Do you think that keeping people alive who would have otherwise died, from genetic disease for one example, can prevent us form overcoming these diseases naturally? Isn't it anti-evolutionary?
I'm no expert so I may be completely wrong, but I think it is just an alternative to natural selection. We have made being first-born a survival trait. There may be a genetic factor involved (which sperm and egg combine, whether the fertilised egg implants and whether it develops to term and so on), but mostly it's blind luck.
Again I may be wrong but to me it seems we have increased the impact of chance and reduced the impact of natural selection.
P.S. I'm only talking about the first world here (actually those residents of it with access to advanced medical care).
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