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Scary fact: fertility rates across the West have plummeted to alarmingly low levels, marking a significant demographic shift. Most Western countries now have a Total Fertility Rate (TFR) well below the 'replacement level' of approximately 2.1 children per woman—the rate needed to maintain a population size without migration. For instance, the European Union's TFR hit a historical low of just 1.38 live births per woman in 2023, with countries like Spain and Italy seeing rates as low as 1.12 and 1.2 respectively. This downward trend is a major societal change, driven by the rising cost of living, delayed parenthood, and economic uncertainty.
The long-term impact of these plummeting rates presents profound challenges for Western societies. The most immediate concern is a rapidly ageing population and a resulting shrinking workforce. This demographic imbalance places immense strain on public finances, as fewer working-age people are left to fund the increasing costs of pensions and healthcare for a growing number of elderly citizens. A smaller, older population can also lead to slower economic growth due to labour shortages, forcing Western nations to fundamentally reorganise their societies and policy approaches.
With Kirsten Karchmer, CEO of Conceivable
For professional and life coaching for health execs, see https://coolcoaching.co.uk/
The Medical AI Podcast is the world's number one podcast on medical AI on Spotify and Apple Podcasts (according to Podseo, FeedSpot and Millionpodcasts).
For other related podcasts see
https://podcast.feedspot.com/uk_ai_podcasts/
https://www.millionpodcasts.com/digital-health-podcasts/
By Dr. Felix Beacher4
44 ratings
Scary fact: fertility rates across the West have plummeted to alarmingly low levels, marking a significant demographic shift. Most Western countries now have a Total Fertility Rate (TFR) well below the 'replacement level' of approximately 2.1 children per woman—the rate needed to maintain a population size without migration. For instance, the European Union's TFR hit a historical low of just 1.38 live births per woman in 2023, with countries like Spain and Italy seeing rates as low as 1.12 and 1.2 respectively. This downward trend is a major societal change, driven by the rising cost of living, delayed parenthood, and economic uncertainty.
The long-term impact of these plummeting rates presents profound challenges for Western societies. The most immediate concern is a rapidly ageing population and a resulting shrinking workforce. This demographic imbalance places immense strain on public finances, as fewer working-age people are left to fund the increasing costs of pensions and healthcare for a growing number of elderly citizens. A smaller, older population can also lead to slower economic growth due to labour shortages, forcing Western nations to fundamentally reorganise their societies and policy approaches.
With Kirsten Karchmer, CEO of Conceivable
For professional and life coaching for health execs, see https://coolcoaching.co.uk/
The Medical AI Podcast is the world's number one podcast on medical AI on Spotify and Apple Podcasts (according to Podseo, FeedSpot and Millionpodcasts).
For other related podcasts see
https://podcast.feedspot.com/uk_ai_podcasts/
https://www.millionpodcasts.com/digital-health-podcasts/

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