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First of all, such selection is a means of slowing down the overpopulation of the planet, which in turn is a global problem.

Secondly, people who are healthier physically and mentally, and more intelligent, are capable of performing higher tasks, which in turn leads to the development of both the state and humanity as a whole.

And evolution in medicine is nothing compared to biological evolution.

And statistics are just an indicator of how a particular operation is progressing.