Panic surrounding low fertility and population aging in the United States has become such a common theme in the news, one might expect readers to believe that we are suffering from a population collapse (a claim perhaps most famously and most frequently made by Elon Musk). Instead, a quick perusal of the comments section of any of these news articles will reveal that the majority of people who weigh in believe that population growth is unsustainable and must end. People intuitively understand that so many of the crises we face today, from housing shortages to suburban sprawl and the loss of natural spaces to regional water scarcity, are driven or exacerbated by population growth. They understand that the population cannot grow infinitely on a finite planet that’s already buckling under the pressure we’ve put on it over the past two centuries, during which our population has ballooned from 1 billion to over 8 billion.
It’s true that U.S. birth rates have declined — a sign that women have gained more agency over their own lives and bodies. The total fertility rate (the number of births a woman would have if current age-specific birth rates remained stable over the course of her lifetime) is currently 1.6 — well below the replacement rate of 2.1 (replacement rate fertility would keep the population stable in the absence of other demographic factors such as migration and changing age structure).
Despite the declining fertility rate, the United States population is still growing. In fact, it grew in 2024 at a higher rate (0.98%) than at any time in the past quarter-century, with the exception of 2001, when the U.S. population grew at 0.99%. The U.S. Census Bureau projects that the U.S. population will increase from 338 million in 2025 to 370 million in the 2080s. The increase will occur because of population momentum due to large numbers of women in their childbearing years, and because of immigration.
It’s worth noting that one of the primary reasons for the declining U.S. fertility rate is the dramatic decrease in teen pregnancies since the 1990s — an inarguably positive development. And as long as we’re talking about birth rates and the economy, it’s relevant to mention that teen pregnancies and deliveries are disproportionately publicly funded, meaning that a reduction in teen pregnancies saves the government (and, by extension, taxpayers) money. This savings is magnified when considering the public costs associated with the myriad health and socioeconomic risks that teen parents and their children face.
Fears around slower population growth are typically rooted in changes to the “old-age dependency ratio” — the proportion of people who are older than 65, compared to those who are of “working-age.” The higher the dependency ratio, the fewer working-age people there are to support retired people, which is of particular concern because of the way our entitlement programs are set up (more on that below).
A better, more comprehensive measure is the total dependency ratio, which looks at elderly dependents (typically considered those over the age of 65) and at youth dependents (typically considered those under the age of 20). The total dependency ratio peaked in 1965 due to the baby boom, and it’s projected to rise to just above that peak level by the end of the century. In other words, we’ve been here before.
Higher birth rates, as prescribed by Elon Musk, J.D. Vance, and others of their ilk, would not have near-term positive effects on the economy. That’s because young people don’t tend to become economically productive until their early-to-mid-20s. An increase in the birth rate now would take up to 25 years to pay off. In the meantime, it would actually increase the total dependency ratio because the youth dependency ratio would rise.
A smaller youth population means lower expenditures on public services such as education (including higher education) and the children’s health insurance program (CHIP). It also — because much of the decline in birth rates is due to the drop in teen pregnancies — saves money on teens’ health care, since the majority of teenagers who give birth (78% in 2020) finance their deliveries via Medicaid. Temporary Assistance for Needy Families (TANF), the Supplemental Nutrition Assistance Program, and housing assistance also disproportionately serve teen mothers and their children. Finally, the children of teen mothers are twice as likely to be placed in foster care, and the sons of teen mothers are twice as likely to be incarcerated.
The Social Security and Medicare trust funds are “pay as you go” systems, meaning that today’s workers pay the benefits of today’s retirees. Without a growing population of workers, these funds risk insolvency. This may sound like a pyramid scheme, and it is — a population pyramid scheme.
Without policy changes, Social Security is projected to be depleted by 2033, and Medicare is projected to be drained by 2036. Exhausting these funds will result in benefits cuts for people drawing on them after these insolvency dates.
The variables used in Social Security projections are the fertility rate, the number of people receiving disability benefits, the level of labor productivity, and the employment rate of the working-age population. Medicare projections use all of these same variables, plus assumptions around future health care costs.
Given that all workers spend their careers paying into these two systems and expecting to be able to draw on them when they reach retirement age, it’s logical for there to be concerns around the ability of these two programs to continue to fund people’s benefits well into the future. Fortunately, there are several policy interventions that can alleviate the pressure on Social Security and Medicare, discussed in the next section.
In the absence of a growing population (which, to reiterate, the United States still has), there are ways to protect the economy from the effects of a growing dependency ratio. Here are a few, ranging from those that would increase human capital and improve productivity to those that would adjust the way benefits are funded:
Whatever policy measures this country pursues to protect the economy as we transition to an aging and, eventually, slower-growing population, pushing women to increase the U.S. birth rate should not be among them. The population pyramid scheme must end at some point, and the sooner it happens, the better it will be for the planet and the future generations it must support.
In many developed countries—Japan, South Korea, Italy, Spain, Germany, Canada, and the United States among them—fertility rates are below replacement rate. It’s far from cause for alarm despite claims by “birth dearthers” that we face social and economic catastrophe due to lower birth rates. With global population still growing annually at a rate of nearly 1%, the world continues to add some 70 million people a year.
Offering insights and guidance from prominent academics and journalists, The Good Crisis: How Population Stabilization Can Foster a Healthy U.S. Economy takes on one of today’s most pressing challenges: keeping our aging population healthy, productive, and prepared for today’s technologically-focused jobs. At the same time, today’s youth must be prepared for productive futures through education, skills training, and delayed parenthood.
Dispelling anxieties about the impact of slowing population growth on Social Security, commerce, and society, this collection of essays presents innovative and practical solutions to issues from labor shortages to fossil fuel dependence. Backed by extensive research and real-world examples, The Good Crisis presents a path to a more productive, sustainable world.