When Jackie Dorage and her husband, Corey Ellis, first tried to have a baby in mid-2019, the couple’s state of affairs looked vastly different than it does today. Dorage, who is currently unemployed, had just earned her teaching certificate, and Ellis, who is freelance, had plans to get full-time work with benefits. They left their Brooklyn apartment, where they lived with roommates, to buy a house in Atlanta and be closer to family. Four years later, the pandemic has caused them to rethink whether having a baby is still affordable, or even safe.
“Having a baby just seems a lot riskier now, especially with the abortion limitations,” says Dorage, now 35, the age after which a pregnancy is considered “geriatric” in the United States. Dorage, who lives in Georgia, where abortion is banned at around six weeks, has witnessed the effect of those stringent restrictions. A close friend bled excessively in a bathtub during a miscarriage because a hospital would not admit her. Another friend, she tells me, died during childbirth. Dorage’s concerns align with recent American maternal mortality rates—the highest of any industrialized nation. In 2021, deaths of pregnant women increased by 40% in the United States. While COVID-related complications played a part, rates had been steadily on the rise since 2000.
Hiring a birth doula, an individual who assists with labor and delivery, is one way of attempting to ensure a level of care during childbirth. But it’s hardly an affordable option: costs range between $1,600 to $2,000. Factor in the expense of delivering a baby in a hospital, without insurance, and new mothers can expect, on average, to leave with a $18,865 bill. (The median cost for a vaginal childbirth is $14,768 and $26,280 for a C-section.) “If you want to be safe and healthy, you can spend your way out of this broken healthcare system, but it takes a lot of money to do that,” says Philip N. Cohen, a sociologist at University of Maryland. Under her private health insurance plan, it would cost Dorage around $8,000 to give birth in a hospital. (The average out-of-pocket cost for childbirth with health insurance is $2,854, but that varies by plan.)
Some clinics, advertised as luxury retreats, are working to address the maternal mortality health crisis by offering postnatal care geared toward reducing readmission and providing pain management immediately after birth. Boram Postnatal Retreat in New York City, for example, offers its guests a 24/7 care team, recovery support, nutritious meals, therapeutic services, and a plethora of other resources—but for a hefty fee. Guests pay up to $1,400 a night, with the average stay lasting five days, according to the company’s website. It’s a luxury that the typical expecting mother cannot afford, especially many Black and Indigenous women—those most at risk of pregnancy complications. Then there’s pricey postnatal services like massages and acupuncture, specifically designed to aid in recovery after childbirth. At Sparrow’s Nest Massage in Pasadena, postpartum massages range from $185 to $365.
Of course, the costs associated with having a baby only grow as the child ages. Experts estimate it costs an average of $310,000 to raise a child until age 17—an amount that exceeds the average American’s financial ability. “Babies just aren’t for the middle class anymore,” Dorage says. “I can afford to have a kid, but it will not look like the way I was raised. It won’t be in the middle class, financially at least.”
Growing up, Dorage and her sister would go on family vacations, attend summer camps, and take piano lessons. “My parents made way less money than we make now, but could do all those things without having to struggle because there was more job security then,” Dorage says. “Even if you’re making decent money at this moment, it could change on a dime. There’s been a financial crisis every few years of my adult life, so it changes the way you’re able to plan for anything.” Indeed, millennials—the oldest of whom graduated from high school in 2000—experienced September 11, the dot-com bubble, the financial crisis of 2008, and COVID-19 in relatively quick succession, often with grave economic consequences.
