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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Americans today live roughly twice as long, on average, as they did when the Declaration of Independence was signed.
When the nation was founded in 1776, life expectancy was around 35 to 40 years old, historians estimate. However, someone who survived childhood in colonial America often lived into their 60s or even 70s.
Today, the average lifespan is about 79 years old, according to data from the Centers for Disease Control and Prevention.
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The improvement in lifespan over the centuries has been largely attributed to reduced deaths in infancy and from infectious diseases, multiple researchers have stated. Advances in sanitation, clean water, nutrition, vaccination and medical care have also contributed to lower mortality rates.
“Much of this vast discrepancy is related to the extremely high rates of infant, childhood and maternal mortality,” Dr. Omer Awan, physician and professor at the University of Maryland School of Medicine, told Fox News Digital.
Americans today live roughly twice as long, on average, as they did when the Declaration of Independence was signed. (Milan Markovic/iStock)
“Childbirth was dangerous, and without antibiotics and vaccines, many infectious diseases, such as measles, smallpox and pneumonia, were deadly,” he went on. “Now we have cleaner water and sanitation, vaccines and antibiotics that have significantly prolonged life.”
Advances in treatments of chronic diseases such as high blood pressure, cancer and diabetes have also significantly prolonged life, the Harvard-trained doctor noted.
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According to the CDC, improved prevention and treatment of high blood pressure has helped reduce deaths from heart disease and stroke, two of the nation’s leading causes of death.
Mia Kazanjian, MD, a Stanford-trained body and breast radiologist with an interest in longevity who is based in Greenwich, Connecticut, attributes the shorter life expectancy in the 1700s to suboptimal sanitation, poor hygiene and limited medical treatments.
Today, the average lifespan is about 79 years old, according to data from the Centers for Disease Control and Prevention. (iStock)
“Many babies and children died from infections like dysentery, diphtheria, scarlet fever and pneumonia,” she told Fox News Digital. Children who survived into adulthood often succumbed to infections like tuberculosis, cholera and typhoid fever.
Maternal mortality has also fallen dramatically over the past century due to advances in antibiotics, blood transfusions and safer obstetric care, according to the CDC.
Milestones in public health
Kazanjian pointed to several key advancements over the centuries that contributed to longevity improvements, including the development of early municipal water systems that provided cleaner drinking sources.
“Sewer system networks were built, the first in Brooklyn in 1857,” she said. “These allowed people to drink clean water and dispose of waste. Indoor plumbing with toilets and bathrooms became more widespread.”
“Without antibiotics and vaccines, many infectious diseases, such as measles, smallpox and pneumonia, were deadly.”
At this time, people’s understanding of disease started to improve, and public health measures were developed to minimize risk.
During the late 1800s, germ theory became widely accepted in medicine and public health, helping shape the Sanitary Era, the expert said.
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“The Federal Quarantine Act of 1878 allowed the government to prevent spread of infection from out of the country, from epidemics like yellow fever,” she said. “Food safety regulations went into effect in 1906, when the Pure Food and Drug Act and Federal Meat Inspection Act were passed.”
By 1900, the average life expectancy was about 49 years old, according to the National Vitals Statistics Report.
Another major landmark in increasing lifespan came with the development of vaccines and antibiotics to prevent and treat disease, Kazanjian noted.
One major landmark in increasing lifespan came with the development of vaccines and antibiotics to prevent and treat disease, experts say. (iStock)
“Jenner developed the smallpox vaccine in 1796, Pasteur created vaccines for rabies and anthrax in the 1880s, and several scientists created vaccines for polio, measles, influenza, mumps and rubella in the mid 1900s,” she said.
“Antibiotics proliferated in the 1940s, specifically penicillin and tetracycline. By 1950, the US life expectancy was about 68 years old.”
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From the mid-20th century to 2014, life expectancy continued to rise, Kazanjian said, largely due to “major gains” in medical knowledge of ways to prevent heart disease and stroke.
Public health campaigns promoting smoking cessation also played a role, as declining smoking rates helped reduce deaths from lung cancer, heart disease and stroke, according to the CDC.
“Motor vehicles became safer and carseats became staples,” Kazanjian noted.
Modern longevity is more focused on preventing chronic disease and less about surviving childhood infections. (iStock)
According to the National Institutes of Health, advances in emergency medical services and trauma care have substantially reduced deaths after serious injuries.
Development of pharmaceuticals for cardiovascular disease and cancer also contributed to longer lives, according to Kazanjian.
Today’s longevity challenges
Modern longevity is more focused on preventing chronic disease and less about surviving childhood infections, noted Nneoma Oparaji, MD, a triple board-certified media physician specializing in obesity, lifestyle and internal medicine.
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“The next frontier will be less about living longer, but more about living healthier longer,” Houston-based Oparaji told Fox News Digital.
Kazanjian pointed out that between 2014 and 2026, there has been a fall and a rise in lifespan.
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“The fall was due to young adult deaths from drug overdoses, particularly the opioid epidemic, suicides and alcohol-related deaths,” she told Fox News Digital.
The COVID-19 pandemic reduced U.S. life expectancy by more than two years between 2019 and 2021 before it began recovering, CDC data shows.
Advances in sanitation, clean water, nutrition, vaccination and medical care have contributed to lower mortality rates. (iStock)
Although U.S. life expectancy has rebounded since the pandemic, it remains below that of other high-income countries, largely because of higher death rates from chronic diseases, substance use and other preventable causes, according to KFF.
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Obesity rates also continue to climb, contributing to higher numbers of cardiovascular disease, diabetes and cancer, Kazanjian said.
“Most concerning is the rise in obesity in children,” she added.
“The next frontier will be less about living longer, but more about living healthier longer.”
Changing cancer trends are also affecting lifespan among younger adults, data shows.
“My generation, the millennials, has seen an unprecedented rise in young adult cancers, particularly colon and breast,” Kazanjian said, citing factors that include sedentary lifestyles, poor diet, alcohol, obesity and smoking, among others.
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The doctor said she aims to raise public health awareness of ways to improve lifespan.
“We need to get off our screens, move around more, eat a whole food, plant-based diet, sleep seven hours a night, do our screening exams, and avoid toxins like alcohol and cigarettes.”
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We are officially living in the “maxxing” era.
From “looksmaxxing” to improve appearance to “sleepmaxxing” for better rest, these viral terms all point to the same goal: squeezing every ounce of potential out of a specific trait or habit.
With a growing focus on optimizing wellness and maximizing longevity, the trend has evolved into what’s known as “humanmaxxing,” sparking a bigger question: How far can people go to optimize the human body?
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While there is no single definition of humanmaxxing, the trend generally refers to efforts to optimize health, performance and longevity through a combination of lifestyle habits, health tracking, supplements and, in some cases, more experimental interventions.
While there is no single definition of humanmaxxing, the trend generally refers to efforts to optimize health, performance and longevity through a combination of lifestyle habits, health tracking, supplements and, in some cases, more experimental interventions. (iStock)
For some, the movement begins with biohacking. According to Dave Asprey, a Texas-based wellness expert who refers to himself as the “father of biohacking,” optimizing your body starts with changing your environment.
Asprey has defined biohacking as “the art and science of changing the environment around you or inside you so that you have full control of your own biology.”
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His public advice focuses on boosting cellular energy through everyday choices like intermittent fasting, high-fat diets, red-light therapy and supplement routines.
“My goal right now is 180 years, because I’m doing something about it now instead of waiting,” he once said.
Clinical experts warn that extreme self-experimentation skips the rigorous safety checks that typical medical science requires. (iStock)
Others have embraced a more data-driven approach. Tech entrepreneur Bryan Johnson, creator of the multimillion-dollar longevity project Blueprint in Los Angeles, argues that optimizing the body means removing human error from health decisions and instead relying on medical data.
“Methodically, we sought to build an algorithm with science and data that could better care for me than I can myself,” Johnson wrote on his website. “My mind did not have the authority to override the algorithm.”
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Johnson’s routine involves tracking hundreds of health metrics, eating a precisely measured diet, taking dozens of supplements, and undergoing advanced medical treatments in an effort to reduce his biological age.
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At the far end of the spectrum are those investing in technologies aimed at pushing the limits of human performance.
London-based tech investor Christian Angermayer recently described humanmaxxing as a strategy toward human maximization.
Tech entrepreneur Bryan Johnson, creator of the multimillion-dollar longevity project Blueprint, argues that optimizing the body means removing human error from health decisions and instead relying on medical data. (iStock)
“I don’t think we should become something different, because I think humans are awesome, but I think we can maximize the potential [that] is already in us,” he said in an interview with The New York Times.
Angermayer’s investment firm, Apeiron Investment Group, focuses on technologies intended to help people “live longer, healthier and more fulfilling lives.” He also founded atai Life Sciences, a biotechnology company that develops psychedelic treatments for mental health conditions that are currently being evaluated in clinical trials.
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As interest in humanmaxxing grows, mainstream health experts urge consumers to separate evidence-based wellness practices from experimental interventions.
Public guidance from the National Institute on Aging notes that while some anti-aging therapies have shown promise in laboratory research, there is not yet sufficient evidence that they can safely extend human life.
As interest in humanmaxxing grows, mainstream health experts urge consumers to separate evidence-based wellness practices from experimental interventions. (iStock)
Clinical experts also caution that extreme self-experimentation can bypass the rigorous safety standards applied to conventional medical treatments.
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According to the Endocrine Society, taking substances such as testosterone or growth hormone without a medical need can lead to serious health risks, including cardiovascular complications and long-term disruption of the body’s chemical balance.
While many humanmaxxing habits overlap with standard healthy lifestyle practices, experts say consumers should be cautious of expensive or experimental interventions that promise dramatic anti-aging or longevity benefits without strong scientific evidence.
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A new test could make it easier to detect high-risk prostate cancer cases earlier.
The blood test, called Stockholm3, is showing promise in clinical trials, beating out the traditional, standard prostate-specific antigen (PSA) test.
In a new study published in the Annals of Internal Medicine, researchers from the Karolinska Institutet in Sweden studied the test’s efficacy in more than 12,000 men — mostly Swedish or European — aged 50 to 74.
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All participants were tested with PSA and Stockholm3 and were followed for two years. During the follow-up period, 443 men were diagnosed with aggressive prostate cancer.
Stockholm3 detected 90% of aggressive prostate cancer cases compared to 74% for PSA tests.
Stockholm3 detected 90% of aggressive prostate cancer cases compared to 74% for PSA tests. (iStock)
Stockholm3 missed “significantly fewer” serious cancer cases than PSA. The number of men incorrectly classified as high-risk was similar across both tests, according to a press release.
Thorgerdur Palsdottir, a researcher at the Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, wrote in a statement that one of the major challenges in prostate cancer is being able to identify the cases that are “truly dangerous.”
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“Our results show that Stockholm3 identifies significantly more aggressive cancer cases than PSA without increasing the number of unnecessary follow-ups,” she said.
“These results point toward a potential change in how prostate cancer screening can be conducted,” the researcher added. “A more precise blood test could enable earlier detection of aggressive disease while reducing the number of unnecessary follow-up examinations and procedures.”
“A more precise blood test could enable earlier detection of aggressive disease while reducing the number of unnecessary follow-up examinations and procedures,” a researcher commented. (iStock)
Study co-author Hari Vigneswaran, chief medical officer of Stockholm3-maker A3P Biomedical, commented on these “promising” findings in an interview with Fox News Digital.
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He confirmed that the PSA has been the standard for prostate cancer screening since the 1990s despite its “well-documented limitations.”
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“It leads to invasive and costly follow-up testing, contributes to over-diagnosis of non-aggressive cancers and, most importantly, it misses a substantial share of aggressive disease,” Vigneswaran said.
When aggressive prostate cancer is found while still confined in the prostate, the five-year survival is close to 100%. (iStock)
When aggressive prostate cancer is found while still confined in the prostate, the five-year survival rate is close to 100%, which highlights the importance of early detection, according to the doctor.
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Data from the National Cancer Institute’s SEER database show that metastatic prostate cancer has risen over the past decade, suggesting that “we have not improved early detection of the aggressive, curable disease that screening is meant to catch,” Vigneswaran said.
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“The goal of screening is to find the cancers that need treatment while they are still curable, without raising the number of men who screen positive but don’t have aggressive disease,” he said.
Stockholm3 could reduce the need for unnecessary MRIs and biopsies, according to the researcher. (Getty Images)
Stockholm3 could reduce the need for unnecessary MRIs and biopsies, according to the researcher.
The findings did have some limitations. Stockholm3 is an investigational device and is not available for sale in the U.S., Vigneswaran noted.
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The test estimates a man’s risk of aggressive prostate cancer, but a biopsy remains the gold standard for confirming the disease.
The company plans to seek FDA approval to use the test for routine screening and will “generate the evidence needed to support that pathway, including U.S. data,” Vigneswaran said.
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