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This kind of situations is why many countries in Europe have age of consent set at 14 or 15. It dramatically reduces the chances that someone under the cutoff would have both the looks, brains and motivation to pass for 18+.

Its not "higher rates" in the sense of many medical advice in that style "have 0.005% of a disorder instead of 0.003%", its a proper, meaningful risk. Point case, Pakistan. https://dailytimes.com.pk/83384/number-of-thalassemia-patients-surpasses-25-million-in-pakistan/ Over 1% of population has...

Its still just an elaborate simulation, no less than firing up your favorite 4x game and simulating the genocide of whole civilizations.