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A world without natural selection would lead to an accumulation of deleterious variants that would quickly lead to the extinction of any species. If I was given a choice between health or sickness, intelligence or ignorance, and life or death, I'd choose life every time.

You're not being very clear. Would you prefer to be sick, ignorant yet alive rather than die for the sake of the "health of the species"?

The question is over what kinds of people we are going to make in the future, not over who to cull now. I don't think all beings have an equal right to life.