The content of a population
policy cannot be immutable, but will need to be adjusted over time in the light
of emerging developments, increased knowledge, and changing attitudes of both
government and the general public. Thus, the Commission sees national
population policy as an evolving rather than a static instrumentality, whose
development and implementation are continuing processes. A nation must observe
changes in the number and distribution of its population, evaluate these
changes, attempt to affect them in ways that will be useful, measure the impact
of steps taken, and adapt and redefine the issues to fit the course of the
future that it seeks.
Viewed in this fashion, a
policy program represents a course of conduct that requires a continuing
feedback of information and appraisal to produce an intelligent and responsive
program as experience grows. Statistics provide the descriptive element of the
universe of policy concerns; research provides the analytical insight into
causal relationships and consequences of the phenomena that statistics reveal
and measure. Both statistics and research must underlie the formulation of
policy and the design and evaluation of programs.
Public policy in regard to
population cannot be intelligently conducted in the absence of timely
statistics of high quality on a broad range of subjects. This Commission has
received excellent cooperation from the federal statistical agencies, but all
too often what they could offer was inadequate to the task.
We have reviewed the principal
shortcomings in population statistics for the United States. In doing this, we
have sought to anticipate statistical needs for the evolution and modification
of public policy in the field of population. We believe our recommendations—
building on the considerable strengths of our present statistical system noted
in the recent report of the President’s Commission on Federal Statistics—will
provide a sound information base for public policy in the population field.
Our statement of information
needs is conditioned by the fact that national population policy touches every
sector of the population—geographic, ethnic, social, and economic. Since the
total effect can be obtained in many different detailed ways, it is upon the
details, rather than just upon the net result, that the process must be
appraised. The overall result is, of course, important. It matters whether the
nation’s population grows rapidly or not; but it matters, perhaps even more,
what the components of that growth are—whether changing fertility, mortality,
or migration—and where and in what groups the changes are occurring.
The fund of information needed
for such appraisal is large, and not cheap to obtain. However, it is basically
the same fund that is essential if the entire array of government
programs—local, state, and national—are to be well-designed and
well-administered. Such programs involve the commitment of almost unbelievably
large sums in the fields of health, welfare, education, housing, urban
planning, transportation, and the whole gamut of economic planning. Small gains
in the efficiency with which such funds are utilized would quickly more than
repay the costs of collecting and analyzing the needed information.
Thanks to this larger
significance of the nation’s information base, we have no reluctance in
recommending strongly the enrichment of our knowledge on the social and
economic side of demographic questions as we have done elsewhere on the
biomedical side. In both statistical and research programs, we put a high
priority on observance of the respondent’s privacy, on the use of sampling
where it can be substituted for complete enumeration, and on the timeliness,
comprehensiveness, and reliability of the data.
The Commission
recommends that the federal government move promptly and boldly to strengthen
the basic statistics and research upon which all sound demographic, social, and
economic policy must ultimately depend, by implementing the following specific
improvements in these programs.
Vital
Statistics Data
At present, there is a minimum
two-year delay in the publication of final and detailed data on births and
deaths. In spring 1972, the most recent detailed vital statistics available
were for 1968. This delay has done much to reduce the value of the information
collected because all major analyses of trends in fertility and mortality at
the national and local, socioeconomic and racial levels are dependent on these
detailed tabulations. Moreover, the detailed tabulations furnish indispensable
raw materials for the construction of intercensal estimates of the changing
population of regions and localities.
Also needed is the
modernization of both birth and death certificates to improve the
identification of the social, economic, and medical situations of individuals
and families and, in the case of births, to improve the analysis of their
timing by collecting information about the intervals between births.
For marriage and divorce, only
the number of total events is collected from all of the states. The
registration system which provides details about the location and
characteristics of the individuals involved covers only 40 states and the
District of Columbia in the case of marriage, and 29 states in the case of
divorce. On these subjects, we have about the poorest statistics of any
advanced country.
The Commission recommends that the National
Center for Health Statistics improve the timeliness and the quality of data
collected with respect to birth, death, marriage, and divorce.
More particularly, the National
Center for Health Statistics should:
1. Aggressively pursue its
“catch-up” program for the processing of birth and death registration
statistics, aiming at the earliest practicable date to achieve reporting of
detailed data for each year within six months following the close of that year,
and move toward quarterly processing and reporting of these data on a flow
basis. Eventually, the same goals should be sought for the reporting of
marriage and divorce.
2. Explore the development of a
system for priority sampling of birth certificates on a current flow basis that
would permit the calculation and reporting of fertility rates specific for age
and other characteristics more promptly than is permitted by even the best
possible system for processing the entire mass of data.
3. Undertake a crash program to
qualify all states to participate in the marriage and divorce registration
area; to institute follow-back surveys for samples of marriages and divorces,
such as the present natality and mortality follow-back surveys; to develop
information sources on family formation and dissolution, and the fertility and
other demographic consequences of family dynamics.
4. Enrich our data about the
social, economic, and ethnic factors related to births, deaths, marriages, and
divorces.
5. Modernize the birth and
death certificates.
Enumeration of
Special Groups
Population counts are the
subject of considerable controversy about the correct number of blacks and
persons of Spanish origin in the population. Incomplete enumeration not only
hampers the analysis of our changing demographic situation, it also reduces the
claims, especially of our poorest populations, for the many local, state, and
federal programs to which funds are allocated on the basis of population
counts.
The Commission recommends that the federal
government support, even more strongly, the Census Bureau’s efforts to improve
the completeness of our census enumeration, especially of minority groups,
ghetto populations, and all unattached adults, especially males, who are the
least well counted.
International
Migration
Immigrants now contribute
one-fifth of our annual population growth. Yet when this Commission tried to
find out what becomes of immigrants after they arrive, what kinds of
communities and neighborhoods they go to, the jobs they get, the incomes they
earn, their marriage and childbearing patterns and subsequent mortality—in
other words, bow immigrants are fitting into our society and what kind of
impact they have—we could learn very little. Nor could we obtain any but the
crudest estimates of the number of Americans emigrating from this country, or
the coming and going of civilian citizens. And usable figures on illegal
immigration are nonexistent.
The Commission recommends that a task force
be designated under the leadership of the Office of Management and Budget to
devise a program for the development of comprehensive immigration and
emigration statistics, and to recommend ways in which the records of the
periodic alien registrations should be processed to provide information on the
distribution and characteristics of aliens in the United States.
A mid-decade census containing
information on year of immigration has a potentially large contribution to make
in this connection.
The Current
Population Survey
Jointly sponsored by the Bureau
of the Census and the Bureau of Labor Statistics and administered since the
late 19 30’s by the Census Bureau, the monthly Current Population Survey has
developed into the nation’s principal instrument for providing information
about changes in the characteristics of the nation’s population between the
censuses. By reaching a sample of some 45 to 50 thousand dwellings, it provides
precise national estimates, not only of the labor force and employment status,
but also information about the socioeconomic characteristics of households and
individuals. It also provides usable estimates for geographic divisions and for
the larger states and metropolitan regions.
Procedures should be developed
to provide more precise information on geographic location, both for the
current residence of those interviewed and for the prior residence of persons
who have moved. It should be possible to distinguish with reasonable precision
such categories as urban versus rural, inside versus outside the central city,
and residence inside versus outside incorporated places.
A program of supplementary
surveys, including occasional selective supplementation of sample size, should
be generated to provide socioeconomic and other data for special groups of the
population, such as Spanish-Americans, and for special types of communities
whose characteristics make them important for questions of population
distribution. The survey should also be liberally employed to ascertain trends
in fertility rates and internal migration.
The Commission recommends that the government
provide substantial additional support to the Current Population Survey to
improve the area identification of those interviewed and to permit special
studies, utilizing enlarged samples, of demographic trends in special groups of
the population.
Statistical
Reporting of Family Planning Services
The public investment in and
commitment to family planning services require the earliest possible
development of a comprehensive program of family planning statistics. As a
first step in this direction, the National Center for Health Statistics
initiated, in January 1972, a national reporting system for family planning
services provided in clinics. Coverage includes patients receiving services
supported through the family planning project grants funded by the Department
of Health, Education and Welfare and the Office of Economic Opportunity, and
the nonfederally funded Planned Parenthood programs.
The national reporting system
could potentially include all patients to whom family planning services are
provided. Accordingly, all government statistical programs on health services
which could provide statistics on family planning services should do so. Only
when all patient contacts are included can truly national statistics be
developed.
The National Center for Health
Statistics should take the leadership in the development of uniform statistical
definitions and standards for a coordinated federal-state-local system.
The Commission recommends the rapid
development of comprehensive statistics on family planning services.
National
Survey of Family Growth
Achieving a policy on
population growth and implementing the nation’s commitment to family planning
assistance will require a flow of data regularly available, at comparatively
brief intervals, on factors influencing fertility, such as desired family size,
birth-spacing intentions, family planning practices, and the home,
neighborhood, and socioeconomic environment of family growth and family-growth
decisions. The feasibility of such work has been demonstrated in a series of
surveys undertaken since 1955 by private organizations. The National Center for
Health Statistics now proposes a biennial survey of family growth for a substantially
enlarged household sample to improve the accuracy and scope of national
estimates. Funding for preparatory work has been approved, and the National
Center for Health Statistics plans to undertake the initial survey of family
growth in late 1972.
The Commission recommends program support and
continued adequate financial support for the Family Growth Survey as almost the
first condition for evaluating the effectiveness of national population
policies and programs.
Distribution
of Government Data
Inevitably, formally published
tabulations of governmental data cannot begin to exhaust the information
contained in complex collections. At present, invaluable stores of information
are never used. Computer technology now makes it possible to issue identity-free
tapes of such data designed to meet the needs of particular research projects,
thereby greatly multiplying the value of the stock of information, while
guarding the rights of the individuals who provided it.
The Commission recommends that the various
statistical agencies seek to maximize the public usefulness of the basic data
by making identity-free tapes available to responsible research agencies.
Mid-Decade
Census
Our decennial censuses,
together with our vital and migration statistics, provide the materials for
developing quite accurate annual estimates of the nation’s total population
classified by age, sex, and race. They are wholly inadequate, however, to
permit the construction of annual estimates for regions, states, and local
areas, or to portray the intercensal social and economic status of the nation’s
constituent populations. The interval of 10 years between censuses—a leisurely
pace established in the 18th century—is simply too long in view of the high
mobility of our people. Under the best of circumstances, annual local estimates
will be difficult to obtain, but the problems would be greatly reduced if the
intervals between the total counts were five rather than 10 years. In addition,
while sample surveys provide national data between censuses, decentralized
decision making at the state and local level requires that these areas have
reasonably current, detailed, quality data about their own areas. Only a
national census (incorporating sampling principles as appropriate) can provide
such data, because it alone can provide the standardization of content,
definitions, and processing procedures which guarantee that a statistic for one
place means the same as a statistic for another place.
The Commission recommends that the decennial
census be supplemented by a mid-decade census of the population.
Statistical
Use of Administrative Records
The addition of the county of
residence to the information reported on the individual income tax return, and
the inclusion of this entry in the taxpayer’s identification file, would
materially assist in the solution of problems now encountered by statistical
agencies attempting to use taxpayer residence changes in the estimation of
internal migration. Similarly, the Social Security Administration could greatly
assist in estimating interstate and inter-area migration if its
identity-deleted one-percent sample of social security account holders were
increased to a 10-percent sample.
The Commission recommends that the government
give high priority to studying the ways in which federal administrative
records, notably those of the Internal Revenue Service and Social Security
Administration, could be made more useful for developing statistical estimates
of local population and internal migration.
Intercensal
Population Estimates
Close local and federal
cooperation is essential for the construction of adequate annual estimates of
population. Local people have special access to local data, but the problems of
coordinating all the local estimates to state, regional, and national totals
must be solved at the national level. The fund of professional experience for
technical aid on methodological problems is also best located at the national
level. The Census Bureau’s program for local population estimates should be
expanded to encompass annual estimates for all congressional districts, all
metropolitan areas, and all cities and counties having 25,000 or more
inhabitants. The Census Bureau’s resources for developing, testing, and
experimenting with improved sources and methods for population estimates should
be expanded, and this support should also include resources for gaining access
to, extracting, and processing relevant information from administrative records
of federal, state, or local governments, such as tax records, school enrollment
records, and the like.
The Commission recommends that the government
provide increased funding, higher priority, and accelerated development for all
phases of the Census Bureau’s program for developing improved intercensal
population estimates for states and local areas.
Social and
Behavioral Research
The Center for Population
Research of the Department of Health, Education and Welfare has responsibility
for promoting and guiding research in both the biomedical aspects of
reproduction and contraceptive development and in the social and behavioral
concerns of population. The Center’s role in the first area is acknowledged and
reasonably well-developed. Social and behavioral research has not been given
equal emphasis. This is perhaps because of a bias imposed by location of the
Center within the National Institutes of Health. However, since the mandate of
P.L. 91-572 includes investigation of the social and behavioral aspects of
population, there is no reason that the Center or its successor, given adequate
leadership and staff, cannot support a sufficient program in these areas as
well.
Another reason that social and
behavioral research has not been sufficient has been the general scarcity of
funds for all types of population research. In fiscal year 1972, only $6.7
million of the $39.3 million spent on population research was devoted to
behavioral aspects. Recent estimates are that federal support for social and
behavioral research in population should be increased over the next several years
to a total of about $50 million annually.1 (See Chapter 11 for
discussion of research into methods by which individuals may control their
fertility.)
Research is needed on a broad
range of topics in the behavioral sciences to develop the knowledge required
for the formulation of population policy objectives and effective means to
achieve them. A major component of this research must be directed toward
increasing our knowledge of the effects of population changes on the many
factors that determine the quality of life in the United States, such as
economic growth, resources, environmental quality, and government services.
Since the effects of population
change are diffuse and pervasive, the research questions are numerous and
varied. The many gaps in our knowledge are abundantly clear in this Report.
Many others are reflected by, and indicated in, the background papers
commissioned for this Report, which will be published in several volumes.* The
following paragraphs are intended only to illustrate the research needed.
*A list of these papers appears in the
Appendix of this Report.
Research on the consequences of
population change must deal not only with population size and rates of change,
but also with childbearing patterns (as reflected in ages at marriage and
parenthood, lengths of intervals between births, and so forth), changing age
composition, shifting geographic distributions, changing patterns of
metropolitan and nonmetropolitan residence, increasing scales of social
organization, density, and the like.
Studies should not be limited
to “macro” phenomena, but should also explore the consequences of population
dynamics at the family and individual level. For example, an important set of
problems involves the immediate and long-term consequences, to mothers as well
as children, of births to unmarried women. Other questions requiring
investigation deal with the effects of family size and child-spacing patterns
on the health and development of children.
The consequences of various
migration patterns are of great importance to our society. For example, how do
movements from rural to urban areas affect the quality of public services
available in areas of origin and destination? How do great increases in the
number of people in a jurisdiction affect the relationship of the citizen to
his local government? How do various patterns of residential use affect the
physical environment? What are the likely consequences of projected population
decline in many metropolitan areas, associated with national population stabilization?
Without answers to many of these questions, it is difficult to formulate
reasonable policy objectives, either locally or nationally.
Also within the field of
population distribution, research is needed which more clearly differentiates
the factors perpetuating residential segregation. Racial discrimination is
clearly an important factor, for even when economic differences between races
are taken into account, residential segregation persists. Prejudice is not the
only manifestation of racial discrimination. There are also institutional
barriers which operate to keep racial minorities segregated residentially.
These barriers need to be specified and their effects understood.
Another broad area of research
requiring further development involves the determinants of population trends.
Knowledge of the causes of population change is needed to permit the
formulation of population policies that have a reasonable chance of helping us
to achieve our objectives. For example, at the present time, it appears that if
all couples had effective control of their fertility, we might achieve
fertility rates consistent with the replacement, rather than the continued
increase, of our population. However, we do not know whether current
family-size preferences will change, and we know little about what causes these
preferences to change. Following World War II, the United States, as well as a
number of other developed countries, experienced a substantial rise in
fertility after a century of decline. We understand very little about why this
happened, and we cannot be certain that a similar phenomenon will not occur
again.
At the family and individual
level, much more needs to be known about the factors affecting the control of
fertility. We know, for example, that strongly motivated couples can limit
their fertility with relatively ineffective contraceptive measures. On the
other hand, even when highly effective measures are available, some couples
have several unintended conceptions. There are many theories about the factors affecting
success or failure in the control of fertility, but little solid knowledge.
An important area of research
must involve the family as a dynamic institution. Not only do specific families
change through the years, but the meaning and the functions of the institution
itself change. Since population phenomena (births, deaths, and migration)
inevitably involve the family, a major emphasis on the family is necessary in
any research on the causes and consequences of population change. This will
also necessarily lead to research on the changing roles of women in our society
and the effects of these changes on the family and on reproduction.
Finally, increasingly important
areas of research involve studies of the effectiveness of governmental programs
and policies that affect population change. Of major importance now are family
planning services. To what extent are they reaching the people who need them?
To what extent are they helping couples to achieve their family-size and
child-spacing goals? Do they affect the contraceptive practices of couples who
no longer use the services offered? Beyond family planning, there are policy
questions affecting fertility, migration, and mortality. For example, to what
extent lo various income-maintenance programs influence family-size and
migration patterns? How do agricultural programs affect rural-urban population
movements? How do family life education programs affect premarital sexual
behavior and decisions to marry? The questions seem varied and unlimited, but
research must begin to explore them if we are to learn how current and future
programs and policies will affect the quantity and quality of our population.
The research needed in the
social and behavioral sciences will require the expertise of many disciplines: demography,
sociology, economics, anthropology, psychology, history, geography, and
political science. To encourage and facilitate this research and research in
basic reproductive physiology and development of methods of fertility control,
a number of interdisciplinary population research centers should be supported
in universities and other nongovernmental centers. In fiscal rear 1972, federal
support for such centers was only $1.5 million. Estimates are that about $11.5
million should be made available annually for this purpose within the next five
years.2 With the concerted efforts of natural and social scientists
in such centers and elsewhere, we can build a solid foundation for
intelligently dealing with population-related problems in our society.
The Commission recommends that substantial
increases in federal funds be made available for social and behavioral research
related to population growth and distribution, and for the support of
nongovernmental population research centers.
Research
Program in Population Distribution
A center or sponsoring
organizational unit and a funded research program should also be developed for
those studies of population distribution needed for policy formation and
program guidance in the fields of housing, urban and economic development, and
transportation. The research program of this center should be carefully
coordinated with the program of the Center for Population Research, which
should continue to have responsibility for general research on questions of
population distribution and migration. The most abysmal ignorance exists
concerning the nature and effects of changes in the population size of regions
and communities in relation to economic, social, and governmental institutions
and processes, and to the physical, human, and environmental factors of life.
Yet hundreds of millions of dollars are spent on programs directly influencing
them in the fields of transportation, housing, and community and regional
development. There is an urgent need for the development of research capability
for understanding how population redistribution affects government activities
as well as how government programs affect population distribution.
The Commission recommends that a research
program in population distribution be established, preferably within the
proposed Department of Community Development, funded by a small percentage
assessment on funds appropriated for relevant federal programs.
However, the establishment of
this research program should not be dependent upon the creation of the
Department of Community Development. The Department of Housing and Urban
Development has requested funds to begin such a program. We believe it should
be initiated as quickly as possible.
Federal
Government Population Research
In the economic field, the
federal data-collection agencies have for years been conducting highly useful
research and analytical work that has been widely used in the development of
national policy. This is not so for federal demographic and social statistics.
Here, most data-collection agencies have research programs dealing with their
own techniques of collecting and processing data. This is necessary but not
sufficient. To exploit adequately their special skills and knowledge, these
agencies should also have staff and resources devoted to research that utilizes
the data they produce and relevant data from other sources as well. A small but
successful example is the Office of Health Statistics Analysis in the National
Center for Health Statistics. Funding should provide core support for the
agencies’ own research work and for the grant and contract funding of projects
that serve to stimulate the agencies’ own work.
The Commission recommends that the federal
government foster the “in-house” research capabilities of its own agencies to
provide a coherent institutional structure for improving population research.
Support for
Professional Training
Finally, it should also be
noted that the very large expansion of research and statistical work that has
already taken place in the demographic field, not to mention that still to
come, is creating heavy demands for able and highly trained personnel. The
situation is extremely tight and inevitably will become worse unless strong
measures are taken to increase the supply. Meanwhile, there are training
facilities that suddenly have few students because of the curtailment of
governmental support in spite of the continuing demand. Several years from now,
if support for graduate training does not become available, there will be an
even greater shortage of skilled personnel.
The Commission recommends that support for
training in (lie social and behavioral aspects of population be exempted from
the general freeze on training funds, permitting government agencies to support
programs to train scientists specializing in this field.