"Slow population growth & consumption to try and avoid mass suffering in the near future and possible extinction" != "murder & sterilize people." It's insane that people who claim to value human life so much ignore that business as usual dooms billions to displacement or death
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Most of the people in the global south contribute negligibly to most of these problems. Westerners are doing the great majority of the damage. That's why it's irresponsible to mock the idea that Westerners should not have kids. That's why it's good our pop. growth has flatlined.
They contribute negligibly to both the problem and the solution, but this will change as education spreads/regional wealth grows, at which point we can expect similar trends in pop growth (/decline) to emerge. But then we're back to "tech or self-elimination?" There's no hedging.