Who Gets to Have Kids?
The Impossibility of Family in an Age of Uncertainty
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An urgent investigation into the modern parenting crisis, and why we all lose out when only the wealthiest can afford to have kids.
For generations, starting a family was an ordinary part of life. But today, there’s a marked gap between how many children people want to have, and how many they actually will. In this era of extraordinary opportunity for women, soaring inequality, and incalculable climate change, who gets to have kids, and why?
Spurred by the unexpected obstacles she encountered in her own quest to become a parent, journalist Anna Louie Sussman explores what is keeping us from having the families we desire, as birth rates plummet around the world. From romance to education to work, Sussman shows how decades of policy choices have elevated profits over people and individualism over interdependence, and have left people increasingly unable to envision a future in which they have children. From South Korea to Denmark, America to Poland, the stories she uncovers illustrate the deep personal and collective cost when such a fundamental human experience falls so far out of reach.
A singular and timely investigation into how parenthood has been altered by a capitalist system run wild, this is a must-read for anyone seeking to understand the universal challenges and triumphs of becoming a parent in our uncertain age.
©2026 Anna Louie SussmanCritic Reviews
‘The economics alone are damning: greedy jobs, mountains of student debt, ruinous housing costs, and childcare that consumes a full salary. Sussman's book brings us the grinding consequences of those abstractions for those who did everything right, yet still found that starting a family had become inconceivable’ David Autor, co-author of The Work of the Future
‘A passionate, thoughtful, and often movingly poetic exploration of life’s most fundamental questions: Why do so many of us feel so scared of the future? How should we take care of one another? What does it mean to cherish human life? This is certain to be a definitive work’ Suzy Hansen, author of From Life Itself and the Pulitzer Prize-nominated Notes on a Foreign Country
‘Combines in-depth reportage and wry self-excavation to tackle one of the biggest questions facing modern civilization: whether and how its next generation will come to be. Nuanced, thought-provoking, and brave – a heartfelt paean to family and shared futures, and an incisive critique of the systems that make both feel impossible to sustain’ Christine Emba, author of Rethinking Sex: A Provocation
‘Sussman's blend of curiosity and empathy allows the reader to eavesdrop on the most intimate and vulnerable choices a person can make. A fascinating map of the doubts and hopes that shape American families’ Leah Sargeant, author of The Dignity of Dependence