The Numbers Don’t Lie: America’s Baby Bust is Real

Here’s something that’ll make you pause: The report shows a 2% decline from 2022, with 3,591,328 births recorded in 2023. But that’s not the most shocking part. The U.S. birth rate in 2020 hit a historic low, with just 55.8 births per 1,000 women aged 15-44. This marked the lowest birth rate recorded since national data collection began. Think about that for a moment – we’re living through the lowest birth rates in recorded American history. The birth rate for teenagers ages 15–19 was down 3% in 2024 to 12.7 births per 1,000 women, another record low. The TFR in the United States plummeted from 2.12 in 2007 to a record low of 1.64 in 2020, which is far below the level of 2.1 needed for population stability. These aren’t just statistics – they’re alarm bells ringing through the heart of American society.
Young Women Are Saying “Not Right Now” to Motherhood

The birth rate for women ages 20–24 (55.4) reached a record low. But wait, there’s more to this story than just postponing parenthood. The average age for first-time mothers has increased from 25 in 2004 to 27 in 2024. More women are prioritizing education and careers before starting families. This isn’t just about timing – it’s about completely rethinking what life looks like. Between 2007 and 2020, the TFR in the United States declined from 2.12 to 1.64. This decline may signal a longer-term drop in lifetime fertility shaped by broader social factors, including postponement of marriage and childbearing to older ages and long-term increases in women’s educational attainment and labor force participation. American women between the ages of 20-29 are also having fewer babies, and may be opting out of having children altogether. And despite more women in their late 30s having children, “it’s not making up for fertility declines among younger women,” he said. “What’s coming to appear is that a lot of these babies are just going to be forgone entirely. They’re not going to be born.”
The Great Recession Started Something We Can’t Stop

The onset of the Great Recession clearly played a role in the early stages of the decline. Beyond that, it is difficult to identify any policy or economic factor that can statistically account for the continued decline. Here’s what’s really mind-blowing: The U.S. birth rate has fallen precipitously since the 2007 Great Recession, with no signs of reversing. When the economy takes a downward turn, couples often temporarily put off having children. But in the years following the Great Recession, births never rebounded. The U.S. birth rate has fallen by 20% since 2007. It’s like the recession flipped a switch in how Americans think about family size, and we never switched it back. But in the decade following the 2008 Great Recession, fertility rates continued to fall, with the exception of 2013 to 2014 when they increased slightly.
Money Talks, and It’s Saying “Kids Are Expensive”

The economy plays a big role in birth rates. The 2008 crisis caused a sharp drop as people got nervous about their finances. And the slow recovery since then has kept people cautious about expanding their families. The high costs of raising kids – from housing to healthcare – have also made some folks hesitate before having children. In addition there are socio-economic factors that have led to women and couples delaying having children. Lack of affordable housing, flexible and part-time career posts for women and affordable and publicly funded (free) child care have contributed to the current low fertility/birth rates. Plus, the rise of the gig economy and unstable jobs has left many feeling unsure about their financial future. Some people may be choosing to have fewer kids or delay starting a family until their finances are more secure. Think about it this way: if you’re not sure you can afford to take care of yourself, how can you commit to raising another human being for 18+ years?
The Mystery Factor: Nobody Knows Why This is Really Happening

We are unable to identify any period-specific social, economic, or policy changes that can statistically explain much of the decline. We conjecture instead that the sustained decline in the US fertility rate more likely reflects shifted priorities across recent cohorts of young adults. This is where things get really interesting – and a bit unsettling. “broad societal changes that are hard to measure or quantify.” “Not having children, or having fewer children, is becoming more socially acceptable,” said Sarah Hayford, PhD, MA, director of the Institute for Population Research at the Ohio State University, in a statement to The Hill. “As a result, people are weighing more carefully the decision to have children.” We conjecture that the “shifting priorities” of more recent cohorts, reflecting changes in preferences for having children, aspirations for life, and parenting norms, may be responsible. It’s like an entire generation collectively decided that maybe having kids isn’t the automatic life choice it used to be.
Social Security is About to Feel the Pinch

Due to demographic changes, the U.S. Social Security system will face financial challenges in the near future. Declining fertility rates and increasing life expectancies are causing the U.S. population to age. Here’s the math that should keep everyone awake at night: Consequently, the Social Security system is experiencing a declining worker-to-beneficiary ratio, which will fall from 3.3 in 2005 to 2.1 in 2040 (the year in which the Social Security trust fund is projected to be exhausted). In 1964, there were 4.0 workers for every beneficiary of Social Security. The Social Security Administration now projects that ratio will fall to 2.3 workers for every beneficiary by 2044. Today 12 percent of the total population is aged 65 or older, but by 2080, it will be 23 percent. At the same time, the working-age population is shrinking from 60 percent today to a projected 54 percent in 2080.
The Economic Ripple Effects Are Just Beginning

An aging population corresponds with a decline in work and spending, and thus both lower income and sales tax revenues. An aging population corresponds with a decline in work and spending, and thus both lower income and sales tax revenues. There will be larger federal expenditures for Social Security and Medicare, as well as greater healthcare and pension costs for retired government employees at the state and local levels. The worrisome scenario for countries who face low birth rates is a small young population and a much larger elderly population. In theory, a smaller young population would not be able to contribute to the workforce, attend schools and universities, pay for goods and services, pay taxes, start businesses and create economic growth at the level that the previous generation did, since there would simply not be enough people to contribute at the same scale. In that scenario, institutions used to larger amounts of young people, like hospitals, schools, and businesses, wouldn’t have the number of patients, students and customers needed to maintain growth. Finally, a shrinking labor force means fewer startups, which are major sources of innovation and productivity growth that provide prosperity for all. Fast-growing startups are more likely to put workers and capital to their highest and best use compared to older, comfortable, incumbent firms.
Immigration: America’s Population Life Preserver

When fertility rates are below the population replacement level, immigration can make up the shortfall to keep population growth positive. This has been true since the decline of U.S. fertility rates to well below the population replacement level of 2.1 after the Great Recession of 2008-09. By the year 2100, the population would be 435 million in the high immigration scenario; 366 million in the main scenario; 319 million in the low scenario; and a mere 226 million in the zero immigration scenario. The population growth rates of each scenario would be +30.6%, +9.7%, -4.3%, and -32.2%, respectively. The population decline in the zero immigration scenario is especially significant, as it shows that in the absence of any immigration, there would be a continued annual population loss every year between 2024 and 2100. “Net immigration becomes an increasingly important source of population growth. Without immigration, the population would shrink beginning in 2033, in part because fertility rates are projected to remain too low for a generation to replace itself,” the CBO report reads. Notably, 77% of the approximately 45 million immigrants in the United States are of working age (18 to 64 years) – a much higher figure than the 59% of those born in the U.S
Teen Pregnancy Rates: The One Success Story

Teen birth rates have seen a dramatic decline of over 60% since 2004. This decrease is attributed to better sex education and increased access to contraception. Guzzo said the largest contributing factor to the decline in teenage pregnancies is the increased use of more effective contraception. “The United States has always had much higher rates of teen and unplanned pregnancies than other countries,” Dr. Guzzo explained. “This is a success story… that people are able to avoid having births early on, when they themselves would say, ‘This is not the right time for me.'” It noted that the rate has declined by about 4% each year since 2007, marking a 69% drop from 2007’s numbers. It’s a 79% decrease from 1991, when births to teen moms last peaked. This is actually fantastic news – fewer teenagers are having babies they’re not ready for. But, by 2020 increases in contraceptive use and a leveling of the share of teens who were sexually active helped reduce the teen birth rate to 15.3—the lowest level ever recorded in the United States.
Education Changes Everything About Fertility

Education and income also play a significant role in fertility. In nearly every contemporary society, people who are more educated and have higher incomes have fewer children than those who are less educated and have lower incomes. In 2017, U.S. women ages 25 and older with an advanced degree had an average of 1.80 children, compared with 2.25 children for women with a high school diploma and 2.70 children for women without a high school diploma. Higher education and professional careers often mean that women have children late in life. This can result in a demographic economic paradox. Think about it like this: the more opportunities women have to build careers and achieve financial independence, the less urgency they feel to have children early. It waxes and wanes with the state of the economy and other factors, but the long-term trend is pretty clear: women have fewer children as their own opportunities, along with their ability to control their reproductive destinies, expand. Bear in mind that right now roughly a quarter of all childbearing in the U.S. is unintended. As women’s employment opportunities continue to grow, as marriage rates continue to decline, and as the promise of newer and more effective long-acting contraceptives is realized, women will almost surely have even fewer children than they do today with some ,opting out of childbearing altogether.
The Trump Administration’s Response: More Babies, Please

The Trump administration, for its part, has lamented the decline in birth rates. Vice President JD Vance called for “more babies in the United States of America” at an anti-abortion rally in January. And Transportation Secretary Sean Duffy said that same month that communities with higher-than-average marriage and birth rates should be prioritized for federal transportation funds. President Donald Trump dubbed himself “the fertilization president” at a White House event in March. The New York Times reported Monday that the White House is weighing proposals to incentivize childbirth, including a $5,000 cash bonus to mothers after delivery. But sociologists said those efforts aren’t likely to reverse declining birth rates. A 2021 study of “baby bonuses” in South Korea found that most of the money went to women who would have had a child regardless of the incentive. “You can’t just flip a switch and change the birth rate,” said Julia Strasser, an assistant research professor at the George Washington University Fitzhugh Mullan Institute for Health Workforce Equity. “The economic requirements — not just for having babies, but for raising babies — last a very long time, and $5,000 doesn’t really go a long way towards supporting that,” she added.
Looking Ahead: What Demographics Mean for America’s Future

The US dependency ratio was 59 in 2010, 64 in 2019, and is projected to be 73 by 2050 primarily due to population aging from the 1946-1964 Baby Boom. Additional declines in birth rates without offsets from immigration will further increase the dependency ratio, which raises serious concerns about economic stability/growth and the ability of the working population to support the social, financial, and health care needs of the dependent population. The shift of baby-boomer workers into retirement portends a decline in the worker-to-retiree ratio from 3.0 today to 2.0 by 2075. By 2030, for the first time in U.S. history, those above the age of 65 will outnumber those below the age of 18. That trend — which has been underway for quite some time — has profound implications across our society, key programs within the federal budget, and the fiscal outlook as a whole. Far beyond the radar of most media outlets and D.C. policymakers, demographic decline is causing serious problems in large swaths of the country. Contrary to what the optimists would have you expect, these aren’t places where tight labor markets are generating rapid wage growth. They lack sufficient employers, especially new and innovative ones; they are places where school districts can’t afford art and music programs; and municipalities can no longer maintain basic services. These places are also a glimpse into the future for the rest of the U.S.
The Bottom Line: This Isn’t Just About Numbers

As such, this significant decline in births is a warning sign regarding the social and economic factors that are the fundamental drivers of all population dynamics, including population health. Falling fertility rates are a reflection of the social and economic state of the country. Falling fertility rates are a reflection of the social and economic state of the country. We’re not just talking about fewer babies being born – we’re witnessing a fundamental shift in how Americans view family, work, money, and the future. The social determinants of health are, in fact, the social determinants of birth, death, and overall well-being in between, and require unified and bold policy agendas in response. Sociologists generally agreed that low fertility or birth rates aren’t an inherent problem. Whether this demographic transformation leads to crisis or adaptation depends on how we respond to it. One thing