What about people who have other hereditary conditions? People who are blind for eg and there is a good chance their offspring will be blind.
I have a birth abnormality which no-one ever really decided whether it was hereditary or not. I took a risk having DD - so far she is fine (fingers crossed).
What about people who have a lot of alcoholism in the family - it is thought that that has genetic markers - should they not reproduce?
Many many people have things in their families which are not ideal. But it is rare that this is enough to stop people taking a chance. Even when there is a good chance that whatever it is will be passed on.
it's not just cousins marrying, but all sorts of people. We all take pot luck. the very small increased risk for cousins is nothing in the scheme of things.