Cited by 18Social Policies and FamilyEthics and bioethics in healthcareDemographic Trends and Gender Preferences

Towards an ethics of pronatalism in South Korea (and beyond)

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Lee, JY·2025·Journal of Medical Ethics

Abstract

East Asian countries such as South Korea have recently made headlines for experimenting with different methods to incentivise people to have (more) children, in a bid to reverse declining birth rates. Many such incentives—child benefits, cash bonuses, dating events, and so on—appear morally innocuous at first glance. I will demonstrate in this analysis, however, that they amount to stopgap measures which reveal fundamental shortcomings with the way various nation states are approaching the so-called ‘problem’ of fertility decline.

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  • For the time being, these policies are not succeeding in shaping fertility outcomes as they hoped because they are 'stopgap measures which attempt to instrumentalize people's potential fertility, without showing people a sustainable way out of the various social injustices that they must continue to live with in their day-to-day lives'.

    “However, for the time being, these policies are not succeeding in shaping fertility outcomes (as they hoped to do) because they are 'stopgap measures which attempt to instrumentalize people's potential fertility, without showing people a sustainable way out of the various social injustices that they must continue to live with in their day-to-day lives' (Lee 2024).”

    From Family Policies in Low Fertility Countries: Evidence and Reflections (2025) · cites this paper as Lee 2024

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Research works printed but not linked: 23

  1. Aitken RJ. The changing tide of human fertility. Hum Reprod 2022;37:629-38. · DOI · Paper page
  2. Skakkebæk NE, Lindahl-Jacobsen R, Levine H, et al. Environmental factors in declining human fertility. Nat Rev Endocrinol 2022;18:139-57. · DOI · Paper page
  3. Li W. Do surging house prices discourage fertility? Global evidence, 1870-2012. Labour Econ 2024;90:102572. · DOI
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  5. Raymo JM, Park H. Marriage Decline in Korea: Changing Composition of the Domestic Marriage Market and Growth in International Marriage. Demography 2020;57:171-94. · DOI
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  7. Gietel-Basten S, Rotkirch A, Sobotka T. Changing the perspective on low birth rates: why simplistic solutions won't work. BMJ 2022;379:e072670. · DOI
  8. Purdy LM. Pronatalism Is Violence Against Women: The Role of Genetics. Libr of Public Pol & Public Admin 2019. Available: https://doi.org/10.1007/978-3-030-05989-7_9 · DOI
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  12. Kim S. Reproductive technologies as population control: how pronatalist policies harm reproductive health in South Korea. Sex Reprod Health Matters 2019;27:1610278. · DOI
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  16. Lee Y. Is Leave for Fathers Pronatalist? A Mixed-Methods Study of the Impact of Fathers' Uptake of Parental Leave on Couples' Childbearing Intentions in South Korea. Popul Res Policy Rev 2022;41:1471-500. · DOI
  17. Cheng YA. Ultra-low fertility in East Asia: Confucianism and its discontents. Populationyearbook 2020;18:83-120. · DOI
  18. Hintz EA, Tucker R. Perceptions of the Childfree. Oxford Research Encyclopedia of Communication 2023. Available: https://oxfordre.com/communication/view/10.1093/ acrefore/9780190228613.001.0001/acrefore-9780190228613-e-1449 · DOI
  19. Dalphonse S. Choosing to be childfree. ZPG Report 1997;29:6.
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  23. Zimmerman B. South korea's 4b movement lowers the birth rate in a fight for gender equality. 2023. Available: https://www.iar-gwu.org/blog/iar-web/south-koreas-4b on November 28, 2024 by guest. Protected by copyright. http://jme.bmj.com/ J Med Ethics: first published as 10.1136/jme-2024-110001 on 27 November 2024. Downloaded from

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Authors
Lee, J.
ORCID
Lee, JY
Venue
Journal of Medical Ethics
Publisher
BMJ
Published
2024-11-27
Volume
51
Issue
6
Pages
371-375
ISSN
  • 0306-6800 (ISSN-L)
  • 1473-4257
OpenAlex
W4404790273
Cited by
18
References
5
Citations by year
2026: 5 · 2025: 12 · 2024: 1
FWCI
12.97
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Journal of Medical Ethics (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, cc-by)
  • PhilPapers (PhilPapers Foundation) (submittedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Social Policies and Family
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
  • Social Sciences › Gender Studies › Demographic Trends and Gender Preferences
Keywords
pronatalism, fertility decline, family allowances, population policy, South Korea, East Asia
MeSH terms
Birth Rate, Female, Humans, Motivation, Republic of Korea

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