To add to your point: Even if everyone's fit and has a good diet, maternity care is medically important and starting a family in a free country** definitely co

To add to your point: Even if everyone's fit and has a good diet, maternity care is medically important and starting a family in a free country** definitely counts as a lifestyle choice because some choose not to do it. Human childbirth without any care has quite a high fatality rate*; no childbirth, no next generation to cover the pensions of today's taxpayers. * I don't know if South Sudan had something weird going on to push their lifetime rate of fatal complications from maternity to 35% in the worst years, but even if they're an outlier there were plenty of other countries trending at around 10% in 1985: https://ourworldindata.org/grapher/lifetime-risk-of-maternal-death?tab=line&country=TTO~OWID_UMC~PAN~MUS~WB_EAP~MEX~SYC~VNM~JOR~VCT~UZB~COL~BHS~CAF~TCD~NGA~SOM~LBR~AFG~COD~SSD~BEN~NER~GIN~MLI~GNB https://ourworldindata.org/grapher/lifetime-risk-of-maternal... ** Not so in places without women's reproductive rights.