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01 / 05
Promoting Parenthood in a Free Society | Podcast Highlights

Blog Post | Population Growth

Promoting Parenthood in a Free Society | Podcast Highlights

Stephanie Murray joins Chelsea Follett to discuss discourse around falling birth rates, the tension between pro-natalism and classical liberal values, and how it might be resolved.

Listen to the podcast or read the full transcript here.

In many places, fertility rates are hitting record lows. Practically all rich countries and many developing countries are now below the replacement fertility rate. Some countries are already seeing their populations age and decline, and if this continues for long enough, the global population will begin to shrink.

Your piece discusses an aspect of this topic that I find really interesting. So, let’s walk through it. You begin with an anecdote about how, a little over a year ago, you were conducting an interview about the possible causes of fertility decline. Tell me what happened.

I write on this topic with some frequency, and I follow research on it very closely, so I often interview people who research fertility, economists, sociologists, demographers, and so on. And so I was interviewing somebody, a demographer, about a certain cause of fertility decline. At one point in the interview, she kind of stopped and wanted to clarify that the issue here is that people are having fewer kids than they want. She wanted to make it clear that she wasn’t saying we should raise the birth rate for any kind of national interest.

My piece pushes back on that way of thinking.

Why do you think people tend to characterize the falling birth rate issue this way?

I think there’s a sense that catastrophizing low fertility could justify taking really drastic and coercive steps. And I think that is a major and legitimate concern. Getting the state involved in getting people to have children or stop having children could be a legitimate threat to civil liberties.

People also sometimes acknowledge that falling fertility is a problem, but they redefine it. They’ll say something like, “There are going to be economic challenges because of low fertility, but the problem is with our economic system, so let’s just change the economic system.”

I am sympathetic to people who want to talk about economic reforms, especially if pension systems, for example, are unsustainable. But as you say, there is no reason you can’t discuss both of those things.

There are definitely ways that we can adapt our economic system to low fertility, but there are limitations to that approach. You get this sense that people think that the need for children is just a byproduct of capitalism, and if we just changed our economic system, then we wouldn’t need endless growth propped up by a high birth rate. Maybe we can tweak our pension system, or become less reliant on GDP growth, but it’s a fact of human existence that you need new people to take over as the rest of us get older.

Now, some demographers and economists push back on the idea that anything below replacement-level fertility is going to cause massive issues. Some think that we could have anything above 1.5 births per woman, and with immigration, technological advancement, and education, we’ll be fine. One demographer that I spoke to said that since we are becoming more productive per capita as time goes on, each generation has “broader shoulders,” to stand on. So, maybe we can do more or as much as we are currently doing with fewer people.

That said, you can’t have a society without kids. We don’t know exactly when the falling birth rate becomes a big problem or how long we have before it’s a big problem. Lots of room for disagreement there. But eventually, it becomes a problem.

Let’s talk about some of the reasons that people are choosing to have fewer children. You make a very good point that in the past, parents captured more of the fruits of their children’s labor, while today, most of us are raising kids who will spend most of their lives working for someone else.

Yeah, for a lot of human history, parents were employers who grew their own laborers. There were steep economic incentives to raise kids. It could be brutal on a personal level. If you couldn’t bear children, your husband might put you aside and find somebody else who can. Today, parents still do a lot of the work of raising children, but they’re raising kids who are going to work for somebody else.

Of course, there are still practical reasons to have children. Basically everywhere in the world, lots of elder care is done informally by family members, especially adult children. However, even still, that care is not reliable in a liberal society. This is how liberalism works: when you grow up, nobody can tell you what to do, including your parents. So, I think capitalism, labor markets, and liberal values in general have altered the relationship between parents and children in a way that fundamentally changes the economics of child-rearing.

I do think it is easy to oversell the importance of economic considerations and downplay the psychological or cultural factors. It’s notable that, to date, no amount of government spending anywhere in the world has successfully restored sub-replacement birth rates to replacement levels.

You spend a lot of your piece talking about another factor in people’s decisions about having children: the feeling that having children is good for your society’s future. Could you tell me a bit about that?

People often pitch parenthood as simply an experience that makes the parents feel good without acknowledging the important role parents play in society.

I think that undermines the case for parenthood. If we pretend that parenthood is just about you being happy, we rob parents of a source of satisfaction. Imagine if we tried to recruit people to the army by saying, “It doesn’t really matter how many people sign up. This is about you getting the experience of holding a gun and riding in a tank.” I really don’t think anybody would join. People are motivated to serve their communities. So why are we downplaying that? Why are we so scared of saying, “you should consider having kids because we need parents”?

How do you think that relates to this view that the world is overpopulated and having kids is essentially selfish? Do you think that kind of messaging might affect people’s decision-making?

Absolutely.

A couple of years ago, I signed up for this half-marathon hike and ended up hiking it with this woman who was a total stranger, and we were talking about fertility rates. You can’t go on a half-marathon hike with me without me talking about fertility; that’s pretty much inevitable.

So, we were chatting, and she, at one point, said that she felt like she was harming the planet by having kids, and since she had to take maternity leave, she was also slowing down work. She felt like she was doing a selfish thing and drawing resources away from the planet and from her workplace in order for her to have the experience of parenthood.

If that is how you view parenthood, it becomes a lot harder to justify the decision. And if you already have personal reservations like, “would I be a good mother?”, it could easily tip the scales toward not having children.

This topic is very tricky for those of us who are devoted to a free society. I really love the last paragraph of your piece. You say:

Those of us who want to reverse falling fertility while preserving the values of a liberal society have a tricky task ahead. We’ve got to hold two truths at once: that no one ought to be coerced into parenthood, and that we will all suffer if no one raises kids. That may seem like an impossible line to walk—and yet, we walk versions of it all the time. I don’t think there’s anyone in the world that would hesitate to admit that we need doctors. And yet, most of us agree no one should be coerced into medical school. In other words, acknowledging the necessity of parents while respecting individuals’ right not to become one is really just a matter of applying the same logic to parenting that we do to every other path in life.

Could you expound on that?

I think most people can agree that we don’t want people to be coerced into parenthood, but we can’t allow that concern to make us overlook the fact that we need parents. They provide an essential service in society. So we have to be willing to hold both of them at the same time. I think people just have this impulse that that’s not possible, but we do this all the time with other types of work.

If we go with the military example, most people think that national security is important, but most people also oppose conscription. They want a volunteer army. It’s the same with basically any line of work. We don’t like forcing people to do things, but that doesn’t stop us from acknowledging that society can’t function without doctors or teachers.

You’re basically just suggesting that people voluntarily give more social recognition to parents. And you write that all around you, you can see that parents, and mothers in particular, are desperate for recognition that the work they are undertaking is valuable for the world. Do you think that more social recognition could shift the culture toward higher birth rates?

I do. I’ve always thought that parenthood is really important, but I constantly felt like the culture was telling me otherwise. There is this assumption that you shouldn’t get married and have kids right after college, right? That you should do something with your life. But having kids is doing something. And there are lots of ways that we denigrate parenthood and treat it as a waste of somebody’s skills and talents.

If we thought more about the work of parenthood in the way that we think about other work, if we treated it like a really cool way of contributing to society, maybe people would be more motivated to go into that line of work.

If you look at the few populations in wealthy countries that do have high birth rates, religious communities, for example, those populations give people a lot of positive messaging about how raising children is a good thing for society.

I just remembered that the woman I went on that half marathon hike with, who seemed to believe she had done a selfish thing by having children, told me about a time she visited Jordan. She was so struck by what it was like to have a child there. In the UK, where I live, sometimes when you go into a coffee shop, people almost groan if they see you brought your kids. But in Jordan, she said that when she would walk into a coffee shop or a restaurant, it felt like she had gifted them this child. She felt an overwhelming sense that people were delighted that she had this child there, and she didn’t even live in Jordan. I think this kind of social recognition changes how you think about having children.

Another other thing to remember about social recognition is that it’s free. It doesn’t cost taxpayers a single dime, and there’s not really any downside to people just voluntarily giving this kind of recognition to the parents in their lives.

One of the reasons that people are hesitant to talk about birth rates is that, as you wrote in your piece, it can feel icky to have a strong opinion on such a personal decision. You don’t want to try to make everyone follow the same path and become a parent.

I think we need to use other types of work as a model for how we think about parenthood. There are a lot of roles that need to be filled in society, and just because you are not filling all of them doesn’t mean that you’re failing society. You can appreciate the existence of doctors and nurses without feeling bad that you are not a healthcare worker.

We usually end this podcast with an optimistic note. What trends, if any, make you feel optimistic about the future of birth rates?

I think that people are becoming more receptive to the idea that parenthood, motherhood, and caregiving are valuable and often overlooked. It feels like we’re on the cusp of being willing to admit that we need parents. Not in a catastrophizing way, but in a “hey, this is important” way. So, I think we’re moving in the right direction.

Washington Post | Pregnancy & Birth

Robots Are Learning to Make Human Babies

“Over the past three years, babies have been conceived — and at least 20 of them have been born — through clinical trials that involve automation with little to no human intervention. The same algorithmic computer-vision software that helps autonomous vehicles spot objects on the road and finds signs of breast cancer in a mammogram can instantaneously detect the most robust swimmer among hundreds of thousands of flailing, corkscrewing sperm — each one a fraction of the width of a hair strand. It’s a capability that far exceeds any trained embryologist’s eye. A robotic arm can collect that sperm and mix the chemicals required for an egg to stay viable. And it can delicately and reproducibly fertilize an egg, initiating the moment of conception.

The most ambitious of these automation efforts is happening not in the tech capital of San Francisco, but in Mexico City, at a clinic in the upscale neighborhood of Polanco. There, infertile couples — most of whom live far away and couldn’t afford IVF anyway — are getting automated IVF free in exchange for putting their bodies and their hopes for a family in the robotic hands of an experimental system called Aura…

Investors are interested in these technologies for the same reasons the entire corporate world is racing to build AI: Automated systems, which combine robotic hardware and algorithmic software, don’t get tired. They see things the human eye can’t. They can, in theory, do the same work, or at least portions of it, far faster, more precisely and more reliably replicated than human beings can. That means improved results, lower costs and many more patients served.”

From Washington Post.

The Guardian | Pregnancy & Birth

Human Skin Cells Are Turned Into Eggs in Fertility Breakthrough

“Researchers have created human eggs from skin cells, potentially transforming IVF treatment for couples who have no other options.

The work is at an early stage but if scientists can perfect the process it would provide genetically related eggs for women who are infertile because of older age, illness or medical treatment. The same procedure could be used to make eggs for same-sex male couples.

‘The largest group of patients who might benefit would be women of advanced maternal age,’ said Prof Shoukhrat Mitalipov, who led the research at Oregon Health and Science University in Portland. ‘Another group are those who have been through chemotherapy because that can affect their ability to have viable eggs.'”

From The Guardian.

The Times of Central Asia | Pregnancy & Birth

Maternal and Infant Mortality Continues Decline in Kazakhstan

“Kazakhstan’s Health Minister Akmaral Alnazaraeva has announced further reductions in maternal and infant mortality rates, although some regions are showing a troubling reversal of the trend.

Speaking at a recent government meeting, Alnazaraeva attributed the improvements to the adoption of recommendations from the World Health Organization (WHO) and UNICEF. In 2024, maternal mortality declined by 12 percent to 10.1 deaths per 100,000 live births, while infant mortality dropped by 11 percent to 6.88 deaths per 1,000 live births. The positive trend continued into the first half of 2025, with maternal mortality falling by another 10 percent and infant mortality by 26 percent.

The minister noted that clinical protocols in obstetrics and pediatrics have been revised nationwide. Since June 2024, tariffs for obstetric and pediatric services, including childbirth, surgeries, and neonatal care, have been increased. These changes have improved access to expensive medications, reduced the debt burden of medical institutions, and helped attract qualified specialists to the sector.

The Health Ministry also highlighted the expanded role of air ambulance services, which have saved 96 percent of women in labor and their newborns in remote areas.”

From The Times of Central Asia.

Blog Post | Pregnancy & Birth

The Potential of Embryonic Screening

A new frontier in reproductive freedom rekindles old ethical questions.

Summary: New genetic screening technologies may soon allow parents to select embryos based on predicted risk for hundreds of diseases, potentially reducing the incidence of severe childhood conditions like Tay–Sachs and SMA I. This has sparked ethical debates about reproductive freedom, disability rights, and inequality. Philosopher Jessica Flanigan defends access to embryo information, arguing that ethical drawbacks don’t outweigh the benefits of empowering parents to promote well-being in future generations through genetic screening.


Starting with an inability to crawl, sit up, or turn over, infants with Tay–Sachs disease soon experience seizures, severe hearing loss, and paralysis—and can expect to live no more than five years before the neurons in their spinal cord and central nervous system give out.

Because of congenital heart defects and fatal respiratory problems, only 60 to 75 percent of infants born with Edwards syndrome live past the first week of life, and only 10 percent live past their first year. 

Without medical interventions, such as the $2 million gene therapy Zolgensma, infants with spinal muscular atrophy type 1 (SMA I) often die from respiratory failure within the first two years of life, making SMA I the most common genetic cause of death for infants. 

On June 4, 2025, Nucleus Genomics announced that it will offer preimplantation genetic disorder screening for in vitro fertilization embryos, which can predict 900 conditions, including genetic abnormalities and propensities for Alzheimer’s, heart disease, and various cancers. Although the accuracy of polygenic screening is contested, Nucleus’s founder, Kian Sadeghi, argues that prospective parents ought to be privy to what genetic variants will predispose their children to diseases.

For instance, although heart disease is in large part determined by one’s lifestyle choices, parents may prefer an embryo without a genetic predisposition for heart disease if they’ve lost loved ones to heart attacks and strokes. Thus, Nucleus’s screening, if accurate, would not only prevent tragic premature deaths from fatal genetic disorders but also increase potential well-being and longevity for individuals well into their adult lives. 

Nucleus Genomics plans to charge $5,999 for the service. As of July 2025, no other preimplantation screening of a similar scope is offered at a price that low—other companies’ prices often range from $15,000 to $20,000. Thus, there may be a future where extensive genetic prescreening is more affordable for couples undergoing in vitro fertilization (IVF). Nucleus also intends to include prediction of physical characteristics such as height, hair color, and eye color for the given embryos.

What are we to think of this innovation? The philosopher Jessica Flanigan from the University of Richmond is finishing her book, The Ethics of Expecting, in which she argues that an important aspect of reproductive freedom is the freedom to access information on the embryos being implanted in your body. In an interview with Flanigan, I raised some common objections to embryonic screening. Here are her responses.  

Some bioethicists worry that selection based on certain traits in embryonic screening expresses to the world that people with certain traits are less valuable (“the expressivist objection”). This is particularly pertinent for members of disabled communities, such as people who are deaf or blind, traits that may be routinely selected against.

Flanigan acknowledges that one can feel hurt that some of their particular traits are not selected for by other people. However, this harm is not too different from the harm one may feel when selected against in dating.  

Furthermore, this harm does not oblige other people to select the traits the offended people have. Flanigan recognizes that the ableist discrimination some disabled people face is a serious injustice. “We should focus more on supporting existing disabled people, but this does not obligate us to create more disabled people so that the existing disabled people can feel supported,” says Flanigan.  She adds that when it comes to reproductive rights, “disabled people are not entitled to limit the freedom of nondisabled people.”

Some worry that even at Nucleus’s lower price, only the rich will be using embryonic screening, and thus their offspring will be even more advantaged compared with low-income children.

As Flanigan argues, the US health care market drives innovation for the whole world. Its market incentives encourage more companies to invest in research and development and in quickly producing new drugs and medical technologies. When these drugs and technologies are first introduced to the market, they are often available only to those who can afford them and thus necessarily create short-term health inequalities.

Once a technology or drug is publicly recognized as effective, however, insurers begin to cover that innovation, and the treatment becomes more widely available to the public. Even if these short-term inequalities do harm, it’s hard to justify restrictions given the potential for long-term equality. “You would never say we should have never made the computer because early on only rich people had access to computer processing and that wasn’t fair. Because now you can get a laptop on Amazon for $65,” Flanigan notes.

Furthermore, Flanigan argues that assisted reproduction at large can create greater social equality—for example, helping gay couples start families. Embryonic screening will also allow couples with genetic predispositions to severe diseases to ensure that their future children lead healthier lives than their ancestors.  

A compelling argument against advanced embryo selection of this kind is that the world would lose an important diversity of human experience if all embryos were selected for the most advantageous qualities. In Denmark, for instance, only 23 to 35 children per year were born with Down syndrome between 2004 and 2020 as a result of increases in prenatal screening, despite nearly all individuals with Down syndrome reporting high life satisfaction. 

This diversity concern, Flanigan thinks, is a bit overblown. “The human genome is incredibly rich and diverse.” We live in a gene pool with more and more people reproducing outside of their race, region, and ethnicity. Even if we all select the tallest out of a given set of embryos, Flanigan argues, this would not meaningfully diminish the genetic diversity and randomness of the human genome.

Importantly, “there are some kinds of diversity we don’t experience, and that’s great! Today, there is less variation in how many children die before they’re five.” If we can limit the diversity of infant suffering or painful genetic diseases, this would improve the well-being of future generations.

Perhaps some will decide that they would rather select for rather than against Down syndrome, knowing that their children may be happier. That selection, however, ought not to be decided by anyone besides those procreating. Flanigan predicts that many couples will reject the practice of embryo selection completely and thus there will still be “naturally” genetically diverse embryos. Whether or not you are convinced by these arguments, it is important to note that embryo selection is not the same as a “designer baby” or using genetic tailoring such as CRISPR to control for particular traits. The embryo a couple selects could possibly have been the one that was born naturally; it was one probability among many.

Even if couples were more inclined to pick embryos with particular physical traits, it is unclear that these preferences would be stable across time, as cultural norms and beauty standards shift. For instance, despite a stronger preference for males during China’s one-child policy, The Economist recently reported a preference shift for females among new parents. 

Nevertheless, IVF is still not widely used. It is characterized by high prices ($15,000 to $30,000 for each cycle) and invasive procedures, and we are far from a future where all soon-to-be parents select among embryos. But if preimplantation genetic disorder screenings for IVF do become common and accurate, future generations may be healthier than ever before.