The Attitude Now Towards Disease And Old Age And Death Is That They Are Basically Technical Problems.

The attitude now towards disease and old age and death is that they are basically technical problems. It is a huge revolution in human thinking. People never die because the Angel of Death comes, they die because their heart stops pumping, or because an artery is clogged, or because cancerous cells are spreading in the liver or somewhere. These are all technical problems, and in essence, they should have some technical solution. And this way of thinking is now becoming very dominant in scientific circles, and also among the ultra-rich who have come to understand that, wait a minute, something is happening here. For the first time in history, if I'm rich enough, maybe I don't have to die. If you think about it from the viewpoint of the poor, it looks terrible, because throughout history, death was the great equalizer. ... After medicine in the 20th century focused on healing the sick, now it is more and more focused on upgrading the healthy, which is a completely different project. And it's a fundamentally different project in social and political terms, because whereas healing the sick is an egalitarian project ... you assume there is a norm of health, anybody that falls below the norm, you try to give them a push to come back to the norm, upgrading is by definition an elitist project. There is no norm that can be applicable to everybody. And many people say no, it will not happen, because we have the experience of the 20th century, that we had many medical advances, beginning with the rich or with the most advanced countries, and gradually they trickled down to everybody, and now everybody enjoys antibiotics or vaccinations or whatever, so this will happen again. And as a historian, my main task is to say no, there were peculiar reasons why medicine in the 20th century was egalitarian, why the discoveries trickled down to everybody. These unique conditions may not repeat themselves in the 21st century, so you should broaden your thinking, and you should take into consideration the possibility that medicine in the 21st century will be elitist, and that you will see growing gaps because of that, biological gaps between rich and poor and between different countries. And you cannot just trust a process of trickling down to solve this problem.  There are fundamental reasons why we should take this very seriously, because generally speaking, when you look at the 20th century, it's the era of the masses, mass politics, mass economics. Every human being has value, has political, economic, and military value, simply because he or she is a human being, and this goes back to the structures of the military and of the economy, where every human being is valuable as a soldier in the trenches and as a worker in the factory. But in the 21st century, there is a good chance that most humans will lose, they are losing, their military and economic value. The age of the masses is over.

Yuval Noah Harari Edge.org, 'Death is Optional'