

“While spending in regional areas continues to outpace that of metro areas, this gap has narrowed when compared to previous quarters. This raises the question whether people in metro locations have downsized their wallets to adjust to higher prices, and what spending growth remains is now ‘the new normal’,” Mr Tubman said.

Spending was most resilient in Queensland, the ACT and South Australia. The data shows per capita spending on travel and other discretionaries in Queensland was higher than the national average. Interestingly, both Queensland and South Australia have the fastest-growing retiree populations in Australia. Data just released by the Bureau of Statistics shows Queensland saw the highest increase in retiree residents between FY21 and FY23while South Australia saw the largest rise in the proportion of its population that is retired.

Metallica’s European Tour Showcases Renewable-Energy Big Rigs—And Their Limits

Metallica, the band that blazed a trail for thrash metal with rugged guitar riffs and relentless drumbeats, is trying to do something similar for trucks powered by sustainable fuels.

The group, a rock music mainstay since their 1986 hit album “Master of Puppets,” is looking to burnish its bona fides on social issues by using rigs powered by fuels including biomethane and vegetable oil on its European tour this summer.

Working with European truck maker Iveco, the authors of songs including “Battery” and “Fuel” (sample lyric: “Fuel is pumping engines / Burning hard, loose and clean / And I burn, churning my direction / Quench my thirst with gasoline.”) aim to show that sustainable transportation in heavy-duty trucking is possible on European highways dotted with alternative-fuelling stations.

But the trucks’ limitations and the workarounds the band’s logistics providers are undertaking on the meticulously-planned 7,200-mile journey winding through the continent from Sweden to Spain also illustrate how far trucking is from using cleaner fuels in regular operations.

“You have limited options because of the lack of the infrastructure,” said Natasha Highcroft, a director of Suffolk, U.K.-based Transam Trucking, which provides logistics for Metallica and other bands. “We use alternative fuels as and when we can, as much as possible, but until the infrastructure is there it’s very difficult.”

The trucks run on natural gas, vegetable oil, electricity and hydrogen fuel cells, and will be hauling giant video screens, lighting and instruments across nine countries.

The workhorses of Metallica’s tour will be 10 heavy-duty trucks powered by renewable natural gas—such as methane from landfills—and four heavy-duty trucks running on biodiesel or hydrogenated vegetable oil. The trucks, dramatically decked out in Metallica’s fierce logo, can travel about 1,000 miles between refuelling.

Both fuels provide a significant reduction in emissions compared with regular diesel, although emissions experts say they aren’t nearly as clean as battery-electric or hydrogen fuel cell technologies.

The tour was due to kick off this week in Munich, Germany, and over the next two months will cover the continent from Italy and Spain in southern Europe to Denmark and Norway. The longest journey between shows, from Warsaw to Madrid, covers almost 1,800 miles.

Iveco, which is providing the eco-friendly trucks for Metallica’s tour, makes both battery-electric and hydrogen fuel cell big-rig engines, the types that governments in Europe and the U.S. are trying to press on truckers as soon as possible. But because of the lack of charging and fuelling stations on the long legs between gigs, the battery-electric and hydrogen trucks will be mostly for promotional use at concerts, said Gerrit Marx , chief executive of the Italian truck maker.

Marx said Iveco wants to highlight that renewable natural gas and hydrogenated vegetable oil are “more available and ready” than batteries and hydrogen while also being “way better than fossil diesel.”

Europe has hundreds of liquefied natural gas and hydrogenated vegetable oil, or HVO, refuelling stations. A representative for British energy major Shell , which is working with Iveco on the tour, said Metallica’s low-carbon journey wouldn’t have been possible even a couple of years ago.

Shell says its customers can access HVO in five European countries and renewable natural gas in Germany and in the Netherlands. That means that when low-carbon options aren’t available, the Iveco trucks will be fuelled with regular LNG and the HVO trucks will be fuelled with regular diesel.

A Shell representative said the Metallica tour will buy carbon credits to offset “unavoidable emissions“ generated by the low-emission trucks.

U.S. companies are also using renewable natural gas and biodiesel to reduce carbon emissions. But trucking specialists say the fuels aren’t available in sufficient quantities to power the world’s fleets, which is why regulators are pushing battery-electric and hydrogen fuel cell vehicles.

Trucking executives say the costs of operating those technologies are double or triple those of diesel and that they aren’t workable in a highly-competitive, low-margin industry like trucking.

Lars Stenqvist , chief technology officer at truck maker Volvo Group , said it is important that high-profile performers like Metallica amplify the capabilities of sustainable fuels.

Truckers will only adopt the technology when customers demand it, he said, so “This is music to my ears.”

Anger Does a Lot More Damage to Your Body Than You Realise

Anger is bad for your health in more ways than you think.

Getting angry doesn’t just hurt our mental health , it’s also damaging to our hearts, brains and gastrointestinal systems, according to doctors and recent research. Of course, it’s a normal emotion that everyone feels—few of us stay serene when a driver cuts us off or a boss makes us stay late. But getting mad too often or for too long can cause problems.

There are ways to keep your anger from doing too much damage. Techniques like meditation can help, as can learning to express your anger in healthier ways.

One recent study looked at anger’s effects on the heart. It found that anger can raise the risk of heart attacks because it impairs the functioning of blood vessels, according to a May study in the Journal of the American Heart Association .

Researchers examined the impact of three different emotions on the heart: anger, anxiety and sadness. One participant group did a task that made them angry, another did a task that made them anxious, while a third did an exercise designed to induce sadness.

The scientists then tested the functioning of the blood vessels in each participant, using a blood pressure cuff to squeeze and release the blood flow in the arm. Those in the angry group had worse blood flow than those in the others; their blood vessels didn’t dilate as much.

“We speculate over time if you’re getting these chronic insults to your arteries because you get angry a lot, that will leave you at risk for having heart disease ,” says Dr. Daichi Shimbo, a professor of medicine at Columbia University and lead author of the study.

Your gastrointestinal system

Doctors are also gaining a better understanding of how anger affects your GI system.

When someone becomes angry, the body produces numerous proteins and hormones that increase inflammation in the body. Chronic inflammation can raise your risk of many diseases.

The body’s sympathetic nervous system—or “fight or flight” system—is also activated, which shunts blood away from the gut to major muscles, says Stephen Lupe, director of behavioural medicine at the Cleveland Clinic’s department of gastroenterology, hepatology and nutrition. This slows down movement in the GI tract, which can lead to problems like constipation.

In addition, the space in between cells in the lining of the intestines opens up, which allows more food and waste to go in those gaps, creating more inflammation that can fuel symptoms such as stomach pain, bloating or constipation.

Your brain

Anger can harm our cognitive functioning, says Joyce Tam, an assistant professor of psychiatry and behavioral sciences at Rush University Medical Center in Chicago. It involves the nerve cells in the prefrontal cortex, the front area of our brain that can affect attention, cognitive control and our ability to regulate emotions.

Anger can trigger the body to release stress hormones into the bloodstream. High levels of stress hormones can damage nerve cells in the brain’s prefrontal cortex and the hippocampus, says Tam.

Damage in the prefrontal cortex can affect decision-making, attention and executive function, she adds.

The hippocampus, meanwhile, is the main part of the brain used in memory. So when neurons are damaged, that can disrupt the ability to learn and retain information, says Tam.

What you can do about it

First, figure out if you’re angry too much or too often. There’s no hard and fast rule. But you may have cause for concern if you’re angry for more days than not, or for large portions of the day, says Antonia Seligowski, an assistant professor of psychiatry at Massachusetts General Hospital and Harvard Medical School, who studies the brain-heart connection.

Getting mad briefly is different than experiencing chronic anger, she says.

“If you have an angry conversation every now and again or you get upset every now and again, that’s within the normal human experience,” she says. “When a negative emotion is prolonged, when you’re really having a lot more of it and maybe more intensely, that’s where it’s bad for your health.”

Try mental-health exercises. Her group is looking at whether mental-health treatments, like certain types of talk therapy or breathing exercises, may also be able to improve some of the physical problems caused by anger.

Other doctors recommend anger-management strategies. Hypnosis, meditation and mindfulness can help, says the Cleveland Clinic’s Lupe. So too can changing the way you respond to anger.

Slow down your reactions. Try to notice how you feel and slow down your response, and then learn to express it. You also want to make sure you’re not suppressing the feeling, as that can backfire and exacerbate the emotion.

Instead of yelling at a family member when you’re angry or slamming something down, say, “I am angry because X, Y and Z, and therefore I don’t feel like eating with you or I need a hug or support,” suggests Lupe.

“Slow the process down,” he says.

The fast-approaching ‘silver tsunami’ set to hit the Australian economy

Australia is fast approaching a ‘silver tsunami’ that will bring with it significant socio-economic challenges for the country says  the Retirement Living Council (RLC), a division of the Property Council Australia. RLC Executive Director Daniel Gannon said the council is concerned about housing affordability for older Australians and the provision of enough housing options, such as retirement villages, to allow for an affordable and comfortable lifestyle after they stop working.

There are 4.2 million retirees in Australia today, and another 710,000 people intend to retire over the next five years, according to new data from the Australian Bureau of Statistics (ABS). Over the next two years, 226,000 people intend to retire, which is almost 100,000 more than the number of people who retired between FY21 and FY23.

For advice on planning a comfortable retirement now, read the Winter issue of Kanebridge Quarterly, on sale June 13.

The average age at retirement among Australia’s current cohort of retirees was 56.9 years, according to the data. However, the average age that most people intend to retire is 65.4 years, which is about 18 months before they become eligible for the age pension at 67 years of age.

On average, women retire sooner than men, but they are retiring later than in previous years. In FY23, the average age at retirement among female retirees was 54.7 years, up from 54 years in FY21. Men are also retiring slightly later with their average age at retirement now 59.4 years, compared to 59.3 years in FY21. Over these two years, Queensland saw the greatest increase in its retiree population, up 32,000 to 860,000. New South Wales had the largest retiree population at 1.3 million.

The ABS said the main factor influencing someone’s decision about when to retire was financial security. In FY23, the most common reason for deciding to retire cited by 31% of those surveyed was reaching the retirement age (i.e., pension age) or becoming eligible to access their superannuation. Most Australians can’t access their superannuation until they reach their preservation age. This age varies depending on the age of birth but ranges from 55 years for those born before 1 July 1960 to 60 years for those born after 30 June 1964.

The second most common reason behind retiring was sickness, injury or disability (13 percent). The next most common was being retrenched, dismissed or not being able to find work (5 percent). In these cases, financial security may not be assured and retirement becomes more of a forced decision. Currently, the age pension is still the main source of income for most retirees, with superannuation the second most common main source of income.

Given financial security is a key concern among those nearing or at retirement age, Mr Gannon said governments needed to ensure there would be enough suitable and affordable housing options for retirees as their numbers grow. “Unfortunately, a rapidly growing number of Australians are retiring with mortgage debt while the aged pension remains the main source of income for most retirees. Units in retirement communities are priced on average 48 percent lower than median house prices in the same postcode, meaning these communities can help address retirement income challenges.

Mr Gannon said the recent Federal Budget contained no housing plan for older Australians amid today’s housing supply and affordability crisis. “While [the increase in] Commonwealth rent assistance is welcome news for some Australians, the existing eligibility thresholds exclude the majority of people living in affordably priced retirement units, he said.

Money Angst? You Might Consider a Financial Therapist

Do you worry a lot about higher food and gas bills? Fight with your spouse over spending splurges? Fear you’ll outlive your savings?

Some people seek to ease such money anxieties by hiring a financial therapist.

The goal of financial therapists ultimately is to help people make good financial decisions, typically by raising their clients’ awareness of how their emotions and unconscious beliefs have affected their sometimes messy experiences with money.

Needs for such help often arise following a job loss, bankruptcy or marital partner’s financial infidelity—when one spouse hides or misrepresents financial information from the other. Even something seemingly positive, such as getting a big inheritance or winning a lottery, can cause financial anxiety.

“Folks are craving help with financial well-being,’’ says Ashley Agnew , president of the Financial Therapy Association, a professional group launched in 2009.

Financial therapists tend to come from mental-health and financial-planning disciplines, and there are signs that their ranks are rising: The Financial Therapy Association has 430 members, up from 225 in 2015. Still, according to the group, fewer than 100 financial therapists have completed its certification process, introduced in 2019. You can be an association member without being certified by it.

The reason for the increased interest is clear: Many Americans are worried about their personal finances. In a survey of about 3,000 U.S. adults conducted last October by Fidelity Investments, more than one-third of respondents said they were in “worse financial shape” than in the previous year. Some 55% of those respondents blamed inflation and cost-of-living increases.

Similarly, 52% of 2,365 Americans polled for Bankrate.com  said money negatively affected their mental health in 2023. That is 10 percentage points higher than in 2022. Financially anxious and stressed individuals are less likely to plan for retirement, prior research has concluded.

Messy divorce

New York advisory firm Francis Financial hired financial therapist Allen Sakon last November to aid individual clients. Many are divorced or widowed women with complicated money problems.

Certain clients “don’t believe they have enough resources, even though objectively they do,” says Sakon, who is a certified financial therapist, financial planner and accountant. Meanwhile, others with limited means mistakenly believe “they can live as extravagantly as they want,’’ she says.

Sakon currently counsels a recently divorced woman who is struggling with her dramatically lower income and the imminent sale of the family’s suburban New York home. “Her world has been turned upside down” by a financially messy divorce, Sakon says.

Though the woman has stressful new money responsibilities, she long avoided financial decisions, according to Sakon. “A money-avoidant grown-up is typically someone who was excluded from money discussions as a child,” she says.

Sakon says she hopes to eventually help this client feel capable of making financial decisions based on her resources and the financial plan that Sakon created for her.

Nate Astle , a certified financial therapist in Kansas City, Mo., met nine times from May 2023 to February 2024 with Andrea and Gianluca Presti , a 30-something Texas couple who were having persistent spats over money. Andrea Presti , an email marketer, says she believed that “if we didn’t go to financial therapy, I was going to question our entire relationship and whether we could continue.”

The wife cites an argument over the possible purchase of an expensive new car to replace their decade-old vehicle as an example of the couple’s financial conflicts. They disagreed over whether to give up a car that still worked well.

The husband, Gianluca Presti, a music producer, says financial therapy taught him and his wife to communicate better through active listening. He says he stopped being the couple’s money gatekeeper, became more open-minded about spending—and agreed to pay up to $45,000 cash for a new car. “We have to be a team if we want to solve financial issues,” he now realises.

Astle helped the Prestis revamp their household budget as well. It now reflects each spouse’s interests by including expenditures, investments and savings.

Astle, who is also a marriage and family therapist, says he has seen his financial-therapy clients more than double to 43 since 2022.

Possible pitfalls

Still, there are possible pitfalls when hiring a financial therapist. One major drawback: Anyone can claim they are qualified to practice financial therapy.

No government agency regulates the young profession. Candidates for certification by the Financial Therapy Association must take online courses designed by the association covering financial and therapeutic techniques, counsel clients for 250 hours and pass a 100-question test. But you can call yourself a financial therapist and not be certified by the association.

Meanwhile, the cost of financial therapy varies widely—from $125 to $350 an hour, Agnew estimates. Insurance rarely covers the tab.

In addition, there is no broad evidence that financial therapy works well. No large-scale studies demonstrating the field’s effectiveness have been conducted.

Another potential downside is that financial therapists with mental-health backgrounds typically lack extensive financial-planning experience—and vice versa. It is wise to interview at least three financial therapists, experts suggest. Then, pick someone who admits the limits of their expertise.

“I am very upfront about my boundaries,” says practitioner Aja Evans , a licensed mental-health counsellor who isn’t certified in financial therapy. Evans adds that she failed the certification test but plans to take it again during 2024—and before she becomes Financial Therapy Association president in January.

She says she feels well-qualified to help clients recognise how their upbringing affects their money beliefs today. “But I am in no shape or form going to be advising you about your investments, money moves or creating a financial plan,” Evans says. For clients who want that assistance, she says, she refers them to certified financial planners and accountants she knows well.

Wasting Too Much Time on Your Phone? Tips to Regain Control—and Feel Better

We don’t always realize how many hours we’re spending on social media, racking up excessive screen time, and how it’s affecting us. Yet the act of online scrolling through news or other content that makes one feel sad, anxious, angry or worse, has become so common, it’s been given a name: doomscrolling .

Even if you’re not ready to delete your social media apps, you can  take control  of how you use them. Instead of simply letting yourself track catastrophes on X, feel FOMO while watching your friends hang out without you on Instagram, compare your bodies to those of dancing TikTokers, or feel professional jealousy toward former co-workers on LinkedIn, try these tips.

Change How You Engage

Michelle Mouhtis, a licensed therapist and social worker based in Red Bank, N.J., who specialises in counselling millennials, says passive scrolling can quickly land you in a “compare and despair” trap.

Her advice: Be more deliberate with your content consumption. Rather than doomscrolling to avoid emotions, or put off sleep, devote screen time to learning a new skill via YouTube, more information about a topic you care about or connecting with a new community.

Curate Your Content

Carefully consider how the accounts you follow affect you. If the content you’re seeing triggers envy or a sense that you don’t measure up, know that most social media apps allow you to mute people and certain topics, stopping them from appearing entirely or a lot less frequently. You don’t even have to unfriend someone to avoid their content.

Track Your Timing

Get familiar with your phone’s “Screen Time” features. Most phones will provide data on how you use them, including the number of times you pick them up each day. Both Apple and Android users can set limits on your screen time for specific apps in the settings.

Although you can override the prompt that pulls the plug and keep scrolling, Mouhtis said the alert still helps. “Having that added step, where you have to manually allow another 15 minutes slows you down.”

Delete, Delete, Delete

Just because you’ve downloaded an app once, doesn’t mean it has to be on your home screen forever. If you find that using any given app at specific times of the year (like the holidays) triggers unhealthy thought loops, delete it from your phone. You can always download it again.

For apps you decide to keep, Mouhtis recommends turning notifications off. Your “likes” will still be there even if you aren’t notified of them in real time. You can also turn off all notifications by using the “Do Not Disturb” function.

Put the Phone Down

Much of social media engagement—Instagram “likes,” LinkedIn shares and the ping of a DM notification—cause our brains to produce dopamine. The chemical is associated with temporary bursts of pleasure, says Mouhtis, unlike serotonin, which is linked to longer-lasting feelings of happiness.

To avoid the chase of that high, take on things that make it physically impossible to scroll. Offline activities like cooking, crocheting, biking and rollerblading suit this purpose, but even an episode of a TV show, Mouhtis points out, ends eventually, unlike your TikTok or Instagram feeds’ infinite scroll.

Hotel experience at home in Castle Hill

Castle Hill is set to be home to a new hotel-like development, with the announcement that the 94-apartment Astrid site is just weeks away from completion.

While the penthouse apartments across the two buildings have already been snapped up, there are still one, two and three-bedroom residences on offer. The development comes with a gold star iCIRT rating, guaranteeing it has met quality construction standards. The iCIRT rating system has been developed by Equifax in partnership with government, industry and market and rates projects from one to five stars following a rigorous and independent review process.

Steve Harb from developer CBD Core, said it’s the best indicator would-be buyers could have that their investment is safe.

“The iCIRT rating gives people the assurance that we’re trustworthy and have integrity as a developer,” he says. “Our service is complete from start to finish, from developer to builder. 

“As a buyer, you have one point of contact, there’s no shifting responsibility or passing the buck so if anyone has an issue, it can be sorted out as soon as possible.”

He said Astrid has proved popular with locals interested in upgrading without leaving the convenience and amenity of the Hills District. Surrounded by some of the best restaurants, clubs and recreational facilities in the area, it is also just six minutes’ walk to the new Metro station and a seven-minute drive to Castle Towers Shopping Centre. Schools and tertiary education options are also within an easy drive. In addition to some of the best parks and reserves in Sydney, it’s an attractive option for families on the move.

Mr Harb said the concept for the development, as with all his projects, was to create a hotel-like environment.

“I only do boutique projects and when I say ‘boutique’, I mean hotels without the concierge,” he says. “The quality and integrity is built into it.”

The infinity edge pool is surrounded by leafy gardens in a resort-style environment.

Leisure facilities include rooftop gardens and entertaining spaces as well as a fully equipped gym on the ground floor overlooking an infinity edge pool surrounded by lush landscaped gardens. Mr Harb says beautiful landscaping is a signature of all his developments.

“I have lived in the Hills District for more than 15 years and the reason I live here is because I love the leafy environment, the greenery,” he says. “I always like to emphasise that in my developments with strong landscaping.”

WORK FROM HOME HUB

Recognising the ongoing desire to adopt a hybrid working model, Astrid provides a dedicated on-site working environment suitable for exclusive use by residents needing focused work time, as well as those seeking professional meeting rooms to receive clients, with wifi enabled work desks, as well as more casual seating. 

Mr Harb said the pandemic taught him that, while working from home was convenient, having breakout spaces within a wider residential development was highly attractive.

“You’re not stuck looking at the same four walls,” he says. “The shared work space at Astrid has comfortable lounges, chairs, coffee tables and more than a dozen cubicles,” he says. “It’s more like going into a meeting room in a hotel.”

The apartments are characterised by light-filled interiors.

IN RESIDENCE

The apartments are light-filled living spaces with seamless access to balconies, through to integrated joinery secreting storage. Finishes have been chosen to last, from the Michael Angelo Quartz benchtop and Char Oak Polytec Ravine joinery in the kitchen to the stone splashback and custom-made joinery in the bathroom.

Access throughout the buildings is via a swipe card, providing a secure environment. 

For more information, see Astrid Castle Hill.

Scarlett Johansson Rebukes OpenAI Over ‘Eerily Similar’ ChatGPT Voice

Actress Scarlett Johansson criticized OpenAI over a ChatGPT voice she says is “eerily similar” to her own.

The tech company said Monday it was pausing use of the voice, known as Sky, so it could address questions about how it chose the ChatGPT voices. Many people online have drawn comparisons between Sky and Johansson, who voiced an artificial-intelligence assistant in the 2013 sci-fi romance “Her.” The actress said in a statement her closest friends couldn’t tell the difference.

Johansson said OpenAI Chief Executive Sam Altman wanted to hire her last year to provide her voice for ChatGPT’s current system. She declined. When the actress heard Sky, one of five voices the company offers for its AI tool, she said she was “shocked, angered and in disbelief” that Altman would use a voice so similar to hers.

Johansson said her lawyers asked Altman and OpenAI for more details on how they created Sky.

“In a time when we are all grappling with deepfakes and the protection of our own likeness, our own work, our own identities, I believe these are questions that deserve absolute clarity,” Johansson said.

The voice of Sky was never intended to resemble Johansson, Altman said in a statement Monday evening.

“We cast the voice actor behind Sky’s voice before any outreach to Ms. Johansson,” he said. “Out of respect for Ms. Johansson, we have paused using Sky’s voice in our products.”

In a blog post Sunday, the company said it picked the five voices from more than 400 submissions from actors, looking for voices that sounded timeless and were easy to listen to.

OpenAI said Sky was the natural voice of another actress whom it hired and wasn’t an imitation of Johansson. It wouldn’t name the actress, citing privacy reasons.

The conflict with Johansson adds to the challenges confronting OpenAI, which has been sued by authors, artists and media companies for allegedly using their material without permission or payment. It also serves as a distraction at a time when OpenAI is trying to highlight new products and move beyond its leadership crisis last fall, when the company’s then-board of directors fired Altman for failing to be “consistently candid.” Altman was quickly reinstated as CEO.

OpenAI announced an updated ChatGPT voice feature a week ago. It builds on a product released in September that allows users to talk to its AI tool instead of type and hear responses in five different voices. OpenAI said users can have a more humanlike conversation with the new version, which responds almost instantaneously and can switch quickly between emotional tones.

The updated feature is part of a new AI system , called GPT-4o. It is the company’s latest attempt to attract more users and dominate the market for generative AI technology. The feature will be available to users who pay for ChatGPT-Plus, which costs $20 a month.

At the announcement last week, Altman likened the voice feature to something only seen in movies.

The CEO said in a speech last year that he and other OpenAI executives found inspiration in “Her,” which starred Joaquin Phoenix as a lonely man who falls in love with the voice assistant Samantha, voiced by Johansson. OpenAI employees posted references to the movie on X after the May 13 voice announcement. Altman posted a one-word tweet : “her.”

—Deepa Seetharaman contributed to this article. 

The Highest Paid CEOs of 2023

The chiefs of America’s biggest companies reached new pay heights in 2023 as stock awards swelled the value of compensation packages.

Half of the executives in a Wall Street Journal analysis made at least $15.7 million, a record for median CEO pay in the annual survey, with several making more than $50 million . Median pay for the same companies a year earlier was about $14.5 million.

Most of the executives received year-over-year raises of at least 9%—one in four got 25% or more—and most companies recorded annual shareholder returns of at least 13%, the Journal found in an analysis of data on more than 400 companies from MyLogIQ , a provider of public-company data and analysis. (See the full ranking below.)

Eight tech executives ranked among the 25 top earners, as did five each heading financial companies and media or entertainment companies.

Hock Tan , the highest-paid CEO in the Journal’s analysis at $162 million, has to stay on the job for five years and Broadcom ’s share price must reach certain targets after October 2025 to get the full value of most of his pay. Broadcom said the company has outperformed competitors under Tan, its CEO since 2006, and he won’t get more equity or cash bonuses for five years.

Pay for Nikesh Arora at Palo Alto Networks totalled $151 million, mostly in equity awards that included shares granted over three years.

Blackstone , where Steven Schwarzman made $120 million, said the company’s 83% total return surpassed U.S. asset managers last year and described its pay structure as aligning executive incentives with those of investors.

Christopher Winfrey of Charter Communications , the cable operator, received total pay valued at $89.1 million, largely in options and stock vesting over five years, and much of it only if the company’s shares rise 28% to 152% from when the grants were made.

A $30 million one-time retention and leadership award that vests over five years helped boost total pay for Fair Isaac ’s Will Lansing to $66 million. The company said its shareholder returns ranked among the top 1% of companies in the S&P 500 over the past decade.

Stock gains

Equity awards continued to make up the bulk of most executives’ pay, much of it structured to deliver more stock or options if the company meets financial or share-price performance over several years. That means the pay can lose considerable value if the company’s share price falls or operating targets are missed—or soar in value amid market and operating success.

Restricted stock awarded in early March last year to Jensen Huang , CEO of graphics-chip maker Nvidia , quadrupled in value through late January, to $107.5 million. Huang’s pay, originally reported at $34.2 million , included $26.7 million of restricted stock as valued at grant.

Under the terms of the award, Huang could receive 50% to 100% more shares than originally targeted if the company meets performance criteria, according to Nvidia’s proxy.

Nvidia’s share price tripled during the year.

Brian Niccol , CEO of restaurateur Chipotle Mexican Grill , received stock and options valued at $15.5 million when they were granted in February 2023 as part of a $22.5 million pay package. By the end of the year, that equity had more than tripled in value, to $52.2 million, the company said. Chipotle shares returned about 65% during 2023, and 18% a year over three years.

A Chipotle spokeswoman said the growth in Niccol’s equity-award value reflects the company’s strong share-price performance during the year. The company said the value Niccol ultimately realises depends on continued financial, operating and stock-market performance by the company.

Intel CEO Patrick Gelsinger ’s equity awards last year also more than tripled in value by year-end, to $39.3 million. The company said in its securities filings that austerity measures last year reduced Gelsinger’s salary by about 15% to $1.1 million, which in turn reduced his cash bonus target by about 15%, to $2.9 million.

Overall, median cash pay for CEOs, including salary and annual bonuses, remained flat at about $3.8 million.

Top performers

Pay for CEOs running the best- and worst-performing companies didn’t vary dramatically. Median total pay was $14.6 million for the 20% of CEOs whose companies recorded the worst returns compared with other companies in the same sector, and $15.7 million for CEOs at the best-performing companies.

Chip and computer hardware makers accounted for six of the 25 best-performing companies—including Nvidia, the top performer—while four were in the travel or transportation industries. Several of the top performers bounced back from one or more years of poor returns, often tied to the pandemic.

Royal Caribbean Group reported paying Jason Liberty $17.2 million and recorded a total return of 162% last year, after posting minus 36% in 2022 and minus 43% in 2020, when the cruise industry was battered by illness and travel bans. (The company posted a 3% return in 2021.) Ride-sharing giant Uber Technologies recorded a 149% return after posting returns of minus 41% in 2022 and minus 18% in 2021.

Chip maker Advanced Micro Devices , ranked seventh by one-year performance, was headed by Lisa Su , the second-highest-paid woman in the analysis, at just over $30 million, including nearly $28 million in restricted stock and options. The highest-paid woman, at $31.55 million, was Julie Sweet of consultant Accenture , which posted a one-year total return of about 14%.

Thirty-one women ran S&P 500 companies for the full year of 2023, up from around two dozen at the beginning of the decade. None ranked among the top 25 by pay. One other woman ran one of the 25 best performers: Jayshree Ullal at networking company Arista Networks , which posted a 94% return. Ullal’s pay totalled $15.56 million.

Bottom of the pack

Among the 25 worst-performing companies in the Journal analysis, nearly a third operated in the healthcare sector, including six pharmaceutical or biotech companies. They were joined by four utilities.

Pfizer said it didn’t pay bonuses to top executives last year after weak demand for Covid-related products led the company to miss financial targets. The $17.5 million equity award that made up most of CEO Albert Bourla ’s total pay last year is meant to recognise his leadership and give him an incentive to focus on long-term strategy, the company said.

Poor performance can slash the value of CEO equity awards. Covid-vaccine maker Moderna reported total pay of $17.1 million for CEO Stéphane Bancel last year, including $12.5 million in stock and option awards.

The value of those awards fell 42% to $7.3 million at year-end, the company’s proxy shows, as Moderna’s stock price tumbled about the same amount for the year. In addition, equity awards made to Bancel in prior years fell in value by about $167 million during 2023.

Those losses offset a net $945 million in new equity awards and increases in value reported for Bancel during the prior three years.

Moderna declined to comment.

Methodology

The Wall Street Journal used data from corporate proxy statements filed through May 16 by companies in the S&P 500 index with fiscal years ended after June 30, 2023. The data was collected by MyLogIQ, a provider of public-company data and analysis.

Aggregate pay and shareholder-return figures exclude companies that changed CEOs or fiscal-year-end dates during the year.

Pay reflects the value of equity awards at grant, as reported by companies. Total returns reflect stock-price change and dividends, in most cases calculated from the month end closest to the company’s fiscal-year end.

Sources: MyLogIQ (compensation); Institutional Shareholder Services, FactSet (shareholder return); Standard & Poor’s (industry groups); company filings (pay for select companies)