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Natural selection doesn't require death, it just requires different reproduction rates based on genetics.

Natural selection works strongly when group A dies before reproducing and group B does not. It still works, though more weakly, when group A has an average of 2.0 offspring and group B has an average of 2.1 offspring.

In some parts of the world, natural selection is still significant (the common example: sickle cell anemia drastically increases malaria survival). In many parts of the world, though, differential reproduction appears to be a result of culture / religion / personal choice; it's not well understood how much this relates to genetics, and therefore not clear how much it deserves to be called "natural selection".




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