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- The dental specialty seeing the largest drop in education enrollment
- Women’s hospital, health system leadership representation ticks up in 2026
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- Dental school enrollment up 10% since 2021
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- 29 new behavioral health study findings to know
- The real reason ASC anesthesia departments struggle — and it’s not operations
- Nevada cuts psychiatric residential placements for children from 35% to 16%
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- Seattle Children’s expands with $103M ASC
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- The specialties driving ASC growth through 2031
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- Nurses at SSM Health outpatient practices move to unionize
- 62% of ASCs cancel, delay cases over anesthesia gaps
- Study examines how ICHRA adoption could help stabilize ACA risk pools
- Winter Is Coming: How Vaccines Help Protect Against Respiratory Illness
- Screen Time Is Not All Bad For Kids' Brains
- Processed Foods Linked To Prostate Cancer Risk
- Patient advocacy group sues AMA for open access to CPT system
- Updated Statement Regarding the Division of Corporation Finance’s Role in the Exchange Act Rule 14a-8 Process
- Luigi Mangione pleads guilty in federal case over murder of UnitedHealthcare CEO Brian Thompson
- It's BMS vs. Celgene investors once more after US appeals court revives lawsuit
- Industry Voices—AI should help cancer patients survive the healthcare system
- Tavneos trial flagged for 'serious breaches' of protocol as EU regulators dissect market withdrawal decision
- Insurers denied between 12% to 18% of prior authorization requests in 2025: KFF
- Sleep Disturbances Linked To Genetic Alzheimer's Risk
- Pre-K Sets Kids Up For School Success, Study Says
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- A genomics library for the AI era
- BMS bags first FDA approval for CELMoD franchise with Zenbexus multiple myeloma nod
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- Hippocratic AI rolls out platform to coordinate teams of conversational voice AI agents
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- Major PBMs agree to offer TrumpRx pricing information to members
- Providence reports $400M operating improvement halfway through 2026
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Michigan healthcare freedom community forum
This is really bad news for the future health care work force. There will be a severe shortage of workers to deliver health care to Millennial and Gen Z retirees. Only the most affluent will be able to afford decent health care during their retirement. Nursing homes with their low wages will be severely impacted:
https://thehill.com/homenews/5823947-falling-birth-rates-usa/
Fertility rate drops to new record low: CDC
By Joseph Choi - April 9, 2026The U.S. general fertility rate fell by 1 percent in 2025, reaching a new record low for another consecutive year according to latest statistics from the Centers for Disease Control and Prevention (CDC).
The general fertility rate, which covers women between the ages of 15 and 44, was about 53.1 births per 1,000 females with roughly 3,606,400 recorded last year. The U.S. fertility rate has been trending downward for several decades, having fallen by 14 percent between 1990 and 2023.
“The provisional general fertility rate for the United States in 2025 was 53.1 births per 1,000 females ages 15–44, a decrease of 1% from the rate in 2024 (53.8). The rate has generally declined since 2007, decreasing by 23%,” stated the CDC’s report.
The rate of births among teenagers between the ages of 15 and 19 fell by 7 percent last year, with a larger 11 percent decline among older teens aged 18 to 19.
According to the U.S. Census Bureau, the percentage of childless women has jumped significantly in recent years. Between 2014 and 2024, the percentage of women aged between 25 and 29 who were childless rose from about 50 percent to 63 percent.
The only demographic that saw decreases in childlessness in that same time frame were women aged between 45 and 50, indicating more women had children as they entered their late 40s.
For a population to remain stable, the total fertility rate should be around 2.1 children per woman. In 2024, this rate fell below 1.6 children per women.
Polling in recent years has indicated that the number of adults who never want to have children has grown, and that men and women plan to have fewer children than previous generations.
A Pew Research study published last year found that the number of children Americans in their 20s and 30s want to have fell to less than 2 by 2023 after having remained relatively stable between 2002 and 2012.
Another study found that just more than half of adults — 53 percent — said choosing to have children would negatively impact the country in the future.
The rising cost of living has frequently been cited as a significant contributor to falling fertility rates not just in the U.S. but across many other developed nations.
In South Korea, the country with world’s lowest fertility rate, women point to the high cost of housing and education as key reasons they’ve decided not to have children, leading the country to deploy numerous financial incentives to encourage women to have children.
In the 2025 American Family Survey from Brigham Young University, 71 percent of adults disagreed with the notion that having children was affordable for most people. Forty-three percent cited insufficient financial resources as being a barrier to having children, while only 22 percent cited a lack of personal desire.
Making the situation worse, 9% of American births in 2023 were anchor babies or the result of birth tourism:
About 9% of U.S. births in 2023 were to unauthorized or temporary legal immigrant mothers
By Jeffrey S. Passel and Dalia FahmyThe U.S. Supreme Court is considering the legality of an executive order from President Donald Trump that would restrict birthright citizenship.
The order would deny U.S. citizenship to children born in the United States to mothers who are unauthorized immigrants or have legal temporary status at the time of the child’s birth if the father is not a citizen or lawful permanent resident.
Birthright citizenship derives from the U.S. Constitution’s 14th Amendment and grants citizenship to anyone born in the country. Legal experts have long interpreted the provision to apply to children born in the U.S. regardless of the immigration status of their parents.
It’s difficult to say how many people this order would affect if the Supreme Court upholds it. It would not apply retroactively, so children already born would not lose their U.S. citizenship.
This analysis answers some questions about babies born to unauthorized immigrants or immigrants with legal temporary status. Our analysis is based mainly on data derived from U.S. Census Bureau surveys. The data primarily links babies born in the U.S. to their mothers, but there is also some information available about the mother’s spouse or partner, who we assume to be the father. The latest available data about births to unauthorized immigrant mothers is for 2023.
We’ll cover the following:
- How many babies are born each year to unauthorized immigrant or legal temporary immigrant mothers?
- How has the number of births to unauthorized immigrant mothers changed in recent decades?
- How many people in the U.S. today were born to unauthorized immigrant mothers?
- What do we know about births to mothers who are legal temporary immigrants?
How many babies are born each year to unauthorized immigrant or legal temporary immigrant mothers?
In 2023, mothers who were unauthorized immigrants or had legal temporary status in the U.S. had 320,000 babies, representing about 9% of all 3.6 million babies born in the U.S. that year. About 260,000 of those babies would not have qualified for birthright citizenship if Trump’s executive order had already been in effect. This includes:
- About 245,000 babies born to mothers who were unauthorized immigrants and fathers who were not citizens or lawful permanent residents
- About 15,000 babies born to mothers who had legal temporary status and fathers who were not citizens or lawful permanent residents
How has the number of births to unauthorized immigrant mothers changed in recent decades?
Generally, the trends in births to unauthorized immigrants follow the growth and decline of the unauthorized immigrant population. The number of unauthorized immigrants more than tripled from 1990 to 2007. The number of births also more than tripled, from 120,000 in 1990 to a peak of about 380,000 in 2006.
In 1990, births to unauthorized immigrant mothers were about 3% of the 4.1 million births in the U.S. that year. In 2006, these births were about 9% of the total.
Between 2006 and 2019, the annual number of births to unauthorized immigrant mothers dropped by more than 40%, to 215,000.
Several factors contributed to this decrease. The unauthorized immigrant population was declining slowly. With fewer new arrivals (who tend to be younger and more likely to have children), the composition of the unauthorized immigrant population shifted toward those who had been in the country longer, were slightly older and had already had their children. Finally, U.S. fertility rates overall and for unauthorized immigrants fell during this period.
Then, from 2019 to 2023, the annual number of births to unauthorized immigrants grew markedly to 300,000, tracking with a rapid increase in unauthorized immigrants.
How many people in the U.S. today were born to unauthorized immigrant mothers?
Between 2006 and 2023, there were about 5.1 million births to unauthorized immigrant mothers. Almost 4.4 million of these children did not have a father who was a legal immigrant or U.S. citizen, so they would not have been U.S. citizens at birth if Trump’s proposed policy had been in effect. (The 2006-2023 time span allows us to look specifically at children under 18 in 2023.)
Not all of these children are still in the U.S. Many have left the country, and some may have died. In addition, some of those who stayed may have seen a parent’s legal status change. But we can assess the impact of potential changes in birthright citizenship by looking at how many people born in the U.S. have unauthorized immigrant parents in current data.
In 2023, an estimated 4.6 million children had been born in the U.S. and were living with at least one unauthorized immigrant parent. Another 1.4 million adults born in the U.S. lived with at least one unauthorized immigrant parent, bringing the total to more than 6 million. (The number of adults born in the U.S. who have unauthorized immigrant parents is likely much higher, but our data only captures adults still living with their parents.)
Most of these people – 3 million children and 1 million adults – do not have a father with legal residence status. They are U.S. citizens by birth, but if Trump’s executive order had been in place, they would have added to the estimated 14 million unauthorized immigrants in 2023.
What do we know about births to mothers who are legal temporary immigrants?
Births to mothers with legal temporary status have hovered between 15,000 and 30,000 per year since the late 1990s, and numbered 20,000 in 2023. These mothers include foreign students, guest workers and their dependents, and mothers with a variety of other statuses.
Because the mothers’ status is temporary, most of these children do not tend to stay in the U.S. If they did stay and were not citizens at birth under the executive order, their legal status would likely change with their mother’s.
Some mothers get temporary visas specifically to secure U.S. citizenship for their newborns. These mothers are sometimes called “birth tourists.” Such births would be part of about 9,000 births in 2023 to mothers who were residents of foreign countries, according to official birth registration data from National Center for Health Statistics (NCHS). These births are not counted as part of the 20,000 births to mothers with legal temporary status in 2023.
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