The real problem is that society has changed to be hostile to healthy human existence. You need a car to live in most of the USA. Extended families and support are spread out across the nation. Rather than cooking together in your kitchen and playing together on a whim, everything has to be planned around commutes and— often— long distance travel. Societal expectations are that families are small. Nothing is built for large families. The list goes on and on, but over all, I think it’s a long list of things— with economics being one— that underpins this.