Health
JD Vance promotes family in America amid birth rate drop, fueled by several factors
As former President Donald Trump continues to brush off any criticisms of his running mate Ohio Sen. JD Vance’s resurfaced comments from 2021 that “childless cat ladies” destroyed American values — with Trump emphasizing that adults without children are just as good as parents and that Vance strongly values family in his own life given his tumultuous upbringing — Americans are having fewer and fewer children.
Vance himself, the GOP’s vice presidential candidate, said his comments from three years ago were “radically” taken out of context by Democrats.
Describing himself as “pro-family,” he also told Fox News’ Trey Gowdy, host of “Sunday Night in America,” that he firmly believes “there are a whole host of people who don’t have children for a whole host of reasons, and they certainly are great people who can participate fully in the life of this country.”
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He said Democrats have become increasingly “anti-family” and “anti-parent” over the years as they cite climate change concerns as one reason not to have children.
Whatever the reasons, in April, the U.S. Centers for Disease Control and Prevention (CDC) reported that the birth rate in America has dropped to a historic low, decreasing by 3% since 2022. The rate has been on a steady decline since 2014, except for a brief 1% increase from 2020 to 2021.
The birth rate has dropped to a historic low, decreasing by 3% since 2022, the U.S. Centers for Disease Control and Prevention reported in April. (iStock)
In recent years, the priorities of young Americans have been changing, including the desire to have children, the data suggests.
Experts say this drop-off could be caused by many factors — including a heightened focus on career goals, the cost of raising children, a priority on personal liberty and mental health, the fear of an uncertain future and growing fertility concerns.
Career comes first?
Kyle Elliott, a career coach and job search expert based in Santa Barbara, California, told Fox News Digital about a lack of interest in having children among working professionals.
“I am seeing a huge increase in the focus of careers among Americans,” he said.
“In the past, there were certain expectations in place — now, the path isn’t as predictable or expected.”
“They’re recognizing that it’s more challenging to balance work and life because their careers are taking up more time.”
Many Americans are working 50 to 60 hours per week, according to Elliott.
“Trying to balance that is a lot more difficult than it was 20, 10 or even five years ago,” he said.
Many Americans today are working 50 to 60 hours per week, which makes having children nearly impossible, one expert suggested. (iStock)
Individuals who work extended hours are more likely to meet their career goals and earn more money, he said — so many find it “helpful” to forgo parenting commitments.
Company policies for parental leave and child care also come into play, Elliott said.
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While some American businesses have improved accommodations for new parents, the U.S. is “still far behind compared to other countries,” he said.
When employees return from maternity or paternity leave, they’re often still responsible for child care, Elliott noted, which can be “really difficult to balance.”
To recruit and retain employees, one expert suggested that companies should continue providing thoughtful accommodations for families. (iStock)
“I think it would benefit both the employee and the employer if organizations provided more accommodations, whether that’s child care or additional leave or more flexibility, such as remote work or work from anywhere,” he said.
“I think there’s a lot of opportunity to better support parents,” he said, expressing his professional opinion.
Cost of childrearing
The cost of having a child can be daunting for some young Americans, as inflation remains high in many U.S. states, the Labor Department has reported.
A middle-income married couple with two children can expect to pay about $306,924 to raise a child born in 2023, according to data from Credit Karma.
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This estimate is based on a 2017 U.S. Department of Agriculture study.
Cost factors include housing (about 30% of total expenses), food, child care and education, transportation, health care, clothing and other items.
Day care alone could cost up to $17,000 per year in some states, according to 2023 data from the U.S. Department of Labor.
The cost of child care has become “astronomical,” one expert said. (iStock)
There could also be the added cost of saving for the child’s future, including college planning.
Dr. Michele Borba, a California-based educational psychologist and parenting expert, agreed that finances are a “huge factor” in terms of two working parents deciding to have a baby.
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“The cost of child care is unbelievably astronomical, and it’s unaffordable for a lot of parents,” she told Fox News Digital.
Years ago, “you had a nuclear family, or you had a mom who lived next door … and a lot of times, [people] don’t have that” now.
Changing culture and politics
The American family unit has shifted from earlier generations, as many couples are choosing to get married at older ages and limit the number of kids they have, if any, experts say.
Borba, author of “Thrivers: The Surprising Reasons Why Some Kids Struggle and Others Shine,” emphasized an increased focus on mental health and the need for parents to be mentally strong to raise a child.
“We’re seeing not only a halt in pregnancies, but a halt in larger families,” one psychologist said about today’s parenting situation. (iStock)
Many Americans do not have a secure support system to help raise a child, the psychologist noted, and single parenting is “even harder” for unmarried individuals.
A desire for personal freedom can also play a role in a decision not to have children, she noted.
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Jonathan Alpert, a psychotherapist and author based in New York City, said he believes politics has played a role in people’s decisions to have children or not.
“Patients often cite their reasons as, ‘I don’t want to add to the carbon footprint’ or ‘I don’t want to contribute to overpopulation,’ while others feel great insecurity about the state of the world and say, ‘The world is too dangerous of a place to raise a child,’” he told Fox News Digital.
Parents are often more stressed than their own children, one psychologist noted. (iStock)
Among those “more moderate” politically, Alpert said, “they worry about what it would be like to raise a kid in the climate of pronouns, boys competing in girls’ sports, and boys and girls sharing locker rooms.”
Other people simply don’t feel the pressure to have kids as people once did, the psychologist noted.
“In the past, there were certain expectations in place — go to school, meet someone, get married, have kids. Now, the path isn’t as predictable or expected.”
Fear of the unknown
Many adults are also burdened by feelings of uncertainty about the future, Borba said, which can result in a “doom and gloom” perspective when considering whether to bring a human being into the world.
Some parents may ask themselves, “Is this the right kind of place to have a child?” or “Should I bring a human into this world when I don’t feel secure myself?”
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Parenting “isn’t as relaxed” as it used to be decades ago, when parents took more of a hands-off approach and there was less emphasis on accelerated development and hyper-safety, according to Borba.
Parenting “isn’t as relaxed” as it used to be decades ago, one expert said. (iStock)
Kids in previous generations had “a lot more free time, a lot more play,” Borba said.
“Those are things that aren’t part of our kids’ world right now, unfortunately. A lot of [prospective] parents are growing up in a fear-based world, and that’s impacting their decisions.”
Fertility obstacles
The chances of a woman experiencing fertility and pregnancy problems can be another deterrent to having children.
That’s according to Dr. Jillian LoPiano, a Miami-based OB-GYN and chief health officer at the reproductive telehealth platform Wisp, who told Fox News Digital that the health and cost implications of childbirth could cause couples to decide against becoming parents.
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The U.S. is currently experiencing a maternal mortality crisis, LoPiano said.
In 2021, the maternal death rate was 32 out of 100,000 births, which reportedly doubles and triples the current rates in other similarly resourced countries.
The Caesarean delivery rate increased for the fourth year in a row, according to CDC data from 2023. (iStock)
This could be due to the increase in maternal age, chronic health conditions and pregnancy-related health conditions that can appear at an “extreme age spectrum,” LoPiano said.
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“Lack of access to adequate prenatal care, health care costs and restrictive reproductive health care laws all contribute to poor outcomes,” she said.
Socioeconomic factors and other insecurities also play a role in the declining birth rate, LoPiano told Fox News Digital.
‘Should I have a baby?’
For couples who are on the fence about having a child, Borba encouraged them to use their best judgment.
“Nobody knows yourself better,” she said. “In the end, you know who you are and what you can give, so make the decision based on what’s best for your family and your child.”
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Borba suggested writing down the reasons in a journal and leaning on a trusted support system.
“If you want to stick to a decision, you need to be firm and understand your ‘why,’ which means you need to do a little reflective measure,” she advised.
“In the end, you know who you are and what you can give, so make the decision based on what’s best for your family and your child,” one psychologist said. (iStock)
Borba also emphasized the importance of being on the same page as your partner when it comes to having children.
If mental health is the main concern, she suggested seeking help from a provider who can help clarify the decision.
Long-term effects
Overall, Alpert said, it is natural for birth rates to “ebb and flow” over time.
“There’s probably no reason to be alarmed [by today’s declining birth rates],” he told Fox News Digital.
“A lot of [prospective] parents are growing up in a fear-based world, and that’s impacting their decisions.”
“That said, if there’s a significant decline, the proportion of the elderly population would increase relative to births, which could strain the health care system as more resources are put into medical care for the aging population.”
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There would also be fewer people entering the workforce and less spending, Alpert added — resulting in slower economic growth and potentially adversely affecting the Social Security system.
FOX Business’ Megan Henney contributed to this report.
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In a dramatic turn of events that’s captured the attention of animal lovers worldwide, Punch — the young macaque at a zoo in Japan famous for his inseparable bond with a stuffed orangutan toy — has reached a major milestone in his journey toward social integration.
On Thursday, visitors and staff at the Ichikawa Zoological and Botanical Garden witnessed a breakthrough: Punch was seen cuddling with and hitching a ride on the back of a fellow macaque.
Punch’s story began with hardship. He was abandoned by his mother shortly after his birth in July 2025 — and to ensure his survival, zookeepers stepped in to hand-rear the primate.
On Jan. 19, 2026, the zoo officially began the process of reintegrating Punch into the “monkey mountain” enclosure.
The transition was initially fraught with tension.
Punch’s story began with hardship when he was abandoned by his mother shortly after he was born. To help him, zookeepers gave him a stuffed toy that he began dragging around everywhere he went. (David Mareuil/Anadolu via Getty Images)
As a hand-reared infant, Punch was bullied and ignored by the established group of monkeys.
He was often seen huddled alone with his orange plush companion while the rest of the troop interacted.
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In an official statement released Feb. 27, the Ichikawa Zoological and Botanical Garden detailed the meticulous care behind this process.
Previous viral videos showed Punch bullied by the rest of the troop, running to his plushy toy for comfort. (David Mareuil/Anadolu via Getty Images)
“From an animal welfare perspective, our primary goal is to reintegrate Punch with the troop,” the zoo said.
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The strategy involved nursing Punch within the enclosure, so the troop could recognize him as one of their own, and pairing him with a gentle young female macaque prior to his full release to build his confidence.
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The latest footage, captured by X user @tate_gf, suggested the zoo’s patience is paying off.
The video shows Punch seeking physical contact not from his toy, but from another monkey — eventually climbing onto its back for a vital social behavior for young macaques: the “piggyback ride.”
The zoo’s strategy appears to be paying off: Punch, shown at far left, was recently seen riding on the back of a fellow macaque. (David Mareuil/Anadolu via Getty Images)
While Punch still carries his stuffed toy for comfort during moments of perceived danger, the zoo remains optimistic about his progress.
The organization cited the successful 2009 case of Otome, another hand-reared macaque who eventually outgrew her stuffed toy, successfully integrated — and went on to raise four offspring of her own.
The zoo has had crowds coming to see Punch, with hundreds of people lining up to get inside to see the young star, according to reports.
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“I’m hoping Punch has a good life like everybody else does, and think he’s a cute little guy,” one person commented online.
“Such a precious baby,” another person wrote.
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This story discusses suicide. If you or someone you know is having thoughts of suicide, please contact the Suicide & Crisis Lifeline at 988 or 1-800-273-TALK (8255).
Artificial intelligence has been touted as a boon to healthcare, but a new study has revealed its potential shortcomings when it comes to giving medical advice.
In January, OpenAI launched ChatGPT Health, the medical-focused version of the popular chatbot tool.
The company introduced the tool as “a dedicated experience that securely brings your health information and ChatGPT’s intelligence together, to help you feel more informed, prepared and confident navigating your health.”
But researchers at the Icahn School of Medicine at Mount Sinai have found that the tool failed to recommend emergency care for a “significant number” of serious medical cases.
The study, published in the journal Nature Medicine on Feb. 23, aimed to explore how ChatGPT Health — which is reported to have about 40 million users daily — handles situations where people are asking whether to seek emergency care.
Artificial intelligence has been touted as a boon to healthcare, but a new study has revealed its potential shortcomings when it comes to giving medical advice. (iStock)
“Right now, no independent body evaluates these products before they reach the public,” lead author Ashwin Ramaswamy, M.D., instructor of urology at the Icahn School of Medicine at Mount Sinai in New York City, told Fox News Digital.
“We wouldn’t accept that for a medication or a medical device, and we shouldn’t accept it for a product that tens of millions of people are using to make health decisions.”
Emergency scenarios
The team created 60 clinical scenarios across 21 medical specialties, ranging from minor conditions to true medical emergencies.
Three independent physicians then assigned an appropriate level of urgency for each case, based on published clinical practice guidelines in 56 medical societies.
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The researchers conducted 960 interactions with ChatGPT Health to see how the tool responded, taking into account gender, race, barriers to care and “social dynamics.”
While “clear-cut emergencies” — such as stroke or severe allergy — were generally handled well, the researchers found that the tool “under-triaged” many urgent medical issues.
The team created 60 clinical scenarios across 21 medical specialties, ranging from minor conditions to true medical emergencies. (iStock)
For example, in one asthma scenario, the system acknowledged that the patient was showing early signs of respiratory failure — but still recommended waiting instead of seeking emergency care.
“ChatGPT Health performs well in medium-severity cases, but fails at both ends of the spectrum — the cases where getting it right matters most,” Ramaswamy told Fox News Digital. “It under-triaged over half of genuine emergencies and over-triaged roughly two-thirds of mild cases that clinical guidelines say should be managed at home.”
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Under-triage can be life-threatening, the doctor noted, while over-triage can overwhelm emergency departments and delay care for those in real need.
Researchers also identified inconsistencies in suicide risk alerts. In some cases, it directed users to the 988 Suicide and Crisis Lifeline in lower-risk scenarios, and in others, it failed to offer that recommendation even when a person discussed suicidal ideations.
“ChatGPT Health performs well in medium-severity cases, but fails at both ends of the spectrum.”
“The suicide guardrail failure was the most alarming,” study co-author Girish N. Nadkarni, M.D., chief AI officer of the Mount Sinai Health System, told Fox News Digital.
ChatGPT Health is designed to show a crisis intervention banner when someone describes thoughts of self-harm, the researcher noted.
OpenAI launched ChatGPT Health, the medical-focused version of the popular chatbot tool, in January 2026. (Gabby Jones/Bloomberg via Getty Images)
“We tested it with a 27-year-old patient who said he’d been thinking about taking a lot of pills,” Nadkarni said. “When he described his symptoms alone, the banner appeared 100% of the time. Then we added normal lab results — same patient, same words, same severity — and the banner vanished.”
“A safety feature that works perfectly in one context and completely fails in a nearly identical context … is a fundamental safety problem.”
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The researchers were also surprised by the social influence aspect.
“When a family member in the scenario said ‘it’s nothing serious’ — which happens all the time in real life — the system became nearly 12 times more likely to downplay the patient’s symptoms,” Nadkarni said. “Everyone has a spouse or parent who tells them they’re overreacting. The AI shouldn’t be agreeing with them during a potential emergency.”
Fox News Digital reached out to Open AI, creator of ChatGPT, requesting comment.
Physicians react
Dr. Marc Siegel, Fox News senior medical analyst, called the new study “important.”
“It underlines the principle that while large language models can triage clear-cut emergencies, they have much more trouble with nuanced situations,” Siegel, who was not involved in the study, told Fox News Digital.
ChatGPT and other LLMs can be helpful tools, a doctor said, but they “should not be used to give medical direction.” (iStock)
“This is where doctors and clinical judgment come in — knowing the nuances of a patient’s history and how they report symptoms and their approach to health.”
ChatGPT and other LLMs can be helpful tools, Siegel said, but they “should not be used to give medical direction.”
“Machine learning and continued input of data can help, but will never compensate for the essential problem – human judgment is needed to decide whether something is a true emergency or not.”
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Dr. Harvey Castro, an emergency physician and AI expert in Texas, echoed the importance of the study, calling it “exactly the kind of independent safety evaluation we need.”
“Innovation moves fast. Oversight has to move just as fast,” Castro, who also did not work on the study, told Fox News Digital. “In healthcare, the most dangerous mistakes happen at the extremes, when something looks mild but is actually catastrophic. That’s where clinical judgment matters most, and where AI must be stress-tested.”
Study limitations
The researchers acknowledged some potential limitations in the study design.
“We used physician-written clinical scenarios rather than real patient conversations, and we tested at a single point in time — these systems update frequently, so performance may change,” Ramaswamy told Fox News Digital.
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Additionally, most of the missed emergencies happened in situations where the danger depended on how the condition was changing over time. It’s not clear whether the same problem would happen with acute medical emergencies.
Because the system had to choose just one fixed urgency category, the test may not reflect the more nuanced advice it might give in a back-and-forth conversation, the researchers noted.
ChatGPT Health is designed to show a crisis intervention banner when someone describes thoughts of self-harm. (iStock)
Also, the study wasn’t large enough to confidently detect small differences in how recommendations might vary by race or gender.
“We need continuous auditing, not one-time studies,” Castro noted. “These systems update frequently, so evaluation must be ongoing.”
‘Don’t wait’
The researchers emphasized the importance of seeking immediate care for serious issues.
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“If something feels seriously wrong — chest pain, difficulty breathing, a severe allergic reaction, thoughts of self-harm — go to the emergency department or call 988,” Ramaswamy advised. “Don’t wait for an AI to tell you it’s OK.”
The researchers noted that they support the use of AI to improve healthcare access, and that they didn’t conduct the study to “tear down the technology.”
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“These tools can be genuinely useful for the right things — understanding a diagnosis you’ve already received, looking up what your medications do and their side effects, or getting answers to questions that didn’t get fully addressed in a short doctor’s visit,” Ramaswamy said.
“That’s a very different use case from deciding whether you need emergency care. Treat them as a complement to your doctor, not a replacement.”
“This study doesn’t mean we abandon AI in healthcare.”
Castro agreed that the benefits of AI health tools should be weighed against the risks.
“AI health tools can increase access, reduce unnecessary visits and empower patients with information,” he said. “They are not inherently unsafe, but they are not yet substitutes for clinical judgment.”
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“This study doesn’t mean we abandon AI in healthcare,” he went on. “It means we mature it. Independent testing and stronger guardrails will determine whether AI becomes a safety net or a liability.”
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