The political and powerful create a slave race to breed children for those who don’t want to be inconvenienced or can’t conceive.
In some ways, it reminds me more of “Hunger Games” or “Soylent Green” than anything remotely similar to Pro-life Americans.
I think of Hunger Games as I see the current US situation.
There’s also Divergent, which is set in Chicago. Another dystopian novel.