I think we'll see nature begin to take it's course (or God) ---with the number of STD's and also AIDS being spread, with us moving into the post-antibiotic age, lifespans and reproductivity will soon start dropping. They're saying chlamydia infections are an epidemic in this area ---in the high schools and the girls are losing their fertility at a very young age.
Of course, they only reflect the result of a long slide into this state by the populace - the SCOTUS just make it "official".