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Natural selection is always at work on some level; if not on the individual level, then on the societal level. If a society or culture encourages its individual members to become weaker and less capable, and protects them from the immediate consequences of their action, then that society will eventually weaken, because it is of course composed of individuals. And it will eventually meet a challenge that it cannot surmount, and fail.
God, that sounds libertarian.
King, I believe medicine (properly practiced) helps keep us strong, though I'm not in favor of "heroic" medicine that keeps someone alive at the cost of making them basically useless and a prisoner of the medical establishment. Still, I'd never want to be the one to say, "you should live, but _you_ should die."
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