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I think there are too many people already. It does mess up the economics of the 20th century where the following generation would pay for the previous one to retire, and increase the demand for their homes & land. And while I wouldn't want to be the one who has to perform the procedure, fewer unwanted or unexpected pregnancies would help reduce the population level.
But, the main issue is how do you get women in the third world countries to see that their lives will be better if they wait to have kids and have smaller families?
Then again, better access and education (& religion's acceptance for some) to birth control would be preferred.
I also think a UTI device should be inserted for 5 years minimum after a woman has had an abortion.
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