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Here's a quote from an online article about cousin marriage.
"Many genetic diseases are caused by recessive genes. To get the disease, you have to get the bad gene from both parents. The greater the genetic similarity between your parents, the greater your chance of getting two copies of the bad gene."
The article was neither for or against it, it just presented arguments for both sides.
This presentation makes a lot of sense. I guess it just depends on how much risk we're willing to take with adoption, and what the comfort level is.