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Page |141 reproduce... one consequence is sterilization of mentally ‘unfit? women that selfish genes evolved in the case of Buck v. Bell by writing, through individual-level selection “Three generations of imbeciles are processes to promote social enough.” Sterilization rates under preferences and group processes, eugenic laws in the United States including reciprocal social increased following this ruling until the behaviors, that can extend Skinner v. Oklahoma case in 1942, after beyond kin relationships which point they declined. The concept of inclusive fitness helps to The practice of medicine explain why humans care for the young expresses more than a straightforward when they are sick, and even why they social instinct for protecting the young. care for those who when healthy are able To borrow from Browning, it may be to contribute to caring for the young. In that medicine builds on and extends the addition, it may be that hunter-gatherers dynamic of inclusive fitness much like in were more likely to survive and Catholic moral theology caritas (love) reproduce when they cared for a builds on and extends eros (desire). wounded or sickened member of the Browning writes, “[Aquinas] held — and clan—thereby establishing an Christianity has always taught — that expectation of reciprocity that would Christian love includes more than kin contribute to social cohesion, collective altruism and the care of our familial effort, and defense of other group offspring; it must include the love of members. These provide at least the neighbor, stranger, and enemy, even to rudiments of an evolutionary rationale the point of self-sacrifice.” The for the practice of medicine. theological concept of God as creator Yet, medicine does not involve and Father of all “made it possible for caring merely (or even primarily) for the cuntsitang fe build on yet analogivally generalize their kin altruism to all young, much less for those who are most . ; ete | children of God, even those b

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