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Natural selection is an agent that runs contrary to the thing which is currently out-competing natural selection, that being big brain thinkering
E.g., if a cancer research scientist dies from a weak heart, that will reduce future life expectancy more than it will increase it
Natural selection and evolution happen because genetic traits in some individuals are more beneficial than in other individuals. It has nothing to do with increasing future life expectancy for most or all of the species. If a doctor is helping non-relatives far more than relatives, his contribution is not selected for.
Which is the whole point of my comment...