@HODL holding, thinking, working out. These cost nothing. Anyone can do them if they chose to.
Having kids, eating right. These are not without cost. The things on your list are no all equal.
If you want specific examples;
I could not afford to have more kids and continue to live where I do. For me this is more than difficult it is untenable.
I have traveled to places where the options that people have are eat what is available or don’t eat.
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I’m really only ever talking about Americans in my post
Seems like you’re prioritizing different things than what @HODL is suggesting.
See, they’re hard.
Having lots of kids always came with sacrifices. Anyone fertile can have lots of kids, but not everyone will value lots of kids enough to sacrifice what’s required