What's the problem? Only poor people care about test scores as they imagine high test scores is how one can pull themselves out of being poor. When you are rich you can also do pointless things just for the fun of it like build bridges to nowhere. None of these are problems unless you try and look at it through a poor man's lens.
Poorer health might be concerning, but is likely the result of the population growing older. More children would help make the numbers look better, I suppose, but, statistically, only poor people like having children.
Poorer health might be concerning, but is likely the result of the population growing older. More children would help make the numbers look better, I suppose, but, statistically, only poor people like having children.