He;s not a doc but does put it bluntly why this is dangerous.
The rejection is because it is seen as Catholic of course. But I worked with the Navajo and they also have taboos against marriage with relatives. And in Africa, the Mashona would not marry if you were in the same clan.
and in small religious groups like the Amish, the genetic problems are recognized so although they have few new members to dilute the gene pool, they do encourage their boys to visit other Amish/Mennonite communities to find wives.
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