Here’s an example of a larger family going splat financially:
crisismagazine.com/2013/of-dave-ramsey-babies-and-birth-control
That’s not the purpose of the article–the stated purpose of the article is to slam Dave Ramsey, but I’ll just set that aside and pull out some quotes from the article and the author’s comment in the comment thread illustrating what can happen when the larger family hits the US facts-of-life head-on:
“Anyway, for a brief time—an extremely brief time—we were debt-free, except for the mortgage. We had become “gazelle intense,” in Ramsey parlance, and we were on the road to becoming totally debt-free! But then God blessed us with another baby. And then another. Suddenly, our “financial peace” went out the window, and we were scrambling to replace those shredded credit cards.”
"You’ll recall in my story that we were able to achieve debt-free (except the mortgage) status for a period of time, but then we were blessed with additional children. Even if we had “planned” those children and had adequately budgeted for them, we couldn’t have foreseen the fact that our Nicky would require open heart surgery.
"Nick, our sixth, also has Down syndrome. Before he was born, we had resisted applying for Medicaid to avoid depending on government aid. Today I’m incredibly grateful to the social worker who urged us to enroll him after he was born because, even with good insurance, the co-pay for his heart surgery a year later ran into the tens of thousands. We would’ve been sunk.
“So, government assistance, credit cards from time to time, personal loans from generous friends and family – we get by.”
What would happen to a family in that situation that wasn’t Medicaid eligible? A lot of bad stuff.
And the special needs issue is a whole book in itself–just one child’s expenses could sink you.
autismsupportnetwork.com/news/parenting-and-high-cost-autism
"Children, ages 5 to 11, who attend the Brooklyn Autism Center Academy which offers intensive educational instruction as one example have an annual tuition of $85,000 per year. Individual therapists can easily run $100-200 or more per hour, with a child’s needs easily requiring dozens of hours a week in therapy. While there is a general tide – slowly turning – for health insurance companies to cover some of these costs, there is no universal coverage across every state in the country, and many therapies are not covered at all. Families are often forced to choose between financial stability and going out of pocket for treating their child. It is not uncommon in this cycle for families to dig themselves into debt, sell their assets, and in some cases be forced into foreclosure or bankruptcy over the medical costs incurred in seeking to better their autistic child’s circumstances.
“The costs for a child with autism only continue on as that child grows into an adult, as more social services are required for that person over his or her lifetime. According to a Harvard School of Public Health study published in the Archives of Pediatrics and Adolescent Medicine in the spring of 2007, the typical American spends about $317,000 over his or her lifetime in direct medical costs, incurring 60% of those costs after age 65 years. In contrast, people with autism incur about $306,000 in additional direct medical costs, implying that people with autism spend twice as much as the typical American over their lifetimes and spend 60% of those incremental direct medical costs after age 21 years.”
The Brooklyn Academy’s rates are high (natural for NYC area), but private school tuition at schools that serve autistic children is much, much more expensive than standard parochial school.
The thing is, one can’t be guaranteed “cheap” kids.