马良坤理解不想生的年轻人。一方面，优秀和觉醒的女性越来 越多了，她们很难找到适合共度余生、养育爱情结晶的另一 半。另一个现象是，社会对年轻人要求越来越高，大家压力太 大了，在生存都是问题时，怎么能有意愿去生育呢？ 作者： 张铃 封图：受访者供图 （马良坤 受访者供图） 其实，在诊室里教孕妇做运动、聊心情，并不是马良坤工作前二十年的工作常态。曾经，她是深夜产房的"救火队员"，24小时待命，经常面对的是抢救发生 胎盘早剥、大出血、胎心骤降等产妇的危急场景。 那些年的经历，让马良坤渐渐明白，产房里的很多悲剧原本是可以避免的——前提是将焦点从抢救危重前移至管理健康，从治已病转向治未病。 十年前，马良坤开始推行孕期健康管理，帮助女性做好孕前及孕期的生活方式干预。在她的帮助下，很多高危孕妇不仅生下了健康的孩子，自己的身体也变 得更健康了。 编者按：2025年，经济观察报以"我们的四分之一世纪"为年终特刊主题，旨在通过数十位时代亲历者的故事，共绘一幅属于这段岁月的集体记忆图 谱。 与人们印象中步履匆匆、神色凝重的医生形象不同，马良坤总是在笑。 她的一天从清晨六点开始，一小时瑜伽后骑车上班，下班后又骑车赶往瑜伽馆锻炼和冥想， ...

（原标题：产科医生马良坤：生育这件小事 | 我们的四分之一世纪） 编者按： 2025 年，经济观察报以 " 我们的四分之一世纪 " 为年终特刊主题，旨在通过数十位时代亲历者 的故事，共绘一幅属于这段岁月的集体记忆图谱。 0:00 与人们印象中步履匆匆、神色凝重的医生形象不同，马良坤总是在笑。 她的一天从清晨六点开始，一小时瑜伽后骑车上班，下班后又骑车赶往瑜伽馆锻炼和冥想，诊疗和运动 的空隙，她用来完成科研和线上线下的科普。 12月的一天，在协和门诊楼三楼产科的诊室里，马良坤正在出诊。她声音明亮，语调柔和，对每位孕妇 问好，听完胎心后顺手扶她们起床。 今年53岁的马良坤身兼多职，是两个孩子的母亲，是北京协和医院（下称"协和"）产科主任医师，还是 拥有数百万粉丝的"网红医生"。 她总是笑盈盈的，脚步轻快，一闪进门，一闪又到了宣教室。送走一位孕妇的间隙，她会从椅子上弹起 来，做上30秒瑜伽拉伸。当另一位孕妇推门而入，她一秒切换回工作状态，笑着打招呼："嚯，这小肚 子！" 其实，在诊室里教孕妇做运动、聊心情，并不是马良坤工作前二十年的工作常态。曾经，她是深夜产房 的"救火队员"，24小时待命，经常面对的是抢救发生胎盘 ...

Core Insights - The article discusses the significant increase in real estate prices in China over the past several years, highlighting a 400% rise in prices from 2015 to 2021 [1][3][4] - It emphasizes that the real estate boom has created wealth for many, particularly the middle class, but questions the sustainability of this wealth accumulation [6][8] - The article notes a shift in the housing market dynamics, with younger generations showing less interest in traditional home buying due to changing priorities and economic pressures [11][15][17] Group 1: Price Trends - Real estate prices in some areas have surged from 5,000 yuan per square meter to over 40,000 yuan per square meter, indicating a massive price inflation [3] - A hypothetical investment scenario illustrates that a 300,000 yuan investment could yield a return of 3 million yuan by 2021, resulting in a 1000% return [4] - The article states that the era of uniform price increases is over, with current market conditions leading to a more complex landscape for buyers [9][17] Group 2: Market Challenges - The article highlights that many homeowners are now facing negative equity, with instances of individuals owing more on their mortgages than their homes are worth [10][8] - It points out that the oversupply of housing, particularly in the "just need" segment, is leading to a stagnation in sales, with a significant increase in the number of unsold properties from 3.45 million in August 2022 to 7.53 million by October 2025 [23][25] - Rising unemployment rates, particularly among the 25 to 55 age group, are further complicating the housing market, with youth unemployment exceeding 20% [27] Group 3: Future Outlook - The article raises concerns about the potential for further price declines, suggesting that while prices may continue to drop, the rate of decline will slow by 2026 [21] - It discusses the implications of a potential return to 2013 price levels, noting that while this may ease purchasing pressure for some, it could lead to significant losses for those who invested heavily in real estate [30][34] - The article concludes with a call for discussion on the future of real estate prices, indicating a divide in opinions on whether to buy now or wait for further declines [35]

Core Viewpoint - The article discusses the declining birth rate in Russia and the government's commitment to support young families as a response to this global challenge [3][4]. Group 1: Government's Stance on Birth Rate - President Putin highlighted that the decline in birth rates is a global challenge, particularly affecting developed countries, and Russia is not exempt from this issue [4]. - The Russian government aims to support families as a social foundation, promoting the idea that having three or more children should become a norm in society [4]. Group 2: Support for Families - The government is not advocating for "blind reproduction leading to poverty," but rather aims to address financial and human resource issues to support families [5]. - The state emphasizes that the decision to have children is a personal matter, and the goal is to inspire the younger generation to desire parenthood, with the assurance that the government will provide assistance when needed [5].

Core Viewpoint - The article discusses the declining birth rate in Russia and the government's commitment to support young families as a response to this issue [1][2]. Group 1: Population Policy - President Putin highlighted that declining birth rates are a global challenge, particularly affecting developed economies, and Russia is not exempt from this issue [2]. - The government aims to support families, especially those with three or more children, to make this a societal norm and a natural way of life [2]. Group 2: Government Initiatives - The main goal of national projects and planning is to achieve population growth, which is deemed crucial for the country's future [2]. - The government does not intend to pressure citizens into having children but aims to create an environment where young people aspire to parenthood, with assurance of state support when needed [2].

Core Viewpoint - The article discusses the evolution of marriage and gender roles in society, highlighting the decline in marriage rates and the changing dynamics between men and women due to modernization and urbanization [1][18][41]. Group 1: Historical Context - Traditional family structures were stable yet monotonous, with clear roles for men as providers and women as caretakers, driven by survival and procreation [3][4][12]. - The marriage system was a rational cooperation under survival pressure, leading to high stability despite personal dissatisfaction [14][15]. Group 2: Impact of Modernization - The Industrial Revolution and urbanization disrupted traditional roles, granting individuals more independence and reducing reliance on familial structures [16][18]. - Women gained economic independence through new job opportunities, diminishing the practical value of marriage [19][20]. Group 3: Changing Perceptions of Marriage - The concept of marriage shifted from a necessity for survival to a potential burden, with individuals calculating the costs and benefits of marriage [25][26]. - The rise of social security and changing societal norms led to a decline in the perceived need for children as a means of security [23][41]. Group 4: Role of the Internet - The internet amplified existing societal tensions, allowing individuals to share their grievances and experiences, thus increasing awareness of gender-related issues [27][30]. - It provided a platform for both men and women to express their frustrations, contributing to a more pronounced gender conflict [32][33]. Group 5: Future of Marriage - The institution of marriage is likely to evolve, with a potential shift towards "partnership marriages" focused on companionship rather than traditional roles [37][39]. - The decline in marriage rates is seen as a natural consequence of societal progress, with individuals increasingly viewing marriage as an optional choice rather than a necessity [41][42].

Core Insights - China's population has experienced negative growth for three consecutive years, raising concerns about its economic implications and social structure [1][3][5] Population Trends - The latest data from the National Bureau of Statistics indicates that in 2024, the birth rate dropped to 7.56 million while the death rate reached 11.32 million, resulting in a natural growth rate of -0.27% [3][5] - The total fertility rate has fallen to 1.07, significantly below the replacement level of 2.1 [3][5] Economic Implications - The decline in population is expected to lead to a labor shortage and increased pressure on the pension system, with projections indicating that by 2040, the elderly population will constitute 30.4% of the total population [5][10] - The economic impact of negative population growth could reduce GDP growth by approximately 0.5 percentage points for every five years of continued decline, potentially dropping GDP growth below 1% by 2070 [8][10] Factors Influencing Birth Rates - High costs of raising children are a primary deterrent, with estimates indicating that raising a child to university graduation can cost an average of 2.12 million yuan in first-tier cities [7][8] - Housing costs are also a significant barrier, with average prices in first-tier cities nearing 10.8 million yuan per square meter, making it difficult for families to afford adequate living space [7][8] Policy Responses - The Chinese government has initiated various policies to encourage higher birth rates, including financial incentives for families and extended maternity leave [10][11] - Housing policies have been adjusted to provide lower down payment requirements for families with multiple children [11] International Comparisons - Japan's experience with negative population growth offers lessons for China, as it faces similar challenges but on a larger scale [9][10] - Successful international policies, such as France's family subsidies and Sweden's dual-income parenting model, highlight the importance of comprehensive support systems [14][15] Societal Perspectives - There is a need for a shift in societal attitudes towards child-rearing, as many families feel pressured to provide high-quality education and living conditions, which discourages larger families [15][16] - Promoting gender equality in the workplace and supporting women's career advancement are crucial for improving birth rates [13][15] Long-term Outlook - While the challenges posed by negative population growth are significant, they also present opportunities for economic transformation, particularly in automation and the "silver economy" related to aging populations [16][17] - A coordinated effort from the government, businesses, and society is essential to address the population crisis and ensure sustainable development [17][18]

Core Viewpoint - The 2024 total fertility rate in the U.S. is projected to drop to a historic low of less than 1.6 children per woman, raising concerns about the implications for population growth and generational replacement [1][2] Group 1: Fertility Rate Trends - The average number of children needed per woman for generational replacement is approximately 2.1, a benchmark that the U.S. has historically met but has been declining over the past two decades [1] - The fertility rate decline is observed across different age groups of women, indicating a broader societal trend that is unlikely to change in the near future [1] Group 2: Contributing Factors - Key reasons for the global decline in fertility rates include economic constraints, lack of quality healthcare, and gender inequality, which are exacerbated by rising living costs, geopolitical issues, and difficulties in finding suitable partners [1] - The U.S. saw a 1% increase in birth numbers last year, translating to approximately 33,000 more births, with a total of over 3.6 million births recorded [2] Group 3: Government Response and Expert Opinions - The Trump administration implemented several measures to encourage childbirth, such as providing maternity funds, but experts believe these measures are largely symbolic and do not address fundamental issues like parental leave and affordable childcare [2] - Some scholars argue that there is no need for alarm, as the U.S. population continues to grow naturally, with birth numbers exceeding death numbers, indicating a stable demographic situation despite the declining fertility rate [2]

Group 1 - The article highlights the systemic risk of unemployment affecting families, with multiple family members losing jobs simultaneously, indicating a shift from individual tragedies to broader societal issues [2] - The closure of numerous private kindergartens across China is attributed to a declining birth rate, with projections suggesting that 26,000 kindergartens may disappear by 2025, averaging over 50 closures daily [5] - Major tech companies are experiencing significant layoffs, with Microsoft cutting 9,000 jobs and other firms like Google and Meta also reducing their workforce, reflecting a trend of job losses in the technology sector [7] Group 2 - The article discusses the financial strain on families due to rising medical costs and the tightening of health insurance reimbursements, which can deplete a family's savings in the event of a serious illness [7] - It emphasizes the importance of practical financial strategies for families, such as reducing consumption debt, increasing emergency savings, and investing in commercial health insurance to maintain financial stability [12] - The narrative includes personal stories of individuals adapting to economic pressures by leveraging skills for cash flow, cutting unnecessary expenses, and focusing on self-improvement to navigate challenging job markets [13]

Core Insights - The total fertility rate in Germany for 2024 is projected to be 1.35, reflecting a 2% decrease from the previous year [1] - The number of births in Germany is reported at 677,100 [1] - The decline in fertility rates has slowed significantly compared to previous years, with decreases of 8% in 2022 and 7% in 2023 [1]