The Birth Dearth

Syndicated columist Wattenberg is the author of The Good News Is That the Bad News Is Wrong and other optimistic books. Conversely, his new book aims at warning the public about the so-called danger of the declining birth rate in the U.S. and allied countries. Taking issue with those who cite problems arising from overpopulation, the author quotes statistics to argue that democratic nations potentially are weaker now, with fewer young people. The book contains bleak predictions of a future with America and European citizenry vastly outnumbered by people from other parts of the world. Speculating on the consequences of the birth dearth, Wattenberg provokes concern about a crippled economy and other threats to an industrial society diminished in status and strength. Author tour. (July 7) -Publishers Weekly.

"The economics of American higher education are driven by one key factor--the availability of students willing to pay tuition--and many related factors that determine what schools they attend. By digging into the data, economist Nathan Grawe has created probability models for predicting college attendance. What he sees are alarming events on the horizon that every college and university needs to understand. Overall, he spots demographic patterns that are tilting the US population toward the Hispanic southwest. Moreover, since 2007, fertility rates have fallen by 12 percent. Higher education analysts recognize the destabilizing potential of these trends. However, existing work fails to adjust headcounts for college attendance probabilities and makes no systematic attempt to distinguish demand by institution type. This book analyzes demand forecasts by institution type and rank, disaggregating by demographic groups. Its findings often contradict the dominant narrative: while many schools face painful contractions, demand for elite schools is expected to grow by 15+ percent. Geographic and racial profiles will shift only slightly--and attendance by Asians, not Hispanics, will grow most. Grawe also use the model to consider possible changes in institutional recruitment strategies and government policies. These "what if" analyses show that even aggressive innovation is unlikely to overcome trends toward larger gaps across racial, family income, and parent education groups. Aimed at administrators and trustees with responsibility for decisions ranging from admissions to student support to tenure practices to facilities construction, this book offers data to inform decision-making--decisions that will determine institutional success in meeting demographic challenges"--

"What Mr. Wattenberg has to say about the impact of declining world population will underline its profound impact on the lives of people everywhere - from the dominance of the elderly and their demands on the resources of their governments, to the enormous potential of China and India, to the relatively privileged position of the United States vis-a-vis the major world powers. In an age already beset by a transformation in world politics, Fewer will help explain current trends as well as sketch the shape of our future."--BOOK JACKET.

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

In many developed countries, population decline poses economic and social strains and may even threaten national security. Through historical-political case studies of Sweden, France, Italy, Japan, and Singapore, The Other Population Crisis explores the motivations, politics, programming, and consequences of national efforts to promote births. Steven Philip Kramer finds a significant government role in stopping declines in birth rates. Sweden’s and France’s pro-natalist programs, which have succeeded, share the characteristics of being universal, not means-tested, and based on gender equality and making it easy for women to balance work and family. The programs in Italy, Japan, and Singapore, which have failed so far, have not devoted sufficient resources consistently enough to make a difference and do not support gender equality and women’s work-family balance, Kramer finds.

Look around you and think for a minute: Is America too crowded? For years, we have been warned about the looming danger of overpopulation: people jostling for space on a planet that’s busting at the seams and running out of oil and food and land and everything else. It’s all bunk. The “population bomb” never exploded. Instead, statistics from around the world make clear that since the 1970s, we’ve been facing exactly the opposite problem: people are having too few babies. Population growth has been slowing for two generations. The world’s population will peak, and then begin shrinking, within the next fifty years. In some countries, it’s already started. Japan, for instance, will be half its current size by the end of the century. In Italy, there are already more deaths than births every year. China’s One-Child Policy has left that country without enough women to marry its men, not enough young people to support the country’s elderly, and an impending population contraction that has the ruling class terrified. And all of this is coming to America, too. In fact, it’s already here. Middle-class Americans have their own, informal one-child policy these days. And an alarming number of upscale professionals don’t even go that far—they have dogs, not kids. In fact, if it weren’t for the wave of immigration we experienced over the last thirty years, the United States would be on the verge of shrinking, too. What happened? Everything about modern life—from Bugaboo strollers to insane college tuition to government regulations—has pushed Americans in a single direction, making it harder to have children. And making the people who do still want to have children feel like second-class citizens. What to Expect When No One’s Expecting explains why the population implosion happened and how it is remaking culture, the economy, and politics both at home and around the world. Because if America wants to continue to lead the world, we need to have more babies.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.