Essentially the issue is there will be a time when lots of people are old retired and not working.
These are people who don’t pay taxes because they don’t work. Still need food and stuff. And don’t really produce for society
Meanwhile they don’t have many if any children.
So you have fewer people working but lots of people old taking up hospital space.
It’s also an issue everywhere. Most countries are having less children. The reason it’s a big deal for places like china is they used to have a law in place where parents could only have 1 child. So there is a fear of a massive drop off in population
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