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The guy killed four people. There is a preponderance of evidence. Even if he was not in control of himself, if he is just a puppet, he is still the one who did the deed. Four families now suffer a great loss. He is the culprit. This is not that difficult
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Morality has nothing to do with it. If someone is prone to murder or rape and so on, they need to be segregated from society in order to preserve some order.
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"Blame" is merely recognizing the malfunction. The brake pedal goes soft in your car. Take it to mechanic. He "blames" the faulty brake line. The same goes for malfunctioning people. My neighbor mass murdered people. He is now in a correctional facility.
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If imprisoning, enslaving, torturing and killing someone is immoral, then, yes, procreation is immoral. If not immoral, then it is blatantly stupid and senseless. Procreation is imposing suffering, pain & death involuntarily on another.
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