Inconspicuous Been Around Guy
Get paid before hand or they will just steal your idea, that's Hollywood/New York....At what point does the government or medical/insurance companies get to decide who gets to have kids and with whom based on genetic concerns? I could have a new series up and running within the week!...
As for who decides, the elitists would make sure none of us would breed and then the crisis would appear and there would be no one to save mankind.
This may have happened in previous human epoch's.