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The Goodman Institute Health Blog

More on The Birth Dearth

Posted on May 21, 2026 by John C. Goodman

“In nearly every place with the statistics to track fertility trends, birth rates are falling relentlessly,” write Nicholas Eberstadt and Patrick Norrick. (David Madison via Getty Images)


The decline in birth rates is affecting nearly all regions of the globe. In Europe, total fertility is around 1.4 births per woman, and in East Asia, it has collapsed to less than one baby per woman. Canada has a total fertility rate of one in many provinces, and Latin America has a rate just above one. Israel is the lone affluent democracy that has seen an increase in fertility over the past generation. A unique exception, Israel’s total fertility rate has risen to 3.1, up from 2.4 in 1995. Sub-Saharan Africa remains the only global region with high average fertility rates of over four births per woman. Still, even in that region, sub-replacement fertility has emerged in some major cities.

Source: AEI

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

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