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The US Supreme Court on Tuesday began hearing a series of cases that could result in a generational contraction in the power of federal agencies...

UPDATE: Jun. 22, 2023, 12:45 p.m. EDT This list has been updated with the latest

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In the fallout from last year’s overturning of Roe v Wade, the legislation that secured abortion rights in the US, a great many young American men simultaneously did a quite radical thing. They took to social media to intimately document themselves getting a vasectomy, to prove it was a simple and painless act. One was vegan bodybuilder and influencer Brian Turner, who was certain from around the age of 22 that he’d never want children. He acted on his stance, aged 30, and made some genuinely great content in the process. “The reaction was positive,” he tells me. “A few people commented in disbelief, calling me crazy names or saying, ‘You’re no longer a man – you chopped your balls off.’ But they don’t bother me. I have a thick skin.” It started a global discussion on vasectomies, chiefly around how men can step up and take the burden of contraception away from their female partners forever. Adam, a 35-year-old father of two from Brighton, had the same desire around the same time: “I had a growing guilt about never really fully taking responsibility for contraception. Apart from condoms, all the solutions are for women, and they all seem to have pretty gnarly side effects. It seemed like the decent thing to do, to try to take on the responsibility.” But what of younger British men, who absolutely, definitely don’t want children, who know they want to be what I call “none and done”? For them, although the hurdles are curiously higher and their reasoning more diverse, the same desire to make an informed decision about their body exists. Britain has never had a big national conversation about the vasectomy, the way America – a place where some states even offered them for free in the wake of the Supreme Court’s historic verdict – clearly has in recent years. “The vasectomy was thought to be illegal here until around the Sixties, and only came on the NHS in the early Seventies,” explains Dr Georgia Grainger, a historian of vasectomy. Before this, the concept of men choosing to sterilise themselves was – in her words – “murky”, owing to many of the key doctors and campaigners evangelising the process also being supporters of eugenics. It was actually the beloved broadcaster Michael Parkinson who, in Grainger’s eyes, did the most to burst bubbles on the subject. “He was open about having a vasectomy back in 1972 when it was still very uncommon. He did an interview about it that was on the front page of the first issue of Cosmopolitan magazine. It definitely brought awareness and also dispelled some myths – that it would affect a man’s masculinity or even cause things like a higher-pitched voice”. While the procedure has undoubtedly become more common, I’m not sure that we as a society know a huge amount more about it than in the Seventies. The good news for men is that the procedure is more successful than ever. Doctors reported in March this year that, after surveying 94,000 patients, only 0.2 per cent of men get what’s known as “chronic scrotal pain”. It is generally seen as being more than 99 per cent effective as a form of birth control. The bad news is that there’s still a lot of misinformation around it – from daft macho ideas that it decreases your testosterone levels or sex drive (it doesn’t) to the more assimilated notion you hear a lot: that, similar to an intrauterine device (IUD) with women, it’s easy to undo (it isn’t sadly, not all reversals work, they get less successful over time plus they’re significantly more expensive too). In reality, a vasectomy is quick, carried out under local anaesthetic and takes around 15 minutes. Today, most are what’s known as “scalpel-free”, meaning the incision is so tiny (only 2-4mm) that it doesn’t require stitches. The two tubes that carry sperm from your testicles are severed (hence the colloquial term “the snip”) and closed. Post-surgery, men are encouraged to rest for a couple of days, to apply ice packs to their scrotum and – if possible – wear a jock strap that’s slightly too small to ease any swelling. And that’s it. “The most common question I get asked is, “Do you still cum?’”, says Gregory, who had a vasectomy in January. “It’s funny how so many people think you’ll never ejaculate again after a vasectomy. The truth is: the difference isn’t noticeable.” In fact, sperm is still produced, but it’s discharged internally and absorbed by the membrane around the epididymis (the coiled tube behind each testicle) in a totally natural process. The body still produces semen, which is ejaculated but it no longer contains sperm – although it’s said that a man needs to ejaculate on his own a good number of times before the presence of sperm totally vanishes. “I did hear rumours about ‘40 w***s’,” confirms Gregory, “but I just stuck with the doctor’s deadlines and the sperm test came back clear four months later.” Yet, while the procedure has some fringe areas of conjecture, one important aspect is dramatically less well known: men – especially young men – won’t automatically be granted a vasectomy if they choose to have one. There’s huge variation in the UK, based on regional NHS procedures and resources, plus, “a lot depends on the individual doctor, unfortunately” according to Grainger. Some areas don’t offer them, meaning having to go private and pay an often prohibitively expensive £600. But even simply having the autonomy to choose is also a grey area. “A lot of younger men, especially if they’re unmarried or don’t have children, really have to push to get a doctor to take them seriously,” says Grainger. “We often think of that kind of pushback as being something women get within their reproductive healthcare, but I’ve heard a lot of men share their experiences of having to go to multiple doctors to find one to agree to refer them for a vasectomy, just because they ‘might change their mind’.” This seems like quite a significant flashpoint, given that all the urologists we spoke to confirmed a definite movement of younger people wanting the snip. “Traditionally, the typical age of a man seeking a vasectomy would be 35-40 years old,” states Dr Peter Quinn who performs the procedure for Vasectomy NI. “However we are finding more and more younger men in their twenties are looking for a permanent method of contraception.” Luckily, I didn’t encounter a single man who had any regrets or who had “changed their mind”. What I found instead were more men making an informed choice around their own reproductive health, from a variety of backgrounds, viewpoints and life situations. Some for example, like Simon, are single and dating. He had his tubes snipped aged 28, while in a long-term relationship that subsequently ended. Does he have any regrets? “Absolutely not – I really want to make that clear.” Despite being from a big family with plenty of cousins whom he loves, he’s felt like he’s known he never wanted children himself “from as far back as my teens”. Now aged 30, he’s starting to date again. He doesn’t declare his snipped status on the dating app he uses, but does bring it up quickly, in case there’s any awkward confusion. “Not wanting to have kids is a pretty big part of who I am, I feel like I talk about it all the time anyway without needing to advertise it.” Ray, who is also young, single and snipped feels “it’s a flex” when it comes to being on the dating scene. Aside from being a talking point and a sign of emotional maturity, crucially it “finalises that aspect of ‘maybe he’ll change his mind’. which I have experienced in relationships in the past. I’ve been very clear I don’t want children previously, but nobody fully believes that when you tell them. They might put it to one side and say ‘let’s think about that later’.” Ray also has no regrets. Dr Nick Demediuk has performed more than 50,000 vasectomies in his career. The name of his clinic in Australia says it all: Dr Snip. His perspective over 34 years of performing a life-changing operation is thus pretty unique and his recommendation is unequivocal: “It’s the simplest and easiest form of permanent contraception that responsible men can use to contribute to their relationships and the planet.” For him, one of the key reasons behind the growth in younger men taking up vasectomies has been “issues related to climate change”, with a significant subgroup of “hard-line vegans”. There’s not enough resources for people alive on earth today – it feels almost a bit selfish for us to contribute to that scenario Nat and Charlie* This chimes with Nat and Charlie*, a male/female couple who moved from a big city to the English countryside this year, in part motivated by a desire to give their beloved trio of cats more space. Having been on the fringes of eco-activism since university, their decision – raised initially by Nat and enthusiastically supported by Charlie – to have the procedure when Nat was 29 was very much informed by the climate emergency. “We both feel like we’re loving people and capable of lots of love,” says Charlie “but we both felt inside of ourselves that we never wanted to have children, especially in the world as it is today.” Citing the extreme weather events all over Europe this summer as just one example, they fundamentally worry about the world being safe enough to bring kids into, as well as the feeling that “there are not enough resources for people alive on earth today – it feels almost a bit selfish for us to contribute to that scenario.” They stop short of endorsing the emerging philosophy of anti-natalism, a controversial belief first advanced by South African philosopher David Benatar that sees all human reproduction as immoral, in part due to the climate emergency but also because life is inevitably tinged with suffering and pain. But, in choosing not to have children out of concern for the environment, they find themselves at one end of an extreme and widening political spectrum. The same week I speak to them, Hungary’s leader Viktor Orban was holding the fourth of his biannual Demographic Summits, which – with Italy’s leader Georgia Meloni, religious leaders and right-wing thinkers in tow – aimed to solve what’s seen as a crisis in underpopulation in Europe. Encouraging more babies via defence of traditional family values feels a world away from the outlooks of Nat, Charlie and the many others taking up the vasectomy as a way of definitely not having kids on principle. As if we didn’t have enough 50-50 splits in society today, an increasing number of people believe we need fewer children while an equal number believe we need more. Britain in 2023 therefore seems conflicted between two worlds – the privatised freedom of America where a young, non-parent like Brian Turner is waved through (“I talked to my GP and she said, ‘All good’ and referred me straight away”) and a more prohibitive or simply untrusting mindset that looks at a young man and says, “Hmm, go away and think about it a while.” Perhaps if we want young men in society to play a more positive, active role, maybe they need to be trusted with their own bodily autonomy first? *Names have been changed Read More No music, no ball games, no fun: society is wiping out play ‘I was really struggling to get it up’: Why younger men are turning to Viagra I couldn’t climax, so I let ‘big testosterone’ take me for a ride Woman prepares hamper basket as her husband’s vasectomy gift Why taking a mental health day could be bad… for your mental health What the world’s happiest children tell us about where Britain is going wrong

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Just five years ago, lip injections seemed like a huge deal. When talking about it people used references like Kylie Jenner and Lisa Rinna because they had some of the most obviously-enhanced lips in pop culture. Now, though, the topic of lip filler seems a lot more casual — especially on TikTok.

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People receiving support for their mental health should be able to “walk down the corridor” and get money advice too, consumer champion Martin Lewis has urged. The MoneySavingExpert.com founder said swift action is needed to ensure people struggling with their mental health and finances receive the support they need. He made the call as the Money and Mental Health Policy Institute said there is an urgent need for more joined-up mental health and debt support. Mr Lewis, who is also founder and chair of the institute, said: “The cost-of-living crisis shows no sign of abating, and even if it does the fallout will last years. “Financial problems and mental health issues are locked together, it’s about time treatments were linked too. “We’d urge the Government and NHS to take swift action to ensure those struggling with their mental health and finances get the support they need – and cut costs for the state at the same time.” The institute argued that the reforms could save money for the public purse, by reducing demand on health services and helping more people with mental health problems to move into employment. It commissioned YouGov to survey more than 2,000 people across the UK in June about their experiences of money and mental health during the cost-of-living crisis. Nearly one in five (19%) people with mental health problems in the past two years are behind with one key bill, the survey indicated. This is around three times the 6% of people who have never experienced mental health problems who said they are behind with at least one major bill. Six in 10 (60%) people with recent mental health problems said they have felt unable to cope due to rising costs, yet only 9% have received money or debt advice since the start of the cost-of-living crisis, the survey found. The charity is calling for the Government and NHS England to provide money advice alongside NHS talking therapies – an initiative which can help people with common mental health problems. This isn't about big changes, it's a case of ensuring that when someone goes for support for their mental health, they can walk down the corridor and get money advice too Martin Lewis The charity said everyone receiving support from NHS talking therapies should be asked about their financial situation when they are initially assessed for the programme and money advice services should be located on the same site as talking therapies services. Co-locating both support services could make money advice much more accessible for people who are struggling with everyday tasks due to their mental health, it argued. Where co-location is not possible, or where people prefer telephone or online advice, professionals working in talking therapies services should actively book appointments on behalf of people, the institute said. Mr Lewis added: “For many years, therapists, mental health nurses and social workers have told us they often spend substantial, valuable clinical time helping people with their finances. It makes more sense to leave debt help professionals to do that and take some pressure off the NHS, letting clinicians focus on helping people get better. “This isn’t about big changes, it’s a case of ensuring that when someone goes for support for their mental health, they can walk down the corridor and get money advice too. Or if they’d prefer to get money advice online or via telephone, removing the stress of having to book appointments. That would make a huge difference in helping people to deal with mental health and debt issues, and to get on with their lives. “And when you throw in the potential economic gains of helping more people with mental health problems back into work, these reforms are a no-brainer.” A Government spokesperson said: “Our network of employment advisers provide money guidance to clients with depression and anxiety already receiving treatment from NHS talking therapies services. We’re working with the Money and Pensions Service to integrate further signposted sources of financial advice. “We’re investing £2.3 billion of extra funding a year by March 2024 to expand and transform mental health services in England, to treat an additional two million patients. We’ve also helped nearly two million people out of absolute poverty since 2010, and provided a £94 billion support package – worth around £3,300 per household – to help those most in need.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Why does my washing machine smell so bad? Self Esteem: The journey of self-belief is never over Holiday childcare costs up with fewer places available, survey finds