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World Cup transit sticker shock hits fans with tickets to matches in some US host cities

Dubbed the “Sommermärchen,” or “Summer Fairy Tale,” the 2006 World Cup in Germany was a widely praised showcase for a modern, unified nation that was welcoming to fans from around the globe. Part of that success was the “KombiTicket,” which gave fans free access to local public transportation on match days.

Since then, World Cup host countries have invested heavily in getting fans to and from matches, especially in Russia in 2018, where even long-distance trains between host cities were free, and Qatar in 2022, where free metro access helped turn stadium-hopping into part of the tournament experience.

Then came the United States.

Already reeling from astronomical ticket prices, expensive flights and exorbitant hotel costs, fans have been outraged to discover that getting to some stadiums via rail will come with another hefty bill: $98 round-trip train fares in New Jersey and $80 in Massachusetts — trips that normally cost NFL fans $12.90 and $20, respectively.

Officials insist they aren’t trying to rip off fans, but are instead just trying to cover the costs of security and expanded train service without being a drain on taxpayers. Yet fans see it as just another way that tournament organizers are burdening fans who are already paying huge sums to visit the U.S., a huge, car-centric country where public transit has long been an afterthought in many locales. Unlike past hosts, some state and local officials have been less willing to swallow the costs, arguing they should be covered by FIFA, the international soccer body that stands to rake in billions of dollars from the event.

Finding a solution from overseas

“Planning for this World Cup has been a nightmare from start to finish,” said Scotland-born Rory Phillips-Hunter, a 37-year-old hospitality worker who lives in northern England. “I think it’s the most inaccessible one there’s ever been.”

Mystified by the lack of affordable options to travel 25 miles (40 kilometers) from Providence, Rhode Island, to Foxborough, Massachusetts, where Scotland’s first two matches will take place, Phillips-Hunter and some fellow Tartan Army members decided to figure it out themselves.

At about $50 per person, the Scots have booked about 20 school buses to take nearly 1,000 members of the plaid-clad fan group to each match. They’re even getting a police escort, all for just over half the cost of the $95 bus fare that local officials are offering — a combined savings of more than $85,000.

The $95 bus fare was never going to break the bank, Phillips-Hunter knows, but he and so many other Scots are already paying huge sums to see their men’s team compete in the World Cup for the first time in 28 years. Phillips-Hunter estimates it will take him two years to pay off the credit card debt he’s taking on for his six-day trip to the U.S., including the $1,350 he spent on a ticket for the Scotland-Morocco match.

Beyond anything, Phillips-Hunter is frustrated that a group of Scots from across the ocean were able to organize transportation for so much cheaper than what local officials offered.

“When I look at that difference in cost, that’s just profits you’re taking from us,” he said.

Who should pay?

Not every host city is approaching transportation the same way. Atlanta, Houston and Seattle have stadiums linked directly to their rail systems, and regular fares will apply. Miami-Dade County officials recently announced they will offer free shuttles to get fans to and from Hard Rock Stadium in Miami Gardens, about 15 miles (24 kilometers) from downtown Miami. Philadelphia, meanwhile, is offering free rides on the way back from the stadium, thanks to funding from FIFA sponsor Airbnb. And Kansas City, Missouri, is running $15 shuttles.

The relatively high transit costs for the matches at MetLife Stadium in New Jersey and Gillette Stadium in Massachusetts are partly because they’re in the suburbs, and many fans drive to the NFL games they typically host. But parking will be extremely limited during the World Cup due to expanded security perimeters, broadcast needs and lots being used as VIP areas, forcing far more fans to use public transit.

David Gogishvili is a senior researcher at Switzerland’s University of Lausanne and studies how sports organizers put together big events like the World Cup.

He said it is standard practice for organizers like FIFA to pass much of the cost on to host countries. The difference this time is that the U.S. has “stronger and more independent” state and local officials who have been less willing to take on the cost and “bow to the wills of FIFA.”

“These costs should be borne by the organization that is earning money out of these events, which is FIFA. It should not always be the host cities that take on all the expenses,” Gogishvili said, noting the soccer body’s expected $13 billion revenue from 2023-26.

New Jersey Gov. Mikie Sherrill, a Democrat, has called on FIFA to cover the transportation costs to matches.

But FIFA pushed back, arguing that no other global event has been asked to absorb such costs and that its initial agreements with host cities called for free transportation for fans to all matches. The agreements were later changed to allow cities to provide transit “at cost.”

The reason transit has been so accessible at recent World Cups is that host nations like Russia and Qatar have viewed the tournament as a “public relations exercise,” and subsidized transit accordingly, Gogishvili said.

Officials’ anxiety over transit costs also comes amid growing concern that the promised World Cup economic boon won’t materialize, with hotel room bookings not meeting expectations in most of the 11 U.S. cities hosting the tournament. A 2022 study co-authored by Gogishvili found that nearly every World Cup from 1966 through 2018 ran at a financial deficit.

Yonah Freemark, a researcher at the Washington-based Urban Institute think tank who specializes in transit issues, said World Cup fans from Europe and Asia will encounter less-advanced but costlier transit systems than they’re used to back home.

Pointing to the transit pricing tied to matches in New Jersey and Massachusetts, Freemark said officials “are trying to get away with murder.” Wait times and transit access, he added, will likely fall well short of what many foreign visitors are used to.

Searching for a way to the stadium

Ynara Correa da Costa, a Brazilian systems analyst who lives outside Sao Paulo, will be attending her seventh World Cup.

Like many, she was stunned when officials initially proposed charging as much as $150 for train fares from New York City to MetLife Stadium, where Brazil plays its opener against Morocco. The widespread shock and led New Jersey officials to lower the price to $98 after securing additional funding.

But even the lowered price for a short train ride “is just not acceptable,” Costa said.

Costa was heartened when the local host committee said it had secured more buses to get to the stadium and slashed the price from $80 to $20. But there are only enough bus seats for 18,000 fans to get to the stadium, which holds about 82,500.

That seems far more manageable to Costa. Earlier, she wondered whether she and other cost-conscious fans might have to walk to MetLife Stadium, but that isn’t possible.

“We’ll go to the match, that I know,” Costa said. “But how? Let’s see.”

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AP World Cup coverage: https://apnews.com/hub/fifa-world-cup

When you have advanced prostate cancer: What living with the disease looks like

(CNN) — “How long do I have to live ?”When I tell a patient he has prostate cancer, this is usually what he asks me first.With early-stage or low-grade prostate cancer, I can offer strong reassurance: Your life expectancy is good — expect a five-year relative survival rate of greater than 99% with treatment. Simply put, most men will not die from low-grade prostate cancer.However, once the cancer has spread outside the prostate to the bones and other organs the answer becomes more difficult. Treatment has changed dramatically over the past decade for advanced prostate cancer. New drugs, better imaging and the earlier use of combined therapies are helping men live longer.In a video released July 15, former President Joe Biden gave an update on his prostate cancer, saying he was receiving treatments that have been going well. In May 2025, Biden officially announced that he had an aggressive form of prostate cancer that had spread to his bones. Since then, based on official updates, he has continued hormone therapy, completed a course of radiation and maintained a public presence.His diagnosis brought renewed attention to prostate cancer screening and treatment. Now, more than a year later, his cancer journey offers an opportunity to examine what has changed in the treatment of advanced prostate cancer — and the hope these offer men living with the disease.I recently saw a patient who was diagnosed three years ago with cancer that had already spread to multiple areas in his bones. Since then, he has taken cruises, traveled with his family and spent weekends babysitting his grandchildren.He gets tired and cannot garden the way he once did. But he is still alive and considers every day a blessing. His experience, and what we see with Biden, shows what living with metastatic prostate cancer can look like today.Understanding survival ratesIf they haven’t asked their doctor already, many patients go online and find five-year survival rates, but every number they may find online comes with a huge asterisk.The American Cancer Society reports five-year relative survival of greater than 99% when prostate cancer is found in or near the prostate. The figure drops to 38% when it has reached distant parts of the body.But that number is based on large groups of men treated years ago. It does not fully reflect the impact of newer treatments — or account for an individual man’s age, overall health and response to therapy.Survival statistics describe groups of patients but do not predict what will happen to one person. That is why the 38% figure cannot tell us how long Biden — or any individual patient — will live. These patients’ outlook depends on details of their cancer and how they are responding to treatments.It’s treated more aggressively nowA man diagnosed with metastatic prostate cancer a decade ago and a man diagnosed today would not receive the same treatment. The thinking now is to use our best treatments early instead of holding back.For years, doctors began with hormone therapy — usually injections that lower testosterone — and saved other treatments until the cancer stopped responding.Today, those injections are often combined from the start with a newer hormone-blocking drug and/or chemotherapy. These combinations have helped men live longer and are one of the biggest shifts of the past decade.What Biden’s diagnosis told usThere are three details about Biden’s cancer that help doctors like me understand how aggressive it is and how to manage it effectively. Official statements highlighted that his cancer had a Gleason score of 9. The cancer had spread to his bones, and it was labeled as hormone-sensitive.The Gleason score is assigned after a pathologist examines biopsy samples. Scores typically range from 6 to 10, with higher numbers indicating more aggressive cancer. A score of 9 falls into the most aggressive category. However, the score alone cannot tell us whether the cancer has spread outside the prostate.When prostate cancer spreads, the most common destination is the bones — particularly the spine, pelvis and ribs. It can also reach organs such as the lungs or liver. Once it has reached distant parts of the body, it is generally not curable, but treatment can put a brake on it for years.Prostate cancer can also be hormone-sensitive or hormone-resistant. Because it typically relies on testosterone to grow, lowering the hormone or blocking its effects can help control the cancer. Hormone-sensitive means it still responds to these treatments.Over time, most advanced or metastatic prostate cancers find ways to grow despite low testosterone levels, which mean they are now hormone-resistant. Lowering testosterone alone is no longer enough to control the cancer, so doctors have to turn to additional therapies.Knowing if the cancer has spreadThe most sensitive imaging test available today is a PSMA PET scan. It uses a radioactive tracer that seeks out a protein found on the surface of prostate cancer cells. Areas containing cancer may appear as bright spots, helping identify where the cancer has spread. The American Urological Association supports using this imaging test to determine whether high-risk prostate cancer has spread and to help establish its stage.A traditional bone scan, used for decades, highlights areas where bone is reacting to injury or disease. It remains an alternative imaging option, but PSMA PET is increasingly replacing its use.What areas light up and where matter when deciding on treatments. A single spot in the spine and cancer that has spread to the liver are both called stage 4, but they are not the same disease and may not be treated the same way.Doctors also consider how much cancer has spread. We label it as “low-volume” disease when the cancer has reached a limited number of areas. High volume is when the spread is more widespread or has reached other organs such as the liver or lungs.Both require treatment that works throughout the body. Treatment for metastatic disease generally includes therapy that works throughout the body. For men with low-volume disease, adding radiation to the prostate may also help them live longer.Biden has completed a course of radiation, but his team has not disclosed what area was treated or enough detail to determine whether his cancer would be considered low- or high-volume.Treatment has become more preciseBeyond starting more treatments earlier, doctors can increasingly tailor therapy to the biology of an individual man’s cancer. We can now test both the tumor and a patient’s own DNA for mutations that help guide treatment.Roughly 1 in 10 men with metastatic prostate cancer carries an inherited mutation affecting the body’s ability to repair DNA. The best known are BRCA1 and BRCA2, the same genes linked to some breast and ovarian cancers.Certain mutations found in the tumor or inherited DNA may make targeted drugs called PARP inhibitors an option. If a mutation is inherited, it also gives family members information they can act on through genetic counseling, testing and earlier screening.Another advance is radioligand therapy. If a scan shows that cancer cells carry a protein called PSMA, doctors can attach radiation to a molecule that seeks out that protein. Delivered through an IV, it targets cancer cells throughout the body. This approach was expanded last year to more men whose cancer had become hormone resistant.Living longer can come with costsEvery treatment can cause side effects. With hormone therapy, one of the first is often hot flashes, similar to what women experience during menopause. These are not dangerous, but they can affect a man’s quality of life.Fatigue is also common. Testosterone helps maintain muscle, so lowering it can reduce strength and energy. Regular walking and resistance training can help preserve muscle and reduce fatigue.The side effect almost no one talks about is loss of sex drive or low libido. At diagnosis, most men are thinking about staying alive, not their libido. But months later, it often matters. It is worth discussing with your care team and your partner rather than assuming it is simply the price of treatment.The side effect I worry about most is weaker bones. Low testosterone reduces bone density, while cancer deposits can weaken the bone’s structure. Follow-up care should include exercise, a bone-density scan, and ensuring adequate levels of calcium and vitamin D. For men with hormone-resistant cancer that has spread to bone, bone-protecting drugs can reduce the risk of fractures and other complications.New or worsening back pain, especially with leg weakness, numbness or trouble controlling the bladder or bowels? These could mean the cancer is pressing on the spinal cord. It is a true medical emergency that requires immediate attention.Cancer care requires a team approachIdeally, several doctors work together to coordinate a patient’s care. The urologist is often the starting point. A medical oncologist manages treatments that work throughout the body, while a radiation oncologist targets specific areas, whether that is the prostate itself or a painful bone lesion. The primary care doctor helps protect the patient’s heart and bones and looks after the person’s overall health.A man’s age, other medical conditions, ability to tolerate side effects and goals for treatment all shape treatment plans. Two men with nearly identical test results may be offered — or choose — different paths based on their health and priorities.Good communication among doctors is essential, but gaps can happen. Being your own advocate means knowing who is on your care team, asking questions and understanding your options.I also recommend bringing someone you trust to important visits for support and to take notes and help you remember what was discussed.More treatments, better testing offer hopeFor men worried about prostate cancer, talk with your health care provider about the benefits and risks of PSA testing. Black men and those with a strong family history should begin that conversation in their 40s. New urinary symptoms are often not cancer, but they still deserve attention, as does blood in the urine or semen, unexplained weight loss and/or persistent back or bone pain.For men living with advanced prostate cancer, there is reason for hope. There are more treatments and better testing than there were a decade ago, and good care pays attention to how a man feels, not just to what his scans show.The-CNN-Wire™ & © 2026 Cable News Network, Inc., a Warner Bros. Discovery Company. All rights reserved.
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