Amy Goldstein, The Washington Post Published 8:07 am PDT, Monday, April 29, 2019 Three and a half years after Vermont's then-Gov. Peter Shumlin signed into law a vision for the nation's first single-payer health system, his small team was still struggling to find a way to pay for it. With a deadline bearing down, they worked through a frozen, mid-December weekend, trying one computer model Friday night, another Saturday night, yet another Sunday morning. If they kept going, the governor asked his exhausted team on Monday, could they arrive at a tax plan that would be politically palatable? No, they told him. They could not. Two days later, on Dec. 17, 2014, Shumlin, who had swept into office promising a health care system that left no one uninsured, announced he was giving up, lamenting the decision as "the greatest disappointment of my political life so far." The trajectory of Green Mountain Care, as Vermont's health system was to be known - from the euphoric spring of … [Read more...] about Why Vermont’s single-payer effort failed and what Democrats can learn from it
Why fertility rate decline
American women are having fewer and fewer babies, according to a report released Thursday by the Centers for Disease Control and Prevention (CDC). The national total fertility rate — an estimate of how many babies the average woman in the U.S. will have — was 1.765 (1,765 births per 1,000 women) in 2017, the report says. That’s a drop from 1.820 in 2016, and continues a 10-year downward trend. It’s also the lowest rate since 1978. The U.S. fertility rate is now 16 percent below the rate — 2.100 — that experts say is needed for the country’s population to replace itself over time without immigration. Only two states, South Dakota and Utah, had fertility rates above that replacement level in 2017, according to the CDC report. South Dakota had the highest fertility rate (2.227) in 2017, and the District of Columbia had the lowest (1.421) — a difference of 57 percent. Minnesota’s fertility rate in 2017 was 1.872 — above the … [Read more...] about U.S. fertility rate continues to decline, reaching lowest level in 40 years
Breaking News Emails Get breaking news alerts and special reports. The news and stories that matter, delivered weekday mornings. SUBSCRIBE Jan. 10, 2019, 5:53 AM GMT By Linda Carroll and Shamard Charles, M.D. Americans are having fewer and fewer babies, a new government report finds. In fact, we now aren’t making enough babies to replace ourselves. For the population to reproduce itself at current numbers, the “total fertility rate” needs to be 2,100 births per 1,000 women of childbearing age per year, researchers for the Centers for Disease Control and Prevention said in their report, released early Thursday. But the latest data show a current rate of just 1,765.5 per 1,000, or 16 percent below the number needed to keep the population stable without additions through immigration. The total fertility rate has been declining steadily for seven years, but the numbers for 2017 represent the biggest drop in recent history. The rate for 2016 was 1,820.5; for 2015, … [Read more...] about Americans aren’t making enough babies to replace ourselves
An academic has hailed mass migration and the coming artificial intelligence revolution as reasons not to fear plummeting fertility rates in Western countries, wherein most it has long stood below replacement rate. Oxford University academic Sarah Harper’s views that falling fertility should be a “cause for celebration” were profiled by British left-wing newspaper The Guardian, which reported that changes in society meant Western countries no longer had to worry about growing or even sustaining their populations.The former Royal Institution director said nations wishing to sustain themselves was “really old thinking”, and praised German Chancellor Angela Merkel as a world leader who had found a way to grow their country without having to resort to citizens having their own children. Speaking of the migrant crisis which Dr Merkel triggered by throwing open her own borders — and by proxy the borders of the European Union as well — … [Read more...] about Don’t Worry About Fertility Falling Because Immigration and A.I. Will Replace the Unborn, Says Academic
Rick Noack, The Washington Post Published 6:16 am PST, Friday, November 9, 2018 Almost half of all countries have fertility rates below the replacement level, according to an unprecedented study published by The Lancet journal. While there was not a single nation with a fertility rate below the 2.05 threshold back in 1950, the global average is now only 2.4 - down from 4.7 about 70 years ago. Differences between nations have become more pronounced, with some European countries having record-low rates down to one child per woman on average, compared to more than six children in some African nations. If you live in a poorer nation with high fertility rates, a decrease would likely be a reason for celebration. Lower fertility rates are often the result of fewer child deaths, easily accessible contraception and prosperous economies, which explains why Europe, North America and richer Asian nations like Japan are disproportionately affected. In countries with … [Read more...] about Fertility rates around the world are declining. Trump supporters won’t like the solution.