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Americans want more kids. Here’s what’s stopping them.

Oct 3, 2026 · 26m

Summary

In this episode of In Conversation, host Shamita Basu interviews Anna Louis-Susman, author of "Inconceivable," to explore why declining birth rates persist despite many people wanting children. They discuss how rising costs, housing insecurity, and career pressures create "structural infertility," using the story of a nurse who delayed parenthood to pay off student debt. Susman critiques current political proposals that favor single-earner households over low-income families and argues that meaningful solutions require comprehensive support like paid leave and affordable childcare. The conv…

Topics discussed

Intro: Midterm election questions and how to submit Show intro: Why people want kids but feel they can't have them Global fertility decline and the rise of uncertainty Guest introduction: Anna Louisa Susman and her book Post-2008 economic anxiety and its impact on family planning Housing costs, career stability, and dating challenges Nordic family policies: Paid leave and subsidized childcare Structural infertility and the high cost of IVF in the US Comparing IVF access in Denmark vs. the United States The social cost: Loss of relationships and community connection The joy of new life and the ambivalence of modern parenting Case study: Trent's struggle with student debt and health How student loan forgiveness helped Trent start a family Reflections on policy luck and the loss of personal agency Trump administration's 'pro-family' rhetoric vs. reality Proposed childcare shifts favoring single-earner married couples Bipartisan support for paid leave and affordable childcare Zero-sum politics: Who benefits from new childcare funding? Holistic solutions: Job security and economic stability Global examples: South Korea and Japan's birth rate initiatives The role of corporations in supporting family formation Long-term view: Evolution, loneliness, and technology's impact Individual actions: Building community and mutual support Closing remarks and book promotion
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