
PRI Insider (Volume 5, Issue 24) July 4
A significant demographic shift is taking place in the U.S. over the past 20 years, with 21 states recording more deaths than births in 2022, and all 50 states experiencing a decline in fertility rates between 2005 and 2023. During that period, the national fertility rate fell 18.4%, dropping from 66.7 to 54.4 births per 1,000 women aged 15–44, according to LendingTree.