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Anna Louie Sussman's "Inconceivable" Examines the Gap Between Desired and Actual Fertility

publication · 2026-09-21

In "Inconceivable: The Impossibility of Family in an Age of Uncertainty" (Dey Street), Anna Louie Sussman contends that declining birth rates signify unfulfilled aspirations. A New York-based single journalist, Sussman underwent an embryo-transfer procedure in Europe, costing around three thousand dollars, after retrieving eggs she had frozen in Bologna six years prior. Her friend Anthony, who is gay, became the adoptive father of her daughter. Fertility rates worldwide plummeted from five births per woman in the 1960s to 2.2 in 2024, with the U.S. at 1.6 and South Korea below one. A U.N. study projected for 2025 indicated that while most desired two children, fewer than 40% anticipated achieving that goal. Sussman links this gap to various socio-economic influences, asserting that culture shapes fertility.

Key facts

  • Anna Louie Sussman's "Inconceivable: The Impossibility of Family in an Age of Uncertainty" is published by Dey Street
  • Sussman retrieved eggs frozen in Bologna six years earlier at age thirty-four and paid about three thousand dollars for an embryo transfer in Europe versus roughly fifteen thousand dollars in the U.S.
  • Global fertility fell from about five births per woman in the nineteen-sixties to 2.2 in 2024
  • About seventy per cent of the world's population lives in countries with fertility below the 2.1 replacement level
  • The U.S. fertility rate is 1.6 and South Korea's is below one
  • Almost half of U.S. women aged thirty are childless, compared with eighteen per cent in 1976
  • A 2025 U.N. study of fourteen thousand people in fourteen countries found most wanted two children but fewer than four in ten expected to have that many
  • A 2023 Pew poll found seventy-one per cent of American adults rated an enjoyable job or career very important to a fulfilling life, versus twenty-six per cent for children and twenty-three per cent for marriage

Entities

Artists

  • Anna Louie Sussman
  • J. D. Vance
  • Elon Musk
  • Anthony
  • Michaela
  • Marwan
  • Melissa Kearney
  • Phillip Levine
  • Christopher Lasch
  • Viktor Orbán

Institutions

  • Dey Street
  • Heritage Foundation
  • United Nations
  • Gallup
  • Pew Research Center
  • McKinsey
  • Oxford University
  • Ivy League
  • BBC
  • O.E.C.D.

Locations

  • United States
  • New York
  • Bologna
  • Italy
  • Europe
  • South Korea
  • Seoul
  • Norway
  • Sweden
  • Hungary
  • Switzerland
  • Israel
  • Utah
  • South of France

Sources