Write4U: “And who is “us”?”
The world population.
Just about the only management of procreation that has been universally practiced is with regard to incest, and that has come from our recognition that children produced are at greater risk for congenital disorders, death, and developmental and physical disability.
We have the tools today to identify the genetic risks of passing on problems to children, and yet we tip-toe around the issue apparently unwilling to be seen as politically incorrect should we happen to identify any minority potential parents as at risk. Nature used to cull the population. Modern medicine overrides nature. If we were to do more prevention, we would need to less remediation. By ignoring the prevention we could do we ensure more suffering.