The intro of the movie made it quite clear that it was dysgenics. I.e. how the "good couple" did not have children because of x before the man worked him self

The intro of the movie made it quite clear that it was dysgenics. I.e. how the "good couple" did not have children because of x before the man worked him self to death, while the irresponsible douche stupid brute etc. quarterback was saved by "good couple" medicine and had multiple children.