I actually got into an argument about this with one of my friends last month. My position is similar to the OP’s. Modern medicine does “dilute” the gene pool by allowing inferior genetics/intelligence to be passed on. But that’s ok. Society needs stupid people to consume all of the stupid shit that the smart people make and sell to them. It improves the lifestyle of the people that have what it takes to figure the system out.
We, as intelligent, health conscious people (well, most of us on this forum) know better than to breed with people that are fat and stupid. And the best part of this whole thing is that ANY one of them can do something about it!
They can go on a diet, make money and hire a trainer, start a business, go to college and improve their education. There are NO boundaries in their way, other than their own stupidity, emotional immaturity and laziness.
Some people say that it’s only in the US that we have this opportunity, and I call BULLSHIT. Some of the most successful people in the US are not from here. They came from somewhere else because they had a pair of ball and a dream. There are people from every country on the planet in the US, and some of them are successful, some of them aren’t (kinda like our own indigenous population). There are also people in other countries that don’t leave that climb to the top, step by bloody step - and that’s ok.
If you want it bad enough you will make it happen. Whatever it takes. If not, then enjoy your job at Walmart.
Back on track, I think that modern medicine IS diluting our gene pool and that natural selection will prevent it from ever becoming a problem. I see it as a good thing. Modern medicine is remarkable in some ways by allowing people returning from war as amputees to have a semblance of normalcy; or a woman with breast cancer to get a double mastectomy, get some new tits and go on with life… I am all about this type of treatment and believe that it is a good thing.
As for Birth and Death, We as a society have a lot to decide. If there is no cure for a disease, and someone is in a coma or being kept alive by a machine with little hope that they will ever wake up, I say pull the plug. Who the hell would want to live like that? Also, as someone mentioned earlier about saving premature babies. Where do you draw the line? Personally, I would say that a person with good genetics and reasonably responsible behavior can carry a child for at least 7 or 8 months - if you can’t manage to do that, then perhaps you aren’t fit to breed… It’s harsh, but true. Having kids isn’t a “right” as a human being. You can hope for it, but in life there are no guarantees about anything. People who were born with silver spoon in their mouth and never had to struggle to get anywhere in life tend to have a sense of entitlement. I deserve to have a good job, I deserve to have universal healthcare, I deserve to be able to do what I want, etc…
You are born. You do your best to achieve the highest status your intelligence/genetic advantages enable you to. You attempt to reproduce with the highest status/genetic specimen you are able to attract. You attempt to give your offspring an advantage. You die.
Modern medicine helps us achieve these goals, and those of us lucky enough not to need the advantage it provides will attract a higher quality mate. Good for us.