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I can kind of understand the cultural difference part, but shouldn't you, at some point, regardless of culture, take the responsibility that any child you bring into this world, you are also condemning to premature death? For instance, if you are infected with AIDS and knowingly have unprotected relations, any child you might have would most probably start out their lives with this illness. Or if you're starving, any child you have, would also be hungry. I just can't imagine knowingly chancing having children, if I couldn't care for them or if I was going to pass some horrific disease to them.