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It kills people slowly and nastily, filling them with despair as it does so and greatly reduces their health in the meantime. And when that is going on in a sizeable portion of the population it really helps to stagnate social development and keep conditions the way they are. Those conditions being easy HIV transmission, high infant mortality poverty, violence...
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BM's right, guys. The only ethical solution is to form culling squads and take them out ourselves, quickly and painlessly.