Add on top of that the rising drug epidemic, the removal of access to reproductive and mental health care...
[1] https://news.vcu.edu/article/2023/03/child-and-teen-mortalit...
[2] https://www.kff.org/health-reform/press-release/firearms-are...
It's one thing if society learns something from incidents like we did with after the mass murder at Winnenden 2009. But in the US, it's "thoughts and prayers" and that's it - utterly dystopian.
[1] https://www.edweek.org/leadership/school-shootings-this-year...
[2] https://en.wikipedia.org/wiki/List_of_mass_shootings_in_the_...
"Protecting children" is only ever brought up in US politics for dumb controlling initiatives that do anything but protect children. Actually protecting children is taboo.
You need at least two with modern medicine. You have a limited time period to have children, after which you can't have more without significant consequence, and you won't know ahead of time about the risks or need.
There are increasing mortality rates, and increasing unmanageable risks (i.e. regulation, and other aspects of government working against parents).
If you want your family line to continue and survive, you need at least 2 children, if not 4 or more. 4 is better.
There is cost, but that's what needs to be possible that no one talks about. That actuarial all death discrepancy during the pandemic is most likely attributed to lack of general availability of medical care during that time. The risks change without notice. During the pandemic, in my role supporting our IT support staff (System Engineers helping overflows) I heard from people across the country.
Some families were nearly wiped out, imagine if 3/4 of your family died and it was a large family. One man I spoke with was just crazy with grief, he had to help with funeral arrangements for eight of his family members in the span of a few weeks.