Concerns Grow Over U.S. Birth Rate and Childcare Costs
WASHINGTON — As the Trump administration considers measures to boost the declining birth rate in the United States, recent polling reveals that many Americans prioritize the high costs of childcare and maternal healthcare over the issue of increasing the number of children.
A survey conducted by the Associated Press-NORC Center for Public Affairs Research shows that only about 30% of adults view the falling birth rate as a significant problem. Additionally, a mere 12% believe that encouraging families to have more children should be a primary focus of the federal government.
While some conservative leaders, including tech entrepreneur Elon Musk and Vice President JD Vance, advocate for policies promoting childbirth, many Republicans seem less enthusiastic. They express a stronger desire for the government to address affordable childcare and health outcomes for pregnant women instead.
Misty Conklin, a Trump supporter from Indiana, reflects this sentiment. She argues that the government should make raising children more affordable, particularly for families dealing with ongoing challenges. “It’s hard to live as just a couple, let alone with children,” she stated, emphasizing the need for more support.
Childcare Costs: The Real Concern
According to the survey, around 75% of Americans consider childcare costs a major issue, with similar views held by both parties. This includes nearly 80% of Democrats and 70% of Republicans. Proposals such as free or low-cost daycare and paid family leave have garnered significant support, with about two-thirds of Americans backing such initiatives.
Maria Appelbe, a Trump voter in Arizona, shared her experience of leaving her job to care for her daughter due to the high costs of childcare, reaffirming the need for more resources to support families.
Fewer Children, Less Concern
As demographic studies suggest a replacement rate of 2.1 children per woman needed to maintain population growth, the survey found many Americans indifferent about family size. There is no overwhelming agreement on whether having more or fewer children is better for families.
Appelbe, who has one teenage daughter, identified financial stability as a key factor in deciding to have a smaller family. “I’m so glad that I was able to give her everything that I could,” she remarked, highlighting that raising more children would have stretched her resources too thin.
Most respondents showed a preference for the government to focus on enhancing healthcare outcomes for women, with 55% in support of this approach, especially among Black adults and women.
A Conservative View on Population Policy
While conservative Republicans seem more receptive to pronatalist ideas than their liberal counterparts, the general consensus remains that the public is not prioritizing this issue. About 20% of Republicans believe it’s detrimental for families to have fewer than two children, but this is still a minority view.
Dmitriy Samusenko, a young social conservative, expressed concern over the declining birth rate and its implications for the nation’s future, advocating for government support to help families grow.
Proposals such as offering a $5,000 “baby bonus” to new parents have been floated, yet there’s notable opposition among conservative Republicans, with many remaining undecided on the initiative.
Fertility Treatments as a Growing Concern
During his campaign, Trump promised to be a champion for families and even signed an executive order to expand access to in vitro fertilization (IVF), an area that has gained popularity among Americans, yet remains controversial within parts of his religious base.
Almost 40% of U.S. adults consider the high costs of fertility treatments a significant barrier, with many favoring legislation to require insurance companies to cover these expenses. Bill Taylor, a supporter of this measure, noted that his daughter faced financial challenges when seeking fertility treatments.
With birth rates on the decline, the conversation is shifting to the importance of making family growth more attainable. Finding solutions to ease the financial burdens of child-rearing could be key to addressing the nation’s demographic challenges.
Overall, while promoting larger families may be part of the conservative agenda, the immediate needs of families—like affordable childcare and health services—remain a top priority for voters.


