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National Security Study Memorandum 200                     
NATIONAL SECURITY COUNCIL
WASHINGTON, D.C. 20506



April 24, 1974
National Security Study Memorandum 200
--------------------------------------

TO:   The Secretary of Defense
         The Secretary of Agriculture
         The Director of Central Intelligence
         The Deputy Secretary of State
         Administrator, Agency for International Development

SUBJECT: Implications of Worldwide Population Growth for U.S.
Security and Overseas Interests


The President has directed a study of the impact of world population
growth on U.S. security and overseas interests.  The study should look
forward at least until the year 2000, and use several alternative
reasonable projections of population growth.
In terms of each projection, the study should assess:
 - the corresponding pace of development, especially in poorer
    countries;
 - the demand for US exports, especially of food, and the trade
    problems the US may face arising from competition for re-
    sources;  and
  - the likelihood that population growth or imbalances will
    produce disruptive foreign policies and international
    instability.

The study should focus on the international political and economic
implications of population growth rather than its ecological, socio-
logical or other aspects.

The study would then offer possible courses of action for the United
States in dealing with population matters abroad, particularly in
developing countries, with special attention to these questions:
  - What, if any, new initiatives by the United States are needed
    to focus international attention on the population problem
  - Can technological innovations or development reduce
    growth or ameliorate its effects?
  - Could the United States improve its assistance in the population
    field and if so, in what form and through which agencies --
    bilateral, multilateral, private?

The study should take into account the President's concern that
population policy is a human concern intimately related to the
dignity of the individual and the objective of the United States is to
work closely with others, rather than seek to impose our views on
others.

The President has directed that the study be accomplished by the
NSC Under Secretaries Committee.  The Chairman, Under Secretaries
Committee, is requested to forward the study together with the
Committee's action recommendations no later than May 29,
1974 for consideration by the President.

HENRY A. KISSINGER
cc:  Chairman, Joint Chiefs of Staff


NSSM 200:



            IMPLICATIONS OF WORLDWIDE POPULATION GROWTH
              FOR U.S. SECURITY AND OVERSEAS INTERESTS


                         December 10, 1974

          CLASSIFIED BY Harry C. Blaney, III
          SUBJECT TO GENERAL DECLASSIFICATION SCHEDULE OF
          EXECUTIVE ORDER 11652 AUTOMATICALLY DOWN-
          GRADED AT TWO YEAR INTERVALS AND DECLASSIFIED
          ON DECEMBER 31, 1980.

This document can only be declassified by the White House.

----------------------------------------------------------
                 Declassified/Released on    7/3/89
                   under provisions of E.O. 12356
             by F. Graboske, National Security Council


      EXECUTIVE SUMMARY

      World Demographic Trends

          1. World Population growth since World War II is quantitatively and
      qualitatively different from any previous epoch in human history. The
      rapid reduction in death rates, unmatched by corresponding birth rate
      reductions, has brought total growth rates close to 2 percent a year,
      compared with about 1 percent before World War II, under 0.5 percent in
      1750-1900, and far lower rates before 1750. The effect is to double the
      world's population in 35 years instead of 100 years. Almost 80 million are
      now being added each year, compared with 10 million in 1900.
          2. The second new feature of population trends is the sharp
      differentiation between rich and poor countries. Since 1950, population in
      the former group has been growing at 0 to 1.5 percent per year, and in the
      latter at 2.0 to 3.5 percent (doubling in 20 to 35 years). Some of the
      highest rates of increase are in areas already densely populated and with
      a weak resource base.
          3. Because of the momentum of population dynamics, reductions in birth
      rates affect total numbers only slowly. High birth rates in the recent
      past have resulted in a high proportion in the youngest age groups, so
      that there will continue to be substantial population increases over many
      years even if a two-child family should become the norm in the future.
      Policies to reduce fertility will have their main effects on total numbers
      only after several decades. However, if future numbers are to be kept
      within reasonable bounds, it is urgent that measures to reduce fertility
      be started and made effective in the 1970's and 1980's. Moreover, programs
      started now to reduce birth rates will have short run advantages for
      developing countries in lowered demands on food, health and educational
      and other services and in enlarged capacity to contribute to productive
      investments, thus accelerating development.
          4. U.N. estimates use the 3.6 billion population of 1970 as a base
      (there are nearly 4 billion now) and project from about 6 billion to 8
      billion people for the year 2000 with the U.S. medium estimate at 6.4
      billion. The U.S. medium projections show a world population of 12 billion
      by 2075 which implies a five-fold increase in south and southeast Asia and
      in Latin American and a seven-fold increase in Africa, compared with a
      doubling in east Asia and a 40% increase in the presently developed
      countries (see Table I). Most demographers, including the U.N. and the
      U.S. Population Council, regard the range of 10 to 13 billion as the most
      likely level for world population stability, even with intensive efforts
      at fertility control. (These figures assume, that sufficient food could be
      produced and distributed to avoid limitation through famines.)
      Adequacy of World Food Supplies
          5. Growing populations will have a serious impact on the need for food
      especially in the poorest, fastest growing LDCs. While under normal
      weather conditions and assuming food production growth in line with recent
      trends, total world agricultural production could expand faster than
      population, there will nevertheless be serious problems in food
      distribution and financing, making shortages, even at today's poor
      nutrition levels, probable in many of the larger more populous LDC
      regions. Even today 10 to 20 million people die each year due, directly or
      indirectly, to malnutrition. Even more serious is the consequence of major
      crop failures which are likely to occur from time to time.
          6. The most serious consequence for the short and middle term is the
      possibility of massive famines in certain parts of the world, especially
      the poorest regions. World needs for food rise by 2-1/2 percent or more
      per year (making a modest allowance for improved diets and nutrition) at a
      time when readily available fertilizer and well-watered land is already
      largely being utilized. Therefore, additions to food production must come
      mainly from higher yields. Countries with large population growth cannot
      afford constantly growing imports, but for them to raise food output
      steadily by 2 to 4 percent over the next generation or two is a formidable
      challenge. Capital and foreign exchange requirements for intensive
      agriculture are heavy, and are aggravated by energy cost increases and
      fertilizer scarcities and price rises. The institutional, technical, and
      economic problems of transforming traditional agriculture are also very
      difficult to overcome.
          7. In addition, in some overpopulated regions, rapid population growth
      presses on a fragile environment in ways that threaten longer-term food
      production: through cultivation of marginal lands, overgrazing,
      desertification, deforestation, and soil erosion, with consequent
      destruction of land and pollution of water, rapid siltation of reservoirs,
      and impairment of inland and coastal fisheries.
      Minerals and Fuel
          8. Rapid population growth is not in itself a major factor in pressure
      on depletable resources (fossil fuels and other minerals), since demand
      for them depends more on levels of industrial output than on numbers of
      people. On the other hand, the world is increasingly dependent on mineral
      supplies from developing countries, and if rapid population frustrates
      their prospects for economic development and social progress, the
      resulting instability may undermine the conditions for expanded output and
      sustained flows of such resources.
          9. There will be serious problems for some of the poorest LDCs with
      rapid population growth. They will increasingly find it difficult to pay
      for needed raw materials and energy. Fertilizer, vital for their own
      agricultural production, will be difficult to obtain for the next few
      years. Imports for fuel and other materials will cause grave problems
      which could impinge on the U.S., both through the need to supply greater
      financial support and in LDC efforts to obtain better terms of trade
      through higher prices for exports.
      Economic Development and Population Growth
          10. Rapid population growth creates a severe drag on rates of economic
      development otherwise attainable, sometimes to the point of preventing any
      increase in per capita incomes. In addition to the overall impact on per
      capita incomes, rapid population growth seriously affects a vast range of
      other aspects of the quality of life important to social and economic
      progress in the LDCs.
          11. Adverse economic factors which generally result from rapid
      population growth include:
        reduced family savings and domestic investment;
        increased need for large amounts of foreign exchange for food imports;
        intensification of severe unemployment and underemployment;
        the need for large expenditures for services such as dependency support,
        education, and health which would be used for more productive
        investment;
        the concentration of developmental resources on increasing food
        production to ensure survival for a larger population, rather than on
        improving living conditions for smaller total numbers.
          12. While GNP increased per annum at an average rate of 5 percent in
      LDCs over the last decade, the population increase of 2.5 percent reduced
      the average annual per capita growth rate to only 2.5 percent. In many
      heavily populated areas this rate was 2 percent or less. In the LDCs
      hardest hit by the oil crisis, with an aggregate population of 800
      million, GNP increases may be reduced to less than 1 percent per capita
      per year for the remainder of the 1970's. For the poorest half of the
      populations of these countries, with average incomes of less than $100,
      the prospect is for no growth or retrogression for this period.
          13. If significant progress can be made in slowing population growth,
      the positive impact on growth of GNP and per capita income will be
      significant. Moreover, economic and social progress will probably
      contribute further to the decline in fertility rates.
          14. High birth rates appear to stem primarily from:
        a. inadequate information about and availability of means of fertility
        control;
        b. inadequate motivation for reduced numbers of children combined with
        motivation for many children resulting from still high infant and child
        mortality and need for support in old age; and
        c. the slowness of change in family preferences in response to changes
        in environment.
          15. The universal objective of increasing the world's standard of
      living dictates that economic growth outpace population growth. In many
      high population growth areas of the world, the largest proportion of GNP
      is consumed, with only a small amount saved. Thus, a small proportion of
      GNP is available for investment -- the "engine" of economic growth. Most
      experts agree that, with fairly constant costs per acceptor, expenditures
      on effective family planning services are generally one of the most cost
      effective investments for an LDC country seeking to improve overall
      welfare and per capita economic growth. We cannot wait for overall
      modernization and development to produce lower fertility rates naturally
      since this will undoubtedly take many decades in most developing
      countries, during which time rapid population growth will tend to slow
      development and widen even more the gap between rich and poor.
          16. The interrelationships between development and population growth
      are complex and not wholly understood. Certain aspects of economic
      development and modernization appear to be more directly related to lower
      birth rates than others. Thus certain development programs may bring a
      faster demographic transition to lower fertility rates than other aspects
      of development. The World Population Plan of Action adopted at the World
      Population Conference recommends that countries working to affect
      fertility levels should give priority to development programs and health
      and education strategies which have a decisive effect on fertility.
      International cooperation should give priority to assisting such national
      efforts. These programs include: (a) improved health care and nutrition to
      reduce child mortality, (b) education and improved social status for
      women; (c) increased female employment; (d) improved old-age security; and
      (e) assistance for the rural poor, who generally have the highest
      fertility, with actions to redistribute income and resources including
      providing privately owned farms. However, one cannot proceed simply from
      identification of relationships to specific large-scale operational
      programs. For example, we do not yet know of cost-effective ways to
      encourage increased female employment, particularly if we are concerned
      about not adding to male unemployment. We do not yet know what specific
      packages of programs will be most cost effective in many situations.
          17. There is need for more information on cost effectiveness of
      different approaches on both the "supply" and the "demand" side of the
      picture. On the supply side, intense efforts are required to assure full
      availability by 1980 of birth control information and means to all fertile
      individuals, especially in rural areas. Improvement is also needed in
      methods of birth control most acceptable and useable by the rural poor. On
      the demand side, further experimentation and implementation action
      projects and programs are needed. In particular, more research is needed
      on the motivation of the poorest who often have the highest fertility
      rates. Assistance programs must be more precisely targeted to this group
      than in the past.
          18. It may well be that desired family size will not decline to near
      replacement levels until the lot of the LDC rural poor improves to the
      extent that the benefits of reducing family size appear to them to
      outweigh the costs. For urban people, a rapidly growing element in the
      LDCs, the liabilities of having too many children are already becoming
      apparent. Aid recipients and donors must also emphasize development and
      improvements in the quality of life of the poor, if significant progress
      is to be made in controlling population growth. Although it was adopted
      primarily for other reasons, the new emphasis of AID's legislation on
      problems of the poor (which is echoed in comparable changes in policy
      emphasis by other donors and by an increasing number of LDC's) is directly
      relevant to the conditions required for fertility reduction.
      Political Effects of Population Factors
          19. The political consequences of current population factors in the
      LDCs -- rapid growth, internal migration, high percentages of young
      people, slow improvement in living standards, urban concentrations, and
      pressures for foreign migration -- are damaging to the internal stability
      and international relations of countries in whose advancement the U.S. is
      interested, thus creating political or even national security problems for
      the U.S. In a broader sense, there is a major risk of severe damage to
      world economic, political, and ecological systems and, as these systems
      begin to fail, to our humanitarian values.
          20. The pace of internal migration from countryside to over-swollen
      cities is greatly intensified by rapid population growth. Enormous burdens
      are placed on LDC governments for public administration, sanitation,
      education, police, and other services, and urban slum dwellers (though
      apparently not recent migrants) may serve as a volatile, violent force
      which threatens political stability.
          21. Adverse socio-economic conditions generated by these and related
      factors may contribute to high and increasing levels of child abandonment,
      juvenile delinquency, chronic and growing underemployment and
      unemployment, petty thievery, organized brigandry, food riots, separatist
      movements, communal massacres, revolutionary actions and
      counter-revolutionary coups. Such conditions also detract from the
      environment needed to attract the foreign capital vital to increasing
      levels of economic growth in these areas. If these conditions result in
      expropriation of foreign interests, such action, from an economic
      viewpoint, is not in the best interests of either the investing country or
      the host government.
          22. In international relations, population factors are crucial in, and
      often determinants of, violent conflicts in developing areas. Conflicts
      that are regarded in primarily political terms often have demographic
      roots. Recognition of these relationships appears crucial to any
      understanding or prevention of such hostilities.
      General Goals and Requirements for Dealing With Rapid Population Growth
          23. The central question for world population policy in the year 1974,
      is whether mankind is to remain on a track toward an ultimate population
      of 12 to 15 billion -- implying a five to seven-fold increase in almost
      all the underdeveloped world outside of China -- or whether (despite the
      momentum of population growth) it can be switched over to the course of
      earliest feasible population stability -- implying ultimate totals of 8 to
      9 billions and not more than a three or four-fold increase in any major
      region.
          24. What are the stakes? We do not know whether technological
      developments will make it possible to feed over 8 much less 12 billion
      people in the 21st century. We cannot be entirely certain that climatic
      changes in the coming decade will not create great difficulties in feeding
      a growing population, especially people in the LDCs who live under
      increasingly marginal and more vulnerable conditions. There exists at
      least the possibility that present developments point toward Malthusian
      conditions for many regions of the world.
          25. But even if survival for these much larger numbers is possible, it
      will in all likelihood be bare survival, with all efforts going in the
      good years to provide minimum nutrition and utter dependence in the bad
      years on emergency rescue efforts from the less populated and richer
      countries of the world. In the shorter run -- between now and the year
      2000 -- the difference between the two courses can be some perceptible
      material gain in the crowded poor regions, and some improvement in the
      relative distribution of intra-country per capita income between rich and
      poor, as against permanent poverty and the widening of income gaps. A much
      more vigorous effort to slow population growth can also mean a very great
      difference between enormous tragedies of malnutrition and starvation as
      against only serious chronic conditions.
      Policy Recommendations
          26. There is no single approach which will "solve" the population
      problem. The complex social and economic factors involved call for a
      comprehensive strategy with both bilateral and multilateral elements. At
      the same time actions and programs must be tailored to specific countries
      and groups. Above all, LDCs themselves must play the most important role
      to achieve success.
          27. Coordination among the bilateral donors and multilateral
      organizations is vital to any effort to moderate population growth. Each
      kind of effort will be needed for worldwide results.
          28. World policy and programs in the population field should
      incorporate two major objectives:
        (a) actions to accommodate continued population growth up to 6 billions
        by the mid-21st century without massive starvation or total frustration
        of developmental hopes; and
        (b) actions to keep the ultimate level as close as possible to 8
        billions rather than permitting it to reach 10 billions, 13 billions, or
        more.
          29. While specific goals in this area are difficult to state, our aim
      should be for the world to achieve a replacement level of fertility, (a
      two-child family on the average), by about the year 2000. This will
      require the present 2 percent growth rate to decline to 1.7 percent within
      a decade and to 1.1 percent by 2000. Compared to the U.N medium
      projection, this goal would result in 500 million fewer people in 2000 and
      about 3 billion fewer in 2050. Attainment of this goal will require
      greatly intensified population programs. A basis for developing national
      population growth control targets to achieve this world target is
      contained in the World Population Plan of Action.
          30. The World Population Plan of Action is not self-enforcing and will
      require vigorous efforts by interested countries, U.N. agencies and other
      international bodies to make it effective. U.S. leadership is essential.
      The strategy must include the following elements and actions:
        (a) Concentration on key countries. Assistance for population moderation
        should give primary emphasis to the largest and fastest growing
        developing countries where there is special U.S. political and strategic
        interest. Those countries are: India, Bangladesh, Pakistan, Nigeria,
        Mexico, Indonesia, Brazil, the Philippines, Thailand, Egypt, Turkey,
        Ethiopia and Colombia. Together, they account for 47 percent of the
        world's current population increase. (It should be recognized that at
        present AID bilateral assistance to some of these countries may not be
        acceptable.) Bilateral assistance, to the extent that funds are
        available, will be given to other countries, considering such factors as
        population growth, need for external assistance, long-term U.S.
        interests and willingness to engage in self-help. Multilateral programs
        must necessarily have a wider coverage and the bilateral programs of
        other national donors will be shaped to their particular interests. At
        the same time, the U.S. will look to the multilateral agencies --
        especially the U.N. Fund for Population Activities which already has
        projects in over 80 countries -- to increase population assistance on a
        broader basis with increased U.S. contributions. This is desirable in
        terms of U.S. interests and necessary in political terms in the United
        Nations. But progress nevertheless, must be made in the key 13 and our
        limited resources should give major emphasis to them. (b) Integration of
        population factors and population programs into country development
        planning. As called for by the world Population Plan of Action,
        developing countries and those aiding them should specifically take
        population factors into account in national planning and include
        population programs in such plans. (c) Increased assistance for family
        planning services, information and technology. This is a vital aspect of
        any world population program. (1) Family planning information and
        materials based on present technology should be made fully available as
        rapidly as possible to the 85% of the populations in key LDCs not now
        reached, essentially rural poor who have the highest fertility. (2)
        Fundamental and developmental research should be expanded, aimed at
        simple, low-cost, effective, safe, long-lasting and acceptable methods
        of fertility control. Support by all federal agencies for biomedical
        research in this field should be increased by $60 million annually. (d)
        Creating conditions conducive to fertility decline. For its own merits
        and consistent with the recommendations of the World Population Plan of
        Action, priority should be given in the general aid program to selective
        development policies in sectors offering the greatest promise of
        increased motivation for smaller family size. In many cases pilot
        programs and experimental research will be needed as guidance for later
        efforts on a larger scale. The preferential sectors include:
          Providing minimal levels of education, especially for women;
          Reducing infant mortality, including through simple low-cost health
          care networks;
          Expanding wage employment, especially for women;
          Developing alternatives to children as a source of old age security;
          Increasing income of the poorest, especially in rural areas, including
          providing privately owned farms;
          Education of new generations on the desirability of smaller families.
        While AID has information on the relative importance of the new major
        socio-economic factors that lead to lower birth rates, much more
        research and experimentation need to be done to determine what cost
        effective programs and policy will lead to lower birth rates.
        (e) Food and agricultural assistance is vital for any population
        sensitive development strategy. The provision of adequate food stocks
        for a growing population in times of shortage is crucial. Without such a
        program for the LDCs there is considerable chance that such shortage
        will lead to conflict and adversely affect population goals and
        developmental efforts. Specific recommendations are included in Section
        IV(c) of this study. (f) Development of a worldwide political and
        popular commitment to population stabilization is fundamental to any
        effective strategy. This requires the support and commitment of key LDC
        leaders. This will only take place if they clearly see the negative
        impact of unrestricted population growth and believe it is possible to
        deal with this question through governmental action. The U.S. should
        encourage LDC leaders to take the lead in advancing family planning and
        population stabilization both within multilateral organizations and
        through bilateral contacts with other LDCs. This will require that the
        President and the Secretary of State treat the subject of population
        growth control as a matter of paramount importance and address it
        specifically in their regular contacts with leaders of other
        governments, particularly LDCs.
          31. The World Population Plan of Action and the resolutions adopted by
      consensus by 137 nations at the August 1974 U.N. World Population
      Conference, though not ideal, provide an excellent framework for
      developing a worldwide system of population/family planning programs. We
      should use them to generate U.N. agency and national leadership for an
      all-out effort to lower growth rates. Constructive action by the U.S. will
      further our objectives. To this end we should:
        (a) Strongly support the World Population Plan of Action and the
        adoption of its appropriate provisions in national and other programs.
        (b) Urge the adoption by national programs of specific population goals
        including replacement levels of fertility for DCs and LDCs by 2000. (c)
        After suitable preparation in the U.S., announce a U.S. goal to maintain
        our present national average fertility no higher than replacement level
        and attain near stability by 2000. (d) Initiate an international
        cooperative strategy of national research programs on human reproduction
        and fertility control covering biomedical and socio-economic factors, as
        proposed by the U.S. Delegation at Bucharest. (e) Act on our offer at
        Bucharest to collaborate with other interested donors and U.N. agencies
        to aid selected countries to develop low cost preventive health and
        family planning services. (f) Work directly with donor countries and
        through the U.N. Fund for Population Activities and the OECD/DAC to
        increase bilateral and multilateral assistance for population programs.
          32. As measures to increase understanding of population factors by LDC
      leaders and to strengthen population planning in national development
      plans, we should carry out the recommendations in Part II, Section VI,
      including:
        (a) Consideration of population factors and population policies in all
        Country Assistance Strategy Papers (CASP) and Development Assistance
        Program (DAP) multi-year strategy papers.
        (b) Prepare projections of population growth individualized for
        countries with analyses of development of each country and discuss them
        with national leaders.
        (c) Provide for greatly increased training programs for senior officials
        of LDCs in the elements of demographic economics.
        (d) Arrange for familiarization programs at U.N. Headquarters in New
        York for ministers of governments, senior policy level officials and
        comparably influential leaders from private life.
        (e) Assure assistance to LDC leaders in integrating population factors
        in national plans, particularly as they relate to health services,
        education, agricultural resources and development, employment, equitable
        distribution of income and social stability.
        (f) Also assure assistance to LDC leaders in relating population
        policies and family planning programs to major sectors of development:
        health, nutrition, agriculture, education, social services, organized
        labor, women's activities, and community development.
        (g) Undertake initiatives to implement the Percy Amendment regarding
        improvement in the status of women.
        (h) Give emphasis in assistance to programs on development of rural
        areas.
      Beyond these activities which are essentially directed at national
      interests, we must assure that a broader educational concept is developed
      to convey an acute understanding to national leaders of the interrelation
      of national interests and world population growth.
          33. We must take care that our activities should not give the
      appearance to the LDCs of an industrialized country policy directed
      against the LDCs. Caution must be taken that in any approaches in this
      field we support in the LDCs are ones we can support within this country.
      "Third World" leaders should be in the forefront and obtain the credit for
      successful programs. In this context it is important to demonstrate to LDC
      leaders that such family planning programs have worked and can work within
      a reasonable period of time.
          34. To help assure others of our intentions we should indicate our
      emphasis on the right of individuals and couples to determine freely and
      responsibly the number and spacing of their children and to have
      information, education and means to do so, and our continued interest in
      improving the overall general welfare. We should use the authority
      provided by the World Population Plan of Action to advance the principles
      that 1) responsibility in parenthood includes responsibility to the
      children and the community and 2) that nations in exercising their
      sovereignty to set population policies should take into account the
      welfare of their neighbors and the world. To strengthen the worldwide
      approach, family planning programs should be supported by multilateral
      organizations wherever they can provide the most efficient means.
          35. To support such family planning and related development assistance
      efforts there is need to increase public and leadership information in
      this field. We recommend increased emphasis on mass media, newer
      communications technology and other population education and motivation
      programs by the UN and USIA. Higher priority should be given to these
      information programs in this field worldwide.
          36. In order to provide the necessary resources and leadership,
      support by the U.S. public and Congress will be necessary. A significant
      amount of funds will be required for a number of years. High level
      personal contact by the Secretary of State and other officials on the
      subject at an early date with Congressional counterparts is needed. A
      program for this purpose should be developed by OES with H and AID.
          37. There is an alternate view which holds that a growing number of
      experts believe that the population situation is already more serious and
      less amenable to solution through voluntary measures than is generally
      accepted. It holds that, to prevent even more widespread food shortage and
      other demographic catastrophes than are generally anticipated, even
      stronger measures are required and some fundamental, very difficult moral
      issues need to be addressed. These include, for example, our own
      consumption patterns, mandatory programs, tight control of our food
      resources. In view of the seriousness of these issues, explicit
      consideration of them should begin in the Executive Branch, the Congress
      and the U.N. soon. (See the end of Section I for this viewpoint.)
          38. Implementing the actions discussed above (in paragraphs 1-36),
      will require a significant expansion in AID funds for population/family
      planning. A number of major actions in the area of creating conditions for
      fertility decline can be funded from resources available to the sectors in
      question (e.g., education, agriculture). Other actions, including family
      planning services, research and experimental activities on factors
      affecting fertility, come under population funds. We recommend increases
      in AID budget requests to the Congress on the order of $35-50 million
      annually through FY 1980 (above the $137.5 million requested for FY 1975).
      This funding would cover both bilateral programs and contributions to
      multilateral organizations. However, the level of funds needed in the
      future could change significantly, depending on such factors as major
      breakthroughs in fertility control technologies and LDC receptivities to
      population assistance. To help develop, monitor, and evaluate the expanded
      actions discussed above, AID is likely to need additional direct hire
      personnel in the population/family planning area. As a corollary to
      expanded AID funding levels for population, efforts must be made to
      encourage increased contributions by other donors and recipient countries
      to help reduce rapid population growth.
      Policy Follow-up and Coordination
          39. This world wide population strategy involves very complex and
      difficult questions. Its implementation will require very careful
      coordination and specific application in individual circumstances. Further
      work is greatly needed in examining the mix of our assistance strategy and
      its most efficient application. A number of agencies are interested and
      involved. Given this, there appears to be a need for a better and higher
      level mechanism to refine and develop policy in this field and to
      coordinate its implementation beyond this NSSM. The following options are
      suggested for consideration: (a) That the NSC Under Secretaries Committee
      be given responsibility for policy and executive review of this subject:
      Pros:
        Because of the major foreign policy implications of the recommended
        population strategy a high level focus on policy is required for the
        success of such a major effort.
        With the very wide agency interests in this topic there is need for an
        accepted and normal interagency process for effective analysis and
        disinterested policy development and implementation within the N.S.C.
        system.
        Staffing support for implementation of the NSSM-200 follow-on exists
        within the USC framework including utilization of the Office of
        Population of the Department of State as well as other.
        USC has provided coordination and follow-up in major foreign policy
        areas involving a number of agencies as is the case in this study.
      Cons:
        The USC would not be within the normal policy-making framework for
        development policy as would be in the case with the DCC.
        The USC is further removed from the process of budget development and
        review of the AID Population Assistance program.
      (b) That when its establishment is authorized by the President, the
      Development Coordination Committee, headed by the AID Administrator be
      given overall responsibility:*
      Pros: (Provided by AID)
        It is precisely for coordination of this type of development issue
        involving a variety of U.S. policies toward LDCs that the Congress
        directed the establishment of the DCC.
        The DCC is also the body best able to relate population issues to other
        development issues, with which they are intimately related.
        The DCC has the advantage of stressing technical and financial aspects
        of U.S. population policies, thereby minimizing political complications
        frequently inherent in population programs.
        It is, in AID's view, the coordinating body best located to take an
        overview of all the population activities now taking place under
        bilateral and multilateral auspices.
      Cons:
        While the DCC will doubtless have substantial technical competence, the
        entire range of political and other factors bearing on our global
        population strategy might be more effectively considered by a group
        having a broader focus than the DCC.
        The DCC is not within the N.S.C. system which provides a more direct
        access to both the President and the principal foreign policy
        decision-making mechanism.
        The DCC might overly emphasize purely developmental aspects of
        population and under emphasize other important elements.
      (c) That the NSC/CIEP be asked to lead an Interdepartmental Group for this
      subject to insure follow-up interagency coordination, and further policy
      development. (No participating Agency supports this option, therefore it
      is only included to present a full range of possibilities). Option (a) is
      supported by State, Treasury,
      Defense (ISA and JCS), Agriculture, HEW,
      Commerce NSC and CIA.**
      Option (b) is supported by AID.
      Under any of the above options, there should be an annual review of our
      population policy to examine progress, insure our programs are in keeping
      with the latest information in this field, identify possible deficiencies,
      and recommend additional action at the appropriate level.***



      * NOTE: AID expects the DCC will have the following composition: The
      Administrator of AID as Chairman; the Under Secretary of State for
      Economic Affairs; the Under Secretary of Treasury for Monetary Affairs;
      the Under Secretaries of Commerce, Agriculture and Labor; an Associate
      Director of OMB; the Executive Director of CIEP, STR; a representative of
      the NSC; the Presidents of the EX-IM Bank and OPIC; and any other agency
      when items of interest to them are under discussion.)
      ** Department of Commerce supports the option of placing the population
      policy formulation mechanism under the auspices of the USC but believes
      that any detailed economic questions resulting from proposed population
      policies be explored through existing domestic and international economic
      policy channels.
      *** AID believes these reviews undertaken only periodically might look at
      selected areas or at the entire range of population policy depending on
      problems and needs which arise.



 CHAPTER I - WORLD DEMOGRAPHIC TRENDS
      Introduction

           The present world population growth is unique. Rates of increase are
      much higher than in earlier centuries, they are more widespread, and have
      a greater effect on economic life, social justice, and -- quite likely --
      on public order and political stability. The significance of population
      growth is enhanced because it comes at a time when the absolute size and
      rate of increase of the global economy, need for agricultural land, demand
      for and consumption of resources including water, production of wastes and
      pollution have also escalated to historically unique levels. Factors that
      only a short time ago were considered separately now have interlocking
      relationships, inter-dependence in a literal sense. The changes are not
      only quantitatively greater than in the past but qualitatively different.
      The growing burden is not only on resources but on administrative and
      social institutions as well.
           Population growth is, of course, only one of the important factors in
      this new, highly integrated tangle of relationships. However, it differs
      from the others because it is a determinant of the demand sector while
      others relate to output and supply. (Population growth also contributes to
      supply through provision of manpower; in most developing countries,
      however, the problem is not a lack of but a surfeit of hands.) It is,
      therefore, most pervasive, affecting what needs to be done in regard to
      other factors. Whether other problems can be solved depends, in varying
      degrees, on the extent to which rapid population growth and other
      population variables can be brought under control. Highlights of Current
      Demographic Trends      Since 1950, world population has been undergoing
      unprecedented growth. This growth has four prominent features:
           1. It is unique, far more rapid than ever in history.
           2. It is much more rapid in less developed than in developed regions.

           3. Concentration in towns and cities is increasing much more rapidly
      than overall population growth and is far more rapid in LDCs than in
      developed countries.      4. It has a tremendous built-in momentum that
      will inexorably double populations of most less developed countries by
      2000 and will treble or quadruple their populations before leveling off --
      unless far greater efforts at fertility control are made than are being
      made.
           Therefore, if a country wants to influence its total numbers through
      population policy, it must act in the immediate future in order to make a
      substantial difference in the long run.
           For most of man's history, world population grew very slowly. At the
      rate of growth estimated for the first 18 centuries A.D., it required more
      than 1,000 years for world population to double in size. With the
      beginnings of the industrial revolution and of modern medicine and
      sanitation over two hundred years ago, population growth rates began to
      accelerate. At the current growth rate (1.9 percent) world population will
      double in 37 years.
        By about 1830, world population reached 1 billion. The second billion
        was added in about 100 years by 1930. The third billion in 30 years by
        1960. The fourth will be reached in 1975.
        Between 1750-1800 less than 4 million were being added, on the average,
        to the earth's population each year. Between 1850-1900, it was close to
        8 million. By 1950 it had grown to 40 million. By 1975 it will be about
        80 million.
           In the developed countries of Europe, growth rates in the last
      century rarely exceeded 1.0-1.2 percent per year, almost never 1.5
      percent. Death rates were much higher than in most LDCs today. In North
      America where growth rates were higher, immigration made a significant
      contribution. In nearly every country of Europe, growth rates are now
      below 1 percent, in many below 0.5 percent. The natural growth rate
      (births minus deaths) in the United States is less than 0.6 percent.
      Including immigration (the world's highest) it is less than 0.7 percent.
           In less developed countries growth rates average about 2.4 percent.
      For the People's Republic of China, with a massive, enforced birth control
      program, the growth rate is estimated at under 2 percent. India's is
      variously estimated from 2.2 percent, Brazil at 2.8 percent, Mexico at 3.4
      percent, and Latin America at about 2.9 percent. African countries, with
      high birth as well as high death rates, average 2.6 percent; this growth
      rate will increase as death rates go down.
           The world's population is now about 3.9 billion; 1.1 billion in the
      developed countries (30 percent) and 2.8 billion in the less developed
      countries (70 percent).
           In 1950, only 28 percent of the world's population or 692 million,
      lived in urban localities. Between 1950 and 1970, urban population
      expanded at a rate twice as rapid as the rate of growth of total
      population. In 1970, urban population increased to 36 percent of world
      total and numbered 1.3 billion. By 2000, according to the UN's medium
      variant projection, 3.2 billion (about half of the total) of world
      inhabitants will live in cities and towns.
           In developed countries, the urban population varies from 45 to 85
      percent; in LDCs, it varies from close to zero in some African states to
      nearly 100 percent in Hong Kong and Singapore.
           In LDCs, urban population is projected to more than triple in the
      remainder of this century, from 622 million in 1970 to 2,087 in 2000. Its
      proportion in total LDC population will thus increase from 25 percent in
      1970 to 41 percent in 2000. This implies that by the end of this century
      LDCs will reach half the level of urbanization projected for DCs (82
      percent) (See Table I).
           The enormous built-in momentum of population growth in the less
      developed countries (and to a degree in the developed countries) is, if
      possible, even more important and ominous than current population size and
      rates of growth. Unlike a conventional explosion, population growth
      provides a continuing chain reaction. This momentum springs from (1) high
      fertility levels of LDC populations and (2) the very high percentage of
      maturing young people in populations. The typical developed country,
      Sweden for example, may have 25% of the population under 15 years of age.
      The typical developing country has 41% to 45% or its population under 15.
      This means that a tremendous number of future parents, compared to
      existing parents, are already born. Even if they have fewer children per
      family than their parents, the increase in population will be very great.
           Three projections (not predictions), based on three different
      assumptions concerning fertility, will illustrate the generative effect of
      this building momentum.
           a. Present fertility continued: If present fertility rates were to
      remain constant, the 1974 population 3.9 billion would increase to 7.8
      billion by the hear 2000 and rise to a theoretical 103 billion by 2075.
           b. U.N. "Medium Variant": If present birth rates in the developing
      countries, averaging about 38/1000 were further reduced to 29/1000 by
      2000, the world's population in 2000 would be 6.4 billion, with over 100
      million being added each year. At the time stability (non-growth) is
      reached in about 2100, world population would exceed 12.0 billion.
           c. Replacement Fertility by 2000: If replacement levels of fertility
      were reached by 2000, the world's population in 2000 would be 5.9 billion
      and at the time of stability, about 2075, would be 8.4 billion.
      ("Replacement level" of fertility is not zero population growth. It is the
      level of fertility when couples are limiting their families to an average
      of about two children. For most countries, where there are high
      percentages of young people, even the attainment of replacement levels of
      fertility means that the population will continue to grow for additional
      50-60 years to much higher numbers before leveling off.)
           It is reasonable to assume that projection (a) is unreal since
      significant efforts are already being made to slow population growth and
      because even the most extreme pro-natalists do not argue that the earth
      could or should support 103 billion people. Famine, pestilence, war, or
      birth control will stop population growth far short of this figure.
      The U.N. medium variant (projection (b) has been described in a
      publication of the U.N. Population Division as "a synthesis of the results
      of efforts by demographers of the various countries and the U.N.
      Secretariat to formulate realistic assumptions with regard to future
      trends, in view of information about present conditions and past
      experiences." Although by no means infallible, these projections provide
      plausible working numbers and are used by U.N. agencies (e.g., FAO, ILO)
      for their specialized analyses. One major shortcoming of most projections,
      however, is that "information about present conditions" quoted above is
      not quite up-to-date. Even in the United States, refined fertility and
      mortality rates become available only after a delay of several years.
           Thus, it is possible that the rate of world population growth has
      actually fallen below (or for that matter increased from) that assumed
      under the U.N. medium variant. A number of less developed countries with
      rising living levels (particularly with increasing equality of income) and
      efficient family planning programs have experienced marked declines in
      fertility. Where access to family planning services has been restricted,
      fertility levels can be expected to show little change.
           It is certain that fertility rates have already fallen significantly
      in Hong King, Singapore, Taiwan, Fiji, South Korea, Barbados, Chile, Costa
      Rica, Trinidad and Tobago, and Mauritius (See Table 1). Moderate declines
      have also been registered in West Malaysia, Sri Lanka, and Egypt. Steady
      increases in the number of acceptors at family planning facilities
      indicate a likelihood of some fertility reduction in Thailand, Indonesia,
      the Philippines, Colombia, and other countries which have family planning
      programs. On the other hand, there is little concrete evidence of
      significant fertility reduction in the populous countries of India,
      Bangladesh, Pakistan, etc.1
           Projection (c) is attainable if countries recognize the gravity of
      their population situation and make a serious effort to do something about
      it.
           The differences in the size of total population projected under the
      three variants become substantial in a relatively short time.
           By 1985, the medium variant projects some 342 million fewer people
      than the constant fertility variant and the replacement variant is 75
      million lower than the medium variant.
           By the year 2000 the difference between constant and medium fertility
      variants rises to 1.4 billion and between the medium and replacement
      variants, close to 500 million. By the year 2000, the span between the
      high and low series -- some 1.9 billion -- would amount to almost half the
      present world population.
           Most importantly, perhaps, by 2075 the constant variant would have
      swamped the earth and the difference between the medium and replacement
      variants would amount to 3.7 billion. (Table 2.) The significance of the
      alternative variants is that they reflect the difference between a
      manageable situation and potential chaos with widespread starvation,
      disease, and disintegration for many countries.
           Furthermore, after replacement level fertility is reached, family
      size need not remain at an average of two children per family. Once this
      level is attained, it is possible that fertility will continue to decline
      below replacement level. This would hasten the time when a stationary
      population is reached and would increase the difference between the
      projection variants. The great momentum of population growth can be seen
      even more clearly in the case of a single country -- for example, Mexico.
      Its 1970 population was 50 million. If its 1965-1970 fertility were to
      continue, Mexico's population in 2070 would theoretically number 2.2
      billion. If its present average of 6.1 children per family could be
      reduced to an average of about 2 (replacement level fertility) by 1980-85,
      its population would continue to grow for about sixty years to 110
      million. If the two-child average could be reached by 1990-95, the
      population would stabilize in sixty more years at about 22 percent higher
      -- 134 million. If the two-child average cannot be reached for 30 years
      (by 2000-05), the population at stabilization would grow by an additional
      24 percent to 167 million.
           Similar illustrations for other countries are given below.
           As Table 3. indicates, alternative rates of fertility decline would
      have significant impact on the size of a country's population by 2000.
      They would make enormous differences in the sizes of the stabilized
      populations, attained some 60 to 70 years after replacement level
      fertility is reached. Therefore, it is of the utmost urgency that
      governments now recognize the facts and implications of population growth
      determining the ultimate population sizes that make sense for their
      countries and start vigorous programs at once to achieve their desired
      goals.

      FUTURE GROWTH IN MAJOR REGIONS AND COUNTRIES

           Throughout the projected period 1970 to 2000, less developed regions
      will grow more rapidly than developed regions. The rate of growth in LDCs
      will primarily depend upon the rapidity with which family planning
      practices are adopted.
           Differences in the growth rates of DCs and LDCs will further
      aggravate the striking demographic imbalances between developed and less
      developed countries. Under the U.N. medium projection variant, by the year
      2000 the population of less developed countries would double, rising from
      2.5 billion in 1970 to 5.0 billion (Table 4). In contrast, the overall
      growth of the population of the developed world during the same period
      would amount to about 26 percent, increasing from 1.08 to 1.37 billion.
      Thus, by the year 2000 almost 80 percent of world population would reside
      in regions now considered less developed and over 90 percent of the annual
      increment to world population would occur there.
           The paucity of reliable information on all Asian communist countries
      and the highly optimistic assumptions concerning China's fertility trends
      implicit in U.N. medium projections2 argue for disaggregating the less
      developed countries into centrally planned economies and countries with
      market economies. Such disaggregation reflects more accurately the burden
      of rapidly growing populations in most LDCs.
           As Table 4. shows, the population of countries with centrally planned
      economies, comprising about 1/3 of the 1970 LDC total, is projected to
      grow between 1970 and 2000 at a rate well below the LDC average of 2.3
      percent. Over the entire thirty-year period, their growth rate averages
      1.4 percent, in comparison with 2.7 percent for other LDCs. Between 1970
      and 1985, the annual rate of growth in Asian communist LDCs is expected to
      average 1.6 percent and subsequently to decline to an average of 1.2
      percent between 1985 and 2000. The growth rate of LDCs with market
      economies, on the other hand, remains practically the same, at 2.7 and 2.6
      percent, respectively. Thus, barring both large-scale birth control
      efforts (greater than implied by the medium variant) or economic or
      political upheavals, the next twenty-five years offer non-communist LDCs
      little respite from the burdens of rapidly increasing humanity. Of course,
      some LDCs will be able to accommodate this increase with less difficulty
      than others.
           Moreover, short of Draconian measures there is no possibility that
      any LDC can stabilize its population at less than double its present size.
      For many, stabilization will not be short of three times their present
      size.
           NATO and Eastern Europe. In the west, only France and Greece have a
      policy of increasing population growth -- which the people are
      successfully disregarding. (In a recent and significant change from
      traditional positions, however, the French Assembly overwhelmingly
      endorsed a law not only authorizing general availability of contraceptives
      but also providing that their cost be borne by the social security
      system.) Other western NATO members have no policies.3 Most provide some
      or substantial family planning services. All appear headed toward lower
      growth rates. In two NATO member countries (West Germany and Luxembourg),
      annual numbers of deaths already exceed births, yielding a negative
      natural growth rate.
           Romania, Hungary, Bulgaria, and Czechoslovakia have active policies
      to increase their population growth rates -- despite the reluctance of
      their people to have larger families. Within the USSR, fertility rates in
      RSFSR and the republics of Ukraine, Latvia, and Estonia are below
      replacement level. This situation has prevailed at least since 1969-1970
      and, if continued, will eventually lead to negative population growth in
      these republics. In the United States, average fertility also fell below
      replacement level in the past two years (1972 and 1973). There is a
      striking difference, however, in the attitudes toward this demographic
      development in the two countries. While in the United States the
      possibility of a stabilized (non-growing) population is generally viewed
      with favor, in the USSR there is perceptible concern over the low
      fertility of Slavs and Balts (mostly by Slavs and Balts). The Soviet
      government, by all indications, is studying the feasibility of increasing
      their sagging birth rates. The entire matter of fertility-bolstering
      policies is circumscribed by the relatively high costs of increasing
      fertility (mainly through increased outlays for consumption goods and
      services) and the need to avoid the appearance of ethnic discrimination
      between rapidly and slowly growing nationalities.
           U.N. medium projections to the year 2000 show no significant changes
      in the relative demographic position of the western alliance countries as
      against eastern Europe and the USSR. The population of the Warsaw Pact
      countries will remain at 65 percent of the populations of NATO member
      states. If Turkey is excluded, the Warsaw Pact proportion rises somewhat
      from 70 percent in 1970 to 73 percent by 2000. This change is not of an
      order of magnitude that in itself will have important implications for
      east-west power relations. (Future growth of manpower in NATO and Warsaw
      Pact nations has not been examined in this Memorandum.)
           Of greater potential political and strategic significance are
      prospective changes in the populations of less developed regions both
      among themselves and in relation to developed countries.
           Africa. Assessment of future demographic trends in Africa is severely
      impeded by lack of reliable base data on the size, composition, fertility
      and mortality, and migration of much of the continent's population. With
      this important limitation in mind, the population of Africa is projected
      to increase from 352 million in 1970 to 834 million in 2000, an increase
      of almost 2.5 times. In most African countries, population growth rates
      are likely to increase appreciably before they begin to decline. Rapid
      population expansion may be particularly burdensome to the "least
      developed" among Africa's LDCs including -- according to the U.N.
      classification -- Ethiopia, Sudan, Tanzania, Uganda, Upper Volta, Mali,
      Malawi, Niger, Burundi, Guinea, Chad, Rwanda, Somalia, Dahomey, Lesotho,
      and Botswana. As a group, they numbered 104 million in 1970 and are
      projected to grow at an average rate of 3.0 percent a year, to some 250
      million in 2000. This rate of growth is based on the assumption of
      significant reductions in mortality. It is questionable, however, whether
      economic and social conditions in the foreseeable future will permit
      reductions in mortality required to produce a 3 percent growth rate.
      Consequently, the population of the "least developed" of Africa's LDCs may
      fall short of the 250 million figure in 2000.
           African countries endowed with rich oil and other natural resources
      may be in a better economic position to cope with population expansion.
      Nigeria falls into this category. Already the most populous country on the
      continent, with an estimated 55 million people in 1970 (see footnote to
      Table 4), Nigeria's population by the end of this century is projected to
      number 135 million. This suggests a growing political and strategic role
      for Nigeria, at least in Africa south of the Sahara.
           In North Africa, Egypt's population of 33 million in 1970 is
      projected to double by 2000. The large and increasing size of Egypt's
      population is, and will remain for many years, an important consideration
      in the formulation of many foreign and domestic policies not only of Egypt
      but also of neighboring countries.
           Latin America. Rapid population growth is projected for tropical
      South American which includes Brazil, Colombia, Peru, Venezuela, Ecuador
      and Bolivia. Brazil, with a current population of over 100 million,
      clearly dominates the continent demographically; by the end of this
      century, its population is projected to reach the 1974 U.S. level of about
      212 million people. Rapid economic growth prospects -- if they are not
      diminished by demographic overgrowth -- portend a growing power status for
      Brazil in Latin America and on the world scene over the next 25 years.
           The Caribbean which includes a number of countries with promising
      family planning programs (Jamaica, Trinidad and Tobago, Cuba, Barbados and
      also Puerto Rico) is projected to grow at 2.2 percent a year between 1970
      and 2000, a rate below the Latin American average of 2.8 percent.
           Perhaps the most significant population trend from the viewpoint of
      the United States is the prospect that Mexico's population will increase
      from 50 million in 1970 to over 130 million by the year 2000. Even under
      most optimistic conditions, in which the country's average fertility falls
      to replacement level by 2000, Mexico's population is likely to exceed 100
      million by the end of this century.
           South Asia. Somewhat slower rates are expected for Eastern and Middle
      South Asia whose combined population of 1.03 billion in 1970 is projected
      to more than double by 2000 to 2.20 billion. In the face of continued
      rapid population growth (2.5 percent), the prospects for the populous
      Indian subregion, which already faces staggering economic problems, are
      particularly bleak. South and Southeast Asia's population will
      substantially increase relative to mainland China; it appears doubtful,
      however, that this will do much to enhance their relative power position
      and political influence in Asia. On the contrary, preoccupation with the
      growing internal economic and social problems resulting from huge
      population increases may progressively reduce the ability of the region,
      especially India, to play an effective regional and world power role.
           Western South Asia, demographically dominated by Turkey and seven
      oil-rich states (including Saudi Arabia, Iraq, and Kuwait) is projected to
      be one of the fastest growing LDC regions, with an annual average growth
      rate of 2.9 percent between 1970 and 2000. Part of this growth will be due
      to immigration, as for example, into Kuwait.
           The relatively low growth rate of 1.8 percent projected for East
      Asian LDCs with market economics reflects highly successful family
      planning programs in Taiwan, South Korea, and Hong Kong.
           The People's Republic of China (PRC). The People's Republic of China
      has by far the world's largest population and, potentially, severe
      problems of population pressure, given its low standard of living and
      quite intensive utilization of available farm land resources. Its last
      census in 1953 recorded a population of 583 million, and PRC officials
      have cited a figure as high as 830 million for 1970. The Commerce
      Department's Bureau of Economic Analysis projects a slightly higher
      population, reaching 920 million by 1974. The present population growth
      rate is about two percent.      Conclusion      Rapid population growth in
      less developed countries has been mounting in a social milieu of poverty,
      unemployment and underemployment, low educational attainment, widespread
      malnutrition, and increasing costs of food production. These countries
      have accumulated a formidable "backlog" of unfinished tasks. They include
      economic assimilation of some 40 percent of their people who are pressing
      at, but largely remain outside the periphery of the developing economy;
      the amelioration of generally low levels of living; and in addition,
      accommodation of annually larger increments to the population. The
      accomplishment of these tasks could be intolerably slow if the average
      annual growth rate in the remainder of this century does not slow down to
      well below the 2.7 percent projected, under the medium variant, for LDCs
      with market economics. How rapid population growth impedes social and
      economic progress is discussed in subsequent chapters.

     CHAPTER II. POPULATION AND WORLD FOOD SUPPLIES

           Rapid population growth and lagging food production in developing
      countries, together with the sharp deterioration in the global food
      situation in 1972 and 1973, have raised serious concerns about the ability
      of the world to feed itself adequately over the next quarter century and
      beyond.
           As a result of population growth, and to some extent also of
      increasing affluence, world food demand has been growing at unprecedented
      rates. In 1900, the annual increase in world demand for cereals was about
      4 million tons. By 1950, it had risen to about 12 million tons per year.
      By 1970, the annual increase in demand was 30 million tons (on a base of
      over 1,200 million tons). This is roughly equivalent to the annual wheat
      crop of Canada, Australia, and Argentina combined. This annual increase in
      food demand is made up of a 2% annual increase in population and a 0.5%
      increased demand per capita. Part of the rising per capita demand reflects
      improvement in diets of some of the peoples of the developing countries.
      In the less developed countries about 400 pounds of grain is available per
      person per year and is mostly eaten as cereal. The average North American,
      however, uses nearly a ton of grain a year, only 200 pounds directly and
      the rest in the form of meat, milk, and eggs for which several pounds of
      cereal are required to produce one pound of the animal product (e.g., five
      pounds of grain to produce one pound of beef).
           During the past two decades, LDCs have been able to keep food
      production ahead of population, notwithstanding the unprecedentedly high
      rates of population growth. The basic figures are summarized in the
      following table: [calculated from data in USDA, The World Agricultural
      Situation, March 1974]:    
         INDICES OF WORLD POPULATION AND FOOD PRODUCTION

              (excluding Peoples Republic of China)

                            1954=100

       +--------------------+--------------------+------------------------+

       |        WORLD       | DEVELOPED COUNTRIES|LESS DEVELOPED COUNTRIES|

       |        Food        |        Food        |          Food          |

       |     production     |     production     |       production       |

       |                    |                    |                        |

       | Popu-        Per   | Popu-        Per   | Popu-        Per       |

       |lation Total  Capita|lation Total  Capita|lation Total  Capita    |

+------+--------------------+--------------------+------------------------+

| 1954 |  100    100    100 |  100    100    100 |  100   100    100      |

| 1973 |  144    170    119 |  124    170    138 |  159   171    107      |

|      |                                                                  |

| Compound Annual Increase (%):                                           |

|      |  1.9    2.8    0.9 |  1.1    2.8    1.7 |  2.5   2.9    0.4      |

+------+--------------------+--------------------+------------------------+


           It will be noted that the relative gain in LDC total food production
      was just as great as for advanced countries, but was far less on a per
      capita basis because of the sharp difference in population growth rates.
      Moreover, within the LDC group were 24 countries (including Indonesia,
      Nigeria, the Philippines, Zaire, Algeria, Guyana, Iraq, and Chile) in
      which the rate of increase of population growth exceeded the rate of
      increase in food production; and a much more populous group (including
      India, Pakistan, and Bangladesh) in which the rate of increase in
      production barely exceeded population growth but did not keep up with the
      increase in domestic demand. [World Food Conference, Preliminary
      Assessment, 8 May 1974; U.N. Document E/CONF. 65/ PREP/6, p. 33.]
           General requirements have been projected for the years 1985 and 2000,
      based on the UN Medium Variant population estimates and allowing for a
      very small improvement in diets in the LDCs.
           A recent projection made by the Department of Agriculture indicates a
      potential productive capacity more than adequate to meet world cereal
      requirements (the staple food of the world) of a population of 6.4 billion
      in the year 2000 (medium fertility variant) at roughly current relative
      prices.
           This overall picture offers little cause for complacency when broken
      down by geographic regions. To support only a very modest improvement in
      current cereal consumption levels (from 177 kilograms per capita in 1970
      to 200-206 kilograms in 2000) the projections show an alarming increase in
      LDC dependency on imports. Such imports are projected to rise from 21.4
      million tons in 1970 to 102-122 million tons by the end of the century.
      Cereal imports would increase to 13-15 percent of total developing country
      consumption as against 8 percent in 1970. As a group, the advanced
      countries cannot only meet their own needs but will also generate a
      substantial surplus. For the LDCs, analyses of food production capacity
      foresee the physical possibility of meeting their needs, provided that (a)
      weather conditions are normal, (b) yields per unit of area continue to
      improve at the rates of the last decade, bringing the average by 1985
      close to present yields in the advanced countries, and (c) a substantially
      larger annual transfer of grains can be arranged from the surplus
      countries (mainly North America), either through commercial sales or
      through continuous and growing food aid. The estimates of production
      capacity do not rely on major new technical breakthroughs in food
      production methods, but they do require the availability and application
      of greatly increased quantities of fertilizers, pesticides, irrigation
      water, and other inputs to modernized agriculture, together with continued
      technological advances at past rates and the institutional and
      administrative reforms (including vastly expanded research and extension
      services) essential to the successful application of these inputs. They
      also assume normal weather conditions. Substantial political will is
      required in the LDCs to give the necessary priority to food production.
           There is great uncertainty whether the conditions for achieving food
      balance in the LDCs can in fact be realized. Climatic changes are poorly
      understood, but a persistent atmospheric cooling trend since 1940 has been
      established. One respectable body of scientific opinion believes that this
      portends a period of much wider annual frosts, and possibly a long-term
      lowering of rainfall in the monsoon areas of Asia and Africa. Nitrogen
      fertilizer will be in world short supply into the late 1970s, at least;
      because of higher energy prices, it may also be more costly in real terms
      than in the 1960s. Capital investments for irrigation and infrastructure
      and the organizational requirements for securing continuous improvements
      in agricultural yields may well be beyond the financial and administrative
      capacity of many LDCs. For some of the areas under heaviest population
      pressure, there is little or no prospect for foreign exchange earnings to
      cover constantly increasing imports of food.
           While it is always unwise to project the recent past into the
      long-term future, the experience of 1972-73 is very sobering. The
      coincidence of adverse weather in many regions in 1972 brought per capita
      production in the LDCs back to the level of the early 1960s. At the same
      time, world food reserves (mainly American) were almost exhausted, and
      they were not rebuilt during the high production year of 1973. A
      repetition under these conditions of 1972 weather patterns would result in
      large-scale famine of a kind not experienced for several decades -- a kind
      the world thought had been permanently banished.
           Even if massive famine can be averted, the most optimistic forecasts
      of food production potential in the more populous LDCs show little
      improvement in the presently inadequate levels and quality of nutrition.
      As long as annual population growth continues at 2 to 3 percent or more,
      LDCs must make expanded food production the top development priority, even
      though it may absorb a large fraction of available capital and foreign
      exchange.
           Moderation of population growth rates in the LDCs could make some
      difference to food requirements by 1985, a substantial difference by 2000,
      and a vast difference in the early part of the next century. From the
      viewpoint of U.S. interests, such reductions in LDC food needs would be
      clearly advantageous. They would not reduce American commercial markets
      for food since the reduction in LDC food requirements that would result
      from slowing population growth would affect only requests for concessional
      or grant food assistance, not commercial sales. They would improve the
      prospects for maintaining adequate world food reserves against climatic
      emergencies. They would reduce the likelihood of periodic famines in
      region after region, accompanied by food riots and chronic social and
      political instability. They would improve the possibilities for long-term
      development and integration into a peaceful world order.
           Even taking the most optimistic view of the theoretical possibilities
      of producing enough foods in the developed countries to meet the
      requirements of the developing countries, the problem of increased costs
      to the LDCs is already extremely serious and in its future may be
      insurmountable. At current prices the anticipated import requirements of
      102-122 million tons by 2000 would raise the cost of developing countries'
      imports of cereals to $16-204 billion by that year compared with $2.5
      billion in 1970. Large as they may seem even these estimates of import
      requirements could be on the low side if the developing countries are
      unable to achieve the Department of Agriculture's assumed increase in the
      rate of growth of production.
           The FAO in its recent "Preliminary Assessment of the World Food
      Situation Present and Future" has reached a similar conclusion:
           What is certain is the enormity of the food import bill which might
      face the developing countries . . . In addition [to cereals] the
      developing countries . . . would be importing substantial amounts of other
      foodstuffs. clearly the financing of international food trade on this
      scale would raise very grave problems.
           At least three-quarters of the projected increase in cereal imports
      of developing countries would fall in the poorer countries of South Asia
      and North and Central Africa. The situation in Latin America which is
      projected to shift from a modest surplus to a modest deficit area is quite
      different. Most of this deficit will be in Mexico and Central America,
      with relatively high income and easily exploitable transportation links to
      the U.S.
           The problem in Latin America, therefore, appears relatively more
      manageable.
           It seems highly unlikely, however, that the poorer countries of Asia
      and Africa will be able to finance nearly like the level of import
      requirements projected by the USDA. Few of them have dynamic
      export-oriented industrial sectors like Taiwan or South Korea or rich raw
      material resources that will generate export earnings fast enough to keep
      pace with food import needs. Accordingly, those countries where
      large-scale hunger and malnutrition are already present face the bleak
      prospect of little, if any, improvement in the food intake in the years
      ahead barring a major foreign financial food aid program, more rapid
      expansion of domestic food production, reduced population growth or some
      combination of all three. Worse yet, a series of crop disasters could
      transform some of them into classic Malthusian cases with famines
      involving millions of people.
           While foreign assistance probably will continue to be forthcoming to
      meet short-term emergency situations like the threat of mass starvation,
      it is more questionable whether aid donor countries will be prepared to
      provide the sort of massive food aid called for by the import projections
      on a long-term continuing basis.
           Reduced population growth rates clearly could bring significant
      relief over the longer term. Some analysts maintain that for the post-1985
      period a rapid decline in fertility will be crucial to adequate diets
      worldwide. If, as noted before, fertility in the developing countries
      could be made to decline to the replacement level by the year 2000, the
      world's population in that year would be 5.9 billion or 500 million below
      the level that would be attained if the UN medium projection were
      followed. Nearly all of the decline would be in the LDCs. With such a
      reduction the projected import gap of 102-122 million tons per year could
      be eliminated while still permitting a modest improvement in per capita
      consumption. While such a rapid reduction in fertility rates in the next
      30 years is an optimistic target, it is thought by some experts that it
      could be obtained by intensified efforts if its necessity were understood
      by world and national leaders. Even more modest reductions could have
      significant implications by 2000 and even more over time.
           Intensive programs to increase food production in developing
      countries beyond the levels assumed in the U.S.D.A. projections probably
      offer the best prospect for some reasonably early relief, although this
      poses major technical and organizational difficulties and will involve
      substantial costs. It must be realized, however, that this will be
      difficult in all countries and probably impossible in some -- or many.
      Even with the introduction of new inputs and techniques it has not been
      possible to increase agricultural output by as much as 3 percent per annum
      in many of the poorer developing countries. Population growth in a number
      of these countries exceeds that rate.
           Such a program of increased food production would require the
      widespread use of improved seed varieties, increased applications of
      chemical fertilizers and pesticides over vast areas and better farm
      management along with bringing new land under cultivation. It has been
      estimated, for example, that with better varieties, pest control, and the
      application of fertilizer on the Japanese scale, Indian rice yields could
      theoretically at least, be raised two and one-half times current levels.
      Here again very substantial foreign assistance for imported materials may
      be required for at least the early years before the program begins to take
      hold.
           The problem is clear. The solutions, or at least the directions we
      must travel to reach them are also generally agreed. What will be required
      is a genuine commitment to a set of policies that will lead the
      international community, both developed and developing countries, to the
      achievement of the objectives spelled out above.
      CHAPTER III - MINERALS AND FUEL
           Population growth per se is not likely to impose serious constraints
      on the global physical availability of fuel and non-fuel minerals to the
      end of the century and beyond.
           This favorable outlook on reserves does not rule out shortage
      situations for specific minerals at particular times and places. Careful
      planning with continued scientific and technological progress (including
      the development of substitutes) should keep the problems of physical
      availability within manageable proportions.
           The major factor influencing the demand for non-agricultural raw
      materials is the level of industrial activity, regional and global. For
      example, the U.S., with 6% of the world's population, consumes about a
      third of its resources. The demand for raw materials, unlike food, is not
      a direct function of population growth. The current scarcities and high
      prices for most such materials result mainly from the boom conditions in
      all industrialized regions in the years 1972-73.
           The important potential linkage between rapid population growth and
      minerals availability is indirect rather than direct. It flows from the
      negative effects of excessive population growth in economic development
      and social progress, and therefore on internal stability, in overcrowded
      under-developed countries. The United States has become increasingly
      dependent on mineral imports from developing countries in recent decades,
      and this trend is likely to continue. The location of known reserves of
      higher-grade ores of most minerals favors increasing dependence of all
      industrialized regions on imports from less developed countries. The real
      problems of mineral supplies lie, not in basic physical sufficiency, but
      in the politico-economic issues of access, terms for exploration and
      exploitation, and division of the benefits among producers, consumers, and
      host country governments.
           In the extreme cases where population pressures lead to endemic
      famine, food riots, and breakdown of social order, those conditions are
      scarcely conducive to systematic exploration for mineral deposits or the
      long-term investments required for their exploitation. Short of famine,
      unless some minimum of popular aspirations for material improvement can be
      satisfied, and unless the terms of access and exploitation persuade
      governments and peoples that this aspect of the international economic
      order has "something in it for them," concessions to foreign companies are
      likely to be expropriated or subjected to arbitrary intervention. Whether
      through government action, labor conflicts, sabotage, or civil
      disturbance, the smooth flow of needed materials will be jeopardized.
      Although population pressure is obviously not the only factor involved,
      these types of frustrations are much less likely under conditions of slow
      or zero population growth.
           Reserves.
           Projections made by the Department of Interior through the year 2000
      for those fuel and non-fuel minerals on which the U.S. depends heavily for
      imports5 support these conclusions on physical resources (see Annex).
      Proven reserves of many of these minerals appear to be more than adequate
      to meet the estimated accumulated world demand at 1972 relative prices at
      least to the end of the century. While petroleum (including natural gas),
      copper, zinc, and tin are probable exceptions, the extension of
      economically exploitable reserves as a result of higher prices, as well as
      substitution and secondary recovery for metals, should avoid long-term
      supply restrictions. In many cases, the price increases that have taken
      place since 1972 should be more than sufficient to bring about the
      necessary extension of reserves.
           These conclusions are consistent with a much more extensive study
      made in 1972 for the Commission on Population Growth and the American
      Future.6
           As regards fossil fuels, that study foresees adequate world reserves
      for at least the next quarter to half century even without major
      technological breakthroughs. U.S. reserves of coal and oil shale are
      adequate well into the next century, although their full exploitation may
      be limited by environmental and water supply factors. Estimates of the
      U.S. Geological Survey suggest recoverable oil and gas reserves (assuming
      sufficiently high prices) to meet domestic demand for another two or three
      decades, but there is also respectable expert opinion supporting much
      lower estimates; present oil production is below the peak of 1970 and
      meets only 70 percent of current demands.7 Nevertheless, the U.S. is in a
      relatively strong position on fossil fuels compared with the rest of the
      industrialized world, provided that it takes the time and makes the heavy
      investments needed to develop domestic alternatives to foreign sources.
           In the case of the 19 non-fuel minerals studied by the Commission it
      was concluded there were sufficient proven reserves of nine to meet
      cumulative world needs at current relative prices through the year 2020.8
      For the ten others9 world proven reserves were considered inadequate.
      However, it was judged that moderate price increases, recycling and
      substitution could bridge the estimated gap between supply and
      requirements.
           The above projections probably understate the estimates of global
      resources. "Proved Reserves," that is known supplies that will be
      available at present or slightly higher relative costs 10 to 25 years from
      now, rarely exceed 25 years' cumulative requirements, because industry
      generally is reluctant to undertake costly exploration to meet demands
      which may or may not materialize in the more distant future. Experience
      has shown that additional reserves are discovered as required, at least in
      the case of non-fuel minerals, and "proved reserves" have generally
      remained constant in relation to consumption.
           The adequacy of reserves does not of course assure that supplies will
      be forthcoming in a steady stream as required. Intermediate problems may
      develop as a result of business miscalculations regarding the timing of
      expansion to meet requirements. With the considerable lead time required
      for expanding capacity, this can result in periods of serious shortage for
      certain materials and rising prices as in the recent past. Similarly, from
      time to time there will be periods of overcapacity and falling prices.
      Necessary technical adjustments required for the shift to substitutes or
      increased recycling also may be delayed by the required lead time or by
      lack of information.
           An early warning system designed to flag impending surpluses and
      shortages, could be very helpful in anticipating these problems. Such a
      mechanism might take the form of groups of experts working with the UN
      Division of Resources. Alternatively, intergovernmental commodity study
      groups might be set up for the purpose of monitoring those commodities
      identified as potential problem areas.
           Adequate global availability of fuel and non-fuel minerals is not of
      much benefit to countries who cannot afford to pay for them. Oil supplies
      currently are adequate to cover world needs, but the quadrupling of prices
      in the past year has created grave financial and payment problems for
      developed and developing countries alike. If similar action to raise
      prices were undertaken by supplies of other important minerals, an already
      bad situation would be intensified. Success in such efforts is
      questionable, however; there is no case in which the quantities involved
      are remotely comparable to the cases of energy; and the scope for
      successful price-gouging or cartel tactics is much smaller.
           Although the U.S. is relatively well off in this regard, it
      nonetheless depends heavily on mineral imports from a number of sources
      which are not completely safe or stable. It may therefore be necessary,
      especially in the light of our recent oil experience, to keep this
      dependence within bounds, in some cases by developing additional domestic
      resources and more generally by acquiring stock-piles for economic as well
      as national defense emergencies. There are also possible dangers of
      unreasonable prices promoted by producer cartels and broader policy
      questions of U.S. support for commodity agreements involving both
      producers and consumers. Such matters, however, are in the domain of
      commodity policy rather than population policy.
           At least through the end of this century, changes in population
      growth trends will make little difference to total levels of requirements
      for fuel and other minerals. Those requirements are related much more
      closely to levels of income and industrial output, leaving the demand for
      minerals substantially unaffected. In the longer run, a lower ultimate
      world population (say 8 to 9 billion rather than 12 to 16 billion) would
      require a lower annual input of depletable resources directly affected by
      population size as well as a much lower volume of food, forest products,
      textiles, and other renewable resources.
           Whatever may be done to guard against interruptions of supply and to
      develop domestic alternatives, the U.S. economy will require large and
      increasing amounts of minerals from abroad, especially from less developed
      countries.10 That fact gives the U.S. enhanced interest in the political,
      economic, and social stability of the supplying countries. Wherever a
      lessening of population pressures through reduced birth rates can increase
      the prospects for such stability, population policy becomes relevant to
      resource supplies and to the economic interests of the United States.

 ANNEX
      OUTLOOK FOR RAW MATERIALS
      I. Factors Affecting Raw Material Demand and Supply
           Some of the key factors that must be considered in evaluating the
      future raw materials situation are the stage of a country's economic
      development and the responsiveness of the market to changes in the
      relative prices of the raw materials.
           Economic theory indicates that the pattern of consumption of raw
      materials varies with the level of economic activity. Examination of the
      intensity-of-use of raw materials (incremental quantity of raw material
      needed to support an additional unit of GNP) show that after a particular
      level of GNP is reached, the intensity of use of raw materials starts to
      decline. Possible explanations for this decline are:
           1. In industrialized countries, the services component of GNP expands
      relative to the non-services components as economic growth occurs.
           2. Technological progress, on the whole, tends to lower the
      intensity-of-use through greater efficiency in the use of raw materials
      and development of alloys.
           3. Economic growth continues to be characterized by substitution of
      one material by another and substitution of synthetics for natural
      materials.11
           Most developed countries have reached this point of declining
      intensity-of-use.12 For other countries that have not reached this stage
      of economic development, their population usually goes through a stage of
      rapid growth prior to industrialization. This is due to the relative ease
      in the application of improved health care policies and the resulting
      decline in their death rates, while birth rates remain high. Then the
      country's economy does begin to industrialize and grow more rapidly, the
      initial rapid rise in industrial production results in an increasing
      intensity-of-use of raw materials, until industrial production reached the
      level where the intensity-of-use begins to decline.
           As was discussed above, changes in the relative prices of raw
      materials change the amount of economically recoverable reserves. Thus,
      the relative price level, smoothness of the adjustment process, and
      availability of capital for needed investment can also be expected to
      significantly influence raw materials' market conditions. In addition,
      technological improvement in mining and metallurgy permits lower grade
      ores to be exploited without corresponding increases in costs.
           The following table presents the 1972 net imports and the ratio of
      imports to total demand for nine commodities. The net imports of these
      nine commodities represented 99 percent of the total trade deficit in
      minerals.
  +--------------------------+--------------+------------------+

  |                          |     1972     | Ratio of Imports |

  |   Commodity              | Net Imports  | to Total Demand  |

  |                          | ($Millions)* |                  |

  +--------------------------+--------------+------------------+

  | Aluminum                 |     48.38    |      .286        |

  | Copper                   |    206.4     |      .160        |

  | Iron                     |    424.5     |      .049        |

  | Lead                     |    102.9     |      .239        |

  | Nickel                   |    477.1     |      .704        |

  | Tin                      |    220.2     |      .943        |

  | Titanium                 |    256.5     |      .469        |

  | Zinc                     |    294.8     |      .517        |

  | Petroleum                |  5,494.5     |      .246        |

  | (including natural gas)  |              |                  |

  +--------------------------+--------------+------------------+


      The primary sources of these US imports during the period 1969-1972 were:
  +-------------------------------------------------------------+

  | Commodity             Source & %                            |

  +-------------------------------------------------------------+

  | Aluminum            - Canada 76%                            |

  | Copper              - Canada 31%, Peru 27%, Chile 22%       |

  | Iron                - Canada 50%, Venezuela 31%             |

  | Lead                - Canada 29%, Peru 21%, Australia 21%   |

  | Nickel              - Canada 82%, Norway 8%                 |

  | Tin                 - Malaysia 64%, Thailand 27%            |

  | Titanium            - Japan 73%, USSR 19%                   |

  | Zinc (Ore)          - Canada 60%, Mexico 24%                |

  | Zinc (Metal)        - Canada 48%, Australia 10%             |

  | Petroleum (crude)  - Canada 42%                            |

  | Petroleum (crude)   - Venezuela 17%                         |

  +-------------------------------------------------------------+


      II. World Reserves
           The following table shows estimates of the world reserve position for
      these commodities. As mentioned earlier, the quantity of economically
      recoverable reserves increases with higher prices. The following tables,
      based on Bureau of Mines information, provide estimates of reserves at
      various prices. (All prices are in constant 1972 dollars.)
Aluminum (Bauxite)

         Price (per pound primary aluminum)

                  Price A    Price B    Price C    Price D

                    .23        .29        .33        .36

         Reserves (billion short tons, aluminum content)

           World   3.58       3.76       4.15       5.21

           U.S.     .01        .02        .04        .09

Copper

         Price (per pound refined copper)

                    .51        .60        .75

         Reserves (million short tons)

           World    370        418        507          

           U.S.      83         93        115          

Gold

         Price (per troy ounce)

                  58.60         90        100        150

         Reserves (million troy ounce)

           World  1,000      1,221      1,588      1,850

           U.S.      82        120        200        240

Iron

         Price (per short ton of primary iron contained in ore)

                  17.80      20.80      23.80      

         Reserves (billion short tons iron content)

           World  96.7       129.0      206.0      

           U.S.    2.0         2.7       18.0      

Lead

         Price (per pound primary lead metal)

                   .15         .18        .20      

         Reserves (million short tons, lead content)

           World  96.0       129.0      144.0      

           U.S.   36.0        51.0       56.0

Nickel

         Price (per pound of primary metal)

                   1.53        1.75       2.00       2.25

         Reserves (millions short tons)

           World  46.2        60.5       78.0       99.5

           U.S.     .2          .2         .5         .5

Tin

         Price (per pound primary tin metal)

                   1.77        2.00       2.50       3.00

         Reserves (thousands of long tons - tin content)

           World  4,180      5,500      7,530      9,290

           U.S.       5          9        100        200

Titanium

         Price (per pound titanium in pigment)

                    .45        .55         .60

         Reserves (thousands short tons titanium content)

           World 158,000  222,000     327,000      

           U.S.   32,400   45,000      60,000

Zinc

         Price (per pound, prime western zinc delivered)

                    .18        .25         .30

         Reserves (million short tons, zinc content)

           World    131       193         260      

           U.S.      30        40          50          

      Petroleum:
      Data necessary to quantify reserve-price relationships are not available.
      For planning purposes, however, the Bureau of Mines used the rough
      assumption that a 100% increase in price would increase reserves by 10%.
      The average 1972 U.S. price was $3.39/bbl. with proven world reserves of
      666.9 billion bbls. and U.S. reserves of 36.3 billion barrels. Using the
      Bureau of Mines assumption, therefore, a doubling in world price (a U.S.
      price of $6.78/bbl.) would imply world reserves of 733.5 billion bbls. and
      U.S. reserves of 39.9 billion barrels.
      Natural Gas:
      Price (wellhead price per thousand cubic feet)

                 .186        .34       .44         .5
       Reserves (trillion cubic feet)

           World  1,156     6,130      10,240     15,599

           U.S.     266       580         900      2,349

      It should be noted that these statistics represent a shift in 1972
      relative prices and assume constant 1972 technology. The development of
      new technology or a more dramatic shift in relative prices can have a
      significant impact on the supply of economically recoverable reserves.
      Aluminum is a case in point. It is the most abundant metallic element in
      the earth's crust and the supply of this resource is almost entirely
      determined by the price. Current demand and technology limit economically
      recoverable reserves to bauxite sources. Alternate sources of aluminum
      exist (e.g., alunite) and if improved technology is developed making these
      alternate sources commercially viable, supply constraints will not likely
      be encountered.
      The above estimated reserve figures, while representing approximate orders
      of magnitude, are adequate to meet projected accumulated world demand
      (also very rough orders of magnitude) through the year 2000. In some
      cases, modest price increases above the 1972 level may be required to
      attract the necessary capital investment.
      Chapter IV - Economic Development and Population Growth
           Rapid population growth adversely affects every aspect of economic
      and social progress in developing countries. It absorbs large amounts of
      resources needed for more productive investment in development. It
      requires greater expenditures for health, education and other social
      services, particularly in urban areas. It increases the dependency load
      per worker so that a high fraction of the output of the productive age
      group is needed to support dependents. It reduces family savings and
      domestic investment. It increases existing severe pressures on limited
      agricultural land in countries where the world's "poverty problem" is
      concentrated. It creates a need for use of large amounts of scarce foreign
      exchange for food imports (or the loss of food surpluses for export).
      Finally, it intensifies the already severe unemployment and
      underemployment problems of many developing countries where not enough
      productive jobs are created to absorb the annual increments to the labor
      force.
           Even in countries with good resource/population ratios, rapid
      population growth causes problems for several reasons: First, large
      capital investments generally are required to exploit unused resources.
      Second, some countries already have high and growing unemployment and lack
      the means to train new entrants to their labor force. Third, there are
      long delays between starting effective family planning programs and
      reducing fertility, and even longer delays between reductions in fertility
      and population stabilization. Hence there is substantial danger of vastly
      overshooting population targets if population growth is not moderated in
      the near future.
           During the past decade, the developing countries have raised their
      GNP at a rate of 5 percent per annum as against 4.8 percent in developed
      countries. But at the same time the LDCs experienced an average annual
      population growth rate of 2.5 percent. Thus their per capita income growth
      rate was only 2.5 percent and in some of the more highly populated areas
      the increase in per capita incomes was less than 2 percent. This stands in
      stark contrast to 3.6 percent in the rich countries. Moreover, the low
      rate means that there is very little change in those countries whose per
      capita incomes are $200 or less per annum. The problem has been further
      exacerbated in recent months by the dramatic increases in oil and
      fertilizer prices. The World Bank has estimated that the incomes of the
      800 million inhabitants of the countries hardest hit by the oil crisis
      will grow at less than 1% per capita per year of the remainder of the
      1970s. Taking account of inequalities in income distribution, there will
      be well over 500 million people, with average incomes of less than $100
      per capita, who will experience either no growth or negative growth in
      that period.
           Moderation of population growth offers benefits in terms of resources
      saved for investment and/or higher per capita consumption. If resource
      requirements to support fewer children are reduced and the funds now
      allocated for construction of schools, houses, hospitals and other
      essential facilities are invested in productive activities, the impact on
      the growth of GNP and per capita income may be significant. In addition,
      economic and social progress resulting from population control will
      further contribute to the decline in fertility rates. The relationship is
      reciprocal, and can take the form of either a vicious or a virtuous
      circle.
           This raises the question of how much more efficient expenditures for
      population control might be than in raising production through direct
      investments in additional irrigation and power projects and factories.
      While most economists today do not agree with the assumptions that went
      into early overly optimistic estimates of returns to population
      expenditures, there is general agreement that up to the point when cost
      per acceptor rises rapidly, family planning expenditures are generally
      considered the best investment a country can make in its own future.
      II. Impact of Population Growth on Economic Development
           In most, if not all, developing countries high fertility rates impose
      substantial economic costs and restrain economic growth. The main adverse
      macroeconomic effects may be analyzed in three general categories: (1) the
      saving effect, (2) "child quality" versus "child quantity", and (3)
      "capital deepening" versus "capital widening." These three categories are
      not mutually exclusive, but they highlight different familial and social
      perspectives. In addition, there are often longer-run adverse effects on
      agricultural output and the balance of payments.
           (1) The saving effect. A high fertility economy has perforce a larger
      "burden of dependency" than a low fertility economy, because a larger
      proportion of the population consists of children too young to work. There
      are more non-working people to feed, house and rear, and there is a
      smaller surplus above minimum consumption available for savings and
      investment. It follows that a lower fertility rate can free resources from
      consumption; if saved and invested, these resources could contribute to
      economic growth. (There is much controversy on this; empirical studies of
      the savings effect have produced varying results.)
           (2) Child quality versus quantity. Parents make investment decisions,
      in a sense, about their children. Healthier and better-educated children
      tend to be economically more productive, both as children and later as
      adults. In addition to the more-or-less conscious trade-offs parents can
      make about more education and better health per child, there are certain
      biologic adverse effects suffered by high birth order children such as
      higher mortality and limited brain growth due to higher incidence of
      malnutrition. It must be emphasized, however, that discussion of
      trade-offs between child quality and child quantity will probably remain
      academic with regard to countries where child mortality remains high. When
      parents cannot expect most children to survive to old age, they probably
      will continue to "over-compensate", using high fertility as a form of
      hedge to insure that they will have some living offspring able to support
      the parents in the distant future.
           (3) Capital deepening versus widening. From the family's viewpoint
      high fertility is likely to reduce welfare per child; for the economy one
      may view high fertility as too rapid a growth in labor force relative to
      capital stock. Society's capital stock includes facilities such as schools
      and other educational inputs in addition to capital investments that raise
      workers' outputs in agriculture and manufacturing. For any given rate of
      capital accumulation, a lower population growth rate can help increase the
      amount of capital and education per worker, helping thereby to increase
      output and income per capita. The problem of migration to cities and the
      derived demand for urban infrastructure can also be analyzed as problems
      of capital widening, which draw resources away from growth-generating
      investments.
           In a number of the more populous countries a fourth aspect of rapid
      growth in numbers has emerged in recent years which has profound long-run
      consequences. Agricultural output was able to keep pace or exceed
      population growth over the many decades of population rise prior to the
      middle of this century, primarily through steady expansion of acreage
      under cultivation. More recently, only marginal unused land has been
      available in India, Thailand, Java, Bangladesh, and other areas. As a
      result (a) land holdings have declined in size, and (b) land shortage has
      led to deforestation and overgrazing, with consequent soil erosion and
      severe water pollution and increased urban migration. Areas that once
      earned foreign exchange through the export of food surpluses are now in
      deficit or face early transition to dependence on food imports. Although
      the scope for raising agricultural productivity is very great in many of
      these areas, the available technologies for doing so require much higher
      capital costs per acre and much larger foreign exchange outlays for
      "modern" inputs (chemical fertilizer, pesticides, petroleum fuels, etc.)
      than was the case with the traditional technologies. Thus the population
      growth problem can be seen as an important long-run, or structural,
      contributor to current LDC balance of payments problems and to
      deterioration of their basic ecological infrastructure.
           Finally, high fertility appears to exacerbate the maldistribution of
      income which is a fundamental economic and social problem in much of the
      developing world. Higher income families tend to have fewer children,
      spend more on the health and education of these children, have more wealth
      to pass on to these children in contrast to the several disadvantages that
      face the children of the poor. The latter tend to be more numerous,
      receiving less of an investment per child in their "human capital",
      leaving the children with economic, educational and social constraints
      similar to those which restrict the opportunities of the parents. In
      short, high fertility contributes to the intergenerational continuity of
      maldistributions of income and related social and political problems.
      III. The Effect of Development on Population Growth
           The determinants of population growth are not well understood,
      especially for low income societies. Historical data show that declining
      fertility in Europe and North America has been associated with declining
      mortality and increasing urbanization, and generally with "modernization."
      Fertility declined substantially in the West without the benefit of
      sophisticated contraceptives. This movement from high fertility and high
      mortality to low fertility and low mortality is known as the "demographic
      transition". In many low income countries mortality has declined markedly
      since World War II (in large part from reduction in epidemic illness and
      famine), but fertility has remained high. Apart from a few pockets of low
      fertility in East Asia and the Caribbean, a significant demographic
      transition has not occurred in the third world. (The Chinese, however,
      make remarkable claims about their success in reducing birth rates, and
      qualified observers are persuaded that they have had unusual success even
      though specific demographic information is lacking.)
           There is considerable, incontestable evidence in many developing
      countries that a larger (though not fully known) number of couples would
      like to have fewer children than possible generally there -- and that
      there is a large unsatisfied demand by these couples for family planning
      services. It is also now widely believed that something more that family
      planning services will be needed to motivate other couples to want smaller
      families and all couples to want replacement levels essential to the
      progress and growth of their countries.
           There is also evidence, although it is not conclusive, that certain
      aspects of economic development and modernization are more directly
      related to lowered birth rates than others, and that selective
      developmental policies may bring about a demographic transition at
      substantially lower per capita income levels than in Europe, North
      America, and Japan.13 Such selective policies would focus on improved
      health care and nutrition directed toward reduced infant and child
      mortality; universal schooling and adult literacy, especially for women;
      increasing the legal age of marriage; greater opportunities for female
      employment in the money economy; improved old-age social security
      arrangements; and agricultural modernization focussed on small farmers. It
      is important that this focus be made in development programs because,
      given today's high population densities, high birth rates, and low income
      levels in much of Asia, Africa, and Latin America, if the demographic
      transition has to await overall development and modernization, the vicious
      circle of poverty, people, and unemployment may never be broken.
           The causes of high birth rates in low income societies are generally
      explained in terms of three factors:
           a. Inadequacy of information and means. Actual family size in many
      societies is higher than desired family size owing to ignorance of
      acceptable birth control methods or unavailability of birth control
      devices and services. The importance of this factor is evidenced by many
      sociological investigations on "desired family size" versus actual size,
      and by the substantial rates of acceptance for contraceptives when
      systematic family planning services are introduced. This factor has been a
      basic assumption in the family planning programs of official bilateral and
      multilateral programs in many countries over the past decade. Whatever the
      actual weight of this factor, which clearly varies from country to country
      and which shifts with changes in economic and social conditions, there
      remains without question a significant demand for family planning
      services.
           b. Inadequacy of motivation for reduced numbers of children.
      Especially in the rural areas of underdeveloped countries, which account
      for the major share of today's population growth, parents often want large
      numbers of children (especially boys) (i) to ensure that some will survive
      against the odds of high child mortality, (ii) to provide support for the
      parents in their old age, and (iii) to provide low cost farm labor. While
      these elements are present among rural populace, continued urbanization
      may reduce the need for sons in the longer term. The absence of
      educational and employment opportunities for young women intensifies these
      same motivations by encouraging early marriage and early and frequent
      maternity. This factor suggests the crucial importance of selective
      development policies as a means of accelerating the reduction of
      fertility.
           c. The "time lag". Family preferences and social institutions that
      favor high fertility change slowly. Even though mortality and economic
      conditions have improved significantly since World War II in LDCs, family
      expectations, social norms, and parental practice are slow to respond to
      these altered conditions. This factor leads to the need for large scale
      programs of information, education, and persuasion directed at lower
      fertility.
           The three elements are undoubtedly intermixed in varying proportions
      in all underdeveloped countries with high birth rates. In most LDCs, many
      couples would reduce their completed family size if appropriate birth
      control methods were more easily available. The extent of this reduction,
      however, may still leave their completed family size at higher than mere
      replacement levels -- i.e., at levels implying continued but less rapid
      population growth. Many other couples would not reduce their desired
      family size merely if better contraceptives were available, either because
      they see large families as economically beneficial, or because of cultural
      factors, or because they misread their own economic interests.
           Therefore, family planning supply (contraceptive technology and
      delivery systems) and demand (the motivation for reduced fertility) would
      not be viewed as mutually exclusive alternatives; they are complementary
      and may be mutually reinforcing. The selected point of focus mentioned
      earlier -- old age security programs, maternal and child health programs,
      increased female education, increasing the legal age of marriage,
      financial incentives to "acceptors", personnel, -- are important, yet
      better information is required as to which measures are most
      cost-effective and feasible in a given situation and how their
      cost-effectiveness compares to supply programs.
           One additional interesting area is receiving increasing attention:
      the distribution of the benefits of development. Experience in several
      countries suggests that the extent to which the poor, with the highest
      fertility rates, reduce their fertility will depend on the extent to which
      they participate in development. In this view the average level of
      economic development and the average amount of modernization are less
      important determinants of population growth than is the specific structure
      of development. This line of investigation suggests that social
      development activities need to be more precisely targeted than in the past
      to reach the lowest income people, to counteract their desire for high
      fertility as a means of alleviating certain adverse conditions.
           IV. Employment and Social Problems
           Employment, aside from its role in production of goods and services,
      is an important source of income and of status or recognition to workers
      and their families. The inability of large segments of the economically
      active population in developing countries to find jobs offering a minimum
      acceptable standard of living is reflected in a widening of income
      disparities and a deepening sense of economic, political and social
      frustration.
           The most economically significant employment problems in LDCs
      contributed to by excessive population growth are low worker productivity
      in production of traditional goods and services produced, the changing
      aspirations of the work force, the existing distribution of income, wealth
      and power, and the natural resource endowment of a country.
           The political and social problems of urban overcrowding are directly
      related to population growth. In addition to the still-high fertility in
      urban areas of many LDC's, population pressures on the land, which
      increases migration to the cities, adds to the pressures on urban job
      markets and political stability, and strains, the capacity to provide
      schools, health facilities, and water supplies.
           It should be recognized that lower fertility will relieve only a
      portion of these strains and that its most beneficial effects will be felt
      only over a period of decades. Most of the potential migrants from
      countryside to city over the coming 15 to 20 years have already been born.
      Lower birth rates do provide some immediate relief to health and
      sanitation and welfare services, and medium-term relief to pressures on
      educational systems. The largest effects on employment, migration, and
      living standards, however, will be felt only after 25 or 30 years. The
      time lags inherent in all aspects of population dynamics only reinforce
      the urgency of adopting effective policies in the years immediately ahead
      if the formidable problems of the present decade are not to become utterly
      unmanageable in the 1990s and beyond the year 2000.
      Chapter V -- Implications of Population Pressures for National Security
           It seems well understood that the impact of population factors on the
      subjects already considered -- development, food requirements, resources,
      environment -- adversely affects the welfare and progress of countries in
      which we have a friendly interest and thus indirectly adversely affects
      broad U.S. interests as well.
           The effects of population factors on the political stability of these
      countries and their implications for internal and international order or
      disorder, destructive social unrest, violence and disruptive foreign
      activities are less well understood and need more analysis. Nevertheless,
      some strategists and experts believe that these effects may ultimately be
      the most important of those arising from population factors, most harmful
      to the countries where they occur and seriously affecting U.S. interests.
      Other experts within the U.S. Government disagree with this conclusion.
           A recent study14 of forty-five local conflicts involving Third World
      countries examined the ways in which population factors affect the
      initiation and course of a conflict in different situations. The study
      reached two major conclusions:
           1. ". . . population factors are indeed critical in, and often
      determinants of, violent conflict in developing areas. Segmental
      (religious, social, racial) differences, migration, rapid population
      growth, differential levels of knowledge and skills, rural/urban
      differences, population pressure and the spacial location of population in
      relation to resources -- in this rough order of importance -- all appear
      to be important contributions to conflict and violence...
           2. Clearly, conflicts which are regarded in primarily political terms
      often have demographic roots: Recognition of these relationships appears
      crucial to any understanding or prevention of such hostilities."
           It does not appear that the population factors act alone or, often,
      directly to cause the disruptive effects. They act through intervening
      elements -- variables. They also add to other causative factors turning
      what might have been only a difficult situation into one with disruptive
      results.
           This action is seldom simple. Professor Philip Hauser of the
      University of Chicago has suggested the concept of "population complosion"
      to describe the situation in many developing countries when (a) more and
      more people are born into or move into and are compressed in the same
      living space under (b) conditions and irritations of different races,
      colors, religions, languages, or cultural backgrounds, often with
      differential rates of population growth among these groups, and (c) with
      the frustrations of failure to achieve their aspirations for better
      standards of living for themselves or their children. To these may be
      added pressures for and actual international migration. These population
      factors appear to have a multiplying effect on other factors involved in
      situations of incipient violence. Population density, the "overpopulation"
      most often thought of in this connection, is much less important.
           These population factors contribute to socio-economic variables
      including breakdowns in social structures, underemployment and
      unemployment, poverty, deprived people in city slums, lowered
      opportunities for education for the masses, few job opportunities for
      those who do obtain education, interracial, religious, and regional
      rivalries, and sharply increased financial, planning, and administrative
      burdens on governmental systems at all levels.
           These adverse conditions appear to contribute frequently to harmful
      developments of a political nature: Juvenile delinquency, thievery and
      other crimes, organized brigandry, kidnapping and terrorism, food riots,
      other outbreaks of violence; guerilla warfare, communal violence,
      separatist movements, revolutionary movements and counter-revolutionary
      coups. All of these bear upon the weakening or collapse of local, state,
      or national government functions.
           Beyond national boundaries, population factors appear to have had
      operative roles in some past politically disturbing legal or illegal mass
      migrations, border incidents, and wars. If current increased population
      pressures continue they may have greater potential for future disruption
      in foreign relations.
           Perhaps most important, in the last decade population factors have
      impacted more severely than before on availabilities of agricultural land
      and resources, industrialization, pollution and the environment. All this
      is occurring at a time when international communications have created
      rising expectations which are being frustrated by slow development and
      inequalities of distribution.
           Since population factors work with other factors and act through
      intervening linkages, research as to their effects of a political nature
      is difficult and "proof" even more so. This does not mean, however, that
      the causality does not exist. It means only that U.S. policy decisions
      must take into account the less precise and programmatic character of our
      knowledge of these linkages.
           Although general hypotheses are hard to draw, some seem reasonably
      sustainable:
           1. Population growth and inadequate resources. Where population size
      is greater than available resources, or is expanding more rapidly than the
      available resources, there is a tendency toward internal disorders and
      violence and, sometimes, disruptive international policies or violence.
      The higher the rate of growth, the more salient a factor population
      increase appears to be. A sense of increasing crowding, real or perceived,
      seems to generate such tendencies, especially if it seems to thwart
      obtaining desired personal or national goals.
           2. Populations with a high proportion of growth. The young people,
      who are in much higher proportions in many LDCs, are likely to be more
      volatile, unstable, prone to extremes, alienation and violence than an
      older population. These young people can more readily be persuaded to
      attack the legal institutions of the government or real property of the
      "establishment," "imperialists," multinational corporations, or other --
      often foreign -- influences blamed for their troubles.
           3. Population factors with social cleavages. When adverse population
      factors of growth, movement, density, excess, or pressure coincide with
      racial, religious, color, linguistic, cultural, or other social cleavages,
      there will develop the most potentially explosive situations for internal
      disorder, perhaps with external effects. When such factors exist together
      with the reality or sense of relative deprivation among different groups
      within the same country or in relation to other countries or peoples, the
      probability of violence increases significantly.
           4. Population movements and international migrations. Population
      movements within countries appear to have a large role in disorders.
      Migrations into neighboring countries (especially those richer or more
      sparsely settled), whether legal or illegal, can provoke negative
      political reactions or force.
           There may be increased propensities for violence arising simply from
      technological developments making it easier -- e.g., international
      proliferation and more ready accessibility to sub-national groups of
      nuclear and other lethal weaponry. These possibilities make the disruptive
      population factors discussed above even more dangerous.
      Some Effects of Current Population Pressures
           In the 1960s and 1970s, there have been a series of episodes in which
      population factors have apparently had a role -- directly or indirectly --
      affecting countries in which we have an interest.
           El Salvador-Honduras War. An example was the 1969 war between El
      Salvador and Honduras. Dubbed the "Soccer War", it was sparked by a riot
      during a soccer match, its underlying cause was tension resulting from the
      large scale migration of Salvadorans from their rapidly growing, densely
      populated country to relatively uninhabited areas of Honduras. The
      Hondurans resented the presence of migrants and in 1969 began to enforce
      an already extant land tenancy law to expel them. El Salvador was angered
      by the treatment given its citizens. Flaring tempers on both sides over
      this issue created a situation which ultimately led to a military clash.
           Nigeria. The Nigerian civil war seriously retarded the progress of
      Africa's most populous nations and caused political repercussions and
      pressures in the United States. It was fundamentally a matter of tribal
      relationships. Irritations among the tribes caused in part by rapidly
      increasing numbers of people, in a situation of inadequate opportunity for
      most of them, magnified the tribal issues and may have helped precipitate
      the war. The migration of the Ibos from Eastern Nigeria, looking for
      employment, led to competition with local peoples of other tribes and
      contributed to tribal rioting. This unstable situation was intensified by
      the fact that in the 1963 population census returns were falsified to
      inflate the Western region's population and hence its representation in
      the Federal Government. The Ibos of the Eastern region, with the oil
      resources of the country, felt their resources would be unjustly drawn on
      and attempted to establish their independence.
           Pakistan-India-Bangladesh 1970-71. This religious and nationalistic
      conflict contains several points where a population factor at a crucial
      time may have had a causal effect in turning events away from peaceful
      solutions to violence. The Central Government in West Pakistan resorted to
      military suppression of the East Wing after the election in which the
      Awami League had an overwhelming victory in East Pakistan. This election
      had followed two sets of circumstances. The first was a growing discontent
      in East Pakistan at the slow rate of economic and social progress being
      made and the Bengali feeling that West Pakistan was dealing unequally and
      unfairly with East Pakistan in the distribution of national revenues. The
      first population factor was the 75 million Bengalis whom the 45 million
      West Pakistanis sought to continue to dominate. Some observers believe
      that as a recent population factor the rapid rate of population growth in
      East Pakistan seriously diminished the per capita improvement from the
      revenues made available and contributed significantly to the discontent. A
      special aspect of the population explosion in East Pakistan (second
      population factor) was the fact that the dense occupation of all good
      agricultural land forced hundreds of thousands of people to move into the
      obviously unsafe lowlands along the southern coast. They became victims of
      the hurricane in 1970. An estimated 300,000 died. The Government was
      unable to deal with a disaster affecting so many people. The leaders and
      people of East Pakistan reacted vigorously to this failure of the
      Government to bring help.
           It seems quite likely that these situations in which population
      factors played an important role led to the overwhelming victory of the
      Awami League that led the Government to resort to force in East Pakistan
      with the massacres and rapes that followed. Other experts believe the
      effects of the latter two factors were of marginal influence in the Awami
      League's victory.
           It further seems possible that much of the violence was stimulated or
      magnified by population pressures. Two groups of Moslems had been
      competing for jobs and land in East Bengal since the 1947 partition.
      "Biharis" are a small minority of non-Bengali Moslems who chose to
      resettle in East Pakistan at that time. Their integration into Bengali
      society was undoubtedly inhibited by the deteriorating living conditions
      of the majority Bengalis. With the Pakistan army crackdown in March, 1971,
      the Biharis cooperated with the authorities, and reportedly were able
      thereby to improve their economic conditions at the expense of the
      persecuted Bengalis. When the tables were turned after independence, it
      was the Biharis who were persecuted and whose property and jobs were
      seized. It seems likely that both these outbursts of violence were induced
      or enlarged by the population "complosion" factor.
           The violence in East Pakistan against the Bengalis and particularly
      the Hindu minority who bore the brunt of Army repression led to the next
      population factor, the mass migration during one year of nine or ten
      million refugees into West Bengal in India. This placed a tremendous
      burden on the already weak Indian economy. As one Indian leader in the
      India Family Planning Program said, "The influx of nine million people
      wiped out the savings of some nine million births which had been averted
      over a period of eight years of the family planning program."
           There were other factors in India's invasion of East Bengal, but it
      is possible that the necessity of returning these nine or ten million
      refugees to east Bengal -- getting them out of India -- may have played a
      part in the Indian decision to invade. Certainly, in a broader sense, the
      threat posed by this serious, spreading instability on India's eastern
      frontier -- an instability in which population factors were a major
      underlying cause -- a key reason for the Indian decision.
           The political arrangements in the Subcontinent have changed, but all
      of the underlying population factors which influenced the dramatic acts of
      violence that took place in 1970-71 still exist, in worsening dimensions,
      to influence future events.
           Additional illustrations. Population factors also appear to have had
      indirect causal relations, in varying degrees, on the killings in
      Indonesia in 1965-6, the communal slaughter in Rwanda in 1961-2 and 1963-4
      and in Burundi in 1972, the coup in Uganda in 1972, and the insurrection
      in Sri Lanka in 1971.
      Some Potential Effects of Future Population Pressures
           Between the end of World War II and 1975 the world's population will
      have increased about one and a half billion -- nearly one billion of that
      from 1960 to the present. The rate of growth is increasing and between two
      and a half and three and a half billion will be added by the year 2000,
      depending partly on the effectiveness of population growth control
      programs. This increase of the next 25 years will, of course, pyramid on
      the great number added with such rapidity in the last 25. The population
      factors which contributed to the political pressures and instabilities of
      the last decades will be multiplied.
           PRC - The demographic factors of the PRC are referred to on page 79
      above. The Government of the PRC has made a major effort to feed its
      growing population.
           Cultivated farm land, at 107 million hectares, has not increased
      significantly over the past 25 years, although farm output has
      substantially kept pace with population growth through improved yields
      secured by land improvement, irrigation extension, intensified cropping,
      and rapid expansion in the supply of fertilizers.
           In 1973 the PRC adopted new, forceful population control measures. In
      the urban areas Peking claimed its birth control measures had secured a
      two-child family and a one percent annual population growth, and it
      proposes to extend this development throughout the rural areas by 1980.
           The political implications of China's future population growth are
      obviously important but are not dealt with here.
           Israel and the Arab States. If a peace settlement can be reached, the
      central issue will be how to make it last. Egypt with about 37 million
      today is growing at 2.8% per year. It will approximate 48 million by 1985,
      75 million by 1995, and more than 85 million by 2000. It is doubtful that
      Egypt's economic progress can greatly exceed its population growth. With
      Israel starting at today's population of 3.3 million, the disparity
      between its population and those of the Arab States will rapidly increase.
      Inside Israel, unless Jewish immigration continues, the gap between the
      size of the Arab and Jewish populations will diminish. Together with the
      traditional animosities -- which will remain the prime determinants of
      Arab-Israeli conflict -- these population factors make the potential for
      peace and for U.S. interests in the area ominous.
           India-Bangladesh. The Subcontinent will be for years the major focus
      of world concern over population growth. India's population is now
      approximately 580 million, adding a million by each full moon. Embassy New
      Delhi (New Delhi 2115, June 17, 1974) reports:
        "There seems no way of turning off the faucet this side of 1 billion
        Indians, which means India must continue to court economic and social
        disaster. It is not clear how the shaky and slow-growing Indian economy
        can bear the enormous expenditures on health, housing, employment, and
        education, which must be made if the society is even to maintain its
        current low levels."
           Death rates have recently increased in parts of India and episodes
      like the recent smallpox epidemic have led Embassy New Delhi to add:
        "A future failure of the India food crop could cause widespread death
        and suffering which could not be overcome by the GOI or foreign
        assistance. The rise in the death rate in several rural areas suggests
        that Malthusian pressures are already being felt."
           And further:
        "Increasing political disturbances should be expected in the future, fed
        by the pressures of rising population in urban areas, food shortages,
        and growing scarcities in household commodities. The GOI has not been
        very successful in alleviating unemployment in the cities. The recent
        disturbances in Gujarat and Bihar seem to be only the beginning of
        chronic and serious political disorders occurring throughout India."
           There will probably be a weakening, possibly a breakdown, of the
      control of the central government over some of the states and local areas.
      The democratic system will be taxed and may be in danger of giving way to
      a form of dictatorship, benevolent or otherwise. The existence of India as
      a democratic buttress in Asia will be threatened.
           Bangladesh, with appalling population density, rapid population
      growth, and extensive poverty will suffer even more. Its population has
      increased 40% since the census 13 years ago and is growing at least 3% per
      year. The present 75 million, or so, unless slowed by famine, disease, or
      massive birth control, will double in 23 years and exceed 170 million by
      2000.
           Requirements for food and other basic necessities of life are growing
      at a faster rate than existing resources and administrative systems are
      providing them. In the rural areas, the size of the average farm is being
      reduced and there is increasing landlessness. More and more people are
      migrating to urban areas. The government admits a 30% rate of unemployment
      and underemployment. Already, Embassy Dacca reports (Dacca 3424, June 19,
      1974) there are important economic-population causes for the landlessness
      that is rapidly increasing and contributing to violent crimes of murder
      and armed robbery that terrorize the ordinary citizen.
        "Some of the vast army of unemployed and landless, and those strapped by
        the escalating cost of basic commodities, have doubtless turned to
        crime."
           Three paragraphs of Embassy Dacca's report sharply outline the effect
      on U.S. political interests we may anticipate from population factors in
      Bangladesh and other countries that, if present trends are not changed,
      will be in conditions similar to Bangladesh in only a few years.
        "Of concern to the U.S. are several probable outcomes as the basic
        political, economic and social situation worsens over the coming
        decades. Already afflicted with a crisis mentality by which they look to
        wealthy foreign countries to shore up their faltering economy, the BDG
        will continue to escalate its demands on the U.S. both bilaterally and
        internationally to enlarge its assistance, both of commodities and
        financing. Bangladesh is now a fairly solid supporter of third world
        positions, advocating better distribution of the world's wealth and
        extensive trade concessions to poor nations. As its problems grow and
        its ability to gain assistance fails to keep pace, Bangladesh's
        positions on international issues likely will become radicalized,
        inevitably in opposition to U.S. interests on major issues as it seeks
        to align itself with others to force adequate aid.
        "U.S. interests in Bangladesh center on the development of an
        economically and politically stable country which will not threaten the
        stability of its neighbors in the Subcontinent nor invite the intrusion
        of outside powers. Surrounded on three sides by India and sharing a
        short border with Burma, Bangladesh, if it descends into chaos, will
        threaten the stability of these nations as well. Already Bengalis are
        illegally migrating into the frontier provinces of Assam and Tripura,
        politically sensitive areas of India, and into adjacent Burma. Should
        expanded out-migration and socio-political collapse in Bangladesh
        threaten its own stability, India may be forced to consider
        intervention, although it is difficult to see in what way the Indians
        could cope with the situation.
        "Bangladesh is a case study of the effects of few resources and
        burgeoning population not only on national and regional stability but
        also on the future world order. In a sense, if we and other richer
        elements of the world community do not meet the test of formulating a
        policy to help Bangladesh awaken from its economic and demographic
        nightmare, we will not be prepared in future decades to deal with the
        consequences of similar problems in other countries which have far more
        political and economic consequences to U.S. interests."
           Africa -- Sahel Countries. The current tragedy of the Sahel
      countries, to which U.S. aid in past years has been minimal, has suddenly
      cost us an immense effort in food supplies at a time when we are already
      hard pressed to supply other countries, and domestic food prices are
      causing strong political repercussions in the U.S. The costs to us and
      other donor countries for aid to help restore the devastated land will run
      into hundreds of millions. Yet little attention is given to the fact that
      even before the adverse effect of the continued drought, it was population
      growth and added migration of herdsmen to the edge of the desert that led
      to cutting the trees and cropping the grass, inviting the desert to sweep
      forward. Control of population growth and migration must be a part of any
      program for improvement of lasting value.
           Panama. The troublesome problem of jurisdiction over the Canal Zone
      is primarily due to Panamanian feelings of national pride and a desire to
      achieve sovereignty over its entire territory. One Panamanian agreement in
      pursuing its treaty goals is that U.S. control over the Canal Zone
      prevents the natural expansion of Panama City, an expansion needed as a
      result of demographic pressures. In 1908, at the time of the construction
      of the Canal, the population of the Zone was about 40,000. Today it is
      close to the same figure, 45,000. On the other hand, Panama City, which
      had some 20,000 people in 1908, has received growing migration from rural
      areas and now has over 500,000. A new treaty which would give Panama
      jurisdiction over land now in the Zone would help alleviate the problems
      caused by this growth of Panama City.
           Mexico and the U.S. Closest to home, the combined population growth
      of Mexico and the U.S. Southwest presages major difficulties for the
      future. Mexico's population is growing at some 3.5% per year and will
      double in 20 years with concomitant increases in demands for food,
      housing, education, and employment. By 1995, the present 57 million will
      have increased to some 115 million and, unless their recently established
      family planning program has great success, by 2000 will exceed 130
      million. More important, the numbers of young people entering the job
      market each year will expand even more quickly. These growing numbers will
      increase the pressure of illegal emigration to the U.S., and make the
      issue an even more serious source of friction in our political relations
      with Mexico.
           On our side, the Bureau of the Census estimates that as more and more
      Americans move to the Southwestern States the present 40,000,000
      population may approximate 61,000,000 by 1995. The domestic use of
      Colorado River water may again have increased the salinity level in Mexico
      and reopened that political issue.
           Amembassy Mexico City (Mexico 4953, June 14, 1974) summarized the
      influences of population factors on U.S. interests as follows:
        "An indefinite continuation of Mexico's high population growth rate
        would increasingly act as a brake on economic (and social) improvement.
        The consequences would be noted in various ways. Mexico could well take
        more radical positions in the international scene. Illegal migration to
        the U.S. would increase. In a country where unemployment and
        under-employment is already high, the entry of increasing numbers into
        the work force would only intensify the pressure to seek employment in
        the U.S. by whatever means. Yet another consequence would be increased
        demand for food imports from the U.S., especially if the rate of growth
        of agricultural production continues to lag behind the population growth
        rate. Finally, one cannot dismiss the spectre of future domestic
        instability as a long term consequence, should the economy, now strong,
        falter."
           UNCTAD, the Special UNGA, and the UN. The developing countries, after
      several years of unorganized maneuvering and erratic attacks have now
      formed tight groupings in the Special Committee for Latin American
      Coordination, the Organization of African States, and the Seventy-Seven.
      As illustrated in the Declaration of Santiago and the recent Special
      General Assembly, these groupings at times appear to reflect a common
      desire to launch economic attacks against the United States and, to a
      lesser degree, the European developed countries. A factor which is common
      to all of them, which retards their development, burdens their foreign
      exchange, subjects them to world prices for food, fertilizer, and
      necessities of life and pushes them into disadvantageous trade relations
      is their excessively rapid population growth. Until they are able to
      overcome this problem, it is likely that their manifestations of
      antagonism toward the United States in international bodies will increase.
      Global Factors
           In industrial nations, population growth increases demand for
      industrial output. This over time tends to deplete national raw materials
      resources and calls increasingly on sources of marginal profitability and
      foreign supplies. To obtain raw materials, industrial nations seek to
      locate and develop external sources of supply. The potential for
      collisions of interest among the developing countries is obvious and has
      already begun. It is visible and vexing in claims for territorial waters
      and national sovereignty over mineral resources. It may become intense in
      rivalries over exploring and exploiting the resources of the ocean floor.
           In developing countries, the burden of population factors, added to
      others, will weaken unstable governments, often only marginally effective
      in good times, and open the way for extremist regimes. Countries suffering
      under such burdens will be more susceptible to radicalization. Their
      vulnerability also might invite foreign intervention by stronger nations
      bent on acquiring political and economic advantage. The tensions within
      the Have-not nations are likely to intensify, and the conflicts between
      them and the Haves may escalate.
           Past experience gives little assistance to predicting the course of
      these developments because the speed of today's population growth,
      migrations, and urbanization far exceeds anything the world has seen
      before. Moreover, the consequences of such population factors can no
      longer be evaded by moving to new hunting or grazing lands, by conquering
      new territory, by discovering or colonizing new continents, or by
      emigration in large numbers.
           The world has ample warning that we all must make more rapid efforts
      at social and economic development to avoid or mitigate these gloomy
      prospects. We should be warned also that we all must move as rapidly as
      possible toward stabilizing national and world population growth.
      CHAPTER VI - WORLD POPULATION CONFERENCE
           From the standpoint of policy and program, the focal point of the
      World Population Conference (WPC) at Bucharest, Romania, in August 1974,
      was the World Population Plan of Action (WPPA). The U.S. had contributed
      many substantive points to the draft Plan. We had particularly emphasized
      the incorporation of population factors in national planning of developing
      countries' population programs for assuring the availability of means of
      family planning to persons of reproductive age, voluntary but specific
      goals for the reduction of population growth and time frames for action.
           As the WPPA reached the WPC it was organized as a demographic
      document. It also related population factors to family welfare, social and
      economic development, and fertility reduction. Population policies and
      programs were recognized as an essential element, but only one element of
      economic and social development programs. The sovereignty of nations in
      determining their own population policies and programs was repeatedly
      recognized. The general impression after five regional consultative
      meetings on the Plan was that it had general support.
           There was general consternation, therefore, when at the beginning of
      the conference the Plan was subjected to a slashing, five-pronged attack
      led by Algeria, with the backing of several African countries; Argentina,
      supported by Uruguay, Brazil, Peru and, more limitedly, some other Latin
      American countries; the Eastern European group (less Romania); the PRC and
      the Holy See. Although the attacks were not identical, they embraced three
      central elements relevant to U.S. policy and action in this field:
           1.Repeated references to the importance (or as some said, the
      pre-condition) of economic and social development for the reduction of
      high fertility. Led by Algeria and Argentina, many emphasized the "new
      international economic order" as central to economic and social
      development.
           2.Efforts to reduce the references to population programs, minimize
      their importance and delete all references to quantitative or time goals.
           3.Additional references to national sovereignty in setting population
      policies and programs.
      The Plan of Action
           Despite the initial attack and continuing efforts to change the
      conceptual basis of the world Population Plan of Action, the Conference
      adopted by acclamation (only the Holy See stating a general reservation) a
      complete World Population Plan of Action. It is less urgent in tone than
      the draft submitted by the U.N. Secretariat but in several ways more
      complete and with greater potential than that draft. The final action
      followed a vigorous debate with hotly contested positions and forty-seven
      votes. Nevertheless, there was general satisfaction among the participants
      at the success of their efforts.
      a. Principles and Aims
           The Plan of Action lays down several important principles, some for
      the first time in a U.N. document.
           1. Among the first-time statements is the assertion that the
      sovereign right of each nation to set its own population policies is "to
      be exercised ... taking into account universal solidarity in order to
      improve the quality of life of the peoples of the world." (Para 13) This
      new provision opens the way toward increasing responsibility by nations
      toward other nations in establishing their national population policies.
           2. The conceptual relationship between population and development is
      stated in Para 13(c):
        Population and development are interrelated: population variables
        influence development variables and are also influenced by them; the
        formulation of a World Population Plan of Action reflects the
        international community's awareness of the importance of population
        trends for socio-economic development, and the socio-economic nature of
        the recommendations contained in this Plan of Action reflects its
        awareness of the crucial role that development plays in affecting
        population trends.
           3. A basic right of couples and individuals is recognized by Para
      13(f), for the first time in a single declarative sentence:
        All couples and individuals have the basic human right to decide freely
        and responsibly the number and spacing of their children and to have the
        information, education and means to do so;
           4. Also for the first time, a U.N. document links the responsibility
      of child-bearers to the community [Para 13(f) continued]:
        The responsibility of couples and individuals in the exercise of this
        right takes into account the needs of their living and future children,
        and their responsibilities towards the community.
      It is now possible to build on this newly-stated principle as the right of
      couples first recognized in the Tehran Human Rights Declaration of 1968
      has been built on.
           5. A flat declaration of the right of women is included in Para
      13(h):
        Women have the right to complete integration in the development process
        particularly by means of an equal participation in educational, social,
        economic, cultural and political life. In addition, the necessary
        measures should be taken to facilitate this integration with family
        responsibilities which should be fully shared by both partners.
           6. The need for international action is accepted in Para 13(k):
        The growing interdependence of countries makes the adoption of measures
        at the international level increasingly important for the solution of
        problems of development and population problems.
           7. The "primary aim" of the Plan of Action is asserted to be "to
      expand and deepen the capacities of countries to deal effectively with
      their national and subnational population problems and to promote an
      appropriate international response to their needs by increasing
      international activity in research, the exchange of information, and the
      provision of assistance on request."
      b. Recommendations
           The Plan of Action includes recommendations for: population goals and
      policies; population growth; mortality and morbidity; reproduction; family
      formation and the status of women; population distribution and internal
      migration; international migration; population structure; socio-economic
      policies; data collection and analysis; research; development and
      evolution of population policies; the role of national governments and of
      international cooperation; and monitoring, review and appraisal.
           A score of these recommendations are the most important:
           1. Governments should integrate population measures and programs into
      comprehensive social and economic plans and programs and their integration
      should be reflected in the goals, instrumentalities and organizations for
      planning within the countries. A unit dealing with population aspects
      should be created and placed at a high level of the national
      administrative structure. (Para 94)
           2. Countries which consider their population growth hampers
      attainment of their goals should consider adopting population policies --
      through a low level of birth and death rates. (Para 17, 18)
           3. Highest priority should be given to reduction in mortality and
      morbidity and increase of life expectancy and programs for this purpose
      should reach rural areas and underprivileged groups. (Para 20-25)
           4. Countries are urged to encourage appropriate education concerning
      responsible parenthood and make available to persons who so desire advice
      and means of achieving it. [Para 29(b)]
           5. Family planning and related services should aim at prevention of
      unwanted pregnancies and also at elimination of involuntary sterility or
      subfecundity to enable couples to achieve their desired number of
      children. [Para 29 (c)]
           6. Adequately trained auxiliary personnel, social workers and
      non-government channels should be used to help provide family planning
      services. [Para 29(e)]
           7. Governments with family planning programs should consider
      coordinating them with health and other services designed to raise the
      quality of life.
           8. Countries wishing to affect fertility levels should give priority
      to development programs and health and education strategies which have a
      decisive effect upon demographic trends, including fertility. [Para 31]
      International cooperation should give priority to assisting such national
      efforts. Such programs may include reduction in infant and child
      mortality, increased education, particularly for females, improvement in
      the status of women, land reform and support in old age. [Para 32]
           9. Countries which consider their birth rates detrimental to their
      national purposes are invited to set quantitative goals and implement
      policies to achieve them by 1985. [Para 37]
           10. Developed countries are urged to develop appropriate policies in
      population, consumption and investment, bearing in mind the need for
      fundamental improvement in international equity.
           11. Because the family is the basic unit of society, governments
      should assist families as far as possible through legislation and
      services. [Para 39]
           12. Governments should ensure full participation of women in the
      educational, economic, social and political life of their countries on an
      equal basis with men. [Para 40] (A new provision, added at Bucharest.)
           13. A series of recommendations are made to stabilize migration
      within countries, particularly policies to reduce the undesirable
      consequences of excessively rapid urbanization and to develop
      opportunities in rural areas and small towns, recognizing the right of
      individuals to move freely within their national boundaries. [Para 44-50]
           14. Agreements should be concluded to regulate the international
      migration of workers and to assure non-discriminatory treatment and social
      services for these workers and their families; also other measures to
      decrease the brain drain from developing countries. [Para 51-62]
           15. To assure needed information concerning population trends,
      population censuses should be taken at regular intervals and information
      concerning births and deaths be made available at least annually. [Para
      72-77]
           16. Research should be intensified to develop knowledge concerning
      the social, economic and political interrelationships with population
      trends; effective means of reducing infant and childhood mortality;
      methods for integrating population goals into national plans, means of
      improving the motivation of people, analysis of population policies in
      relation to socio-economic development, laws and institution; methods of
      fertility regulation to meet the varied requirement of individuals and
      communities, including methods requiring no medical supervision; the
      interrelations of health, nutrition and reproductive biology; and
      utilization of social services, including family planning services. [Para
      78-80]
           17. Training of management on population dynamics and administration,
      on an interdisciplinary basis, should be provided for medical,
      paramedical, traditional health personnel, program administrators, senior
      government officials, labor, community and social leaders. Education and
      information programs should be undertaken to bring population information
      to all areas of countries. [Paras 81-92]
           18. An important role of governments is to determine and assess the
      population problems and needs of their countries in the light of their
      political, social, cultural, religious and economic conditions; such an
      undertaking should be carried out systematically and periodically so as to
      provide informed, rational and dynamic decision-making in matters of
      population and development. [Para 97]
           20. The Plan of Action should be closely coordinated with the
      International Development Strategy for the Second United Nations
      Development Decade, reviewed in depth at five year intervals, and modified
      as appropriate. [Paras 106-108]
           The Plan of Action hedges in presenting specific statements of
      quantitative goals or a time frame for the reduction of fertility. These
      concepts are included, however, in the combination of Paras 16 and 36,
      together with goals [Para 37] and the review [Para 106]. Para 16 states
      that, according to the U.N low variant projections, it is estimated that
      as a result of social and economic development and population policies as
      reported by countries in the Second United Nations Inquiry on Population
      and Development, population growth rates in the developing countries as a
      whole may decline from the present level of 2.4% per annum to about 2% by
      1985; and below 0.7% per annum in the developed countries. In this case
      the worldwide rate of population growth would decline from 2% to about
      1.7%. Para 36 says that these projections and those for mortality decline
      are consistent with declines in the birth rate of the developing countries
      as a whole from the present level of 38 per thousand to 30 per thousand by
      1985. Para 36 goes on to say that "To achieve by 1985 these levels of
      fertility would require substantial national efforts, by those countries
      concerned, in the field of socio-economic development and population
      policies, supported, upon request, by adequate international assistance."
      Para 37 then follows with the statement that countries which consider
      their birth rates detrimental to their national purposes are invited to
      consider setting quantitative goals and implementing policies that may
      lead to the attainment of such goals by 1985. Para 106 recommends a
      comprehensive review and appraisal of population trends and policies
      discussed in the Plan of Action should be undertaken every five years and
      modified, wherever needed, by ECOSOC.
      Usefulness of the Plan of Action
           The World Population Plan of Action, despite its wordiness and often
      hesitant tone, contains all the necessary provisions for effective
      population growth control programs at national and international levels.
      It lacks only plain statements of quantitative goals with time frames for
      their accomplishment. These will have to be added by individual national
      action and development as rapidly as possible in further U.N. documents.
      The basis for suitable goals exists in paragraphs 16, 36, 37, and 106,
      referred to above. The U.N. low variant projection used in these
      paragraphs is close to the goals proposed by the United States and other
      ECAFE nations:
        For developed countries -
        replacement levels of fertility by 1985;
        stationary populations as soon as practicable.
        For developing countries -
        replacement levels in two or three decades.
        For the world -
        a 1.7% population growth rate by 1985 with 2% average for the developing
        countries and 0.7% average for developed countries;
        replacement level of fertility for all countries by 2000.
           The dangerous situation evidenced by the current food situation and
      projections for the future make it essential to press for the realization
      of these goals. The beliefs, ideologies and misconceptions displayed by
      many nations at Bucharest indicate more forcefully than ever the need for
      extensive education of the leaders of many governments, especially in
      Africa and some in Latin America. Approaches leaders of individual
      countries must be designed in the light of their current beliefs and to
      meet their special concerns. These might include:
           1. Projections of population growth individualized for countries and
      with analyses of relations of population factors to social and economic
      development of each country.
           2. Familiarization programs at U.N. Headquarters in New York for
      ministers of governments, senior policy level officials and comparably
      influential leaders from private life.
           3. Greatly increased training programs for senior officials in the
      elements of demographic economics.
           4. Assistance in integrating population factors in national plans,
      particularly as they relate to health services, education, agricultural
      resources and development, employment, equitable distribution of income
      and social stability.
           5. Assistance in relating population policies and family planning
      programs to major sectors of development: health, nutrition, agriculture,
      education, social services, organized labor, women's activities, community
      development.
           6. Initiatives to implement the Percy amendment regarding improvement
      in the status of women.
           7. Emphasis in assistance and development programs on development of
      rural areas.
           All these activities and others particularly productive are
      consistent with the Plan of Action and may be based upon it.
           Beyond these activities, essentially directed at national interests,
      a broader educational concept is needed to convey an acute understanding
      of the interrelation of national interests and world population growth.









      P A R T    T W O
      Policy Recommendations



      I. Introduction - A U.S. Global Population Strategy
           There is no simple single approach to the population problem which
      will provide a "technological fix." As the previous analysis makes clear
      the problem of population growth has social, economic and technological
      aspects all of which must be understood and dealt with for a world
      population policy to succeed. With this in mind, the following broad
      recommended strategy provides a framework for the development of specific
      individual programs which must be tailored to the needs and
      particularities of each country and of different sectors of the population
      within a country. Essentially all its recommendations made below are
      supported by the World Population Plan of action drafted at the World
      Population Conference.
      A. Basic Global Strategy
           The following basic elements are necessary parts of a comprehensive
      approach to the population problem which must include both bilateral and
      multilateral components to achieve success. Thus, USG population
      assistance programs will need to be coordinated with those of the major
      multilateral institutions, voluntary organizations, and other bilateral
      donors.
           The common strategy for dealing with rapid population growth should
      encourage constructive actions to lower fertility since population growth
      over the years will seriously negate reasonable prospects for the sound
      social and economic development of the peoples involved.
           While the time horizon in this NSSM is the year 2000 we must
      recognize that in most countries, especially the LDCs, population
      stability cannot be achieved until the next century. There are too many
      powerful socio-economic factors operating on family size decisions and too
      much momentum built into the dynamics of population growth to permit a
      quick and dramatic reversal of current trends. There is also even less
      cause for optimism on the rapidity of socio-economic progress that would
      generate rapid fertility reduction in the poor LDCs than on the
      feasibility of extending family planning services to those in their
      populations who may wish to take advantage of them. Thus, at this point we
      cannot know with certainty when world population can feasibly be
      stabilized, nor can we state with assurance the limits of the world's
      ecological "carrying capability". But we can be certain of the desirable
      direction of change and can state as a plausible objective the target of
      achieving replacement fertility rates by the year 2000.
           Over the past few years, U.S. government-funded population programs
      have played a major role in arousing interest in family planning in many
      countries, and in launching and accelerating the growth of national family
      planning programs. In most countries, there has been an initial rapid
      growth in contraceptive "acceptors" up to perhaps 10% of fertile couples
      in a few LDCs. The acceleration of previous trends of fertility decline is
      attributable, at least in part, to family planning programs.
           However, there is growing appreciation that the problem is more long
      term and complex than first appeared and that a short term burst of
      activity or moral fervor will not solve it. The danger in this realization
      is that the U.S. might abandon its commitment to assisting in the world's
      population problem, rather than facing up to it for the long-run difficult
      problem that it is.
           From year to year we are learning more about what kind of fertility
      reduction is feasible in differing LDC situations. Given the laws of
      compound growth, even comparatively small reductions in fertility over the
      next decade will make a significant difference in total numbers by the
      year 2000, and a far more significant one by the year 2050.
           The proposed strategy calls for a coordinated approach to respond to
      the important U.S. foreign policy interest in the influence of population
      growth on the world's political, economic and ecological systems. What is
      unusual about population is that this foreign policy interest must have a
      time horizon far beyond that of most other objectives. While there are
      strong short-run reasons for population programs, because of such factors
      as food supply, pressures on social service budgets, urban migration and
      social and political instability, the major impact of the benefits - or
      avoidance of catastrophe - that could be accomplished by a strengthened
      U.S. commitment in the population area will be felt less by those of us in
      the U.S. and other countries today than by our children and grandchildren.

      B. Ppriorities in U.S. and Multilateral Population Assistance
           One issue in any global population strategy is the degree of emphasis
      in allocation of program resources among countries. The options available
      range from heavy concentration on a few vital large countries to a
      geographically diverse program essentially involving all countries willing
      to accept such assistance. All agencies believe the following policy
      provides the proper overall balance.
           In order to assist the development of major countries and to maximize
      progress toward population stability, primary emphasis would be placed on
      the largest and fastest growing developing countries where the imbalance
      between growing numbers and development potential most seriously risks
      instability, unrest, and international tensions. These countries are:
      India, Bangladesh, Pakistan, Nigeria, Mexico, Indonesia, Brazil, The
      Philippines, Thailand, Egypt, Turkey, Ethiopia, and Colombia. Out of a
      total 73.3 million worldwide average increase in population from 1970-75
      these countries contributed 34.3 million or 47%. This group of priority
      countries includes some with virtually no government interest in family
      planning and others with active government family planning programs which
      require and would welcome enlarged technical and financial assistance.
      These countries should be given the highest priority within AID's
      population program in terms of resource allocations and/or leadership
      efforts to encourage action by other donors and organizations.
           However, other countries would not be ignored. AID would provide
      population assistance and/or undertake leadership efforts with respect to
      other, lower priority countries to the extent that the availability of
      funds and staff permits, taking into account of such factors as : long run
      U.S. political interests; impact of rapid population growth on its
      development potential; the country's relative contribution to world
      population growth; its financial capacity to cope with the problem;
      potential impact on domestic unrest and international frictions (which can
      apply to small as well as large countries); its significance as a test or
      demonstration case; and opportunities for expenditures that appear
      particularly cost-effective (e.g. it has been suggested that there may be
      particularly cost-effective opportunities for supporting family planning
      to reduce the lag between mortality and fertility declines in countries
      where death rates are still declining rapidly); national commitment to an
      effective program.
           For both the high priority countries and the lower priority ones to
      which funds and staff permit aid, the form and content of our assistance
      or leadership efforts would vary from country to country, depending on
      each nation's particular interests, needs, and receptivity to various
      forms of assistance. For example, if these countries are receptive to U.S.
      assistance through bilateral or central AID funding, we should provide
      such assistance at levels commensurate with the recipient's capability to
      finance needed actions with its own funds, the contributions of other
      donors and organizations, and the effectiveness with which funds can be
      used.
           In countries where U.S. assistance is limited either by the nature of
      political or diplomatic relations with those countries or by lack of
      strong government desire. In population reduction programs, external
      technical and financial assistance (if desired by the countries) would
      have to come from other donors and/or from private and international
      organizations, many of which receive contributions from AID. The USG
      would, however, maintain an interest (e.g. through Embassies) in such
      countries' population problems and programs (if any) to reduce population
      growth rates. Moreover, particularly in the case of high priority
      countries, we should be alert to opportunities for expanding our
      assistance efforts and for demonstrating to their leaders the consequences
      of rapid population growth and the benefits of actions to reduce
      fertility.
           In countries to which other forms of U.S. assistance are provided but
      not population assistance, AID will monitor progress toward achievement of
      development objectives, taking into account the extent to which these are
      hindered by rapid population growth, and will look for opportunities to
      encourage initiation of or improvement in population policies and
      programs.
           In addition, the U.S. strategy should support in these LDC countries
      general activities (e.g. bio-medical research or fertility control
      methods) capable of achieving major breakthroughs in key problems which
      hinder reductions in population growth.
      C. Instruments and Modalities for Population Assistance
           Bilateral population assistance is the largest and most invisible
      "instrument" for carrying out U.S. policy in this area. Other instruments
      include: support for and coordination with population programs of
      multilateral organizations and voluntary agencies; encouragement of
      multilateral country consortia and consultative groups to emphasize family
      planning in reviews of overall recipient progress and aid requests; and
      formal and informal presentation of views at international gatherings,
      such as food and population conferences. Specific country strategies must
      be worked out for each of the highest priority countries, and for the
      lower priority ones. These strategies will take account of such factors
      as: national attitudes and sensitivities on family planning; which
      "instruments" will be most acceptable, opportunities for effective use of
      assistance; and need of external capital or operating assistance.
           For example, in Mexico our strategy would focus on working primarily
      through private agencies and multilateral organizations to encourage more
      government attention to the need for control of population growth; in
      Bangladesh we might provide large-scale technical and financial
      assistance, depending on the soundness of specific program requests; in
      Indonesia we would respond to assistance requests but would seek to have
      Indonesia meet as much of program costs from its own resources (i.e.
      surplus oil earnings) as possible. In general we would not provide
      large-scale bilateral assistance in the more developed LDCs, such as
      Brazil or Mexico. Although these countries are in the top priority list
      our approach must take account of the fact that their problems relate
      often to government policies and decisions and not to larger scale need
      for concessional assistance.
           Within the overall array of U.S. foreign assistance programs,
      preferential treatment in allocation of funds and manpower should be given
      to cost-effective programs to reduce population growth; including both
      family planning activities and supportive activities in other sectors.
           While some have argued for use of explicit "leverage" to "force"
      better population programs on LDC governments, there are several practical
      constraints on our efforts to achieve program improvements. Attempts to
      use "leverage" for far less sensitive issues have generally caused
      political frictions and often backfired. Successful family planning
      requires strong local dedication and commitment that cannot over the long
      run be enforced from the outside. There is also the danger that some LDC
      leaders will see developed country pressures for family planning as a form
      of economic or racial imperialism; this could well create a serious
      backlash.
           Short of "leverage", there are many opportunities, bilaterally and
      multilaterally, for U.S. representations to discuss and urge the need for
      stronger family planning programs. There is also some established
      precedent for taking account of family planning performance in appraisal
      of assistance requirements by AID and consultative groups. Since
      population growth is a major determinant of increases in food demand,
      allocation of scarce PL 480 resources should take account of what steps a
      country is taking in population control as well as food production. In
      these sensitive relationships, however, it is important in style as well
      as substance to avoid the appearance of coercion.
      D. Provision and Development of Family Planning Services, Information and
      Technology
           Past experience suggests that easily available family planning
      services are a vital and effective element in reducing fertility rates in
      the LDCs.
           Two main advances are required for providing safe and effective
      fertility control techniques in the developing countries:
           1. Expansion and further development of efficient low-cost systems to
      assure the full availability of existing family planning services,
      materials and information to the 85% of LDC populations not now
      effectively reached. In developing countries willing to create special
      delivery systems for family planning services this may be the most
      effective method. In others the most efficient and acceptable method is to
      combine family planning with health or nutrition in multi-purpose delivery
      systems.
           2. Improving the effectiveness of present means of fertility control,
      and developing new technologies which are simple, low cost, effective,
      safe, long-lasting and acceptable to potential users. This involves both
      basic developmental research and operations research to judge the utility
      of new or modified approaches under LDC conditions.
           Both of these goals should be given very high priority with necessary
      additional funding consistent with current or adjusted divisions of labor
      among other donors and organizations involved in these areas of population
      assistance.
      E. Creating Conditions Conducive to Fertility Decline
           It is clear that the availability of contraceptive services and
      information is not a complete answer to the population problem. In view of
      the importance of socio-economic factors in determining desired family
      size, overall assistance strategy should increasingly concentrate on
      selective policies which will contribute to population decline as well as
      other goals. This strategy reflects the complementarity between population
      control and other U.S. development objectives, particularly those relating
      to AID's Congressional mandate to focus on problems of the "poor majority"
      in LDC's.
           We know that certain kinds of development policies -- e.g., those
      which provide the poor with a major share in development benefits -- both
      promote fertility reductions and accomplish other major development
      objectives. There are other policies which appear to also promote
      fertility reduction but which may conflict with non-population objectives
      (e.g., consider the effect of bringing a large number of women into the
      labor force in countries and occupations where unemployment is already
      high and rising).
           However, AID knows only approximately the relative priorities among
      the factors that affect fertility and is even further away from knowing
      what specific cost-effective steps governments can take to affect these
      factors.
           Nevertheless, with what limited information we have, the urgency of
      moving forward toward lower fertility rates, even without complete
      knowledge of the socio-economic forces involved, suggests a three-pronged
      strategy:
           1. High priority to large-scale implementation of programs affecting
      the determinants of fertility in those cases where there is probable
      cost-effectiveness, taking account of potential impact on population
      growth rates; other development benefits to be gained; ethical
      considerations; feasibility in light of LDC bureaucratic and political
      concerns and problems; and timeframe for accomplishing objectives.
           2. High priority to experimentation and pilot projects in areas where
      there is evidence of a close relationship to fertility reduction but where
      there are serious questions about cost-effectiveness relating either to
      other development impact (e.g., the female employment example cited above)
      or to program design (e.g., what cost-effective steps can be taken to
      promote female employment or literacy).
           3. High priority to comparative research and evaluation on the
      relative impact on desired family size of the socio-economic determinants
      of fertility in general and on what policy scope exists for affecting
      these determinants.
           In all three cases emphasis should be given to moving action as much
      as possible to LDC institutions and individuals rather than to involving
      U.S. researchers on a large scale.
           Activities in all three categories would receive very high priority
      in allocation of AID funds. The largest amounts required should be in the
      first category and would generally not come from population funds.
      However, since such activities (e.g., in rural development and basic
      education) coincide with other AID sectoral priorities, sound project
      requests from LDC's will be placed close to the top in AID's funding
      priorities (assuming that they do not conflict with other major
      development and other foreign policy objectives).
           The following areas appear to contain significant promise in
      effecting fertility declines, and are discussed in subsequent sections.
        providing minimal levels of education especially for women;
        reducing infant and child mortality;
        expanding opportunities for wage employment especially for women;
        developing alternatives to "social security" support provided by
        children to aging parents;
        pursuing development strategies that skew income growth toward the poor,
        especially rural development focusing on rural poverty;
        concentrating on the education and indoctrination of the rising
        generation of children regarding the desirability of smaller family
        size.
           The World Population Plan of Action includes a provision (paragraph
      31) that countries trying for effective fertility levels should give
      priority to development programs and health and education strategies which
      have a decisive effect upon demographic trends, including fertility. It
      calls for international information to give priority to assisting such
      national efforts. Programs suggested (paragraph 32) are essentially the
      same as those listed above.
           Food is another of special concern in any population strategy.
      Adequate food stocks need to be created to provide for periods of severe
      shortages and LDC food production efforts must be reenforced to meet
      increased demand resulting from population and income growth. U.S.
      agricultural production goals should take account of the normal import
      requirements of LDC's (as well as developed countries) and of likely
      occasional crop failures in major parts of the LDC world. Without improved
      food security, there will be pressure leading to possible conflict and the
      desire for large families for "insurance" purposes, thus undermining other
      development and population control efforts.
      F. Development of World-Wide Political and Popular Commitment to
      Population Stabilization and Its Associated Improvement of Individual
      Quality of Life.
           A fundamental element in any overall strategy to deal with the
      population problem is obtaining the support and commitment of key leaders
      in the developing countries. This is only possible if they can clearly see
      the negative impact of unrestricted population growth in their countries
      and the benefits of reducing birth rates - and if they believe it is
      possible to cope with the population problem through instruments of public
      policy. Since most high officials are in office for relatively short
      periods, they have to see early benefits or the value of longer term
      statesmanship. In each specific case, individual leaders will have to
      approach their population problems within the context of their country's
      values, resources, and existing priorities.
           Therefore, it is vital that leaders of major LDCs themselves take the
      lead in advancing family planning and population stabilization, not only
      within the U.N. and other international organizations but also through
      bilateral contacts with leaders of other LDCs. Reducing population growth
      in LDCs should not be advocated exclusively by the developed countries.
      The U.S. should encourage such a role as opportunities appear in its high
      level contact with LDC leaders.
           The most recent forum for such an effort was the August 1974 U.N.
      World Population Conference. It was an ideal context to focus concerted
      world attention on the problem. The debate views and highlights of the
      World Population Plan of action are reviewed in Chapter VI.
           The U.S. strengthened its credibility as an advocate of lower
      population growth rates by explaining that, while it did not have a single
      written action population policy, it did have legislation, Executive
      Branch policies and court decisions that amounted to a national policy and
      that our national fertility level was already below replacement and seemed
      likely to attain a stable population by 2000.
           The U.S. also proposed to join with other developed countries in an
      international collaborative effort of research in human reproduction and
      fertility control covering bio-medical and socio-economic factors.
           The U.S. further offered to collaborate with other interested donor
      countries and organizations (e.g., WHO, UNFPA, World Bank, UNICEF) to
      encourage further action by LDC governments and other institutions to
      provide low-cost, basic preventive health services, including maternal and
      child health and family planning services, reaching out into the remote
      rural areas.
           The U.S. delegation also said the U.S. would request from the
      Congress increased U.S. bilateral assistance to population-family planning
      programs, and additional amounts for essential functional activities and
      our contribution to the UNFPA if countries showed an interest in such
      assistance.
           Each of these commitments is important and should be pursued by the
      U.S. Government.
           It is vital that the effort to develop and strengthen a commitment on
      the part of the LDC leaders not be seen by them as an industrialized
      country policy to keep their strength down or to reserve resources for use
      by the "rich" countries. Development of such a perception could create a
      serious backlash adverse to the cause of population stability. Thus the
      U.S. and other "rich" countries should take care that policies they
      advocate for the LDC's would be acceptable within their own countries.
      (This may require public debate and affirmation of our intended policies.)
      The "political" leadership role in developing countries should, of course,
      be taken whenever possible by their own leaders.
           The U.S. can help to minimize charges of an imperialist motivation
      behind its support of population activities by repeatedly asserting that
      such support derives from a concern with:
        (a) the right of the individual couple to determine freely and
        responsibly their number and spacing of children and to have
        information, education, and 1means to do so; and
        (b) the fundamental social and economic development of poor countries in
        which rapid population growth is both a contributing cause and a
        consequence of widespread poverty.
      Furthermore, the U.S. should also take steps to convey the message that
      the control of world population growth is in the mutual interest of the
      developed and developing countries alike.
           Family planning programs should be supported by multilateral
      organizations wherever they can provide the most efficient and acceptable
      means. Where U.S. bilateral assistance is necessary or preferred, it
      should be provided in collaboration with host country institutions -- as
      is the case now. Credit should go to local leaders for the success of
      projects. The success and acceptability of family planning assistance will
      depend in large measure on the degree to which it contributes to the
      ability of the host government to serve and obtain the support of its
      people.
           In many countries today, decision-makers are wary of instituting
      population programs, not because they are unconcerned about rapid
      population growth, but because they lack confidence that such programs
      will succeed. By actively working to demonstrate to such leaders that
      national population and family planning programs have achieved progress in
      a wide variety of poor countries, the U.S. could help persuade the leaders
      of many countries that the investment of funds in national family planning
      programs is likely to yield high returns even in the short and medium
      term. Several examples of success exist already, although regrettably they
      tend to come from LDCs that are untypically well off in terms of income
      growth and/or social services or are islands or city states.
           We should also appeal to potential leaders among the younger
      generations in developing countries, focusing on the implications of
      continued rapid population growth for their countries in the next 10-20
      years, when they may assume national leadership roles.
           Beyond seeking to reach and influence national leaders, improved
      world-wide support for population-related efforts should be sought through
      increased emphasis on mass media and other population education and
      motivation programs by the U.N., USIA, and USAID. We should give higher
      priorities in our information programs world-wide for this area and
      consider expansion of collaborative arrangements with multilateral
      institutions in population education programs.
           Another challenge will be in obtaining the further understanding and
      support of the U.S. public and Congress for the necessary added funds for
      such an effort, given the competing demands for resources. If an effective
      program is to be mounted by the U.S., we will need to contribute
      significant new amounts of funds. Thus there is need to reinforce the
      positive attitudes of those in Congress who presently support U.S.
      activity in the population field and to enlist their support in persuading
      others. Public debate is needed now.
           Personal approaches by the President, the Secretary of State, other
      members of the Cabinet, and their principal deputies would be helpful in
      this effort. Congress and the public must be clearly informed that the
      Executive Branch is seriously worried about the problem and that it
      deserves their further attention. Congressional representatives at the
      World Population Conference can help.
      An Alternative View
           The above basic strategy assumes that the current forms of assistance
      programs in both population and economic and social development areas will
      be able to solve the problem. There is however, another view, which is
      shared by a growing number of experts. It believes that the outlook is
      much harsher and far less tractable than commonly perceived. This holds
      that the severity of the population problem in this century which is
      already claiming the lives of more than 10 million people yearly, is such
      as to make likely continued widespread food shortage and other demographic
      catastrophes, and, in the words of C.P. Snow, we shall be watching people
      starve on television.
           The conclusion of this view is that mandatory programs may be needed
      and that we should be considering these possibilities now.
           This school of thought believes the following types of questions need
      to be addressed:
        Should the U.S. make an all out commitment to major limitation of world
        population with all the financial and international as well as domestic
        political costs that would entail?
        Should the U.S. set even higher agricultural production goals which
        would enable it to provide additional major food resources to other
        countries? Should they be nationally or internationally controlled?
        On what basis should such food resources then be provided? Would food be
        considered an instrument of national power? Will we be forced to make
        choices as to whom we can reasonably assist, and if so, should
        population efforts be a criterion for such assistance?
        Is the U.S. prepared to accept food rationing to help people who
        can't/won't control their population growth?
        Should the U.S. seek to change its own food consumption patterns toward
        more efficient uses of protein?
        Are mandatory population control measures appropriate for the U.S.
        and/or for others?
        Should the U.S. initiate a major research effort to address the growing
        problems of fresh water supply, ecological damage, and adverse climate?
           While definitive answers to those questions are not possible in this
      study given its time limitations and its implications for domestic policy,
      nevertheless they are needed if one accepts the drastic and persistent
      character of the population growth problem. Should the choice be made that
      the recommendations and the options given below are not adequate to meet
      this problem, consideration should be given to a further study and
      additional action in this field as outlined above.
      Conclusion
           The overall strategy above provides a general approach through which
      the difficulties and dangers of population growth and related problems can
      be approached in a balanced and comprehensive basis. No single effort will
      do the job. Only a concerted and major effort in a number of carefully
      selected directions can provide the hope of success in reducing population
      growth and its unwanted dangers to world economic will-being and political
      stability. There are no "quick-fixes" in this field.
           Below are specific program recommendations which are designed to
      implement this strategy. Some will require few new resources; many call
      for major efforts and significant new resources. We cannot simply buy
      population growth moderation for nearly 4 billion people "on the cheap."
      II. Action to Create Conditions for Fertility Decline: Population and a
      Development Assistance Strategy
      II. A. General Strategy and Resource Allocations for AID Assistance
      Discussion:
      1. Past Program Actions
           Since inception of the program in 1965, AID has obligated nearly $625
      million for population activities. These funds have been used primarily to
      (1) draw attention to the population problem, (2) encourage multilateral
      and other donor support for the worldwide population effort, and (3) help
      create and maintain the means for attacking the problem, including the
      development of LDC capabilities to do so.
           In pursuing these objectives, AID's population resources were
      focussed on areas of need where action was feasible and likely to be
      effective. AID has provided assistance to population programs in some 70
      LDCs, on a bilateral basis and/or indirectly through private organizations
      and other channels. AID currently provides bilateral assistance to 36 of
      these countries. State and AID played an important role in establishing
      the United Nations Fund for Population Activities (UNFPA) to spearhead
      multilateral effort in population as a complement to the bilateral actions
      of AID and other donor countries. Since the Fund's establishment, AID has
      been the largest single contributor. Moreover, with assistance from AID a
      number of private family planning organizations (e.g., Pathfinder Fund,
      International Planned Parenthood Foundation, Population Council) have
      significantly expanded their worldwide population programs. Such
      organizations are still the main supporters of family planning action in
      many developing countries.
           AID actions have been a major catalyst in stimulating the flow of
      funds into LDC population programs - from almost nothing ten years ago,
      the amounts being spent from all sources in 1974 for programs in the
      developing countries of Africa, Latin America, and Asia (excluding China)
      will total between $400 and $500 million. About half of this will be
      contributed by the developed countries bilaterally or through multilateral
      agencies, and the balance will come from the budgets of the developing
      countries themselves. AID's contribution is about one-quarter of the total
      - AID obligated $112.4 million for population programs in FY 1974 and
      plans for FY 1975 program of $137.5 million.
           While world resources for population activities will continue to
      grow, they are unlikely to expand as rapidly as needed. (One rough
      estimate is that five times the current amount, or about $2.5 billion in
      constant dollars, will be required annually by 1985 to provide the 2.5
      billion people in the developing world, excluding China, with full-scale
      family planning programs). In view of these limited resources AID's
      efforts (in both fiscal and manpower terms) and through its leadership the
      efforts of others, must be focussed to the extent possible on high
      priority needs in countries where the population problem is the most
      acute. Accordingly, AID last year began a process of developing geographic
      and functional program priorities for use in allocating funds and staff,
      and in arranging and adjusting divisions of labor with other donors and
      organizations active in the worldwide population effort. Although this
      study has not yet been completed, a general outline of a U.S. population
      assistance strategy can be developed from the results of the priorities
      studied to date. The geographic and functional parameters of the strategy
      are discussed under 2. and 3. below. The implications for population
      resource allocations are presented under 4.
      2. Geographic Priorities in U.S. Population Assistance
           The U.S. strategy should be to encourage and support, through
      bilateral, multilateral and other channels, constructive actions to lower
      fertility rates in selected developing countries. Within this overall
      strategy and in view of funding and manpower limitations, the U.S. should
      emphasize assistance to those countries where the population problem is
      the most serious.
           There are three major factors to consider in judging the seriousness
      of the problem:
        The first is the country's contribution to the world's population
        problem, which is determined by the size of its population, its
        population growth rate, and its progress in the "demographic transition"
        from high birth and high death rates to low ones.
        The second is the extent to which population growth impinges on the
        country's economic development and its financial capacity to cope with
        its population problem.
        The third factor is the extent to which an imbalance between growing
        numbers of people and a country's capability to handle the problem could
        lead to serious instability, international tensions, or conflicts.
        Although many countries may experience adverse consequences from such
        imbalances, the troublemaking regional or international conditions might
        not be as serious in some places as they are in others.
           Based on the first two criteria, AID has developed a preliminary rank
      ordering of nearly 100 developing countries which, after review and
      refinement, will be used as a guide in AID's own funding and manpower
      resource allocations and in encouraging action through AID leadership
      efforts on the part of other population assistance instrumentalities.
      Applying these three criteria to this rank ordering, there are 13
      countries where we currently judge the problem and risks to be the most
      serious. They are: Bangladesh, India, Pakistan, Indonesia, Philippines,
      Thailand, Egypt, Turkey, Ethiopia, Nigeria, Brazil, Mexico, and Colombia.
      Out of a total 67 million worldwide increase in population in 1972 these
      countries contributed about 45%. These countries range from those with
      virtually no government interest in family planning to those with active
      government family planning programs which require and would welcome
      enlarged technical and financial assistance.
           These countries should be given the highest priority within AID's
      population program in terms of resource allocations and/or leadership
      efforts to encourage action by other donors and organizations. The form
      and content of our assistance or leadership efforts would vary from
      country-to-country (as discussed in 3. below), depending on each country's
      needs, its receptivity to various forms of assistance, its capability to
      finance needed actions, the effectiveness with which funds can be used,
      and current or adjusted divisions of labor among the other donors and
      organizations providing population assistance to the country. AID's
      population actions would also need to be consistent with the overall U.S.
      development policy toward each country.
           While the countries cited above would be given highest priority,
      other countries would not be ignored. AID would provide population
      assistance and/or undertake leadership efforts with respect to other
      countries to the extent that the availability of funds and staff permits,
      taking account of such factors as: a country's placement in AID's priority
      listing of LDCs; its potential impact on domestic unrest and international
      frictions (which can apply to small as well as large countries); its
      significance as a test or demonstration case; and opportunities for
      expenditures that appear particularly cost-effective (e.g. its has been
      suggested that there may be particularly cost-effective opportunities for
      supporting family planning to reduce the lag between mortality and
      fertility declines in countries where death rates are still declining
      rapidly).
      3. Mode and Content of U.S. Population Assistance
           In moving from geographic emphases to strategies for the mode and
      functional content of population assistance to both the higher and lower
      priority countries which are to be assisted, various factors need to be
      considered: (1) the extent of a country's understanding of its population
      problem and interest in responding to it; (2) the specific actions needed
      to cope with the problem; (3) the country's need for external financial
      assistance to deal with the problem; and (4) its receptivity to various
      forms of assistance.
           Some of the countries in the high priority group cited above (e.g.
      Bangladesh, Pakistan, Indonesia, Philippines, Thailand) and some lower
      priority countries have recognized that rapid population growth is a
      problem, are taking actions of their own to deal with it, and are
      receptive to assistance from the U.S. (through bilateral or central AID
      funding) and other donors, as well as to multilateral support for their
      efforts. In these cases AID should continue to provide such assistance
      based on each country's functional needs, the effectiveness with which
      funds can be used in these areas, and current or adjusted divisions of
      labor among other donors and organizations providing assistance to the
      country. Furthermore, our assistance strategies for these countries should
      consider their capabilities to finance needed population actions.
      Countries which have relatively large surpluses of export earning and
      foreign exchange reserves are unlikely to require large-scale external
      financial assistance and should be encouraged to finance their own
      commodity imports as well as local costs. In such cases our strategy
      should be to concentrate on needed technical assistance and on attempting
      to play a catalytic role in encouraging better programs and additional
      host country financing for dealing with the population problem.
           In other high and lower priority countries U.S. assistance is limited
      either by the nature of political or diplomatic relations with those
      countries (e.g. India, Egypt), or by the lack of strong government
      interest in population reduction programs (e.g. Nigeria, Ethiopia, Mexico,
      Brazil). In such cases, external technical and financial assistance, if
      desired by the countries, would have to come from other donors and/or from
      private and international organizations (many of which receive
      contributions from AID). The USG would, however, maintain an interest
      (e.g. through Embassies) in such countries' population problems and
      programs (if any) to reduce population growth rates. Moreover,
      particularly in the case of high priority countries to which U.S.
      population assistance is now limited for one reason or another, we should
      be alert to opportunities for expanding our assistance efforts and for
      demonstrating to their leaders the consequences of rapid population growth
      and the benefits of actions to reduce fertility.
           In countries to which other forms of U.S. assistance are provided but
      not population assistance, AID will monitor progress toward achievement of
      development objectives, taking into account the extent to which these are
      hindered by rapid population growth, and will look for opportunities to
      encourage initiation of or improvement in population policies and
      programs.
           In addition, the U.S. strategy should support general activities
      capable of achieving major breakthroughs in key problems which hinder
      attainment of fertility control objectives. For example, the development
      of more effective, simpler contraceptive methods through bio-medical
      research will benefit all countries which face the problem of rapid
      population growth; improvements in methods for measuring demographic
      changes will assist a number of LDCs in determining current population
      growth rates and evaluating the impact over time of population/family
      planning activities.
      4. Resource Allocations for U.S. Population Assistance
           AID funds obligated for population/family planning assistance rose
      steadily since inception of the program ($10 million in the FY 1965-67
      period) to nearly $125 million in FY 1972. In FY 1973, however, funds
      available for population remained at the $125 million level; in FY 1974
      they actually declined slightly, to $112.5 million because of a ceiling on
      population obligations inserted in the legislation by the House
      Appropriations Committee. With this plateau in AID population obligations,
      worldwide resources have not been adequate to meet all identified,
      sensible funding needs, and we therefore see opportunities for significant
      expansion of the program.
           Some major actions in the area of creating conditions for fertility
      decline, as described in Section IIB, can be funded from AID resources
      available for the sectors in question (e.g., education, agriculture).
      Other actions come under the purview of population ("Title X") funds. In
      this latter category, increases in projected budget requests to the
      Congress on the order of $35-50 million annually through FY 1980 -- above
      the $137.5 million requested by FY 1975 -- appear appropriate at this
      time. Such increases must be accompanied by expanding contributions to the
      worldwide population effort from other donors and organizations and from
      the LDCs themselves, if significant progress is to be made. The USG should
      take advantage of appropriate opportunities to stimulate such
      contributions from others.
                 Title X Funding for Population





      +----------------------------------------------------+

      |  Year                           Amount ($ million) |

      +----------------------------------------------------+

      | FY 1972  - Actual Obligations         123.3        |

      | FY 1973  - Actual Obligations         125.6        |

      | FY 1974  - Actual Obligations         112.4        |

      | FY 1975  - Request to Congress        137.5        |

      | FY 1976  - Projection                 170          |

      | FY 1977  - Projection                 210          |

      | FY 1978  - Projection                 250          |

      | FY 1979  - Projection                 300          |

      | FY 1980  - Projection                 350          |

      +----------------------------------------------------+






           These Title X funding projections for FY 1976-80 are general
      magnitudes based on preliminary estimates of expansion or initiation of
      population programs in developing countries and growing requirements for
      outside assistance as discussed in greater detail in other sections of
      this paper. These estimates contemplated very substantial increases in
      self-help and assistance from other donor countries.
           Our objective should be to assure that developing countries make
      family planning information, educational and means available to all their
      peoples by 1980. Our efforts should include:
        Increased A.I.D. bilateral and centrally-funded programs, consistent
        with the geographic priorities cited above.
        Expanded contributions to multilateral and private organizations that
        can work effectively in the population area.
        Further research on the relative impact of various socio-economic
        factors on desired family size, and experimental efforts to test the
        feasibility of larger-scale efforts to affect some of these factors.
        Additional bio-medical research to improve the existing means of
        fertility control and to develop new ones which are safe, effective,
        inexpensive, and attractive to both men and women.
        Innovative approaches to providing family planning services, such as the
        utilization of commercial channels for distribution of contraceptives,
        and the development of low-cost systems for delivering effective health
        and family planning services to the 85% of LDC populations not now
        reached by such services.
        Expanded efforts to increase the awareness of LDC leaders and publics
        regarding the consequences of rapid population growth and to stimulate
        further LDC commitment to actions to reduce fertility.
           We believe expansions in the range of 35-50 million annually over the
      next five years are realistic, in light of potential LDC needs and
      prospects for increased contributions from other population assistance
      instrumentalities, as well as constraints on the speed with which AID (and
      other donors) population funds can be expanded and effectively utilized.
      These include negative or ambivalent host government attitudes toward
      population reduction programs; the need for complementary financial and
      manpower inputs by recipient governments, which must come at the expense
      of other programs they consider to be high priority; and the need to
      assure that new projects involve sensible, effective actions that are
      likely to reduce fertility. We must avoid inadequately planned or
      implemented programs that lead to extremely high costs per acceptor. In
      effect, we are closer to "absorptive capacity" in terms of year-to-year
      increases in population programs than we are, for example, in annual
      expansions in food, fertilizer or generalized resource transfers.
           It would be premature to make detailed funding recommendations by
      countries and functional categories in light of our inability to predict
      what changes -- such as in host country attitudes to U.S. population
      assistance and in fertility control technologies -- may occur which would
      significantly alter funding needs in particular geographic or functional
      areas. For example, AID is currently precluded from providing bilateral
      assistance to India and Egypt, two significant countries in the highest
      priority group, due to the nature of U.S. political and diplomatic
      relations with these countries. However, if these relationships were to
      change and bilateral aid could be provided, we would want to consider
      providing appropriate population assistance to these countries. In other
      cases, changing U.S.-LDC relationships might preclude further aid to some
      countries. Factors such as these could both change the mix and affect
      overall magnitudes of funds needed for population assistance. Therefore,
      proposed program mixes and funding levels by geographic and functional
      categories should continue to be examined on an annual basis during the
      regular USG program and budget review processes which lead to the
      presentation of funding requests to the Congress.
           Recognizing that changing opportunities for action could
      substantially affect AID's resource requirements for population
      assistance, we anticipate that, if funds are provided by the Congress at
      the levels projected, we would be able to cover necessary actions related
      to the highest priority countries and also those related to lower priority
      countries, moving reasonably far down the list. At this point, however,
      AID believes it would not be desirable to make priority judgments on which
      activities would not be funded if Congress did not provide the levels
      projected. If cuts were made in these levels we would have to make
      judgments based on such factors as the priority rankings of countries,
      then-existing LDC needs, and divisions of labor with other actors in the
      population assistance area.
           If AID's population assistance program is to expand at the general
      magnitudes cited above, additional direct hire staff will likely be
      needed. While the expansion in program action would be primarily through
      grants and contracts with LDC or U.S. institutions, or through
      contributions to international organizations, increases in direct hire
      staff would be necessary to review project proposals, monitor their
      implementation through such instrumentalities, and evaluate their progress
      against pre-established goals. Specific direct hire manpower requirements
      should continue to be considered during the annual program and budget
      reviews, along with details of program mix and funding levels by country
      and functional category, in order to correlate staffing needs with
      projected program actions for a particular year.
      Recommendations
           1. The U.S. strategy should be to encourage and support, through
      bilateral, multilateral and other channels, constructive action to lower
      fertility rates in selected developing countries. The U.S. should apply
      each of the relevant provisions of its World Population Plan of Action and
      use it to influence and support actions by developing countries.
           2. Within this overall strategy, the U.S. should give highest
      priority, in terms of resource allocation (along with donors) to efforts
      to encourage assistance from others to those countries cited above where
      the population problem is most serious, and provide assistance to other
      countries as funds and staff permit.
           3. AID's further development of population program priorities, both
      geographic and functional, should be consistent with the general strategy
      discussed above, with the other recommendations of this paper and with the
      World Population Plan of Action. The strategies should be coordinated with
      the population activities of other donors countries and agencies using the
      WPPA as leverage to obtain suitable action.
           4. AID's budget requests over the next five years should include a
      major expansion of bilateral population and family planning programs (as
      appropriate for each country or region), of functional activities as
      necessary, and of contributions through multilateral channels, consistent
      with the general funding magnitudes discussed above. The proposed budgets
      should emphasize the country and functional priorities outlined in the
      recommendations of this study and as detailed in AID's geographic and
      functional strategy papers.
      II. B. Functional Assistance Programs to Create Conditions for Fertility
      Decline
      Introduction
      Discussion
           It is clear that the availability of contraceptive services and
      information, important as that is, is not the only element required to
      address the population problems of the LDCs. Substantial evidence shows
      that many families in LDCs (especially the poor) consciously prefer to
      have numerous children for a variety of economic and social reasons. For
      example, small children can make economic contributions on family farms,
      children can be important sources of support for old parents where no
      alternative form of social security exists, and children may be a source
      of status for women who have few alternatives in male-dominated societies.

           The desire for large families diminishes as income rises. Developed
      countries and the more developed areas in LDCs have lower fertility than
      less developed areas. Similarly, family planning programs produce more
      acceptors and have a greater impact on fertility in developed areas than
      they do in less developed areas. Thus, investments in development are
      important in lowering fertility rates. We know that the major
      socio-economic determinants of fertility are strongly interrelated. A
      change in any one of them is likely to produce a change in the others as
      well. Clearly development per se is a powerful determinant of fertility.
      However, since it is unlikely that most LDCs will develop sufficiently
      during the next 25-30 years, it is crucial to identify those sectors that
      most directly and powerfully affect fertility.
           In this context, population should be viewed as a variable which
      interacts, to differing degrees, with a wide range of development
      programs, and the U.S. strategy should continue to stress the importance
      of taking population into account in "non-family planning" activities.
      This is particularly important with the increasing focus in the U.S.
      development program on food and nutrition, health and population, and
      education and human resources; assistance programs have less chance of
      success as long as the numbers to be fed, educated, and employed are
      increasing rapidly.
           Thus, to assist in achieving LDC fertility reduction, not only should
      family planning be high up on the priority list for U.S. foreign
      assistance, but high priority in allocation of funds should be given to
      programs in other sectors that contribute in a cost-effective manner in
      reduction in population growth.
           There is a growing, but still quite small, body of research to
      determine the socio-economic aspects of development that most directly and
      powerfully affect fertility. Although the limited analysis to date cannot
      be considered definitive, there is general agreement that the five
      following factors (in addition to increases in per capita income) tend to
      be strongly associated with fertility declines: education, especially the
      education of women; reductions in infant mortality; wage employment
      opportunities for women; social security and other substitutes for the
      economic value of children; and relative equality in income distribution
      and rural development. There are a number of other factors identified from
      research, historical analysis, and experimentation that also affect
      fertility, including delaying the average age of marriage, and direct
      payments (financial incentive) to family planning acceptors.
           There are, however, a number of questions which must be addressed
      before one can move from identification of factors associated with
      fertility decline to large-scale programs that will induce fertility
      decline in a cost-effective manner. For example, in the case of female
      education, we need to consider such questions as: did the female education
      cause fertility to decline or did the development process in some
      situations cause parents both to see less economic need for large families
      and to indulge in the "luxury" of educating their daughters? If more
      female education does in fact cause fertility declines, will poor
      high-fertility parents see much advantage in sending their daughters to
      school? If so, how much does it cost to educate a girl to the point where
      her fertility will be reduced (which occurs at about the fourth-grade
      level)? What specific programs in female education are most cost-effective
      (e.g., primary school, non-formal literacy training, or vocational or
      pre-vocational training)? What, in rough quantitative terms, are the
      non-population benefits of an additional dollar spent on female education
      in a given situation in comparison to other non-population investment
      alternatives? What are the population benefits of a dollar spent on female
      education in comparison with other population-related investments, such as
      in contraceptive supplies or in maternal and child health care systems?
      And finally, what is the total population plus non-population benefit of
      investment in a given specific program in female education in comparison
      with the total population plus non-population benefits of alternate
      feasible investment opportunities?
           As a recent research proposal from Harvard's Department of Population
      Studies puts this problem: "Recent studies have identified more specific
      factors underlying fertility declines, especially, the spread of
      educational attainment and the broadening of non-traditional roles for
      women. In situations of rapid population growth, however, these run
      counter to powerful market forces. Even when efforts are made to provide
      educational opportunities for most of the school age population, low
      levels of development and restricted employment opportunities for
      academically educated youth lead to high dropout rates and
      non-attendance..."
           Fortunately, the situation is by no means as ambiguous for all of the
      likely factors affecting fertility. For example, laws that raise the
      minimum marriage age, where politically feasible and at least partially
      enforceable, can over time have a modest effect on fertility at negligible
      cost. Similarly, there have been some controversial, but remarkably
      successful, experiments in India in which financial incentives, along with
      other motivational devices, were used to get large numbers of men to
      accept vasectomies. In addition, there appear to be some major activities,
      such as programs aimed to improve the productive capacity of the rural
      poor, which can be well justified even without reference to population
      benefits, but which appear to have major population benefits as well.
           The strategy suggested by the above considerations is that the volume
      and type of programs aimed at the "determinants of fertility" should be
      directly related to our estimate of the total benefits (including
      non-population benefits) of a dollar invested in a given proposed program
      and to our confidence in the reliability of that estimate. There is room
      for honest disagreement among researchers and policy-makers about the
      benefits, or feasibility, of a given program. Hopefully, over time, with
      more research, experimentation and evaluation, areas of disagreement and
      ambiguity will be clarified, and donors and recipients will have better
      information both on what policies and programs tend to work under what
      circumstances and how to go about analyzing a given country situation to
      find the best feasible steps that should be taken.
      Recommendations:
           1. AID should implement the strategy set out in the World Population
      Plan of Action, especially paragraphs 31 and 32 and Section I
      ("Introduction - a U.S. Global Population Strategy") above, which calls
      for high priority in funding to three categories of programs in areas
      affecting fertility (family-size) decisions:
        a. Operational programs where there is proven cost-effectiveness,
        generally where there are also significant benefits for non-population
        objectives;
        b. Experimental programs where research indicates close relationships to
        fertility reduction but cost-effectiveness has not yet been demonstrated
        in terms of specific steps to be taken (i.e., program design); and
        c. Research and evaluation on the relative impact on desired family size
        of the socio-economic determinants of fertility, and on what policy
        scope exists for affecting these determinants.
           2. Research, experimentation and evaluation of ongoing programs
      should focus on answering the questions (such as those raised above,
      relating to female education) that determine what steps can and should be
      taken in other sectors that will in a cost-effective manner speed up the
      rate of fertility decline. In addition to the five areas discussed in
      Section II. B 1-5 below, the research should also cover the full range of
      factors affecting fertility, such as laws and norms respecting age of
      marriage, and financial incentives. Work of this sort should be undertaken
      in individual key countries to determine the motivational factors required
      there to develop a preference for small family size. High priority must be
      given to testing feasibility and replicability on a wide scale.
           3. AID should encourage other donors in LDC governments to carry out
      parallel strategies of research, experimentation, and (cost-effective
      well-evaluated) large-scale operations programs on factors affecting
      fertility. Work in this area should be coordinated, and results shared.
           4. AID should help develop capacity in a few existing U.S. and LDC
      institutions to serve as major centers for research and policy development
      in the areas of fertility-affecting social or economic measures, direct
      incentives, household behavior research, and evaluation techniques for
      motivational approaches. The centers should provide technical assistance,
      serve as a forum for discussion, and generally provide the "critical mass"
      of effort and visibility which has been lacking in this area to date.
      Emphasis should be given to maximum involvement of LDC institutions and
      individuals.
           The following sections discuss research experimental and operational
      programs to be undertaken in the five promising areas mentioned above.
      II. B. 1. Providing Minimal Levels of Education, Especially for Women
      Discussion
           There is fairly convincing evidence that female education especially
      of 4th grade and above correlates strongly with reduced desired family
      size, although it is unclear the extent to which the female education
      causes reductions in desired family size or whether it is a faster pace of
      development which leads both to increased demand for female education and
      to reduction in desired family size. There is also a relatively widely
      held theory -- though not statistically validated -- that improved levels
      of literacy contribute to reduction in desired family size both through
      greater knowledge of family planning information and increasing
      motivational factors related to reductions in family size. Unfortunately,
      AID's experience with mass literacy programs over the past 15 years has
      yielded the sobering conclusion that such programs generally failed (i.e.
      were not cost-effective) unless the population sees practical benefits to
      themselves from learning how to read -- e.g., a requirement for literacy
      to acquire easier access to information about new agricultural
      technologies or to jobs that require literacy.
           Now, however, AID has recently revised its education strategy, in
      line with the mandate of its legislation, to place emphasis on the spread
      of education to poor people, particularly in rural areas, and relatively
      less on higher levels of education. This approach is focused on use of
      formal and "non-formal" education (i.e., organized education outside the
      schoolroom setting) to assist in meeting the human resource requirements
      of the development process, including such things as rural literacy
      programs aimed at agriculture, family planning, or other development
      goals.
      Recommendations
           1. Integrated basic education (including applied literacy) and family
      planning programs should be developed whenever they appear to be
      effective, of high priority, and acceptable to the individual country. AID
      should continue its emphasis on basic education, for women as well as men.

           2. A major effort should be made in LDCs seeking to reduce birth
      rates to assure at least an elementary school education for virtually all
      children, girls as well as boys, as soon as the country can afford it
      (which would be quite soon for all but the poorest countries). Simplified,
      practical education programs should be developed. These programs should,
      where feasible, include specific curricula to motivate the next generation
      toward a two-child family average to assure that level of fertility in two
      or three decades. AID should encourage and respond to requests for
      assistance in extending basic education and in introducing family planning
      into curricula. Expenditures for such emphasis on increased practical
      education should come from general AID funds, not population funds.
      II. B. 2. Reducing Infant and Child Mortality
      Discussion:
           High infant and child mortality rates, evident in many developing
      countries, lead parents to be concerned about the number of their children
      who are likely to survive. Parents may overcompensate for possible child
      losses by having additional children. Research to date clearly indicates
      not only that high fertility and high birth rates are closely correlated
      but that in most circumstances low net population growth rates can only be
      achieved when child mortality is low as well. Policies and programs which
      significantly reduce infant and child mortality below present levels will
      lead couples to have fewer children. However, we must recognize that there
      is a lag of at least several years before parents (and cultures and
      subcultures) become confident that their children are more likely to
      survive and to adjust their fertility behavior accordingly.
           Considerable reduction in infant and child mortality is possible
      through improvement in nutrition, inoculations against diseases, and other
      public health measures if means can be devised for extending such services
      to neglected LDC populations on a low-cost basis. It often makes sense to
      combine such activities with family planning services in integrated
      delivery systems in order to maximize the use of scarce LDC financial and
      health manpowder (sic.) resources (See Section IV). In addition, providing
      selected health care for both mothers and their children can enhance the
      acceptability of family planning by showing concern for the whole
      condition of the mother and her children and not just for the single
      factor of fertility.
           The two major cost-effective problems in maternal-child health care
      are that clinical health care delivery systems have not in the past
      accounted for much of the reduction in infant mortality and that, as in
      the U.S., local medical communities tend to favor relatively expensive
      quality health care, even at the cost of leaving large numbers of people
      (in the LDC's generally over two-thirds of the people) virtually uncovered
      by modern health services.
           Although we do not have all the answers on how to develop
      inexpensive, integrated delivery systems, we need to proceed with
      operational programs to respond to ODC requests if they are likely to be
      cost-effective based on experience to date, and to experiment on a large
      scale with innovative ways of tackling the outstanding problems.
      Evaluation mechanisms for measuring the impact of various courses of
      action are an essential part of this effort in order to provide feedback
      for current and future projects and to improve the state of the art in
      this field.
           Currently, efforts to develop low-cost health and family planning
      services for neglected populations in the LDC's are impeded because of the
      lack of international commitment and resources to the health side. For
      example:
           A. The World Bank could supply low-interest credits to LDCs for the
      development of low-cost health-related services to neglected populations
      but has not yet made a policy decision to do so. The Bank has a population
      and health program and the program's leaders have been quite sympathetic
      with the above objective. The Bank's staff has prepared a policy paper on
      this subject for the Board but prospects for it are not good. Currently,
      the paper will be discussed by the Bank Board at its November 1974
      meeting. Apparently there is some reticence within the Bank's Board and in
      parts of the staff about making a strong initiative in this area. In part,
      the Bank argues that there are not proven models of effective, low-cost
      health systems in which the Bank can invest. The Bank also argues that
      other sectors such as agriculture, should receive higher priority in the
      competition for scarce resources. In addition, arguments are made in some
      quarters of the Bank that the Bank ought to restrict itself to "hard loan
      projects" and not get into the "soft" area.
           A current reading from the Bank's staff suggests that unless there is
      some change in the thinking of the Bank Board, the Bank's policy will be
      simply to keep trying to help in the population and health areas but not
      to take any large initiative in the low-cost delivery system area.
           The Bank stance is regrettable because the Bank could play a very
      useful role in this area helping to fund low-cost physical structures and
      other elements of low-cost health systems, including rural health clinics
      where needed. It could also help in providing low-cost loans for training,
      and in seeking and testing new approaches to reaching those who do not now
      have access to health and family planning services. This would not be at
      all inconsistent with our and the Bank's frankly admitting that we do not
      have all the "answer" or cost-effective models for low-cost health
      delivery systems. Rather they, we and other donors could work together on
      experimentally oriented, operational programs to develop models for the
      wide variety of situations faced by LDCs.
           Involvement of the Bank in this area would open up new possibilities
      for collaboration. Grant funds, whether from the U.S. or UNFPA, could be
      used to handle the parts of the action that require short lead times such
      as immediate provision of supplies, certain kinds of training and rapid
      deployment of technical assistance. Simultaneously, for parts of the
      action that require longer lead times, such as building clinics, World
      Bank loans could be employed. The Bank's lending processes could be
      synchronized to bring such building activity to a readiness condition at
      the time the training programs have moved along far enough to permit
      manning of the facilities. The emphasis should be on meeting low-cost
      rather than high-cost infrastructure requirements.
           Obviously, in addition to building, we assume the Bank could fund
      other local-cost elements of expansion of health systems such as
      longer-term training programs.
           AID is currently trying to work out improved consultation procedures
      with the Bank staff in the hope of achieving better collaborative efforts
      within the Bank's current commitment of resources in the population and
      health areas. With a greater commitment of Bank resources and improved
      consultation with AID and UNFPA, a much greater dent could be made on the
      overall problem.
           B. The World Health Organization (WHO) and its counterpart for Latin
      America, the Pan American Health Organization (PAHO), currently provide
      technical assistance in the development and implementation of health
      projects which are in turn financed by international funding mechanisms
      such as UNDP and the International Financial Institutions. However, funds
      available for health actions through these organizations are limited at
      present. Higher priority by the international funding agencies to health
      actions could expand the opportunities for useful collaborations among
      donor institutions and countries to develop low-cost integrated health and
      family planning delivery systems for LDC populations that do not now have
      access to such services.
      Recommendations:
           The U.S. should encourage heightened international interest in and
      commitment of resources to developing delivery mechanisms for providing
      integrated health and family planning services to neglected populations at
      costs which host countries can support within a reasonable period of time.
      Efforts would include:
           1. Encouraging the World Bank and other international funding
      mechanisms, through the U.S. representatives on the boards of these
      organizations, to take a broader initiative in the development of
      inexpensive service delivery mechanisms in countries wishing to expand
      such systems.
           2. Indicating U.S. willingness (as the U.S. did at the World
      Population Conference) to join with other donors and organizations to
      encourage and support further action by LDC governments and other
      institutions in the low-cost delivery systems area.
           A. As offered at Bucharest, the U.S. should join donor countries,
      WHO, UNFPA, UNICEF and the World Bank to create a consortium to offer
      assistance to the more needy developing countries to establish their own
      low-cost preventive and curative public health systems reaching into all
      areas of their countries and capable of national support within a
      reasonable period. Such systems would include family planning services as
      an ordinary part of their overall services.
           B. The WHO should be asked to take the leadership in such an
      arrangement and is ready to do so. Apparently at least half of the
      potential donor countries and the EEC's technical assistance program are
      favorably inclined. So is the UNFPA and UNICEF. The U.S., through its
      representation on the World Bank Board, should encourage a broader World
      Bank initiative in this field, particularly to assist in the development
      of inexpensive, basic health service infrastructures in countries wishing
      to undertake the development of such systems.
      3. Expanding Wage Employment Opportunities, Especially for Women
      Discussion
           Employment is the key to access to income, which opens the way to
      improved health, education, nutrition, and reduced family size. Reliable
      job opportunities enable parents to limit their family size and invest in
      the welfare of the children they have.
           The status and utilization of women in LDC societies is particularly
      important in reducing family size. For women, employment outside the home
      offers an alternative to early marriage and childbearing, and an incentive
      to have fewer children after marriage. The woman who must stay home to
      take care of her children must forego the income she could earn outside
      the home. Research indicates that female wage employment outside the home
      is related to fertility reduction. Programs to increase the women's labor
      force participation must, however, take account of the overall demand for
      labor; this would be a particular problem in occupations where there is
      already widespread unemployment among males. But other occupations where
      women have a comparative advantage can be encouraged.
           Improving the legal and social status of women gives women a greater
      voice in decision-making about their lives, including family size, and can
      provide alternative opportunities to childbearing, thereby reducing the
      benefits of having children.
           The U.S. Delegation to the Bucharest Conference emphasized the
      importance of improving the general status of women and of developing
      employment opportunities for women outside the home and off the farm. It
      was joined by all countries in adopting a strong statement on this vital
      issue. See Chapter VI for a fuller discussion of the conference.
      Recommendation:
           1. AID should communicate with and seek opportunities to assist
      national economic development programs to increase the role of women in
      the development process.
           2. AID should review its education/training programs (such as U.S.
      participant training, in-country and third-country training) to see that
      such activities provide equal access to women.
           3. AID should enlarge pre-vocational and vocational training to
      involve women more directly in learning skills which can enhance their
      income and status in the community (e.g. paramedical skills related to
      provision of family planning services).
           4. AID should encourage the development and placement of LDC women as
      decision-makers in development programs, particularly those programs
      designed to increase the role of women as producers of goods and services,
      and otherwise to improve women's welfare (e.g. national credit and finance
      programs, and national health and family planning programs).
           5. AID should encourage, where possible, women's active participation
      in the labor movement in order to promote equal pay for equal work, equal
      benefits, and equal employment opportunities.
           6. AID should continue to review its programs and projects for their
      impact on LDC women, and adjust them as necessary to foster greater
      participation of women - particularly those in the lowest classes - in the
      development process.
      4. Developing Alternatives to the Social Security Role Provided By
      Children to Aging Parents
      Discussion:
           In most LDCs the almost total absence of government or other
      institutional forms of social security for old people forces dependence on
      children for old age survival. The need for such support appears to be one
      of the important motivations for having numerous children. Several
      proposals have been made, and a few pilot experiments are being conducted,
      to test the impact of financial incentives designed to provide old age
      support (or, more tangentially, to increase the earning power of fewer
      children by financing education costs parents would otherwise bear).
      Proposals have been made for son-insurance (provided to the parents if
      they have no more than three children), and for deferred payments of
      retirement benefits (again tied to specified limits on family size), where
      the payment of the incentive is delayed. The intent is not only to tie the
      incentive to actual fertility, but to impose the financial cost on the
      government or private sector entity only after the benefits of the avoided
      births have accrued to the economy and the financing entity. Schemes of
      varying administrative complexity have been developed to take account of
      management problems in LDCs. The economic and equity core of these
      long-term incentive proposals is simple: the government offers to return
      to the contracting couple a portion of the economic dividend they generate
      by avoiding births, as a direct trade-off for the personal financial
      benefits they forego by having fewer children.
           Further research and experimentation in this area needs to take into
      account the impact of growing urbanization in LDCs on traditional rural
      values and outlooks such as the desire for children as old-age insurance.
      Recommendation:
           AID should take a positive stance with respect to exploration of
      social security type incentives as described above. AID should encourage
      governments to consider such measures, and should provide financial and
      technical assistance where appropriate. The recommendation made earlier to
      establish an "intermediary" institutional capacity which could provide LDC
      governments with substantial assistance in this area, among several areas
      on the "demand" side of the problem, would add considerably to AID's
      ability to carry out this recommendation.
      5. Pursuing Development Strategies that Skew Income Growth Toward the
      Poor, Especially Rural Development Focusing on Rural Poverty
           Income distribution and rural development: The higher a family's
      income, the fewer children it will probably have, except at the very top
      of the income scale. Similarly, the more evenly distributed the income in
      a society, the lower the overall fertility rate seems to be since better
      income distribution means that the poor, who have the highest fertility,
      have higher income. Thus a development strategy which emphasizes the rural
      poor, who are the largest and poorest group in most LDCs would be
      providing income increases to those with the highest fertility levels. No
      LDC is likely to achieve population stability unless the rural poor
      participate in income increases and fertility declines.
           Agriculture and rural development is already, along with population,
      the U.S. Government's highest priority in provision of assistance to LDCs.
      For FY 1975, about 60% of the $1.13 billion AID requested in the five
      functional areas of the foreign assistance legislation is in agriculture
      and rural development. The $255 million increase in the FY 1975 level
      authorized in the two year FY 1974 authorization bill is virtually all for
      agriculture and rural development.
           AID's primary goal in agriculture and rural development is
      concentration in food output and increases in the rural quality of life;
      the major strategy element is concentration on increasing the output of
      small farmers, through assistance in provision of improved technologies,
      agricultural inputs, institutional supports, etc.
           This strategy addresses three U.S. interests: First, it increases
      agricultural output in the LDCs, and speeds up the average pace of their
      development, which, as has been noted, leads to increased acceptance of
      family planning. Second, the emphasis on small farmers and other elements
      of the rural poor spreads the benefits of development as broadly as is
      feasible among lower income groups. As noted above spreading the benefits
      of development to the poor, who tend to have the highest fertility rates,
      is an important step in getting them to reduce their family size. In
      addition, the concentration on small farmer production (vs., for example,
      highly mechanized, large-scale agriculture) can increase on and off farm
      rural job opportunities and decrease the flow to the cities. While
      fertility levels in rural areas are higher than in the cities, continued
      rapid migration into the cities at levels greater than the cities' job
      markets or services can sustain adds an important destabilizing element to
      development efforts and goals of many countries. Indeed, urban areas in
      some LDCs are already the scene of urban unrest and high crime rates.
      Recommendation
           AID should continue its efforts to focus not just on agriculture and
      rural development but specifically on small farmers and on labor-intensive
      means of stimulating agricultural output and on other aspects of improving
      the quality of life of the rural poor, so that agriculture and rural
      development assistance, in addition to its importance for increased food
      production and other purposes, can have maximum impact on reducing
      population growth.
      6. Concentration on Education and Indoctrination of The Rising Generation
      of Children Regarding the Desirability of Smaller Family Size
      Discussion:
           Present efforts at reducing birth rates in LDCs, including AID and
      UNFPA assistance, are directed largely at adults now in their reproductive
      years. Only nominal attention is given to population education or sex
      education in schools and in most countries none is given in the very early
      grades which are the only attainment of 2/3-3/4 of the children. It should
      be obvious, however, that efforts at birth control directed toward adults
      will with even maximum success result in acceptance of contraception for
      the reduction of births only to the level of the desired family size --
      which knowledge, attitude and practice studies in many countries indicate
      is an average of four or more children.
           The great necessity is to convince the masses of the population that
      it is to their individual and national interest to have, on the average,
      only three and then only two children. There is little likelihood that
      this result can be accomplished very widely against the background of the
      cultural heritage of today's adults, even the young adults, among the
      masses in most LDCs. Without diminishing in any way the effort to reach
      these adults, the obvious increased focus of attention should be to change
      the attitudes of the next generation, those who are now in elementary
      school or younger. If this could be done, it would indeed be possible to
      attain a level of fertility approaching replacement in 20 years and
      actually reaching it in 30.
           Because a large percentage of children from high-fertility,
      low-income groups do not attend school, it will be necessary to develop
      means to reach them for this and other educational purposes through
      informal educational programs. As the discussion earlier of the
      determinants of family size (fertility) pointed out, it is also important
      to make significant progress in other areas, such as better health care
      and improvements in income distribution, before desired family size can be
      expected to fall sharply. If it makes economic sense for poor parents to
      have large families twenty years from now, there is no evidence as to
      whether population education or indoctrination will have sufficient impact
      alone to dissuade them.
      Recommendation
           1. That U.S. agencies stress the importance of education of the next
      generation of parents, starting in elementary schools, toward a two-child
      family ideal.      2. That AID stimulate specific efforts to develop means
      of educating children of elementary school age to the ideal of the
      two-child family and that UNESCO be asked to take the lead through formal
      and informal education. General Recommendation for UN Agencies
           As to each of the above six categories State and AID should make
      specific efforts to have the relevant UN agency, WHO, ILO, FAO, UNESCO,
      UNICEF, and the UNFPA take its proper role of leadership in the UN family
      with increased program effort, citing the World Population Plan of Action.

      II.
      C. Food for Peace Program and Population
      Discussion:
           One of the most fundamental aspects of the impact of population
      growth on the political and economic well-being of the globe is its
      relationship to food. Here the problem of the interrelationship of
      population, national resources, environment, productivity and political
      and economic stability come together when shortages of this basic human
      need occur.
           USDA projections indicate that the quantity of grain imports needed
      by the LDCs in the 1980s will grow significantly, both in overall and per
      capita terms. In addition, these countries will face year-to-year
      fluctuations in production due to the influence of weather and other
      factors.
           This is not to say that the LDCs need face starvation in the next two
      decades, for the same projections indicate an even greater increase in
      production of grains in the developed nations. It should be pointed out,
      however, that these projections assume that such major problems as the
      vast increase in the need for fresh water, the ecological effects of the
      vast increase in the application of fertilizer, pesticides, and
      irrigation, and the apparent adverse trend in the global climate, are
      solved. At present, there are no solutions to these problems in sight.
           The major challenge will be to increase food production in the LDCs
      themselves and to liberalize the system in which grain is transferred
      commercially from producer to consumer countries. We also see food aid as
      an important way of meeting part of the chronic shortfall and emergency
      needs caused by year-to-year variation at least through the end of this
      decade. Many outside experts predict just such difficulties even if major
      efforts are undertaken to expand world agricultural output, especially in
      the LDCs themselves but also in the U.S. and in other major feed grain
      producers. In the longer run, LDCs must both decrease population growth
      and increase agricultural production significantly. At some point the
      "excess capacity" of the food exporting countries will run out. Some
      countries have already moved from a net food exporter to a net importer of
      food.
           There are major interagency studies now progressing in the food area
      and this report cannot go deeply into this field. It can only point to
      serious problems as they relate to population and suggest minimum
      requirements and goals in the food area. In particular, we believe that
      population growth may have very serious negative consequences on food
      production in the LDCs including over-expectations of the capacity of the
      land to produce, downgrading the ecological economics of marginal areas,
      and overharvesting the seas. All of these conditions may affect the
      viability of the world's economy and thereby its prospects for peace and
      security.
      Recommendations:
           Since NSC/CIEP studies are already underway we refer the reader to
      them. However the following, we believe, are minimum requirements for any
      strategy which wishes to avoid instability and conflict brought on by
      population growth and food scarcity:
           (1) High priority for U.S. bilateral and multilateral LDC
      Agricultural Assistance; including efforts by the LDCs to improve food
      production and distribution with necessary institutional adjustments and
      economic policies to stimulate efficient production. This must include a
      significant increase in financial and technical aid to promote more
      efficient production and distribution in the LDCs.
           (2) Development of national food stocks15 (including those needed for
      emergency relief) within an internationally agreed framework sufficient to
      provide an adequate level of world food security;
           (3) Expansion of production of the input elements of food production
      (i.e., fertilizer, availability of water and high yield seed stocks) and
      increased incentives for expanded agricultural productivity. In this
      context a reduction in the real cost of energy (especially fuel) either
      through expansion in availability through new sources or decline in the
      relative price of oil or both would be of great importance;
           (4) Significant expansion of U.S. and other producer country food
      crops within the context of a liberalized and efficient world trade system
      that will assure food availability to the LDCs in case of severe shortage.
      New international trade arrangements for agricultural products, open
      enough to permit maximum production by efficient producers and flexible
      enough to dampen wide price fluctuations in years when weather conditions
      result in either significant shortfalls or surpluses. We believe this
      objective can be achieved by trade liberalization and an internationally
      coordinated food reserve program without resorting to price-oriented
      agreements, which have undesirable effects on both production and
      distribution;
           (5) The maintenance of an adequate food aid program with a clearer
      focus on its use as a means to make up real food deficits, pending the
      development of their own food resources, in countries unable to feed
      themselves rather than as primarily an economic development or foreign
      policy instrument; and
           (6) A strengthened research effort, including long term, to develop
      new seed and farming technologies, primarily to increase yields but also
      to permit more extensive cultivation techniques, particularly in LDCs.
      III. International Organizations and other Multilateral Population
      Programs
      A. UN Organization and Specialized Agencies
      Discussion
           In the mid-sixties the UN member countries slowly began to agree on a
      greater involvement of the United Nations in population matters. In 1967
      the Secretary-General created a Trust Fund to finance work in the
      population field. In 1969 the Fund was renamed the United Nations Fund for
      Population Activities (UNFPA) and placed under the overall supervision of
      the United Nations Development Program. During this period, also, the
      mandates of the Specialized Agencies were modified to permit greater
      involvement by these agencies in population activities.
           UNFPA's role was clarified by an ECOSOC resolution in 1973: (a) to
      build up the knowledge and capacity to respond to the needs in the
      population and family planning fields; (b) to promote awareness in both
      developed and developing countries of the social, economic, and
      environmental implications of population problems; (c) to extend
      assistance to developing countries; and (d) to promote population programs
      and to coordinate projects supported by the UNFPA.
           Most of the projects financed by UNFPA are implemented with the
      assistance of organizations of the Untied Nations system, including the
      regional Economic Commission, United Nations Children's Fund (UNICEF),
      International Labour Organization (ILO), Food and Agriculture Organization
      (FAO), United Nations Educational Scientific and Cultural Organization
      (UNESCO), the World Health Organization (WHO). Collaborative arrangements
      have been made with the International Development Association (IDA), an
      affiliate of the World Bank, and with the World Food Programme.
           Increasingly the UNFPA is moving toward comprehensive country
      programs negotiated directly with governments. This permits the
      governments to select the implementing (executing) agency which may be a
      member of the UN system or a non-government organization or company. With
      the development of the country program approach it is planned to level off
      UNFPA funding to the specialized agencies.
           UNFPA has received $122 million in voluntary contributions from 65
      governments, of which $42 million was raised in 1973. The Work Plan of
      UNFPA for 1974-77 sets a $280 million goal for fund-raising, as follows:


     1974 - $54 million

     1975 - $64 million

     1976 - $76 million

     1977 - $86 million






      Through 1971 the U.S. had contributed approximately half of all the funds
      contributed to UNFPA. In 1972 we reduced our matching contribution to 48
      percent of other donations, and for 1973 we further reduced our
      contribution to 45%. In 1973 requests for UNFPA assistance had begun to
      exceed available resources. This trend has accelerated and demand for
      UNFPA resources is now strongly outrunning supply. Documented need for
      UNFPA assistance during the years 1974-77 is $350 million, but because the
      UNFPA could anticipate that only $280 million will be available it has
      been necessary to phase the balance to at least 1978.
      Recommendations
           The U.S. should continue its support of multilateral efforts in the
      population field by:
           a) increasing, subject to congressional appropriation action, the
      absolute contribution to the UNFPA in light of 1) mounting demands for
      UNFPA Assistance, 2) improving UNFPA capacity to administer projects, 3)
      the extent to which UNFPA funding aims at U.S. objectives and will
      substitute for U.S. funding, 4) the prospect that without increased U.S.
      contributions the UNFPA will be unable to raise sufficient funds for its
      budget in 1975 and beyond;
           b) initiating or participating in an effort to increase the resources
      from other donors made available to international agencies that can work
      effectively in the population area as both to increase overall population
      efforts and, in the UNFPA, to further reduce the U.S. percentage share of
      total contributions; and
           c) supporting the coordinating role which UNFPA plays among donor and
      recipient countries, and among UN and other organizations in the
      population field, including the World Bank.
      B. Encouraging Private Organizations
      Discussion:
           The cooperation of private organizations and groups on a national,
      regional and world-wide level is essential to the success of a
      comprehensive population strategy. These groups provide important
      intellectual contributions and policy support, as well as the delivery of
      family planning and health services and information. In some countries,
      the private and voluntary organizations are the only means of providing
      family planning services and materials.
      Recommendations:
           AID should continue to provide support to those private U.S. and
      international organizations whose work contributes to reducing rapid
      population growth, and to develop with them, where appropriate, geographic
      and functional divisions of labor in population assistance.
      IV. Provision and Development of Family Planning Services, Information and
      Technology
           In addition to creating the climate for fertility decline, as
      described in a previous section, it is essential to provide safe and
      effective techniques for controlling fertility.
           There are two main elements in this task: (a) improving the
      effectiveness of the existing means of fertility control and developing
      new ones; and (b) developing low-cost systems for the delivery of family
      planning technologies, information and related services to the 85% of LDC
      populations not now reached.
           Legislation and policies affecting what the U.S. Government does
      relative to abortion in the above areas is discussed at the end of this
      section.
      IV. A. Research to Improve Fertility Control Technology
      Discussion
           The effort to reduce population growth requires a variety of birth
      control methods which are safe, effective, inexpensive and attractive to
      both men and women. The developing countries in particular need methods
      which do not require physicians and which are suitable for use in
      primitive, remote rural areas or urban slums by people with relatively low
      motivation. Experiences in family planning have clearly demonstrated the
      crucial impact of improved technology on fertility control.
           None of the currently available methods of fertility control is
      completely effective and free of adverse reactions and objectionable
      characteristics. The ideal of a contraceptive, perfect in all these
      respects, may never be realized. A great deal of effort and money will be
      necessary to improve fertility control methods. The research to achieve
      this aim can be divided into two categories:
        1. Short-term approaches: These include applied and developmental work
        which is required to perfect further and evaluate the safety and role of
        methods demonstrated to be effective in family planning programs in the
        developing countries.
             Other work is directed toward new methods based on well established
        knowledge about the physiology of reproduction. Although short term
        pay-offs are possible, successful development of some methods may take 5
        years and up to $15 million for a single method.
        2. Long-term approaches: The limited state of fundamental knowledge of
        many reproductive processes requires that a strong research effort of a
        more basic nature be maintained to elucidate these processes and provide
        leads for contraceptive development research. For example, new knowledge
        of male reproductive processes is needed before research to develop a
        male "pill" can come to fruition. Costs and duration of the required
        research are high and difficult to quantify.
             With expenditures of about $30 million annually, a broad program of
        basic and applied bio-medical research on human reproduction and
        contraceptive development is carried out by the Center for Population
        Research of the National Institute of Child Health and Human
        Development. The Agency for International Development annually funds
        about $5 million of principally applied research on new means of
        fertility control suitable for use in developing countries.
        Smaller sums are spent by other agencies of the U.S. Government.
        Coordination of the federal research effort is facilitated by the
        activities of the Interagency Committee on Population Research. This
        committee prepares an annual listing and analyses of all government
        supported population research programs. The listing is published in the
        Inventory of Federal Population Research.
        A variety of studies have been undertaken by non-governmental experts
        including the U.S. Commission on Population Growth and the American
        Future. Most of these studies indicate that the United States effort in
        population research is insufficient. Opinions differ on how much more
        can be spent wisely and effectively but an additional $25-50 million
        annually for bio-medical research constitutes a conservative estimate.
      Recommendations:
           A stepwise increase over the next 3 years to a total of about $100
      million annually for fertility and contraceptive research is recommended.
      This is an increase of $60 million over the current $40 million expended
      annually by the major Federal Agencies for bio-medical research. Of this
      increase $40 million would be spent on short-term, goal directed research.
      The current expenditure of $20 million in long-term approaches consisting
      largely of basic bio-medical research would be doubled. This increased
      effort would require significantly increased staffing of the federal
      agencies which support this work. Areas recommended for further research
      are:
        1. Short-term approaches: These approaches include improvement and field
        testing of existing technology and development of new technology. It is
        expected that some of these approaches would be ready for use within
        five years. Specific short term approaches worthy of increased effort
        are as follows:
        a. Oral contraceptives have become popular and widely used; yet the
        optimal steroid hormone combinations and doses for LDC populations need
        further definition. Field studies in several settings are required.
        Approx. Increased Cost: $3 million annually.
        b. Intra-uterine devices of differing size, shape, and bioactivity
        should be developed and tested to determine the optimum levels of
        effectiveness, safety, and acceptability. Approx. Increased Cost: $3
        million annually.
        c. Improved methods for ovulation prediction will be important to those
        couples who wish to practice rhythm with more assurance of effectiveness
        than they now have. Approx. Increased Cost: $3 million annually.
        d. Sterilization of men and women has received wide-spread acceptance in
        several areas when a simple, quick, and safe procedure is readily
        available. Female sterilization has been improved by technical advances
        with laparoscopes, culdoscopes, and greatly simplifies abdominal
        surgical techniques. Further improvements by the use of tubal clips,
        trans-cervical approaches, and simpler techniques can be developed. For
        men several current techniques hold promise but require more refinement
        and evaluation. Approx. Increased Cost $6 million annually.
        e. Injectable contraceptives for women which are effective for three
        months or more and are administered by para-professionals undoubtedly
        will be a significant improvement. Currently available methods of this
        type are limited by their side effects and potential hazards. There are
        reasons to believe that these problems can be overcome with additional
        research. Approx. Increased Cost: $5 million annually.
        f. Leuteolytic and anti-progesterone approaches to fertility control
        including use of prostaglandins are theoretically attractive but
        considerable work remains to be done. Approx. Increased Cost: $7 million
        annually.
        g. Non-Clinical Methods. Additional research on non-clinical methods
        including foams, creams, and condoms is needed. These methods can be
        used without medical supervision. Approx. Increased Cost; $5 million
        annually.
        h. Field studies. Clinical trials of new methods in use settings are
        essential to test their worth in developing countries and to select the
        best of several possible methods in a given setting. Approx. Increased
        Cost: $8 million annually.
        2. Long-term approaches: Increased research toward better understanding
        of human reproductive physiology will lead to better methods of
        fertility control for use in five to fifteen years. A great deal has yet
        to be learned about basic aspects of male and female fertility and how
        regulation can be effected. For example, an effective and safe male
        contraceptive is needed, in particular an injection which will be
        effective for specified periods of time. Fundamental research must be
        done but there are reasons to believe that the development of an
        injectable male contraceptive is feasible. Another method which should
        be developed is an injection which will assure a woman of regular
        periods. The drug would be given by para-professionals once a month or
        as needed to regularize the menstrual cycle. Recent scientific advances
        indicate that this method can be developed. Approx. Increased Cost: $20
        million annually.
      Development of Low-cost Delivery Systems
      Discussion
           Exclusive of China, only 10-15% of LDC populations are currently
      effectively reached by family planning activities. If efforts to reduce
      rapid population growth are to be successful it is essential that the
      neglected 85-90% of LDC populations have access to convenient, reliable
      family planning services. Moreover, these people -- largely in rural but
      also in urban areas -- not only tend to have the highest fertility, they
      simultaneously suffer the poorest health, the worst nutritional levels,
      and the highest infant mortality rates.
           Family planning services in LDCs are currently provided by the
      following means:
        1. Government-run clinics or centers which offer family planning
        services alone;
        2. Government-run clinics or centers which offer family planning as part
        of a broader based health service;
        3. Government-run programs that emphasize door to door contact by family
        planning workers who deliver contraceptives to those desiring them
        and/or make referrals to clinics;
        4. Clinics or centers run by private organizations (e.g., family
        planning associations);
        5. Commercial channels which in many countries sell condoms, oral
        contraceptives, and sometimes spermicidal foam over the counter;
        6. Private physicians.
      Two of these means in particular hold promise for allowing significant
      expansion of services to the neglected poor:
        1. Integrated Delivery Systems. This approach involves the provision of
        family planning in conjunction with health and/or nutrition services,
        primarily through government-run programs. There are simple logistical
        reasons which argue for providing these services on an integrated basis.
        Very few of the LDCs have the resources, both in financial and manpower
        terms, to enable them to deploy individual types of services to the
        neglected 85% of their populations. By combining a variety of services
        in one delivery mechanism they can attain maximum impact with the scarce
        resources available.
        In addition, the provision of family planning in the context of broader
        health services can help make family planning more acceptable to LDC
        leaders and individuals who, for a variety of reasons (some ideological,
        some simply humanitarian) object to family planning. Family planning in
        the health context shows a concern for the well-being of the family as a
        whole and not just for a couple's reproductive function.
        Finally, providing integrated family planning and health services on a
        broad basis would help the U.S. contend with the ideological charge that
        the U.S. is more interested in curbing the numbers of LDC people than it
        is in their future and well-being. While it can be argued, and argued
        effectively, that limitation of numbers may well be one of the most
        critical factors in enhancing development potential and improving the
        chances for well-being, we should recognize that those who argue along
        ideological lines have made a great deal of the fact that the U.S.
        contribution to development programs and health programs has steadily
        shrunk, whereas funding for population programs has steadily increased.
        While many explanations may be brought forward to explain these trends,
        the fact is that they have been an ideological liability to the U.S. in
        its crucial developing relationships with the LDCs. A.I.D. currently
        spends about $35 million annually in bilateral programs on the provision
        of family planning services through integrated delivery systems. Any
        action to expand such systems must aim at the deployment of truly
        low-cost services. Health-related services which involve costly physical
        structures, high skill requirements, and expensive supply methods will
        not produce the desired deployment in any reasonable time. The basic
        test of low-cost methods will be whether the LDC governments concerned
        can assume responsibility for the financial, administrative, manpower
        and other elements of these service extensions. Utilizing existing
        indigenous structures and personnel (including traditional medical
        practitioners who in some countries have shown a strong interest in
        family planning) and service methods that involve simply-trained
        personnel, can help keep costs within LDC resource capabilities.
        2. Commercial Channels. In an increasing number of LDCs, contraceptives
        (such as condoms, foam and the Pill) are being made available without
        prescription requirements through commercial channels such as
        drugstores.16 The commercial approach offers a practical, low-cost means
        of providing family planning services, since it utilizes an existing
        distribution system and does not involve financing the further expansion
        of public clinical delivery facilities. Both A.I.D. and private
        organizations like the IPPF are currently testing commercial
        distribution schemes in various LDCs to obtain further information on
        the feasibility, costs, and degree of family planning acceptance
        achieved through this approach. A.I.D. is currently spending about $2
        million annually in this area.
           In order to stimulate LDC provision of adequate family planning
      services, whether alone or in conjunction with health services, A.I.D. has
      subsidized contraceptive purchases for a number of years. In FY 1973
      requests from A.I.D. bilateral and grantee programs for contraceptive
      supplies -- in particular for oral contraceptives and condoms -- increased
      markedly, and have continued to accelerate in FY 1974. Additional rapid
      expansion in demand is expected over the next several years as the
      accumulated population/family planning efforts of the past decade gain
      momentum.
           While it is useful to subsidize provision of contraceptives in the
      short term in order to expand and stimulate LDC family planning programs,
      in the long term it will not be possible to fully fund demands for
      commodities, as well as other necessary family planning actions, within
      A.I.D. and other donor budgets. These costs must ultimately be borne by
      LDC governments and/or individual consumers. Therefore, A.I.D. will
      increasingly focus on developing contraceptive production and procurement
      capacities by the LDCs themselves. A.I.D. must, however, be prepared to
      continue supplying large quantities of contraceptives over the next
      several years to avoid a detrimental hiatus in program supply lines while
      efforts are made to expand LDC production and procurement actions. A.I.D.
      should also encourage other donors and multilateral organizations to
      assume a greater share of the effort, in regard both to the short-term
      actions to subsidize contraceptive supplies and the longer-term actions to
      develop LDC capacities for commodity production and procurement.
      Recommendations:
        1. A.I.D. should aim its population assistance program to help achieve
        adequate coverage of couples having the highest fertility who do not now
        have access to family planning services.
        2. The service delivery approaches which seem to hold greatest promise
        of reaching these people should be vigorously pursued. For example:
        a. The U.S. should indicate its willingness to join with other donors
        and organizations to encourage further action by LDC governments and
        other institutions to provide low-cost family planning and health
        services to groups in their populations who are not now reached by such
        services. In accordance with Title X of the AID Legislation and current
        policy, A.I.D. should be prepared to provide substantial assistance in
        this area in response to sound requests.
        b. The services provided must take account of the capacities of the LDC
        governments or institutions to absorb full responsibility, over
        reasonable timeframes, for financing and managing the level of services
        involved.
        c. A.I.D. and other donor assistance efforts should utilize to the
        extent possible indigenous structures and personnel in delivering
        services, and should aim at the rapid development of local (community)
        action and sustaining capabilities.
        d. A.I.D. should continue to support experimentation with commercial
        distribution of contraceptives and application of useful findings in
        order to further explore the feasibility and replicability of this
        approach. Efforts in this area by other donors and organizations should
        be encouraged. Approx. U.S. Cost: $5-10 million annually.
        3. In conjunction with other donors and organizations, A.I.D. should
        actively encourage the development of LDC capabilities for production
        and procurement of needed family planning contraceptives. 17
      C. Utilization of Mass Media and Satellite Communications Systems for
      Family Planning
      1. Utilization of Mass Media for Dissemination of Family Planning Services
      and Information
           The potential of education and its various media is primarily a
      function of (a) target populations where socio-economic conditions would
      permit reasonable people to change their behavior with the receipt of
      information about family planning and (b) the adequate development of the
      substantive motivating context of the message. While dramatic limitations
      in the availability of any family planning related message are most severe
      in rural areas of developing countries, even more serious gaps exist in
      the understanding of the implicit incentives in the system for large
      families and the potential of the informational message to alter those
      conditions.
           Nevertheless, progress in the technology for mass media
      communications has led to the suggestion that the priority need might lie
      in the utilization of this technology, particularly with large and
      illiterate rural populations. While there are on-going efforts they have
      not yet reached their full potential. Nor have the principal U.S. agencies
      concerned yet integrated or given sufficient priority to family planning
      information and population programs generally.
           Yet A.I.D.'s work suggests that radio, posters, printed material, and
      various types of personal contacts by health/family planning workers tend
      to be more cost-effective than television except in those areas (generally
      urban) where a TV system is already in place which reaches more than just
      the middle and upper classes. There is great scope for use of mass media,
      particularly in the initial stages of making people aware of the benefits
      of family planning and of services available; in this way mass media can
      effectively complement necessary interpersonal communications.
           In almost every country of the world there are channels of
      communication (media) available, such, as print media, radio, posters, and
      personal contacts, which already reach the vast majority of the
      population. For example, studies in India - with only 30% literacy, show
      that most of the population is aware of the government's family planning
      program. If response is low it is not because of lack of media to transmit
      information.
           A.I.D. bel



POPULATION CONTROL
AS A MILITARY ISSUE

The U.S. foreign policy officials who export "family planning" to less developed nations openly admit that their real goal is to reduce the over-all birthrates of affected populations. While agencies engaged in "development" promote population programs on the grounds that they will improve family health and facilitate economic development, the experts at other institutions -- those branches of government that actually determine foreign policy toward the developing world -- recommend the same actions to contain the growing political, military, and economic strength of developing nations. In fact, demographic research undertaken by these institutions invariably casts the less-developed countries in the role of adversaries or competitors. Two important military reports illustrate clearly how population control serves western military and political interests at the expense of the developing world.


Since the early part of the century, fertility has consistently and steadily fallen in the industrial world. In all of western Europe and north America, as well as in Japan, Australia and New Zealand, birthrates are now so low that these societies can project a future shrinkage in their actual human numbers. When average family size is under two children per household, it is considered to be "below replacement level," meaning that the current generation of children will be numerically smaller than the generation to which their parents belong. The impact of such unprecedented low birthrates will be felt both inside and outside of the affected nations.
When fertility falls to the point that a society produces ever- smaller numbers of youth with each successive generation, young people become a smaller and smaller proportion of the over-all population, while, at the same time, the elderly constitute a larger share of the country's people. This means that the national wealth must be produced by a workforce that is smaller than in the past, and that the government must supply social services to a relatively large and growing number of retired and elderly citizens. The result is not only a shrinking economy, but also an economy upon which there will be increasing demands to meet the relatively greater needs of the old-age population.
Policies to encourage immigration offer one alternative to declining numbers of workers and a response to the growing need for an income base upon which to assess taxes. Most new immigrants to an industrial nation, after all, are young adults who offer years of productive participation in the workforce. But opponents of mass immigration point out that large numbers of migrants entering a country's labor market tend to produce marked changes in the society's dominant culture and can thus profoundly influence politics.
From the viewpoint of foreign policy, low-birthrate nations will have to contend with greater domestic spending, which will compete with the military for a share of the national budget. In addition to pressures for decreased military spending is the fact that youth, from whom combat forces are drawn, will be fewer in absolute numbers. Thus, at some point in the future, these nations must anticipate having both fewer troops and smaller military budgets. Many western military leaders feel that this situation will lead to a loss of power and prestige in the immediate future.
This is occurring against a backdrop of generally-high fertility in most developing regions, often accompanied by rapid development. In those nations where per capita income and population are increasing significantly, as is the case with many countries in Asia and Latin America, national prestige and the actual ability to project power can be expected to rise substantially. In others, such as Nigeria, where natural wealth is abundant but development has been slow, governments will have an incentive to use their growing numbers of youth to build larger standing armies as an employment option, thus increasing the probability that they will successfully use military action or the threat of military force to bring about political changes that will favor better terms of trade or other political objectives. The consequences for today's powerful nations is likely to be great, indeed. According to some scholars, the current situation could lead to a near-total reversal of leadership roles in a future world where today's dominant groups constitute only a tiny part of the world's people.
In the late 1980s, the U.S. Department of Defence commissioned several studies into the effects of worldwide population trends for America's ability to influence events abroad. One of these was published in summary form in the Spring 1989 issue of the Washington Quarterly, a journal of the influential Center for Strategic and International Studies. The overview, which was compiled by Gregory D. Foster, an instructor at the National Defence University in Washington, was described in the publication as having been "drawn, sometimes verbatim, from commissioned papers" which were presented to the Commission on Integrated Long-Term Strategy, under the direction of the Office of the Director of Net Assessment at DOD.
That study began with a statement on the importance of planning for the future.
Circumstances do not permit Americans the luxury of ignoring events until they occur simply because the tools of prognosis at their disposal are so ill developed. In fact, looming resource constraints demand heightened levels of prescience by the United States in its handling of global affairs. It is appropriate, therefore, even if somewhat daunting, to look once again into the future -- perhaps to the end of the first decade of the next century -- to ascertain how important population matters might be to the security interests of the United States.
The published report warned that "demographic developments promise to have a material effect on the general complexion of the world over the next two decades." It predicted that by the year 2010, just over 15 years from now, the world will have roughly 7 billion inhabitants. While less-developed countries ("LDCs") now have "slightly less than 76 percent of current world population," it continued, "fully 81 percent of the population two decades from now will reside in the Third World." Thus, it stated that...
One of the most important issues in the years ahead will be the extent to which demographic developments are likely to affect the size and composition of military establishments around the world. On the whole, demographic factors will produce completely different concerns in the developed world than in the developing world. Declining fertility rates will make it increasingly difficult for the United States and its North Atlantic Treaty Organization (NATO) allies and the Soviet Union and its Warsaw Pact allies alike to maintain military forces at current levels. In contrast, exceptionally high fertility rates in most LDCs, if not matched by a commensurate growth of jobs, could lead to expanded military establishments in affected countries as a productive alternative to unemployment. In other words, where labor forces are significantly under- employed, military establishments may have a built-in momentum to capitalize on unused manpower for purposes of both internal and external security.
The report finds that "population change may or may not produce shifts in the international balance of power over the next two decades," but that, because "the types of conflicts likely to predominate in the years ahead are manpower-intensive regional conflicts, developing states may indeed accrue added power and influence."
The same study reveals that today's wealthy nations will increasingly be burdened by the growing needs of the elderly. It found that "more than 286 million people in the world are 65 years of age or older, a figure that will increase to 418 million by 2000." This trend, the document concluded, will be "especially pronounced in the developed world, where the median age by the year 2025 will be almost 39." This is compared with a median age in less-developed nations of 30 or less. It explained the disadvantages to the industrial world:
The significance of this pattern lies in the fact that aging implies a reduction in productivity and the possibility of economic stagnation. It produces a high ratio of retirees to workers and thus increased taxes and social security expenditures. Armed forces must compete for both money and people, but less overall money exists because the productive population base has shrunk. Such conditions seem likely to have their most demonstrable effect in the years ahead among NATO nations and in Japan, all of which have sizable welfare spending programs.
The report advises that United States is at present the fourth most populous nation in world, but that total population is likely to begin declining in the early 21st century. Moreover, it adds, the U.S. accounted for six percent of total world population in 1950, but it is expected to have no more than four percent of the earth's people by the year 2010. Moreover, the numbers of U.S. citizens in the 18-24 age bracket "peaked in 1981 at 30.5 million," and is expected to decline by about seven million by 1996.
At the same time, the population of the United States is growing older. Persons above the age of 65 numbered just less than 29 million in the United States at the time the study was done, an increase of 100 percent since 1955. Fully 39 million elderly persons are expected to live in the U.S. by the year 2010. This will have a profound effect on the nation's economy, advise the experts:
The nation's elderly currently receive 28 percent of the federal budget (almost double the share 25 years earlier) and nearly half of all domestic program spending. Most of the money goes to Social Security (received by 93 percent of the elderly), and about 23 percent of the total is spent on Medicare. The number of people requiring formal or informal long-term, care is expected at least to double to 2020
The Pentagon research explains the importance of these trends for the future military:
As the population continues to shrink, competition to fill vacancies undoubtedly will intensify between the military, colleges, and civilian employers. As this competition intensifies, recruiting costs seem likely to escalate, and pay levels will have to be increased to keep pace with the civilian job market. Pumped-up pay or bonuses for enlistment and reenlistment, when combined with other defense expenditures, could seriously squeeze the federal budget.
Per capita military costs, in other words, will increase at a time when skyrocketing social expenses "are likely to increase pressures to trim defense," explains the published report.
Similar situations are seen elsewhere in the industrial world. According to the military researchers, the former Soviet Union will also face problems of low fertility and population aging. And in Europe, the situation of declining population will pose particularly severe problems. Population decline among ethnic Europeans, the military document states,
...is expected to continue, falling below 0.2 percent around 2000 and close to zero by 2025. By 2025 four important West European states now among the 16 most populous nations in the world -- West Germany, Italy, the United Kingdom and France -- will plummet in the rankings. France is expected to rank twenty-fifth in total population by that time; the others will rank yet lower.
Giving West Germany as an example, the study advises that birthrates among this group have fallen to "virtually unprecedented levels." The West German family produced just 1.38 children per couple up until 1984, at which time fertility fell even further to 1.27, a level that is "35 to 40 percent below replacement," according to the military analysts. Thus, West Germany's actual population can be expected to "decline by over 2 million between 1989 and 2010, and its 18-22-year-old male cohort will drop from 2.6 million to 1.6 million," according to the publication.
Population aging will compound the problem, by placing "extraordinary demands on the welfare state," says the Department of Defence report. It adds that "old-age pensions and medical insurance account for about two-thirds of West Germany's total welfare spending, which has ballooned within three decades to more than $250 billion, or about one-third of the nation's total economic output." The researchers project that, by the year 2030, "nonworkers will outnumber workers" in Germany. As a result -- in Germany and other similarly-situated western countries -- "fewer taxpayers will foot the enormous costs of the welfare state, and tensions between defense spending and social spending will be exacerbated."
In terms of actual numbers of potential combat troops available, Germany is again cited as an example of future hardships that await the superpowers of today:
Militarily, there seems little doubt but that West Germany will find it virtually impossible to field the size force it does today... [Therefore] NATO members are likely to feel increased tension over conventional burden sharing... [and there is] a heightened possibility that the alliance's forward defense posture will unravel.
These trends suggest that western leaders, especially those who have historically relied on military strength to influence global affairs, will try to compensate by placing greater emphasis on political measures to increase the share of global resources diverted to the use of the wealthy. But even if this remains an option, it promises a backlash among those nations who enjoy less than their fair share of the world's goods. As the summary report notes, "increasing disparities between have and have-not countries and regions of the world" is likely to produce a new set of problems -- either accelerated rates of international migration or higher levels of hostility toward the west:
Perhaps the most critical movements of humanity will occur where low-growth areas lie in close proximity to high-growth areas: the United States with the Caribbean Basin and Europe with the Middle East and North Africa. Where immigrants cannot be assimilated readily due to cultural differences and where they are perceived to be taking jobs from host-country citizens, political instability may ensue.
As the United States and its western allies attempted to ensure their continued hold on the dominant share of the world s wealth, they will face increasing competition from the south. According to the Pentagon researchers, the population of Latin America grew from about 165 million in 1950 to well over 400 million by 1985, and will probably reach 546 million by the year 2000, and 778 million a mere 25 years later. By that time, says the report, the U.S. population is expected to be less than twice as large as Brazil's and less than three times Mexico s," despite the fact that the U.S. had a population size almost equal to that of all Latin America only four decades ago.
Population growth in the Middle East, too, is expected to posed increased risks for U.S. interests in that area. According to the Pentagon study, the region's population was estimated at 233 million in 1987. It is expected is expected to reach 323 million by 2000 and 418 million by 2010. "Egypt and Iran, the two largest states, will add 35 million and 49 million respectively by 2010," the report predicts. Moreover, intervention to decrease fertility in the region faces strong political obstacles:
...Iran, Iraq, Kuwait, Libya, Qatar, Saudi Arabia, the United Arab Emirates, Bahrain to some extent, and the Palestinians... tend to prefer high growth rates... [and] members of the Organization of Petroleum Exporting Countries desire rapid population growth in order to provide necessary manpower for service and development tasks now carried out by imported labor. .....
In Africa, too, population is expected to grow substantially in coming years. According to the Pentagon advisors, "Between 1988 and 2010 Africa's population will more than double to 1.2 billion, about 16.6 percent of the global total. Between 1985- 2030 the total increase will be 1.1 billion." Broken down to demographic growth within certain larger countries, they find that...
Nigeria, with an estimated 103 million people in 1988, is expected to double in size by 2009, triple by 2024, and quadruple by 2035, adding 312 million people to the world s population in 50 years. By 2035 Nigeria is expected to surpass both the United States and the Soviet Union to become the third largest country in the world. ... Kenya's population of slightly over 20 million is expected to double in approximately 17 years. Four other states in the region Ethiopia, Zaire, Tanzania, and South Africa are likely to be among the top 25 nations in population by the year 2025.
Moreover, high birthrates lead to "large increases in the size of the economically active population (EAP)," in the words of the published summary. And if the distribution of global resources remains unchanged in the face of such astounding demographic shifts, the result could be rising discontent. In reference to Latin America, for example, the study report: "Reputable estimates put combined unemployment and under-employment in the region at 40 percent of the working-age population." Besides producing economically-motivated migration, the situation could spark rebellions and threaten U.S. economic and commercial interests:
Competition for land, fed by rapid population growth, could serve as a continuing source of conflict, particularly between large landholders and poor peasants. Land scarcity in the region is likely to result not from physical constraints but from such factors as the misuse of political and economic power in the dominant classes... Moreover, the commercialization of agriculture has produced a greater concentration of land holdings...
Such occurrences are less likely in Africa, where population is sparse, foreign investments relatively few, and modern "agri-business" has yet to get a foothold. The study notes, for instance,
In the aggregate and by comparison with other parts of the developing world, sub-Saharan Africa is land rich. The World Bank estimates that as much as a third of the region's land is potentially cultivable, yet less than 6 percent was in use in the late 1970s.
Nonetheless, the region is a vital source of key strategic minerals which would be jeopardized by attempts at political reform that inhibit foreign access.
Another military report on demographic trends was prepared in 1991 for the U.S. Army Conference on Long Range Planning by Nicholas Eberstadt of the Harvard University Center for Population Studies. According to Eberstadt, who is also a Visiting Scholar at the American Enterprise Institute, the changing distribution of population in the world constitutes nothing less than a mortal threat to western domination. The Army Conference study, which was reprinted in the Summer 1991 edition of the Council on Foreign Relations journal, Foreign Affairs, notes, for example, that ...
...virtually all current population projections anticipate comparatively slow population growth in today's more developed regions (Europe, the Soviet Union, Japan, North America and Oceania) and comparatively rapid growth for the less developed regions (the rest of the world). With variations, these projections point to a continuation of trends evident since the end of World War II. If these trends continue for another generation or two, the implications for the international political order and the balance of world power could be enormous.
The changes foreseen in "the balance of world power" by Eberstadt include a significant loss of economic advantage. Citing statistics from the Development Research Center at the Organization for Economic Cooperation and Development (OECD), the Army population study advises that per-capita income in most developing countries has risen with population, thus giving this nations a vastly greater share of global economic resources. Citing the examples of Asia and Latin America, the study acknowledges that per-capita output in that region...
... rose by a factor of more than four between 1900 and 1987. Though the populations of the nine Asian countries in the sample more than tripled during this period, and the population of the six Latin American countries rose by a factor of nearly seven, per-capita output is estimated to have risen dramatically as well -- by a factor of more than three for the Asian group and by nearly five for the Latin American group.
In other words, taking the Latin American example, the population increased nearly seven-fold in the first eight decades of the century, while per-capita income rose by a factor of five. This means that the period saw Latin American nations on the average enjoy a thirty-five fold increase in wealth -- the result of having seven times more people and a gross national product five times greater, measured on a per- person basis.
Like the Department of Defence study, the Army Conference paper cautions that today's powerful states will, as populations age and shrink, gradually lose the ability to mold the politics and culture of the world.
Current population trends are redistributing global population and moving it away from today's industrial democracies. In 1950 two of the top five, and seven of the top 20 countries by population could be described as industrial democracies. Their combined populations accounted for nearly a quarter of this big-country total. By 1985 industrial democracies accounted for only one of the top five, and six of the top 20; they comprised less than a sixth of the group's total population. In the year 2025 only one of today's industrial democracies -- the United States -- is projected to rank among the top five, and only two -- Japan and the United States -- among the top 20. In this future world today's industrial democracies would account for less than one- fourteenth of the total population of the big countries, yet they would rank among the top in the world's population of geriatrics. By one recent U.S. Census Bureau projection, for example, today's industrial democracies would account for eight of the top 18 national populations of persons aged 80 and older by the year 2025.
Several small-scale examples of population change and its national impact are cited in the 1991 report. In Lebanon, for instance, political change is seen as the inevitable result of fertility differences between the Christian and Muslim population groups; and in South Africa, a higher birthrates among the African majority has made the white minority even smaller by comparison, thus eroding apartheid-style rule. In the former case, says Eberstadt,
An unwritten 1943 agreement, later known as the National Pact, stipulated that political authority be shared among [Lebanon s] `confessional or religious groups in accordance with their strength in the national population. Top ministers were to be divided in a six-to-five ration between Christians and Muslims (including the Druze sect), corresponding to the breakdown reported in the country's 1932 population census. Subsequent surveys, however, underscored a pronounced difference between Christian and Muslim fertility. In the early 1970s the Christian community was estimated to have a total fertility rate of less than four children per woman, as compared with an estimated fertility rate of nearly six children per woman for the Muslim community. By 1975 Lebanon is widely believed to have become a Muslim-majority country.
And the impact of high black birthrates for white power in South Africa is summed up as follows:
In 1951, as the laws and practices of `Grand Apartheid were being formalized, South Africa's whites accounted for slightly more than one-fifth of the country's enumerated population. By the early 1980s whites accounted for less than a seventh of the population within the country's 1951 boundaries. By 2020, according to official government projections, the white population would amount to no more than a ninth of the total population, barring massive net migration of whites from abroad. Adjusting the projections to 1951 borders, whites might comprise less than one-eleventh of the country's total. South Africa's current liberalizations may not have been motivated by these trends, but they are surely informed by them.
As the two military studies suggest, population growth can work in a country's favor in a variety of ways -- by increasing the numbers of economically-active persons and providing a larger income base from which to extract taxes; by offering a growing pool of younger persons from which armies and navies can be formed; and by generally increasing the political status of the group. A comparative advantage is added when one's potential adversaries are experiencing relatively slow population growth or none at all. The Army Conference research describes the probable political outcome of the present demographic situation in these words.
By these projections a very different world would seem to be emerging. Such trends speak to pressures for a systematically diminished role and status for today's industrial democracies. Even with relatively unfavorable assumptions about Third World economic growth, the share of global economic output of today s industrial democracies could decline. With a generalized and progressive industrialization of current low-income areas, the Western diminution would be all the more rapid.
Lest there be any doubt that the report views developing nations as being in an adversarial relationship with the industrial bloc, the 1991 military document advises...
Imagine a world, indeed, very much like the United Nations today, but with rhetoric in the General Assembly informing policy on a global scale, directing actions affecting the lives of millions of people on a daily basis. Even without an aggressive or hostile Soviet bloc, or the invention of new weapons, this world could be a very dangerous and confused place.
In fact, the Army Conference compares the demographic situation to the "dangers" of the cold war era:
Thus, one can easily envision a world more unreceptive, and ultimately more threatening, to the interests of the United States and its allies. The population and economic-growth trends described could create an international environment even more menacing to the security prospects of the Western alliance than was the Cold War for the past generation.
While the study prepared for the Army Conference on Long Range Planning does not specifically address a strategy to influence birthrates, the 1988 study prepared for the Defence Department's office of Net Assessment calls for a huge commitment of resources to "population planning." It also reveals that such policies are to be pursued despite the notorious unreliability of population forecasting.
Indeed, the CSIS summary acknowledges that population trends are virtually impossible to project because of unknown factors that can have tremendous effects on fertility and mortality. It cites, for example, the possibility that the AIDS epidemic will radically alter current trends, even conceding that some nations might be entirely "wiped out" by the death toll.
Although embryonic efforts are underway to forecast the future prevalence and effects of AIDS, it remains an ill-understood phenomenon of pandemic proportions that could easily invalidate all existing population projections. According to the World Health Organization, more than 71,000 cases of AIDS have been reported worldwide by 129 countries... The World Health Organization estimates that 5-10 million people are infected with the virus worldwide, a count that could reach as high as 100 million by 1991. Some analysts argue that if 100 million people, or 2 percent of the world's population, were infected, total deaths from AIDS in the 1990s could be 50 million. The number infected then could double several more times after that and wipe out some countries in 10 to 20 years.
Despite the unreliability of current population statistics, the unscientific nature of projections, and the possibility of a demographic disaster associated with AIDS, the summary version of the Department of Defence study nonetheless recommends that population control be accorded an extraordinarily high priority on the national security agenda. Moreover, the report forcefully portrays the population control program as a key element in a larger strategy to curb the strength of the emerging nations of the southern hemisphere, and as a tactic intended solely to inhibit the political and economic growth of aid-recipient nations. Indeed, the report accords population control activities a level of importance that is essentially equal to the development and procurement of advanced weapons:
As difficult and uncertain as the task may be, policymakers and strategic planners in this country have little choice in the coming decades but to pay serious attention to population trends, their causes, and their effects. Already the United States has embarked on an era of constrained resources. It thus becomes more important than ever to do those things that will provide more bang for every buck spent on national security. To claim that decreased defense spending must lead to strategic debilitation is fatuous. Rather, policymakers must anticipate events and conditions before they occur. They must employ all the instruments of statecraft at their disposal (development assistance and population planning every bit as much as new weapon systems). Furthermore, instead of relying on the canard that the threat dictates one's posture, they must attempt to influence the form that threat assumes.