Ep 4: Are We Overmedicating Kids?

For most of human history, having kids wasn’t much of a choice. Social expectations, lack of birth control, and limited autonomy for women presented a couple of options: Have children, or join a convent. But the 1960s ushered in a big change. With better options for birth control and expanded career opportunities for women, many people for the first time could choose how many children to have, and whether they should have any at all.  Fast-forward to today: More people are choosing not to have children for a wide range of reasons. Having children, of course, is a personal choice. But it’s a choice that has broader implications. Everywhere across the globe—the U.S., Europe, Asia, Africa—fewer children are being born. And strangely enough, having kids has become part of the culture wars. There are pro-natalist public figures like Elon Musk on one side saying everyone needs to have more kids now in order to save humanity. And on the other side, people like climate activist Greta Thunberg say rising sea levels are so catastrophic that having kids in this era is akin to genocide. But there’s no debate that the fertility rate is plummeting in America and around the world. Presently, American women, on average, have 1.8 kids. In the 1950s, it was 3. The replacement rate in the United States, which is the fertility rate needed for a generation to replace itself without considering immigration, is approximately 2.1 births per woman. Around the world, the fertility rate fell by more than half between 1950 and 2021, as many countries became wealthier and women chose to have fewer children. For economists like Emily, the speed with which the fertility rate is falling is cause for alarm. Economic growth depends, at least in part, on population growth. Retired people rely on generations of younger workers for support, through contributions to Social Security and taxes. With fertility rates in free fall, the math doesn’t add up. That’s the big picture. Now back to our own families. Our series so far has focused on the state of our children. Today, we cap things off with a fundamental question: Should we even have kids in the first place, and what happens if we don’t? *** Resources from this episode: Bryan Caplan: Selfish Reasons To Have More Kids (Bookshop) Gina Rushton The Parenthood Dilemma: Procreation in the Age of Uncertainty (Bookshop) Leah Libresco Sargeant Helena de Groot Ross Douthat

The share of children in America growing up in single-parent families has tripled since 1950—from 10 percent to 30 percent. Children in single-parent families are three times as likely to live below the poverty level and, on average, they have a higher likelihood of poor academic performance and higher dropout rates from high school. Those translate into lower earnings in adulthood. And although it is very difficult to separate correlation and causality in these data, and hard to say whether single parenthood matters beyond poverty, there is no question that the associations are very strong.  Today: What happened to marriage in America? How has the trend divided along class lines and contributed to the widening economic gap? Is having two parents actually better for kids than a single parent? What advantages does growing up in a married family actually confer upon kids? In the research world, these questions aren’t partisan. They’re questions that can be answered with data.  Resources from this episode:  Books/links: Melissa S. Kearney The Two-Parent Privilege: How Americans Stopped Getting Married and Started Falling Behind (Bookshop) Melissa S. Kearney on Honestly Philip N. Cohen’s critique of Melissa Kearney’s The Two-Parent Privilege Abby M. McCloskey

In today’s world, many parents feel like we need our kids to have phones. We tell ourselves it’s for their safety—they may need it while walking to a friend’s house or when going on a school field trip. And then there’s the fact that for many parents, the idea of not giving your kid a phone—when everyone else has one—just doesn’t even seem like a possibility. By age 10, 42 percent of kids in the U.S. have a phone. By age 12, it’s 71 percent, and by age 14, it’s 91 percent. The pressure to conform is just too great. And the reality is that phones keep kids entertained, which gives parents a break—to cook dinner, to do the laundry, or. . . to scroll through Instagram on their own phones.  The problem is that most parents have no idea what the effect of all of this phone time—46 percent of teens say they use their phones “almost constantly”—is. What are phones doing to our kids, their development, their physical health, their mental health, their social lives? Is the panic around cell phones like the panic that once met the invention of the radio or TV? Is it a kind of hysteria? Or are phones fundamentally transforming the essence of what it means to be a kid? Are phones. . . stealing childhood? If so, what should we do about it? Should we leave phone regulations in the hands of schools, or should parents take the initiative to drive the change? Is there even a middle ground, or have we passed the point of no return? Resources from this episode: Jonathan Haidt The Anxious Generation: How the Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness (Bookshop) Ben Halpert Savvy Cyber Kids (Amazon) Johann Hari Stolen Focus: Why You Can’t Pay Attention—and How to Think Deeply Again (Bookshop) Delay Smartphones

Across the board in most advanced countries, girls and women are outpacing boys and men. Nowhere is this more stark than in education. When Title IX was passed in the U.S., the share of students enrolled in a bachelor’s degree program was about two-thirds men and one-third women. Just 50 years later, the numbers have reversed: Bachelor’s enrollment is now 58 percent women and 42 percent men. So, not only is the gender inequality we see in college today wider than it was 50 years ago, it’s the other way around, with men on the bottom. The difference in master’s degrees is even more striking. In the 1970s, women earned only 11 percent of them. Today, women earn over 60 percent of master’s degrees. Women are awarded 53 percent of PhDs, and they make up the majority of law students. These disparities also continue after school ends. Young men are out of the labor force at an unprecedented rate. Nearly half (47 percent) of prime-age men not in the workforce cite obsolete skills, lack of education, or poor work history as barriers to employment. And most American men earn less today (adjusted for inflation) than most men did in 1979. Today: Are boys and men falling behind? Why are some experts so worried about this, and what is at stake for the economy, our society, our families, and the future of boys everywhere? *** Resources from the episode: Of Boys and Men: Why the Modern Male Is Struggling, Why It Matters, and What to Do about It (Amazon) by Richard Reeves Hanna Rosin The End of Men: And the Rise of Women (Amazon) by Hanna Rosin Erica Komisar “Men are lost. Here’s a map out of the wilderness” by Christine Emba American Institute for Boys and Men

Kids and teens today are more diagnosed than ever, across the board, whether it’s a disorder like ADHD or a mental health condition like obsessive-compulsive disorder. Say you’re 15 and you’re worried about that upcoming algebra test? Anxiety. You’re 12 and you weren’t invited to that birthday party? Depression. Scared to ride your bike again after that little fall last summer? PTSD. And with these diagnoses come a menu of medications that purport to fix your child.  Today: What’s behind the rise in diagnoses—both for ADHD, mostly among young boys, and for anxiety and depression, mostly among teen girls? Are they really the most distracted, anxious, and depressed generation ever to exist? Or are we, perhaps, pathologizing what used to be considered normal feelings and behaviors—and as a result, diagnosing and overmedicating kids for. . . acting like kids? And what are the long-term effects of having millions of boys on speed and millions of girls on SSRIs? Resources from this episode: Abigail Shrier Bad Therapy: Why the Kids Aren’t Growing Up (Bookshop) Jennifer Wallace Never Enough: When Achievement Culture Becomes Toxic—and What We Can Do About It (Bookshop) Sami Timimi Naughty Boys: Anti-Social Behaviour, ADHD and the Role of Culture (Bookshop) Erica Komisar Being There: Why Prioritizing Motherhood in the First Three Years Matters (Bookshop) If you liked what you heard in this episode, the best way to support us is to go to TheFP.com and become a Free Press subscriber today.

In January 2023, the American Academy of Pediatrics surprised doctors and parents by changing its guidelines on treating childhood obesity to include the use of popular weight-loss drugs like Ozempic and Wegovy, also known as semaglutide, for children ages 12 years or older. And parents all over the country were faced with yet another difficult decision: Should I consider a lifelong weight-loss drug for my 12-year-old? The fact that this is even on the table at all is a pretty shocking indictment of the state of our kids’ health. Nearly 20 percent of American children and adolescents are obese, a 300 percent increase since the 1970s. Meanwhile, a little over 42 percent of American adults are obese, a 180 percent increase since the 1970s. The United States ranks 12th worldwide in obesity prevalence. This places the U.S. among the countries with the highest obesity rates in the world. The question is: Why? And why haven’t we been able to reduce childhood obesity rates?  As obesity rates have skyrocketed, we as a society have also changed the way we talk about weight and obesity. Yes, there is less stigma today about weight—which is good. But people—including health experts—have stopped speaking out loud about the real health risks of obesity. Take, for example, how during the pandemic our health leaders wouldn’t tell the public that obesity is a high risk factor for contracting Covid, out of a presumed fear of stigmatizing obese people. In the end, all of this has led to confusion about the real health risks of obesity. Parents, in particular, are left to struggle with how to navigate food and health for their children. They may be left wondering whether the entire idea of a link between weight and health may simply be misinformation. So today, we’re setting the table: Why Is childhood obesity such a big problem in the U.S.? Why is obesity problematic in the first place? What will it take to change the way Americans feed our children? And what’s at stake if we don’t? *** Resources from this episode: Pamela Druckerman: Bringing Up Bébé: One American Mother Discovers the Wisdom of French Parenting  Robert Lustig: “The Hacking of the American Mind: The Science Behind the Corporate Takeover of Our Bodies and Brains”  Robert J. Davis: “Supersized Lies: How Myths about Weight Loss Are Keeping Us Fat — and the Truth about What Really Works”  FoodCorps Sam Kass Curt Ellis

There are a lot of different approaches to discipline, and they’ve changed wildly in America over the decades. On one end of the spectrum, there’s the old school, 1950s approach: spanking. Then, there are middle-ground approaches: time-outs, warning systems, consequences, and punishments. And then, there are the fairly new approaches on the way other end of the spectrum. These are the kind of approaches that claim that the right way to parent is not to punish your child, but rather to help your child understand why they’re frustrated and to help them work through their frustration. “Gentle parenting”—sometimes called “respectful parenting” or “attentive parenting”—has become really popular in the last few years, and if your social media feeds are anything like ours, you’ve heard all about it and been told you need to do it. The question many parents are asking is: We have been told that spanking was bad, and we shouldn’t go back to it. But have we gone too far in the other direction? Has gentle parenting led us to permissive parenting, where kids are learning that they can do whatever they want, whenever they want? And yes, there are consequences of being too hard on your kids, but what are the consequences of being too soft on them? Today: How should we be disciplining the next generation of kids? And have we gotten too soft on them along the way?  *** Resources from this episode: Abigail Shrier: Bad Therapy: Why the Kids Aren’t Growing Up Dr. Thomas Phelan: 1-2-3 Magic: Gentle 3-Step Discipline for Calm, Effective, and Happy Parenting Dr. Becky Kennedy: Good Inside: A Guide to Becoming the Parent You Want to Be Hal Chaffee: How to Spank Your Kids the Right Way

When Emily was a kid in the 1980s in New Haven, Connecticut, she grew up on a block with a lot of other children. Every day after dinner, around 6:30, everyone emptied out of their houses and went down to the church parking lot where they engaged in all kinds of unsupervised activities—throwing balls at each other in front of the church wall, climbing up trees and sometimes falling out of them, riding Hot Wheels until people skinned their knees. There was street hockey and there were scrapes. There were a few broken arms.  That experience of playing outside unsupervised in the dark—or walking a mile home from school in kindergarten—is very different from her own children’s experiences, even though they’re growing up in a very similar environment, with very similar parents. They aren’t leaving the house every day after dinner. If Emily had suggested that they walk home from school in kindergarten, even though it’s only a couple of blocks, there’s no chance that would have been met with the school’s acceptance. Since 1955, there has been a continuous decline in children’s opportunities to engage in free play, away from adult intervention and control. In 1969, 47 percent of kids walked or biked to school, whereas in 2009 that number had plummeted to 12 percent. How did we get here? What are the consequences of hypervigilant parenting? On kids’ happiness? On their well-being? Their mental health? And on their ability to grow into independent, self-sufficient, and successful adults? And, maybe most importantly, how can we alter this trajectory before it’s too late? *** Resources from this episode: Timothy Carney: Family Unfriendly: How Our Culture Made Raising Kids Much Harder Than It Needs to Be (Bookshop)) Jonathan Haidt: The Anxious Generation: How the Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness (Bookshop) Lenore Skenazy: Free-Range Kids: How Parents and Teachers Can Let Go and Let Grow (Bookshop) Let Grow  Free Range Kids Jonathan Haidt in The FP https://www.thefp.com/t/jonathan-haidt

Raising Parents with Emily Oster premiers Wednesday, September 18, 2024.