How America Killed Its Own Birth Rate
586 segments
Fertility rates have dropped to an
all-time low.
>> The lowest level in three decades.
$127,000.
That's what it costs to have one kid in
America today. One kid in oh
that's for one year, by the way. Rising
costs and a declining birth rate, Copley
Hospital says it's closing its birthing
center.
>> And so, it's no wonder US birth rates
has hit another record low at 1.6 kids,
which is well below replacement rates.
But at this point I think you already
know this. But what nobody's talking
about is where that $127,000
actually goes to. Before it was
hospitals and child care, but now it's
fertility clinics, lobby groups, and now
even human engineering. And what's crazy
is they're plotting on making this a
whole lot worse. One of the companies
profiting from this literally have told
investors that their growth depends on
people not being able to afford kids on
time, and they're even going as far to
say that a worsening economy is a
potential net demand driver. And when
it's projected that in a few years more
Americans will be dying each year than
are born, you can probably see where all
this is going. And in fact, there's a
good chance it's right in front of your
eyes. I mean, my parents had my sister
at 27 and me at 30, and most likely
yours did too. Well, I'm pushing 30 now
and my girlfriend and I are still trying
to figure out how to make it all work.
So, even though I covered this before,
what I found this time made me realize I
had to make this video. Because the last
time birth rates dropped this hard was
the Great Depression. And back then, the
government actually managed to fix it.
So, the good news is that the fix
exists, but I'll show you why no one
wants to use it. Who profits from it
staying broken, and what it's already
costing all of us.
So, to kick this off, let's say you're
in your mid to late 20s, which is most
of my audience. And if you're lucky, you
and your partner have been together for
a few years. You both got jobs, maybe a
little bit of student debt, rent that
eats half your paycheck, but you really
want kids. But unfortunately, the math
doesn't work out yet, so you wait. And
guess what? That decision, which feels
like yours just made you a customer, and
I'll show you exactly who's profiting
from it and how. But first, you need to
see what actually causes this delay
that's happening. Because yes, birth
rates are at all-time lows, but it's not
just because people are choosing not to
have kids. If you look at the data birth
rates have dropped almost entirely for
women in their 20s and early 30s, which
are your prime biological years. But the
rates for women 35 and older have
actually slightly gone up. So, what this
means is that people are trying later in
life when they're more likely to be
financially secure. But what this is
pushing them into is also a lot harder
of a biological reality, but an even
more expensive road, and that's exactly
where the money is. And no, I'm not
talking about the rise of pet stores and
pet stocks, because yeah, that that
that's about to boom, too. But what I'm
actually talking about here is the rise
of the multi-billion dollar pre-birth
market. Take a company called Progeny.
That started in 2008 as like this
educational platform for people going
through IVF. And if you don't know what
IVF is, not only are they proving why
they're a company, but IVF is basically
where doctors take the egg out to
fertilize in a lab and put it back in.
It's what couples do when getting
pregnant naturally isn't working. But
that's changing, which I'll get to. But
anyways, as more companies started
offering fertility benefits to their
employees as a perk someone had to
manage all of it, and that's where
Progeny stepped in. And what a genius
move that was, because by 2019 they
became a billion-dollar company managing
fertility benefits for 80 companies,
including Google and Microsoft. And this
will be important in a bit. So, now you
might be thinking, how did they grow so
fast? Well, it's because they saw the
writing on the wall. When Progeny filed
to go public, they told investors that
they barely scratched the addressable
market. And they were confident in this,
because when they looked at their data
they knew that the infertility problem
was only going to get worse. And the
worse it gets, the more room that they
have to grow. But it wasn't just the
data, another thing was on their side,
too. An investor analysis called delayed
parenthood a demographic tailwind for
the stock in a worsening economy
potential net demand drivers. What this
means is they knew that a worse economy
means more people can't afford kids. And
the more they delay, the more people
will need fertility treatment. not just
picking on Progeny. They just filled the
demand that was there. Fertility
startups are now raising double the VC
money that they raised two years
earlier. And this is one of the fastest
growing sectors in all of health care.
And they know it's going to grow because
the problem is only getting worse, and
they know that no one is going to solve
it. business model only works if people
can't afford to have kids at 26. But I
know what most of you are thinking. If
you're 85% of my audience that are men
who gives a damn if women have to pay
that much, it's not it's not my problem.
And fair enough, considering that
probably only 10% of that 85% actually
gets girls. But what I'm about to show
you is how this bill is going to impact
everyone whether you're the one having
kids or not. Because the same system
that are profiting from the delay will
start monetizing the child the second
that they're online. And most email
services that call themselves free are
really just collecting everything every
habit, every search, and every click.
So, we were born into this system and
never got a choice, but the next
generation still can. And since they're
too young to make these decisions
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your child's email address. So, before
the break, I showed you how an entire
industry was built on people not being
able to afford kids on time. But now,
what I want to walk you through is what
it actually costs to get pregnant, have
the baby, and raise it in this beautiful
country. And to show you what I mean,
let's go back to that couple. And
actually, you know what? it. Let's
use myself and my girlfriend Sophia, who
I've been with for 3 years. And you'll
see exactly who's profiting from each
and every single step.
So, let's say a few years ago Sophia and
I started talking about kids. And we
both agreed that we wanted them, but it
was a plan for sometime in our future
while we build our careers. But then,
the company she worked for offered to
cover up to $20,000 in egg freezing. And
at first, we weren't even considering
this, because think we have time. But
then, we thought about it, and it's like
why not? It'll buy us time and save us
money. And we even knew one of our
friends who did the same. So, it felt
like a smart move, but remember that
delay is the business model now. And
this is how it's increasingly starting.
In 2014, Apple and Facebook were the
first major employers to offer egg
freezing as a benefit. And it was framed
as empowering women's reproductive
choices. And like I even mentioned
earlier, it's exploded. Now, 40% of all
US employers offer some sort of
fertility benefits. But then, you have
to think about why they're doing this.
On one hand, 72% of employees say that
they'd stay longer at a company that
offer these sorts of benefits. So, you
can't really fault a company for giving
employees what they want. But on the
other hand it's way, way, way cheaper
for a company to pay $20,000 to freeze
Sophia's eggs than to give her, you know
paid maternity leave or child care. And
another way to even look at it, it's
really the cheapest investment to keep
her working and keep her at her desk.
But come on. We shouldn't be so
ungrateful. After all, it's a choice
that we made. But these choices exactly
how the business model I are ready now.
And so, we decided to unfreeze those
eggs and use IVF. But then, this is
where we quickly find out that the
freezing was just the entrance fee. A
single cycle runs $25,000, and most
people actually don't even get pregnant
on the first try. So, the average
patient ends up actually spending more
so around $50,000 across two to four
cycles. And when only 25% of Americans
have insurance that covers any of this
this meant that $50,000 was coming
straight out of our pocket. But then, as
we're going through all this, we started
finding out about something we had no
idea that even existed. Remember our
friends who recommended that we freeze
eggs? Well turns out they didn't just
freeze them. They actually used IVF for
a very specific reason. They used a
company called Nucleus Genomics which
offers an IVF add-on for, you know, a
cheap $30,000. And how it works is they
scan the DNA of both parents, plus up to
20 embryos across over 2,000 traits.
Everything from eye color and
intelligence to disorders like
depression and bipolar. And then, you
basically get a menu where you can sort,
compare, and choose which baby that you
want. And at first, to Sophia and I, it
100% sounded like eugenics and human
engineering. But once our friends showed
us their results and explained how they
were able to screen out a genetic
disorder that runs in their family it
stopped sounding so dystopian and
started sounding like why wouldn't we do
this if we could? So screw it. We
dropped the $30,000, and we decided to
make this super baby of our dreams. So,
since she's Brazilian and I'm Japanese
we had a plan for this super baby. We're
going to name it LeMarcus Des Santo
Chimarra who will have my eye shape
Sophia's eye color my height and my
intelligence, of course. Her nose and
both of our ADHD to become the most
racially ambiguous super baby that the
world has ever seen. So, of course, I'm
taking the piss here in this theoretical
example, but it's not just a joke.
Because in reality, this industry is
growing rapidly because they made it so
appealing that now a growing number of
couples who could get pregnant naturally
are choosing IVF specifically to be able
to access the screening. So, you can see
now how every step of the pregnancy is
increasingly getting monetized through
this illusion of choice. But with that
said, Sophia's pregnant, but now we need
to actually have the baby. Well, and
this is where it really starts getting a
bit darker. Because a vaginal delivery
with pre- and post-natal care in the US
costs around $15,000, but for a
C-section, that jumps to 30,000. But
that's actually not even the point here.
What I found is that one in three US
births today are C-sections, even though
the World Health Organization says that
the ideal range should be around 10 to
15%. So, why is this happening? Well,
I'm sure you can guess, but it's because
C-sections make nearly double a vaginal
delivery. But not only that, it takes
about 45 minutes compared to a vaginal
birth that can sometimes take hours or
days. It's not just some conspiracy I'm
spouting here. A national study found
that hospitals with higher profits per
C-section were significantly more
likely, like by a fivefold difference,
to perform them regardless of the
mother's risk level. And guess which
kind of hospital we ended up at. Well,
that's fine as long as Sophia's going to
be safe, right? Well, it turns out even
though we pay more than anywhere, US has
the worst maternal mortality rate of any
developed country and over 80% of those
deaths were preventable. But let's be
grateful and thank God because the
baby's here. But Sophia better get her
ass back to work because the US is the
only developed nation on Earth with zero
guaranteed paid maternity leave, whereas
every other comparable country offers at
least 14 weeks. But it's not because
we're all raising workaholics with no
family values. Well, well, kind of. But
the thing is, 82% of Americans want this
paid maternity leave, so why don't we
have it? Well, like I said earlier, it's
a lot more beneficial for companies to
pay for egg freezing than keep Sophia at
her job. Well, and also a big part of it
is lobbying because the formula milk
industry has spent millions lobbying
against paid maternity leave. And why
they lobby against it is because paid
leave makes breastfeeding possible, and
breastfeeding cuts into their $55
billion global business. So, now you can
start seeing the systems. But anyways,
Sophia goes back to work and now child
care starts, which on average will cost
$18,000 a year. But that amount is just
what shows up on the bill. Because what
doesn't show up is what Sophia loses by
going back. And I know what some of you
guys are thinking, this gender pay gap
that's been debated to death. And it's
fair because it's been largely debunked
when you control for hours worked to job
type and experience, but there's one
place where it absolutely shows up and
it's motherhood. Columbia University
found that working women see their
incomes cut in half after having
children. And it's because the second
you become a mom, you're the one that's
expected to leave early, miss work when
the child is sick, pass on the
promotion, and employers price that in.
Whereas for dads, not only is there no
penalty, but fathers actually earn a lot
more after having kids. In fact, as much
as 25% more than men without children.
So, to the 85% of my audience that are
men, this is literally the one
money-making cheat code y'all aren't
using because your boss will think that
you're more responsible and give you a
raise. So, the gender pay gap can be
debated, but what can't be debated is
the parenthood penalty. But just like
that, that's $127,000
in year one alone. And all that money
goes to every single person in that
chain. From the company that froze
Sophia's eggs, the hospitals that pushed
the C-section, the formula lobby that
killed her paid leave, and every one of
them has a vested interest in keeping
this going as you saw in the process of
making LaMarcus Desandro Kimura. But
that's just what it costs us because
what I haven't shown you yet is what
it's costing the country. Because we can
talk about how they extract the money
and who's profiting, but what nobody's
talking about is how it's reshaping the
country. And if something doesn't
change, the math is about to get a lot
worse than $127,000.
So, I think the first thing to address
here is something you might be thinking.
Well, don't poor families actually have
more kids? And on the surface, yeah.
Women below the poverty line do tend to
have the highest birth rate in the
country right now. But having a kid and
being able to give that kid a shot are
two very different things. While wealthy
families are screening embryos, picking
their hospitals, and giving them weird
ass names, the communities where
everyone else is having kids are falling
apart and not in the way that you'd
expect. And the perfect example is
Franklin County in Upstate New York. And
it's not just some ghost town with no
economy or opportunities. In fact,
unemployment is only 3.8%, but young
people keep leaving because there's not
much reason to stay. And the ones who do
aren't having enough kids. So, over the
last few years, population has dropped
10% and the local hospital stopped
delivering babies entirely. And that's
exactly what makes this birth rate
decline so serious because a dying
economy is actually easier to fix than a
dying population. Over the last few
years, Cleveland, Ohio has closed 29
schools. Austin, Texas, where I live and
it's one of the most moved-in cities,
has closed 10. And West Virginia has
even closed down 53. And so, when it's
not just happening in rural towns, but
in major cities, the chain reactions
continue to get bigger. Because when a
school closes, the families leave, and
when the families leave, the businesses
follow, and that's exactly how a
once-thriving town gets abandoned. And
if that gap keeps growing, we're not
looking at two different economies,
we're looking at two completely
different versions of what it means to
be born in the country. And so, even if
you think that none of this applies to
you since you've already had kids or
you're past that stage, this will still
affect you. Because who do you think are
the people that are going to be funding
your retirement? Social Security is
pay-as-you-go, and current workers fund
the 69 million Americans that depend on
this. But what we're projecting by 2034
is that this trust fund is about to run
out, and when it does, every beneficiary
is going to take an immediate 19% cut.
And at that point, immigration becomes
the only thing keeping the population
growing, and honestly, it already is.
And as someone who's been to the border
multiple times to cover it, regardless
of where you stand on the issue, I think
most people can agree that just relying
on immigration as the only solution to a
population crisis isn't sustainable, nor
is it a plan that we voted for. And I
think it's exactly why no administration
has ever really solved it because it's a
lot cheaper to let people come in and
work for less than to actually invest in
making parenthood affordable. If you
want to see what happens to a country
when they refuse to do either, look at
Japan. They didn't make it easier for
young people to have kids, and they
barely let anyone in, and GDP growth has
now stalled for the last 30 years. So,
whether you want or hate kids, as
Americans, we care about the economy.
And right now, the two paths are making
parenthood affordable or depending on
immigration, and right now, I don't
think neither one is being solved. But
with all that said, the good news is
that we've actually fixed this before.
During the Great Depression, birth rates
dropped to 2.2, which was an all-time
low at that time. But after the
depression, the government invested back
into the country with jobs and housing
and wages, and the GI Bill alone gave 8
million veterans free college and zero
down home loans. And surprise, surprise,
birth rates exploded. I mean, where do
you think the 76 million baby boomers we
love to hate today came from? And yeah,
fair point because back then, kids was
more like a necessity and not a choice
like it is today. But when Americans
today say that they still want two to
three kids even though the reality is
1.6, what's clear to me is that the
desire has never left. But whether a
solution like this is realistic today is
a different question. Because again,
this isn't a right or left question when
no administration has ever done it.
Obama didn't pass paid leave, Biden's
child care plan died in Congress. And
right now, the current government is
proposing to offer a $5,000 baby bonus,
but is that going to do anything to a
potential $127,000
bill? And again, I hate just sounding
like a doomer, but it might be too late.
Because as of 2025, not a single
advanced economy on Earth has dropped
below replacement levels and have been
able to bring it back up. So, when the
economy stays broken and more people
delay, and that market has grown into a
multi-billion dollar industry that has
zero incentive to make parenthood
affordable, no matter what they campaign
on, the loop keeps turning. And no one
who profits from that actually ever
wants this to change. So, now the most
important question becomes, what happens
if you do want kids? And I'll start by
telling you where I'm at. One thing that
happened recently besides turning 29 is
that I'm literally an uncle now. My
sister just had her first kid, and in a
few days, I'm about to meet my niece for
the first time. But just talking and
seeing how happy my sister is, I don't
know, man, but it does really make you
think that this might be the whole point
in this life. And in May, I'm moving to
Brazil to finally live with Sophia. For
those who didn't know, I've been doing 3
years of long distance, and we're
finally going to be in the same place.
It's not like we're planning on popping
out kids tomorrow, but one thing's for
certain, I refuse to let a system that
was built to profit off that decision
make it for me. Because if politicians
really wanted to fix declining birth
rates, they could. Just like they'll
magically find the money whenever it's
time to go to war. Because if you ever
wondered why an issue from the national
debt to immigration or birth rates
immediately gets dealt with or continues
to get worse, it's because the money and
power behind it has a vested interest to
keep whatever status quo going. So, the
message to those who want kids or on the
fence, there's a whole wave of people
out there trying to convince you that
having kids is selfish. But I'd love for
them to explain how wanting to start a
family is selfish when the system that
made it cost $127,000
is the one that nobody's calling out.
So, I'm genuinely curious to hear in the
comments whether you want kids or not,
but I'll be diving even deeper on this
topic in my free weekly newsletter next
week in the video description. But, if
you'd rather learn more about some of
the economic factors causing all of
this, you'll want to watch this video
next on the K-shaped economy.
Ask follow-up questions or revisit key timestamps.
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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