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Omid comments on Is it immoral to have children? - Less Wrong Discussion
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Making a child gives them ~70 QALY's. That's not a lot by efficient charity standards, but it's a lot by "helping the people closest to you" standards. If sibling needed $100K to purchase 14 QALY's, would you help them?
Depending on how your "helping the people closest to you" works, should it include people who don't exist yet?