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How America Killed Its Own Birth Rate

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How America Killed Its Own Birth Rate

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0:01

Fertility rates have dropped to an

0:02

all-time low.

0:03

>> The lowest level in three decades.

0:06

$127,000.

0:08

That's what it costs to have one kid in

0:09

America today. One kid in oh

0:13

that's for one year, by the way. Rising

0:15

costs and a declining birth rate, Copley

0:18

Hospital says it's closing its birthing

0:20

center.

0:20

>> And so, it's no wonder US birth rates

0:22

has hit another record low at 1.6 kids,

0:25

which is well below replacement rates.

0:26

But at this point I think you already

0:29

know this. But what nobody's talking

0:31

about is where that $127,000

0:34

actually goes to. Before it was

0:36

hospitals and child care, but now it's

0:38

fertility clinics, lobby groups, and now

0:41

even human engineering. And what's crazy

0:43

is they're plotting on making this a

0:45

whole lot worse. One of the companies

0:47

profiting from this literally have told

0:49

investors that their growth depends on

0:51

people not being able to afford kids on

0:52

time, and they're even going as far to

0:54

say that a worsening economy is a

0:57

potential net demand driver. And when

0:59

it's projected that in a few years more

1:01

Americans will be dying each year than

1:04

are born, you can probably see where all

1:07

this is going. And in fact, there's a

1:09

good chance it's right in front of your

1:10

eyes. I mean, my parents had my sister

1:13

at 27 and me at 30, and most likely

1:16

yours did too. Well, I'm pushing 30 now

1:18

and my girlfriend and I are still trying

1:20

to figure out how to make it all work.

1:23

So, even though I covered this before,

1:24

what I found this time made me realize I

1:27

had to make this video. Because the last

1:29

time birth rates dropped this hard was

1:31

the Great Depression. And back then, the

1:33

government actually managed to fix it.

1:35

So, the good news is that the fix

1:37

exists, but I'll show you why no one

1:40

wants to use it. Who profits from it

1:42

staying broken, and what it's already

1:45

costing all of us.

1:56

So, to kick this off, let's say you're

1:58

in your mid to late 20s, which is most

2:00

of my audience. And if you're lucky, you

2:01

and your partner have been together for

2:03

a few years. You both got jobs, maybe a

2:05

little bit of student debt, rent that

2:07

eats half your paycheck, but you really

2:09

want kids. But unfortunately, the math

2:11

doesn't work out yet, so you wait. And

2:13

guess what? That decision, which feels

2:15

like yours just made you a customer, and

2:18

I'll show you exactly who's profiting

2:20

from it and how. But first, you need to

2:22

see what actually causes this delay

2:24

that's happening. Because yes, birth

2:25

rates are at all-time lows, but it's not

2:27

just because people are choosing not to

2:29

have kids. If you look at the data birth

2:31

rates have dropped almost entirely for

2:33

women in their 20s and early 30s, which

2:35

are your prime biological years. But the

2:37

rates for women 35 and older have

2:39

actually slightly gone up. So, what this

2:41

means is that people are trying later in

2:43

life when they're more likely to be

2:45

financially secure. But what this is

2:47

pushing them into is also a lot harder

2:50

of a biological reality, but an even

2:53

more expensive road, and that's exactly

2:55

where the money is. And no, I'm not

2:57

talking about the rise of pet stores and

2:59

pet stocks, because yeah, that that

3:01

that's about to boom, too. But what I'm

3:03

actually talking about here is the rise

3:04

of the multi-billion dollar pre-birth

3:07

market. Take a company called Progeny.

3:09

That started in 2008 as like this

3:11

educational platform for people going

3:13

through IVF. And if you don't know what

3:15

IVF is, not only are they proving why

3:17

they're a company, but IVF is basically

3:20

where doctors take the egg out to

3:22

fertilize in a lab and put it back in.

3:24

It's what couples do when getting

3:25

pregnant naturally isn't working. But

3:27

that's changing, which I'll get to. But

3:28

anyways, as more companies started

3:30

offering fertility benefits to their

3:31

employees as a perk someone had to

3:33

manage all of it, and that's where

3:34

Progeny stepped in. And what a genius

3:36

move that was, because by 2019 they

3:39

became a billion-dollar company managing

3:41

fertility benefits for 80 companies,

3:43

including Google and Microsoft. And this

3:45

will be important in a bit. So, now you

3:47

might be thinking, how did they grow so

3:48

fast? Well, it's because they saw the

3:50

writing on the wall. When Progeny filed

3:52

to go public, they told investors that

3:54

they barely scratched the addressable

3:55

market. And they were confident in this,

3:57

because when they looked at their data

3:58

they knew that the infertility problem

4:00

was only going to get worse. And the

4:02

worse it gets, the more room that they

4:04

have to grow. But it wasn't just the

4:05

data, another thing was on their side,

4:07

too. An investor analysis called delayed

4:09

parenthood a demographic tailwind for

4:12

the stock in a worsening economy

4:14

potential net demand drivers. What this

4:16

means is they knew that a worse economy

4:18

means more people can't afford kids. And

4:20

the more they delay, the more people

4:22

will need fertility treatment. not just

4:25

picking on Progeny. They just filled the

4:26

demand that was there. Fertility

4:28

startups are now raising double the VC

4:30

money that they raised two years

4:31

earlier. And this is one of the fastest

4:33

growing sectors in all of health care.

4:35

And they know it's going to grow because

4:36

the problem is only getting worse, and

4:38

they know that no one is going to solve

4:40

it. business model only works if people

4:42

can't afford to have kids at 26. But I

4:44

know what most of you are thinking. If

4:45

you're 85% of my audience that are men

4:48

who gives a damn if women have to pay

4:50

that much, it's not it's not my problem.

4:52

And fair enough, considering that

4:54

probably only 10% of that 85% actually

4:56

gets girls. But what I'm about to show

4:58

you is how this bill is going to impact

5:00

everyone whether you're the one having

5:03

kids or not. Because the same system

5:05

that are profiting from the delay will

5:07

start monetizing the child the second

5:09

that they're online. And most email

5:11

services that call themselves free are

5:12

really just collecting everything every

5:14

habit, every search, and every click.

5:16

So, we were born into this system and

5:18

never got a choice, but the next

5:19

generation still can. And since they're

5:21

too young to make these decisions

5:22

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5:24

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your child's email address. So, before

6:25

the break, I showed you how an entire

6:26

industry was built on people not being

6:28

able to afford kids on time. But now,

6:30

what I want to walk you through is what

6:31

it actually costs to get pregnant, have

6:33

the baby, and raise it in this beautiful

6:35

country. And to show you what I mean,

6:37

let's go back to that couple. And

6:39

actually, you know what? it. Let's

6:41

use myself and my girlfriend Sophia, who

6:43

I've been with for 3 years. And you'll

6:45

see exactly who's profiting from each

6:48

and every single step.

6:54

So, let's say a few years ago Sophia and

6:56

I started talking about kids. And we

6:58

both agreed that we wanted them, but it

7:00

was a plan for sometime in our future

7:02

while we build our careers. But then,

7:04

the company she worked for offered to

7:06

cover up to $20,000 in egg freezing. And

7:09

at first, we weren't even considering

7:10

this, because think we have time. But

7:12

then, we thought about it, and it's like

7:14

why not? It'll buy us time and save us

7:16

money. And we even knew one of our

7:18

friends who did the same. So, it felt

7:20

like a smart move, but remember that

7:22

delay is the business model now. And

7:24

this is how it's increasingly starting.

7:26

In 2014, Apple and Facebook were the

7:28

first major employers to offer egg

7:30

freezing as a benefit. And it was framed

7:32

as empowering women's reproductive

7:34

choices. And like I even mentioned

7:35

earlier, it's exploded. Now, 40% of all

7:37

US employers offer some sort of

7:39

fertility benefits. But then, you have

7:41

to think about why they're doing this.

7:43

On one hand, 72% of employees say that

7:45

they'd stay longer at a company that

7:47

offer these sorts of benefits. So, you

7:49

can't really fault a company for giving

7:50

employees what they want. But on the

7:52

other hand it's way, way, way cheaper

7:54

for a company to pay $20,000 to freeze

7:56

Sophia's eggs than to give her, you know

7:59

paid maternity leave or child care. And

8:01

another way to even look at it, it's

8:03

really the cheapest investment to keep

8:05

her working and keep her at her desk.

8:07

But come on. We shouldn't be so

8:08

ungrateful. After all, it's a choice

8:10

that we made. But these choices exactly

8:12

how the business model I are ready now.

8:17

And so, we decided to unfreeze those

8:18

eggs and use IVF. But then, this is

8:21

where we quickly find out that the

8:22

freezing was just the entrance fee. A

8:24

single cycle runs $25,000, and most

8:27

people actually don't even get pregnant

8:29

on the first try. So, the average

8:31

patient ends up actually spending more

8:32

so around $50,000 across two to four

8:35

cycles. And when only 25% of Americans

8:38

have insurance that covers any of this

8:40

this meant that $50,000 was coming

8:42

straight out of our pocket. But then, as

8:44

we're going through all this, we started

8:45

finding out about something we had no

8:47

idea that even existed. Remember our

8:49

friends who recommended that we freeze

8:51

eggs? Well turns out they didn't just

8:53

freeze them. They actually used IVF for

8:55

a very specific reason. They used a

8:58

company called Nucleus Genomics which

9:00

offers an IVF add-on for, you know, a

9:02

cheap $30,000. And how it works is they

9:05

scan the DNA of both parents, plus up to

9:07

20 embryos across over 2,000 traits.

9:10

Everything from eye color and

9:12

intelligence to disorders like

9:13

depression and bipolar. And then, you

9:15

basically get a menu where you can sort,

9:18

compare, and choose which baby that you

9:21

want. And at first, to Sophia and I, it

9:23

100% sounded like eugenics and human

9:26

engineering. But once our friends showed

9:28

us their results and explained how they

9:30

were able to screen out a genetic

9:31

disorder that runs in their family it

9:33

stopped sounding so dystopian and

9:34

started sounding like why wouldn't we do

9:37

this if we could? So screw it. We

9:40

dropped the $30,000, and we decided to

9:42

make this super baby of our dreams. So,

9:44

since she's Brazilian and I'm Japanese

9:46

we had a plan for this super baby. We're

9:48

going to name it LeMarcus Des Santo

9:50

Chimarra who will have my eye shape

9:52

Sophia's eye color my height and my

9:54

intelligence, of course. Her nose and

9:57

both of our ADHD to become the most

9:59

racially ambiguous super baby that the

10:01

world has ever seen. So, of course, I'm

10:02

taking the piss here in this theoretical

10:04

example, but it's not just a joke.

10:07

Because in reality, this industry is

10:08

growing rapidly because they made it so

10:10

appealing that now a growing number of

10:13

couples who could get pregnant naturally

10:15

are choosing IVF specifically to be able

10:18

to access the screening. So, you can see

10:20

now how every step of the pregnancy is

10:22

increasingly getting monetized through

10:24

this illusion of choice. But with that

10:26

said, Sophia's pregnant, but now we need

10:28

to actually have the baby. Well, and

10:30

this is where it really starts getting a

10:32

bit darker. Because a vaginal delivery

10:34

with pre- and post-natal care in the US

10:36

costs around $15,000, but for a

10:38

C-section, that jumps to 30,000. But

10:41

that's actually not even the point here.

10:42

What I found is that one in three US

10:44

births today are C-sections, even though

10:46

the World Health Organization says that

10:48

the ideal range should be around 10 to

10:50

15%. So, why is this happening? Well,

10:54

I'm sure you can guess, but it's because

10:55

C-sections make nearly double a vaginal

10:57

delivery. But not only that, it takes

10:59

about 45 minutes compared to a vaginal

11:02

birth that can sometimes take hours or

11:04

days. It's not just some conspiracy I'm

11:07

spouting here. A national study found

11:08

that hospitals with higher profits per

11:10

C-section were significantly more

11:13

likely, like by a fivefold difference,

11:15

to perform them regardless of the

11:17

mother's risk level. And guess which

11:20

kind of hospital we ended up at. Well,

11:21

that's fine as long as Sophia's going to

11:23

be safe, right? Well, it turns out even

11:25

though we pay more than anywhere, US has

11:28

the worst maternal mortality rate of any

11:30

developed country and over 80% of those

11:33

deaths were preventable. But let's be

11:35

grateful and thank God because the

11:37

baby's here. But Sophia better get her

11:39

ass back to work because the US is the

11:42

only developed nation on Earth with zero

11:43

guaranteed paid maternity leave, whereas

11:46

every other comparable country offers at

11:48

least 14 weeks. But it's not because

11:50

we're all raising workaholics with no

11:52

family values. Well, well, kind of. But

11:55

the thing is, 82% of Americans want this

11:57

paid maternity leave, so why don't we

11:59

have it? Well, like I said earlier, it's

12:01

a lot more beneficial for companies to

12:03

pay for egg freezing than keep Sophia at

12:05

her job. Well, and also a big part of it

12:07

is lobbying because the formula milk

12:09

industry has spent millions lobbying

12:12

against paid maternity leave. And why

12:14

they lobby against it is because paid

12:16

leave makes breastfeeding possible, and

12:18

breastfeeding cuts into their $55

12:21

billion global business. So, now you can

12:23

start seeing the systems. But anyways,

12:25

Sophia goes back to work and now child

12:27

care starts, which on average will cost

12:29

$18,000 a year. But that amount is just

12:32

what shows up on the bill. Because what

12:34

doesn't show up is what Sophia loses by

12:36

going back. And I know what some of you

12:37

guys are thinking, this gender pay gap

12:39

that's been debated to death. And it's

12:41

fair because it's been largely debunked

12:43

when you control for hours worked to job

12:45

type and experience, but there's one

12:47

place where it absolutely shows up and

12:49

it's motherhood. Columbia University

12:51

found that working women see their

12:52

incomes cut in half after having

12:54

children. And it's because the second

12:56

you become a mom, you're the one that's

12:58

expected to leave early, miss work when

13:00

the child is sick, pass on the

13:01

promotion, and employers price that in.

13:04

Whereas for dads, not only is there no

13:06

penalty, but fathers actually earn a lot

13:08

more after having kids. In fact, as much

13:10

as 25% more than men without children.

13:13

So, to the 85% of my audience that are

13:15

men, this is literally the one

13:17

money-making cheat code y'all aren't

13:18

using because your boss will think that

13:20

you're more responsible and give you a

13:22

raise. So, the gender pay gap can be

13:23

debated, but what can't be debated is

13:26

the parenthood penalty. But just like

13:28

that, that's $127,000

13:31

in year one alone. And all that money

13:33

goes to every single person in that

13:35

chain. From the company that froze

13:37

Sophia's eggs, the hospitals that pushed

13:39

the C-section, the formula lobby that

13:41

killed her paid leave, and every one of

13:43

them has a vested interest in keeping

13:45

this going as you saw in the process of

13:47

making LaMarcus Desandro Kimura. But

13:50

that's just what it costs us because

13:52

what I haven't shown you yet is what

13:54

it's costing the country. Because we can

13:56

talk about how they extract the money

13:57

and who's profiting, but what nobody's

13:59

talking about is how it's reshaping the

14:01

country. And if something doesn't

14:02

change, the math is about to get a lot

14:04

worse than $127,000.

14:12

So, I think the first thing to address

14:13

here is something you might be thinking.

14:15

Well, don't poor families actually have

14:17

more kids? And on the surface, yeah.

14:19

Women below the poverty line do tend to

14:21

have the highest birth rate in the

14:22

country right now. But having a kid and

14:25

being able to give that kid a shot are

14:27

two very different things. While wealthy

14:29

families are screening embryos, picking

14:30

their hospitals, and giving them weird

14:32

ass names, the communities where

14:34

everyone else is having kids are falling

14:36

apart and not in the way that you'd

14:38

expect. And the perfect example is

14:39

Franklin County in Upstate New York. And

14:41

it's not just some ghost town with no

14:43

economy or opportunities. In fact,

14:45

unemployment is only 3.8%, but young

14:48

people keep leaving because there's not

14:50

much reason to stay. And the ones who do

14:52

aren't having enough kids. So, over the

14:54

last few years, population has dropped

14:56

10% and the local hospital stopped

14:58

delivering babies entirely. And that's

15:00

exactly what makes this birth rate

15:02

decline so serious because a dying

15:04

economy is actually easier to fix than a

15:06

dying population. Over the last few

15:08

years, Cleveland, Ohio has closed 29

15:10

schools. Austin, Texas, where I live and

15:13

it's one of the most moved-in cities,

15:14

has closed 10. And West Virginia has

15:17

even closed down 53. And so, when it's

15:20

not just happening in rural towns, but

15:21

in major cities, the chain reactions

15:23

continue to get bigger. Because when a

15:25

school closes, the families leave, and

15:27

when the families leave, the businesses

15:28

follow, and that's exactly how a

15:30

once-thriving town gets abandoned. And

15:32

if that gap keeps growing, we're not

15:34

looking at two different economies,

15:35

we're looking at two completely

15:37

different versions of what it means to

15:38

be born in the country. And so, even if

15:40

you think that none of this applies to

15:42

you since you've already had kids or

15:43

you're past that stage, this will still

15:46

affect you. Because who do you think are

15:47

the people that are going to be funding

15:49

your retirement? Social Security is

15:51

pay-as-you-go, and current workers fund

15:52

the 69 million Americans that depend on

15:55

this. But what we're projecting by 2034

15:58

is that this trust fund is about to run

16:00

out, and when it does, every beneficiary

16:02

is going to take an immediate 19% cut.

16:04

And at that point, immigration becomes

16:06

the only thing keeping the population

16:08

growing, and honestly, it already is.

16:11

And as someone who's been to the border

16:12

multiple times to cover it, regardless

16:15

of where you stand on the issue, I think

16:17

most people can agree that just relying

16:19

on immigration as the only solution to a

16:21

population crisis isn't sustainable, nor

16:24

is it a plan that we voted for. And I

16:26

think it's exactly why no administration

16:28

has ever really solved it because it's a

16:30

lot cheaper to let people come in and

16:32

work for less than to actually invest in

16:34

making parenthood affordable. If you

16:36

want to see what happens to a country

16:37

when they refuse to do either, look at

16:40

Japan. They didn't make it easier for

16:42

young people to have kids, and they

16:43

barely let anyone in, and GDP growth has

16:46

now stalled for the last 30 years. So,

16:48

whether you want or hate kids, as

16:50

Americans, we care about the economy.

16:52

And right now, the two paths are making

16:54

parenthood affordable or depending on

16:56

immigration, and right now, I don't

16:58

think neither one is being solved. But

17:00

with all that said, the good news is

17:02

that we've actually fixed this before.

17:05

During the Great Depression, birth rates

17:07

dropped to 2.2, which was an all-time

17:09

low at that time. But after the

17:11

depression, the government invested back

17:13

into the country with jobs and housing

17:16

and wages, and the GI Bill alone gave 8

17:19

million veterans free college and zero

17:21

down home loans. And surprise, surprise,

17:24

birth rates exploded. I mean, where do

17:26

you think the 76 million baby boomers we

17:28

love to hate today came from? And yeah,

17:30

fair point because back then, kids was

17:32

more like a necessity and not a choice

17:34

like it is today. But when Americans

17:36

today say that they still want two to

17:38

three kids even though the reality is

17:40

1.6, what's clear to me is that the

17:42

desire has never left. But whether a

17:44

solution like this is realistic today is

17:46

a different question. Because again,

17:47

this isn't a right or left question when

17:49

no administration has ever done it.

17:51

Obama didn't pass paid leave, Biden's

17:53

child care plan died in Congress. And

17:55

right now, the current government is

17:56

proposing to offer a $5,000 baby bonus,

17:59

but is that going to do anything to a

18:01

potential $127,000

18:04

bill? And again, I hate just sounding

18:05

like a doomer, but it might be too late.

18:07

Because as of 2025, not a single

18:09

advanced economy on Earth has dropped

18:11

below replacement levels and have been

18:13

able to bring it back up. So, when the

18:15

economy stays broken and more people

18:17

delay, and that market has grown into a

18:19

multi-billion dollar industry that has

18:21

zero incentive to make parenthood

18:23

affordable, no matter what they campaign

18:25

on, the loop keeps turning. And no one

18:27

who profits from that actually ever

18:29

wants this to change. So, now the most

18:31

important question becomes, what happens

18:34

if you do want kids? And I'll start by

18:36

telling you where I'm at. One thing that

18:38

happened recently besides turning 29 is

18:40

that I'm literally an uncle now. My

18:43

sister just had her first kid, and in a

18:44

few days, I'm about to meet my niece for

18:46

the first time. But just talking and

18:48

seeing how happy my sister is, I don't

18:50

know, man, but it does really make you

18:52

think that this might be the whole point

18:54

in this life. And in May, I'm moving to

18:57

Brazil to finally live with Sophia. For

19:00

those who didn't know, I've been doing 3

19:01

years of long distance, and we're

19:03

finally going to be in the same place.

19:05

It's not like we're planning on popping

19:06

out kids tomorrow, but one thing's for

19:09

certain, I refuse to let a system that

19:11

was built to profit off that decision

19:13

make it for me. Because if politicians

19:15

really wanted to fix declining birth

19:17

rates, they could. Just like they'll

19:19

magically find the money whenever it's

19:21

time to go to war. Because if you ever

19:23

wondered why an issue from the national

19:25

debt to immigration or birth rates

19:27

immediately gets dealt with or continues

19:29

to get worse, it's because the money and

19:31

power behind it has a vested interest to

19:33

keep whatever status quo going. So, the

19:35

message to those who want kids or on the

19:37

fence, there's a whole wave of people

19:39

out there trying to convince you that

19:40

having kids is selfish. But I'd love for

19:42

them to explain how wanting to start a

19:44

family is selfish when the system that

19:46

made it cost $127,000

19:49

is the one that nobody's calling out.

19:51

So, I'm genuinely curious to hear in the

19:52

comments whether you want kids or not,

19:54

but I'll be diving even deeper on this

19:56

topic in my free weekly newsletter next

19:59

week in the video description. But, if

20:00

you'd rather learn more about some of

20:02

the economic factors causing all of

20:03

this, you'll want to watch this video

20:05

next on the K-shaped economy.

Interactive Summary

This video explores the declining US fertility rates and the massive industry that has emerged to profit from people struggling to have children. It details how the rising costs of parenthood—exacerbated by fertility clinics, corporate lobbying, and healthcare profit motives—create a cycle that prevents many young people from starting families. The creator argues that while the government has the capacity to intervene through economic policy, vested interests maintain the status quo, ultimately leading to broader social and economic consequences like labor shortages and the strain on social security.

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