this post was submitted on 26 Nov 2024
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Unlike adoption, you don't have a pre-defined list. So expanding it to the whole population would require China or North Korea level people tracking to know who is planning to have a kid to be able to enforce any kind of test.
one doesn't track who is going to conceive a child beforehand, one uses carrots and sticks as needed once the child is born and allows the rest of the population to modify their behaviour accordingly.
(ironically in the context of this response, a system used with great success by china to enforce their one-child policy at the end of the last century without anywhere near the level of tracking which is commonplace in most countries today.)