Earlier quoted context omitted.
Even if I did want to have kids, I wouldn’t have them to take care of me in old age. What if they move to Japan? Should I have them move back to the US to take care of me? Nah, we should build a society that can and does take care of its elderly.
A society based on individual agency and transactional dynamics is foundationally incapable of communally taking care of elderly people as they lose their faculties. Some family member or other personally-invested party has to be involved to represent the interests of the elderly person, many times even clashing with the immediate whims of the person themselves. Leaving this dynamic to third parties in the biz create…
Even illness or injury are enough to dehumanize someone, since they make it harder to self-advocate and the system isn’t built to advocate for you — in fact it’s often incentivized to advocate adversarially against you!