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OK. You're talking about a culture that specifically encourages incest over many generations. Yes, that's problematic.
My point is that the social stigma of 1st cousins marrying far exceeds its actual danger in a more isolated case by case basis. Which is really what we're talking about here.
Also, your argument about Healthcare reeks of eugenics. Should someone with a known family history of <insert genetic disease> be allowed to reproduce? Or reproduce with someone else with similar genetic risks?
To put it another way, should my insurance fees / taxes subsidize your high risk of colon cancer?
Yeah, it sounds like an awful stance, doesn't it?
Your children are the victims and should not be punished because you wanted to fuck your cousin, it's you that should be paying extra taxes to offset the cost to society of your choices.