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The birth rate of the United States has declined in recent decades. Some demographers project a progressively aging and shrinking population and workforce; a trend already occurring in
developed countries A developed country (or industrialized country, high-income country, more economically developed country (MEDC), advanced country) is a sovereign state that has a high quality of life, developed economy and advanced technological infrastruct ...
around the world. There is debate over the impact of this demographic phenomenon.


History

The birth rate in the United States has declined steadily since the beginning of the 19th century, when the average person had as many as seven children. In a 1905 speech, President
Theodore Roosevelt Theodore Roosevelt Jr. ( ; October 27, 1858 – January 6, 1919), often referred to as Teddy or by his initials, T. R., was an American politician, statesman, soldier, conservationist, naturalist, historian, and writer who served as the 26t ...
criticized Americans for having fewer children, and described the declining birth rate as a "race suicide" among Americans, quoting
eugenicist Eugenics ( ; ) is a fringe set of beliefs and practices that aim to improve the genetic quality of a human population. Historically, eugenicists have attempted to alter human gene pools by excluding people and groups judged to be inferior or ...
Edward Alsworth Ross Edward Alsworth Ross (December 12, 1866 – July 22, 1951) was a progressive American sociologist, eugenicist, economist, and major figure of early criminology. Early life He was born in Virden, Illinois. His father was a farmer. He attended ...
. In the 1930s, the Great Depression caused a substantial decrease in the birth rate, but this trend was reversed in the subsequent
Baby Boomer Baby boomers, often shortened to boomers, are the Western demographic cohort following the Silent Generation and preceding Generation X. The generation is often defined as people born from 1946 to 1964, during the mid-20th century baby boom. ...
generation. More recently, though, the
COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identi ...
caused fertility to decline further, while also increasing the death rate in the country. At the same time, many women are choosing to have children later in life. This trend could cause the total population of the country to age significantly in the future. In the modern world, it has become common for
developed countries A developed country (or industrialized country, high-income country, more economically developed country (MEDC), advanced country) is a sovereign state that has a high quality of life, developed economy and advanced technological infrastruct ...
to fall below the replacement level of births or see population decline. Many of these countries have tried to launch government initiatives to combat this trend, including large cash incentives for having more children, but these programs have been largely ineffective.


Causes

Population aging in the US is driven by a variety of factors, including increased access to birth control, changing societal attitudes, and lower
fertility Fertility is the capability to produce offspring through reproduction following the onset of sexual maturity. The fertility rate is the average number of children born by a female during her lifetime and is quantified demographically. Fertili ...
among modern Americans. Another major cause is the fact that the
baby boomer Baby boomers, often shortened to boomers, are the Western demographic cohort following the Silent Generation and preceding Generation X. The generation is often defined as people born from 1946 to 1964, during the mid-20th century baby boom. ...
generation is getting older, adding a large group of older Americans to the population and causing the median age to move up. COVID-19 has reduced fertility. Furthermore, there is evidence that women are choosing to give birth at a later age, which could lead to a temporary drop in population growth. Some of the birth rate decline may also have come from a decrease in unintentional pregnancy, especially in the context of the rate
teenage pregnancy Teenage pregnancy, also known as adolescent pregnancy, is pregnancy in a female adolescent or young adult under the age of 20. This includes those who are legally considered adults in their country. The WHO defines adolescence as the period be ...
. At the same time, though, national surveys have shown that most Americans would prefer to have more children, which suggests that problems with financial stability and work-life balance may be a more underlying cause. Finally, a further factor contributing to an aging workforce is the fact that employment rates among older workers are increasing. The rate of people who continue working after they are 65 is relatively high in the US, when compared to other developed countries. For example, in 2011, 16.7% among people aged 65 and over and 29.9% among 65–69 were employed in the US.


Impacts

By 2030, 20% of Americans are projected to be 65 and older. Both the overall population of the country and the average age are projected to increase over coming years. Given that older people tend to need more health services, some demographers have theorized a significant impact on the country resulting from these trends. Population aging could create an increasing need for services such as
nursing home A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to i ...
s and care-giving.


Economy

A shortage of workers is expected in the U.S. workforce due to a declining labor participation rate. Projections show that the demand for labor needed now is not being fulfilled, and the gap between labor needed and labor available will continue to expand over the future. Owing to the relatively large size population size of those born between the end of WWII and the mid-1960s (referred to by some as the "Baby Boomers"), the number of people generally considered to be of working age is declining. Additionally, young people are spending more time in education and training and are entering the workforce at a later age, and therefore, there are fewer entering the workforce in their early twenties. A loss in skilled and capable workers has made it harder for employers to recruit new staff. The retirement of members of the aging workforce could possibly result in the shortage of skilled labor in the future. A majority of experienced utility workers and hospital caregivers, for example, will be eligible for retirement. By the late 2010s, the United States found itself facing a shortage of tradespeople, a problem that persisted in the early 2020s despite the COVID-19 pandemic-induced recession and prospective employers offering higher salaries and paid training. Having an aging population accelerates industrial automation. Additionally, a shrinking birth rate could exacerbate
economic inequality There are wide varieties of economic inequality, most notably income inequality measured using the distribution of income (the amount of money people are paid) and wealth inequality measured using the distribution of wealth (the amount of ...
by increasing the importance of family inheritance, while an overall decrease in the population could shrink the economy by reducing the demand for basic goods like real estate. Nevertheless, unlike their counterparts in many other countries East and West, American Baby Boomers had many children of their own, the Millennials, who are a large cohort relative to the nation's population and are themselves having a relatively high birth rate, as of the 2010s. As a result, the United States will continue to have a significant number of consumers, investors and taxpayers in the upcoming decades. This gives the nation an economic edge over others.


Geopolitics

Because the United States is aging more slowly than any one of its main rivals, it will have an advantage in any future geopolitical contests. Given current demographic trends, it is unlikely that the United States will lose its dominant position to China and Russia. On the other hand, America's allies, including Japan and the European Union, are themselves aging more quickly.


Social security benefits

The U.S. federal social security system functions through collecting payroll taxes to support older citizens. Some argue that a smaller workforce, coupled with increased numbers of longer-living elderly, may have a negative impact on the social security system. The Social Security Administration estimates that the old age
dependency ratio The dependency ratio is an age-population ratio of those typically not in the labor force (the ''dependent'' part ages 0 to 14 and 65+) and those typically in the labor force (the ''productive'' part ages 15 to 64). It is used to measure the press ...
(people ages 65+ divided by people ages 20–64) in 2080 will be over 40%, compared to the 20% old age dependency ratio in 2005. Some state that increasing life expectancy of the older population will result in decreases in social security benefits, devaluing private and public pension programs. Were there to be a reduction or elimination of programs such as social security and Medicare, people may experience pressure to delay retirement and to continue working.


Occupational safety

Because of the many older adults opting to remain in the U.S. workforce, many studies have been done to investigate whether the older workers are at greater risk of occupational injury than their younger counterparts. Due to the physical declines associated with aging, older adults tend to exhibit losses in eyesight, hearing and physical strength. Data shows that older adults have low overall injury rates compared to all age groups, but are more likely to suffer from fatal and more severe occupational injuries. Of all fatal occupational injuries in 2005, older workers accounted for 26.4%, despite only comprising 16.4% of the workforce at the time. Age increases in fatality rates in occupational injury are more pronounced for workers over the age of 65. The return to work for older workers is also extended; older workers experience a greater median number of lost work days and longer recovery times than younger workers. Some common occupational injuries and illnesses for older workers include arthritis and
fractures Fracture is the separation of an object or material into two or more pieces under the action of stress. The fracture of a solid usually occurs due to the development of certain displacement discontinuity surfaces within the solid. If a displa ...
. Among older workers, hip fractures are a large concern, given the severity of these injuries.


Health care

By 2030, 20% of Americans are predicted to be past the age of retirement, which could pose a burden to the healthcare system. Older and retired people tend to need more health services, which must be provided by their younger counterparts, so some demographers have theorized that this could have a negative impact on the country. Older adults will also have to deal with more chronic diseases; older adults who have worked in the construction industry have shown high rates of chronic diseases. Experts suggest that the number of geriatricians will have to triple to meet the demands of the rising elderly. There is expected to be a similarly increased demand in other healthcare professionals, such as nurses,
occupational therapist Occupational therapists (OTs) are health care professionals specializing in occupational therapy and occupational science. OTs and occupational therapy assistants (OTAs) use scientific bases and a holistic perspective to promote a person's abi ...
s, physical therapists and dentists. In addition, there is expected to be an increasing demand over common geriatric care consumption needs, such as medications,
joint replacement Replacement arthroplasty (from Greek ''arthron'', joint, limb, articulate, + ''plassein'', to form, mould, forge, feign, make an image of), or joint replacement surgery, is a procedure of orthopedic surgery in which an arthritic or dysfunctional ...
s and cardiovascular operations.


Society

Population aging can potentially change American society as a whole. Many companies use a system, in which older, tenured workers get raises and benefits over time, eventually hitting retirement. With larger numbers of older workers in the workforce, this model might be unsustainable. In addition, perceptions of older adults in society will change, as the elderly are living longer lives and more active than before.


Environment

Other demographers have suggested that a declining birth rate may have net positive effects on the country. One theory is that the abrupt decline in births seems to have been caused by COVID-19, which could mean that women who postponed having children during the pandemic will still do so eventually. In the past, events like the
Great Recession The Great Recession was a period of marked general decline, i.e. a recession, observed in national economies globally that occurred from late 2007 into 2009. The scale and timing of the recession varied from country to country (see map). At ...
of 2008 created a temporary decrease in the birth rate, but the trend was eventually reversed. Additionally, there is some research supporting the idea that in well-educated countries, it might actually benefit the population to have a birth rate below replacement levels. Many
environmentalists An environmentalist is a person who is concerned with and/or advocates for the protection of the environment. An environmentalist can be considered a supporter of the goals of the environmental movement, "a political and ethical movement that se ...
see this trend more optimistically because it could help combat the perceived problem of
overpopulation Overpopulation or overabundance is a phenomenon in which a species' population becomes larger than the carrying capacity of its environment. This may be caused by increased birth rates, lowered mortality rates, reduced predation or large scal ...
. The
world population In demographics, the world population is the total number of humans currently living. It was estimated by the United Nations to have exceeded 8 billion in November 2022. It took over 200,000 years of human prehistory and history for th ...
is expected to reach almost 10 billion by the year 2050, which could pose a burden to Earth's
natural resource Natural resources are resources that are drawn from nature and used with few modifications. This includes the sources of valued characteristics such as commercial and industrial use, aesthetic value, scientific interest and cultural value. ...
s. Having fewer children has been shown to be an effective way to reduce environmental impact through reduced carbon footprint and higher populations could increase the effects of
climate change In common usage, climate change describes global warming—the ongoing increase in global average temperature—and its effects on Earth's climate system. Climate change in a broader sense also includes previous long-term changes to ...
in the future.


Proposed solutions

A number of potential strategies have been proposed to combat the potential problems caused by an aging population. To deal with the increased demand that could be placed on the healthcare system,
telehealth Telehealth is the distribution of health-related services and information via electronic information and telecommunication technologies. It allows long-distance patient and clinician contact, care, advice, reminders, education, intervention, mon ...
and virtual health monitoring has arisen as a way to help support a larger population of older adults. Alternatively, some people have advocated for offering more paid parental leave and
child care Child care, otherwise known as day care, is the care and supervision of a child or multiple children at a time, whose ages range from two weeks of age to 18 years. Although most parents spend a significant amount of time caring for their child(r ...
, thereby encouraging people to have more children. These policies have already been employed in other areas of the world, but with mixed results. In some countries such as Germany and
Czech Republic The Czech Republic, or simply Czechia, is a landlocked country in Central Europe. Historically known as Bohemia, it is bordered by Austria to the south, Germany to the west, Poland to the northeast, and Slovakia to the southeast. The ...
they successfully raised the birth rate, but not in others, such as in Finland, Singapore, and Taiwan. Some have argued that reduced immigration will have a larger impact on population growth than the declining birth rate. Immigration has historically been a source of growth for the US, and some have suggested that it could slow or reverse the trend of population aging or decline. However, studies have shown that immigrants from countries with high-fertility rates often have fewer children when they immigrate to a country where small families are the norm. It has also been shown that low-birth rates and sudden increases in immigration often lead to increased levels of populism and
xenophobia Xenophobia () is the fear or dislike of anything which is perceived as being foreign or strange. It is an expression of perceived conflict between an in-group and out-group and may manifest in suspicion by the one of the other's activities, a ...
. Arguments in favor of increasing immigration to combat declining population levels have sparked outcry from some right-wing political factions in the United States and some European countries. In the United States, past episodes of domestic turmoil have led to moratoriums on immigration. Furthermore, the United States today struggles to integrate the various different ethnic groups already living in the country alongside new immigrants. Ethnic and cultural diversity has its downsides in the form of declining cultural capital, falling civic participation, lower general social trust, and greater social fragmentation.


See also

* Aging of China *
Aging of Japan Japan has the highest proportion of elderly citizens of any country in the world. According to 2014 estimates, about 38% of the Japanese population is above the age of 60, 25.9% are age 65 or above, a figure that increased to 29.1% by 2022. P ...
*
Aging of South Korea In South Korea, aging refers to an increase in the proportion of senior citizens to the total population. The term "senior citizens" include those aged 65 or older. According to Article 3 no.1 of the Framework Act on Low Birthrate of an Aging Soc ...
*
Aging of Europe The ageing of Europe, also known as the greying of Europe, is a demographic phenomenon in Europe characterised by a decrease in fertility, a decrease in mortality rate, and a higher life expectancy among European populations. Low birth rates an ...


References


Further reading

* * * * * * * *{{cite book, editor-last1=Cain, editor-first1=Louis P., editor-last2=Fishback, editor-first2=Price V., editor-last3=Rhode, editor-first3=Paul W., year=2018, title=The Oxford Handbook of American Economic History, Volume 1, place=New York, publisher=
Oxford University Press Oxford University Press (OUP) is the university press of the University of Oxford. It is the largest university press in the world, and its printing history dates back to the 1480s. Having been officially granted the legal right to print books ...
, isbn=978-0190882617 Demographics of the United States