America has fallen below replacement-level fertility - and the consequences reach far beyond birth rates.

In this episode of Arroyo Grande, Dr. Drew Pinsky joins Raymond Arroyo for a candid, wide-ranging conversation about collapsing fertility, addiction culture, pornography, gambling, screens, and the growing loss of meaning among young people. Dr. Drew explains how modern digital life rewires the brain, undermines intimacy, and contributes to declining testosterone, sperm counts, dating skills, and family formation.

Drawing on decades of experience in internal medicine, addiction treatment, and media, Dr. Drew connects today’s demographic crisis to deeper cultural and spiritual fractures. He reflects on porn and behavioral addiction, recovery and treatment, faith and purpose, parenting, marriage, therapy, mentorship, and the habits that sustain a meaningful life.

The discussion also traces Dr. Drew’s personal journey - from opera singer and medical student to Loveline, Celebrity Rehab, and beyond - and why he believes connection, responsibility, and family remain the foundation of a healthy society.

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