High fertility in low-income settings: the cruelty of unfettered capitalism

Abrupt as they may seem, recent changes to US aid policies are consistent with the neoliberal economic ideology long championed by many Republicans, and embraced by many Democrats, since the Reagan presidency. Family planning was one of its casualties, according to Colin Butler.

by Colin Butler

The re-election of US President Donald Trump appears to have ended the partial restraint of “tooth and claw” in international relations, evident since the end of World War II. But this is not the first time since 1945 that international relations have crossed a threshold, foreshadowing increasing disorder. In 1980, the election of US President Ronald Reagan was a triumph for neoliberalism, the movement to deregulate capitalism. It signified the end of the “warm decade for social justice”, which Halfdan Mahler (the longest-serving director the World Health Organization) had called the 1970s.1 Mahler also noted that after the 1978 Alma-Ata conference (“Health for all by the year 2000”), when “everything seemed possible” there came “an abrupt reversal”. This reversal soon extended to global thinking on rapid population growth and its relationship with development and conflict.

According to one scholar,2 the US government had incorporated Malthusian concerns ever since the Truman administration’s “Point Four” foreign aid program, which posited that population growth-induced resource scarcity bred Communism. In 1969, US President Richard Nixon called population growth “one of the most serious challenges to human destiny in the last third of this century”.3 In 1971 a committee of the US National Academy of Sciences (NAS) published a report concluding that “political and social conflicts” are “greatly worsened by rapid population growth”.4

Long after Nixon resigned, he wrote: “countries such as Mozambique, Ethiopia, Tanzania and Somalia will need to maintain real economic growth rates greater than 3% just to keep their per capita incomes from dropping. Unchecked population growth will put them on an ever-accelerating treadmill that will outpace any potential economic performance”.5

In a debate prior to the 1984 US presidential election, both President Reagan and his Democratic opponent Walter Mondale showed insight into these issues. Reagan signalled his government’s about-face on family planning by stating: “as a matter of fact the population explosion, if you look at the actual figures, has been vastly exaggerated – over-exaggerated.” Yet, he also noted “the problem of population growth is one here with regard to our immigration. And we have been the safety valve, whether we wanted to or not, with the illegal entry here; in Mexico, where their population is increasing and they don’t have an economy that can absorb them and provide the jobs.” Mondale argued: “One of the biggest problems today is that the countries to our south are so desperately poor that these people who will almost lose their lives if they don’t come north, come north despite all the risks.”6

During the Reagan administration a report was commissioned to update the 1971 NAS assessment. It was co-chaired by D. Gale Johnson and Ronald Lee. Published in 1986, this report7 is far more circumspect than the earlier one. However, while silent on the risk of conflict, it does note that “an increase in fertility will, at least in the short run, shift income from landless workers to owners of land and capital. This shift will tend to increase both the number of people who are poor (defined in absolute income terms) and the degree of income inequality in the society.” However, unlike the earlier NAS report, this report lacked statements unequivocally concluding that rapid population growth harms society. It implicitly characterises the 1971 report as “extreme”, asserting such views have “little support”.

Johnson was a “cornucopian”. For example, in 2000 he published an article which claimed that “the creation of knowledge” enabled “the world to escape from what could be called the Malthusian trap”.8 Interestingly, Johnson did not discuss the then recent (1994) genocide in Rwanda, which the economists Andre and Platteau called a “Malthusian trap”.9

Cornucopianism – the conceit that ingenuity will perpetually trump resource scarcity – was excessively influential in the 1986 report. For example, 12 of its 217 references were either to Julian Simon (a proselytiser of cornucopianism) or to chapters in his co-edited book The Resourceful Earth: A Response to Global 2000.10, 11 Simon made statements such as “supplies of natural resources are not limited in any economic sense. Nor does past experience give reason to expect natural resources to become more scarce. Rather, if history is any guide, natural resources will progressively become less costly, hence less scarce, and will constitute a smaller proportion of our expenses in future years.”12

Julian Simon’s book, The Ultimate Resource, published in 1981, bolstered Reagan’s anti-Malthusian policy shifts despite academic criticism.

During the Reagan administration, the official US position on population growth altered radically. Finkle and Crane noted that the US position at the United Nations’ 1984 Mexico City population conference “seemed to challenge some of the basic assumptions underlying national and international population programs. Replacing the previous emphasis on the need for vigorous government programs to reduce the rate of population growth, the new US position asserted in a formal policy statement that “population growth is, of itself, a neutral phenomenon.” The statement further contended that developing countries experiencing population pressures should reduce government interference in their economies in order to promote economic growth and thereby reduce fertility.”13 Finkle and Crane also noted that the Population Association of America, representing US demographers and population specialists, commented that the authors of the draft US report for this 1984 meeting were “either unaware of 50 years of demographic research, or deliberately ignored it”. In the US, 245 editorials were published about this, of which fewer than 40 supported the government position.13

What caused this shift? Perhaps the view that an indefinitely poor global South (kept poor in part by tabooing the topic of population growth and its relationship to development, and thus undermining family planning programs) would increase labour forces and depress wages in the South, maximising cheap resource extraction and material consumption by neoliberalism’s “winners”. The Marxist scholar Joan Robinson lends support to this view. In the preface to her book Essay on Marxian Economics she wrote: “In his anxiety to combat the reactionary views of Malthus he [i.e. Marx] refused to admit that a rapid growth of population is deleterious to the interests of the working class.”14 The late ecological economist Herman Daly cited Robinson and remarked that the literal Latin meaning of ‘proletariat’ is ‘those with many offspring’; “the lowest class of a people, whose members, poor and exempt from taxes, were useful to the republic only for the procreation of children”.15

Jobseekers queuing in the hope of short-term contracts in Cape Town. Photo: Ashraf Hendricks, GroundUp

Maurice King, the leading proponent in public health scholarship of the concept of “demographic entrapment,”16 identified the risk to capitalism as an especially important reason for suppressing the harm to human wellbeing from rapid population growth. He wrote that lifting the taboo on the discussion of population growth risked “the economic foundations of the global society, its materialist, consumerist, market economy, driven by the diabolical processes of advertising to promote ever more luxurious and unsustainable lifestyles.” 17

The US administration of Donald Trump is clearly uninterested in global development. It has slashed the budget for USAID. The tabooing and suppression of the relationship between rapid population growth and perpetuating poverty,18 which took hold in the 1980s, was a more subtle manifestation of this disinterest. The schism between those who advocate human rights-based family planning in the South19 and those on the Left who harshly criticize such advocacy20 is a trap set by neoliberalism. Releasing this trap is long overdue.

Colin Butler is Honorary Professor at the National Centre for Epidemiology and Population Health and the Institute for Climate, Energy and Disaster Solutions, Australian National University, Canberra, Australia

References

  1. Anonymous. (2008) Primary Health Care Comes Full Circle. An interview with Dr. Halfdan Mahler. Bulletin of the World Health Organization 86: 737–816.
  2. Hoff DS. (2010) “Kick that Population Commission in the ass”: The Nixon Administration, the Commission on Population Growth and the American future, and the defusing of the population bomb. Journal of Policy History; 22: 23-63.
  3. Nixon R. Special message to the Congress on problems of population growth. 1969. https://www.presidency.ucsb.edu/documents/special-message-the-congress-problems-population-growth (accessed 12/3/25).
  4. National Academy of Sciences. Rapid Population Growth: Consequences and Policy Implications. Baltimore, MD: The Johns Hopkins University Press; 1971.
  5. Nixon R. Seize the Moment: America’s Challenge in a One-Superpower World. New York, NY: Simon and Schuster; 1992.
  6. Reagan R, Mondale W. (1984) Debate on Foreign Policy. The New York Times; October 24: B4-B6.
  7. National Research Council. Population Growth and Economic Development: Policy Questions. Washington, DC: National Academy of Sciences Press; 1986.
  8. Johnson DG. (2000) Population, food, and knowledge. American Economic Review; 90: 1-14.
  9. André C, Platteau J-P. (1998) Land relations under unbearable stress: Rwanda caught in the Malthusian trap. Journal of Economic Behavior and Organization; 34: 1–47.
  10. Simon JL, Kahn H. The Resourceful Earth: A Response to Global 2000. Oxford, UK: Blackwell; 1984.
  11. Butler CD. Population, neoliberalism and “human carrying capacity”. In: Butler CD, Higgs K, eds. Climate Change and Global Health: Primary, Secondary and Tertiary Effects. Second ed. Wallingford, UK., Boston USA: CABI; 2024: 113-24.
  12. Simon J. The Ultimate Resource 2. Princeton, NJ: Princeton University Press; 1996.
  13. Finkle JL, Crane B. (1985) Ideology and politics at Mexico City: The United States at the 1984 International Conference on Population. Population and Development Review; 11: 1-28.
  14. Robinson J. Preface.  Essay on Marxian Economics. 2nd ed. London, UK: MacMillan Press; 1966: 6-21.
  15. Daly H. (1971) A Marxian-Malthusian view of poverty and development. Population Studies; 24: 25-37.
  16. King M. (1990) Health is a sustainable state. The Lancet; 336: 664-7.
  17. King M, Mola G, Thornton J, et al. Primary Mother Care (Definitive Edition). Stamford, UK: Spiegl Press; 2003.
  18. Coole D. (2021) The toxification of population discourse. A genealogical study. The Journal of Development Studies; 57: 1454-69.
  19. Bryant L, Carver L, Butler CD, Anage A. (2009) Climate change and family planning: least developed countries define the agenda. Bulletin of the World Health Organization; 87: 852-7.
  20. Monbiot G. (2020) Population panic lets rich people off the hook for the climate crisis they are fuelling. The Guardian.

Published

7 responses to “High fertility in low-income settings: the cruelty of unfettered capitalism”

  1. Stable Genius Avatar

    All true, but here’s the thing. If ANU-ICEDS is so alarmed by rapid population growth, Colin Butler ought to shout the house down, about Albanese’s all-time 2.5% population growth, with 1.3 million migration in a single term. Instead, it’s crickets, as ICEDS rings the bell for UN net-zero.

    Colin, the US population growth that saw Trump turfing Biden-Harris didn’t even top 1%. It’ll be a long time or never, before Australian Treasury allowed anything that “low”. ANU doesn’t care.

  2. Colin Butler Avatar

    I have an Honorary (unpaid) position at ANU but I’m surely not speaking on behalf of ICEDS or any other part of ANU. In fact, even though I’ve been affiliated with ANU for 27 years, I can think of fewer than 4 other academics, also affiliated with ANU, in that time, who are or would have been sympathetic to the view I expressed in this essay – and one of these is long dead. I can think of a few more who may be neutral, but whose work is not central to pop’n. The taboo I speak of entered into force in the 1980s. My personal experience has given me the impression, especially from younger scholars (under the age of 35) that there is a perception I must be racist to even raise this topic, though most only hint at this. (One was more pointed – but still a bit vague.) See next post.

    1. Philip Cafaro Avatar

      Although this may be wishful thinking, my sense is that taboos about discussing population are weakening, at least here in the U.S. Relentless bad environmental news from around the world has more and more people skeptical that mainstream environmentalism (environmentalism minus population concerns) can safeguard them and their children into the future. Repeated losses to Donald Trump has many on the US Left more willing to consider limiting immigration, and I think this holds for the Left elsewhere in the developed world, too.

  3. Colin Butler Avatar

    The recently posted planetary health “schematic” at https://planetaryhealthalliance.org/planetary-health-schematic/ lists population size as an “underlying driver”. This is incorrect – because, to an extent, values influence population size and population growth, as I argue above. Whoever created this graphic (probably a committee) either (a) sincerely believes this; (b) is unaware of the argument that neoliberal “cornucopians” helped to discredit the earlier view that, in many settings, rapid human population growth was harmful to development or (c) possibly disagrees with this conclusion. I would say (based on decades of thinking about this and my experience of repeatedly trying to raise this issue in many settings and to many audiences) that the creators of this graphic have also absorbed a distorted, mangled, Monbiot-like impression of it; i.e. that to raise this topic is to reveal one as racist, or “eco-fascist”. In fact, to disregard the argument that in many settings high pop’n growth contributes to human and environmental misery is itself a form of indifference, very similar to racism.

    I have recently given this feedback to the planetary health community: I anticipate, in response, silence.

    **

    In further response to the comment by “stable genius” (who seems familiar with ANU) I have recalled that the late Frank Fenner, for whom the Fenner School is named, had similar views to mine on pop’n, though he and I never discussed the National Research Council report to which I refer in my article here. (But we did discuss pop’n, including the report that the Australian Academy of Science commissioned me to write on pop’n and envt. in 2003.) The late Will Steffen (to whom my most recent co-edited book is co-dedicated) is also likely to have been sympathetic – even if he did not specifically write on pop’n.

    Frank and Will are among the 5 most famous scientists associated with what is now called ICEDS. A former director of the Fenner School (Prof. Steve Dovers) might also be at least somewhat sympathetic – he and I co-wrote https://www.science.org.au/curious/earth-environment/population-environment for the Australian Academy of Science, in 2015.

    If any of the currently prominent leadership (or the more junior staff, or the doctoral students) of the Fenner School and/or ICEDS have an interest in pop’n and its relationship to sustainable development etc I would be most interested to hear. My role at ANU is more to do with health, and I have not been physically located at ANU since 2012 (i.e. my contact has long been almost exclusively virtual). I am unaware of anyone at ICEDS (nor pop’n health, anymore, other than an emeritus prof and an Hon Assoc. Prof.) with deep interest in this topic. I fear it remains “tabooed”. One of the ANU demographers (whom I have never met) fairly recently responded to a tweet of mine, of relevance to these themes, by writing (only) “WTAF?” (an acronym I was not then familiar with. 😢)

    **

    As for Philip Cafaro’s comment. Several times in recent decades I have had false hopes the taboo is lifting, most notably 2001 [Kelley, A.C. (2001) The population debate in historical perspective: revisionism revised. In: Birdsall, N., Kelley, A.C. & Sinding, S.W. (eds.) Population Matters: Demographic Change, Economic Growth, and Poverty in the Developing World. Oxford; New York: Oxford University Press. pp. 24-54; Sachs, J.D. (2002). Rapid population growth saps development, Science, 297, 341 (a review of Birdsall et al)]; and 2007: [Campbell, M., Cleland, J., Ezeh, A. & Prata, N. (2007) Return of the population growth factor. Science, 315, 1501-1502, and All Party Parliamentary Group on Population Development and Reproductive Health (2007) Return of the Population Growth Factor. Report of Hearings by the All Party Parliamentary Group on Population, Development and Reproductive Health, http://www.appg-popdevrh.org.uk/ 03/05/2015.]

    On each occasion my hopes were dashed; there was no momentum. I am aware of occasional papers since, but really they are pinpricks compared to what is needed.

    I would agree that in the U.S. there is increasing willingness to consider limiting immigration from the global South. This may or may not translate to a greater willingness to consider ecological and demographic factors impeding human development in the global South, but even if it does the decline in foreign aid from the U.S. under Pres. Trump appears soon to be amplified by declines in Europe and perhaps Australia and Canada, as these countries spend more on “defence”.

    I am not very hopeful of such re-evaluation, in my experience the taboo remains very strong, especially among younger envtl. scholars, several of whom I interacted with while co-editing the recently published book “Climate Change and Global Health: Primary, Secondary and Tertiary Effects”. Though only one potential contributor (justifying his or her withdrawal from this project) hinted I was “eco-fascist” none of the others seemed able to comprehend the importance of this topic. It seemed very clear that none had ever read deeply on the topic.

    Someone else (a quite senior professor, an apparent mentor to some in this group) wrote to advise that climate change is urgent, but slowing pop’n growth will take time, therefore the topic of pop’n is irrelevant to the book. This person thus failed to understand my key point that largely laissez faire pop’n growth in settings such as the Sahel increases the vulnerability of such pop’ns to the risk of climate change (and rising food costs etc etc). This person has (to my knowledge) no background in global health, words in the book’s title.

    My essay above (i.e. to which I am commenting) tried to allude to the point that foreign aid in the absence of sufficient stress on the promotion of family planning (as has been dominant for some decades) has created dependencies rather than self-reliance in many settings, especially in sub-Saharan Africa. Recent and impending reductions in aid, including food, are likely to have severely adverse effects. However, an unintended consequence may be greater self-reliance in such settings.

    The 2024 UNFPA report states in part: “reducing inequalities in sexual and reproductive health and rights could help lessen economic disparities (UNFPA, 2017), thereby contributing to stability, preventing conflict (Nyård, 2018) and accelerating development.” I think the UNFPA and its advisors, do agree with one of the core points I have repeatedly tried to make, i.e. that slowing pop’n growth (at least in places like Nigeria, Burundi and Niger) will help development, yet the UNFPA and the development lobby more generally remain effectively paralyzed, I think primarily as they are unwilling to concede their past errors. Who wants to lose face?

    Lastly, I still hope the BMJ will issue a call for papers on this general topic, to commemorate the legacy of the late Dr Maurice King. If that call is issued I will add a note here.

  4. Paul Bunyan Avatar

    Colin, how can population growth benefit anyone except the insanely wealthy? Employment and wealth do not grow in proportion to population growth. Having children always makes people worse off financially.

    Having children doesn’t make money or food magically appear in your house.

  5. […] latest years, tariff wars aren’t regular Republican. “Regular” is US pronatalism – Trump defunding family planning in growing nations. UN lengthy since walked back energetic […]

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