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Notes -
It's even worse than that, because we're at the stage of decline where a large chunk of sub-replacement fertility women are past childbearing age. Further, pretty much every traditional culture from the dawn of civilisation mandates that the elderly be respected, which, in the presence of modern pension schemes, just translates to "let others waste their life on kids that will have to support you anyway even though you're not related to them." Back in ye olden days, when all these norms were developed, they were more sustainable partly because the population pyramid was actually shaped like a pyramid in the first place, but also because in the absence of modern medical care, the elderly are quite cheap to care for: you just feed them a small amount of food each day until they die, and that's that. There was no way to blow the family inheritance on treatments to keep grandma alive for another 2 years, and certainly no state-mandated financial shenanigans to make this happen at scale even for grandmas that don't have grandkids.
Realistically, nothing will happen because our civilisation is not adapted to be able to address these questions and would rather end itself than do so.
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