People live in more crowded conditions with less green space. This leads to frustration and poor health conditions. Where there is a large birth rate the services cannot cope as there are less people working. Hospitals then have to cut back as they receive less funding. We have problems now in England where mothers are giving birth in hospital corridors as their are insufficient beds. Often the schools end up overcrowded and where there is an immigration problem many classes have children speaking different first languages to English. This pulls down the educational standard.