Who Gets to Have Kids? cover art

Who Gets to Have Kids?

The Impossibility of Family in an Age of Uncertainty

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Who Gets to Have Kids?

By: Anna Louie Sussman
Narrated by: Courtney Patterson
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'Fascinating … the most intimate and vulnerable choices a person can make' Leah Sargeant

'One of the biggest questions facing modern civilization: whether and how its next generation will come to be' Christine Emba

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, if they have any at all. In this era of opportunity for women, soaring inequality, and a changing climate, 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 Sussman
Gender Studies Physical Illness & Disease Politics & Government Social Sciences
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Critic reviews

'Incredibly well-researched, featuring many great personal stories, including the author's own. I was really gripped' Audrey Ward, author of The Waiting Room
‘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
'A beautifully told tale of the most basic thing about us that we find so hard to understand' Danny Dorling, author of Inequality and the 1%
‘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
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