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This document page (marked HOUSE_OVERSIGHT_021387) appears to be an excerpt from an academic text discussing the evolutionary and theological rationales for medicine. It contrasts the concept of 'inclusive fitness' and eugenics (citing Francis Galton and Justice Oliver Wendell Holmes' support for sterilization) with the medical and religious imperative to care for the sick regardless of their genetic fitness or reproductive capacity. It draws on Christian theology (Aquinas) to explain altruism beyond kinship.