Affiliations 

  • 1 Singapore Fertility and IVF Consultancy Pty Ltd., Singapore, Singapore. boonchinheng@yahoo.com
  • 2 MOMENTUM Fellow, President's Cabinet and the Ethics in Research Department, Spanish National Research Council, Madrid, Spain
  • 3 Center for Reproductive Medicine, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China
  • 4 Institute for Population and Social Research (IPSR), Mahidol University, Salaya, Thailand
  • 5 Department of Obstetrics and Gynaecology, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo
  • 6 Geography Section, School of Distance Education, Universiti Sains Malaysia, Penang, Malaysia
  • 7 Department of Fiqh and Usul al-Fiqh, AHAS KIRKHS, International Islamic University Malaysia, Gombak, Malaysia. muhsin@iium.edu.my
Monash Bioeth Rev, 2025 Jun;43(1):97-127.
PMID: 40455372 DOI: 10.1007/s40592-025-00244-3

Abstract

This study examines the declining fertility rates in East Asian Confucian societies, focusing on the unique childrearing practices and how future advancements in human enhancement and reprogenetic technologies may further accelerate the demographic decline. The focus is on the obsession with "child perfectionism" driven by the pursuit of academic credentialism and hypercompetitive social norms. This phenomenon has roots in the historical imperial examinations of China and has evolved into modern college entrance exams. Recent growth in knowledge-based and technology-driven economies in East Asia has further fueled this trend, leading to the widespread practice of "tiger parenting" whereby parents push their children into the competitive educational system at an early age, often paying high fees for private tuition. Such intense pressure discourages many families from having more children, with some couples choosing not to have any children at all. The development of cognitive-enhancing brain chips and reprogenetic technology platforms for consumer eugenics, such as germline genome editing and polygenic embryo screening, may further increase financial strain on parents, potentially accelerating demographic decline. The term "Confugenics" is thus proposed to describe the intersection of these new eugenics and enhancement technologies with the Confucian emphasis on academic success, which may worsen the demographic crisis.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.