Alicorn comments on Our society lacks good self-preservation mechanisms - Less Wrong
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...I'm saying that people can and do reproduce without wanting to, even in our society. It is simply not the case that reproduction is caused only by wanting to reproduce.
I think that's a completely inappropriate classification of the catchall "not wanting to get an abortion". It's rarely medically necessary, and it's painful and expensive, even pro-choicers have qualms about it sometimes, it carries enough of a stigma that it can be dangerous for reasons beyond medical complication - there are so many reasons not to have an abortion that it's not at all difficult to imagine a woman whose desire not to reproduce is thereby outweighed, even if you're dismissing as stupid all of the possible religious objections.
Note that optional reproduction doesn't have to be 100% true for Roko's premise to hold. Even if 75% of children are 'oops babies' that other 25% will have significant effects on the gene distribution (or rather, the vast multitude that weren't born because of people exercising choice will have an effect)