Template-Type: ReDIF-Paper 1.0 Title: Low Fertility and Fiscal Sustainability: The Effects of Past and Future Fertility Rates on the US Federal Budget Outlook Author-Name: Lisa Dettling, Luke Pardue Abstract: Low fertility and population aging have shaped the U.S. federal government’s spending and revenue patterns, contributing in large part to the growing federal debt. This paper examines the role of these trends in shaping America’s current fiscal position and the potential for a reversal of these trends to relieve domestic fiscal pressures. The authors find that the dramatic rise in fertility rates during the Baby Boom has led to a marked rise in old-age entitlement spending, as this cohort entered retirement. Rising life expectancies have also been a significant driver of increased entitlement spending and will continue to place pressure on federal deficits and debt in the coming decades. This paper then evaluates how near-term fertility trends would affect the federal budget under a baseline scenario of continued low fertility and an alternative scenario in which the US returns to a replacement-level total fertility rate in 2026. Under both scenarios, deficits and debt are projected to remain on an unsustainable path through 2055, as changes in the fertility rate today would take multiple decades to meaningfully impact the size of the working-age population. In fact, the budget outlook is somewhat worse under the replacement fertility scenario, and demonstrably so if we factor in the costs of pronatalist policies that might be needed to achieve replacement fertility. In the outlook beyond 30 years, higher fertility would gradually improve the fiscal position. However, given the current unsustainable trajectory of the US federal debt, it is possible that changes in tax or spending policy would need to occur before the fiscal benefits of higher fertility rates could be realized. Creation-Date: 2026-02-01 Keywords: public finance, demographics File-URL: https://www.economicstrategygroup.org/wp-content/uploads/2026/06/Low-Fertility-and-Fiscal-Sustainability-4.pdf File-Format: Application/PDF Handle: RePEc:cxx:wpaper:low-fertility-and-fiscal-sustainability-4