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By Michael J. Hyde, James A. Herrick

Technology, rhetoric, and conversing in regards to the post-human future.

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In their place, dangerous genetically engineered animals prey on surviving human populations. Amid this chaos, the only voices of sanity are those of a gentle quasi-religious community, God’s Gardeners, whose teachings and orations punctuate the novels. But these gentle people, along with most of the 41 42 g A fter the Genome human race, ultimately succumb to the “waterless flood,” a viral epidemic resulting from gene splicing gone awry. Between 1925 and 2009, the world turned upside down. Religion went from being a threat to scientific advance to the sole bastion of human feeling in a world of technocratic domination.

In one stroke, the era of Edward R. Murrow, Walter Cronkite, Eric Sevareid, Ed Bradley, and Daniel Schorr came to an end, replaced by a new competitive marketplace. instead of intensifying the quest for understanding, these changes forced news programs into financial competition with entertainment, offering a new forum for extreme, outlier, and controversial opinions.

And here some additional nonmedical factors are likely to come into play. Because health insurance reimbursement is provided only for medically indicated treatment and a small select category of preventive interventions, such as immunizations (primary prevention) and some diagnostic screening and testing (secondary prevention), unless the category of reimbursable preventive interventions expands considerably, patients and their doctors will prefer to change the point at which kidney disease is diagnosed in order to be assured that health insurers will provide them with financial access to earlier “treatment”—which then is not readily distinguishable from secondary prevention.

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