Anatomy is destiny - but anatomy is malleable.
I plan to live forever, of course, but barring that I'd settle
for a thousand years. Even five hundred would be pretty nice.
- CEO Nwabudike Morgan (Sid Meier's Alpha Centauri)
Medicine has advanced on most planets, enabling new treatments and the
extension of human life. The exceptions are (as expected) Negsoa and Gaia,
and to some extent Mary. The most advanced planets in this respect are
Atlantis, Arcadia and Ridgewell, which all have achieved indefinite life
extension: given the right gene therapy treatments and metabolic adjustments
ageing can be halted. Rejuvenation is still not feasible, although a good
imitation can be achieved using plastic surgery and further therapy (children
born on Arcadia can be modified to have built-in life extension, making
it possible to freeze ageing at some point). On the other planets human
lifespans reach the biological maximum of 120 years (people remain healthy
up to an advanced age, and then fairly quickly sicken and die), and on
Nova this can be extended a few decades further by bionic support systems.
Most diseases can be treated fairly well; Alzheimer’s disease, cancer
and cardiovascular diseases are not much to worry over. The main problem
usually lies in detecting dangers before they become significant. Instead
of transplants cloned organs are commonly used (it takes around a month
to grow a cloned organ at a good hospital). Local diseases (such as the
salt breath of New America or 45-point syndrome of Penglai) can cause
problems for outsiders, but usually effective treatments have developed
locally. Often they can be treated by using chemicals that are poisonous
to local life but not terrestrial life. Still, there is some worry about
interstellar spread of contamination.
Radiation damage can be treated or prevented to some extent, but intense
doses are still deadly. Trauma is another big killer - even with modern
medicine it is not possible to help somebody who has been shredded or
had his brain damaged seriously. Medicine still cannot handle destruction
of brain tissue; while cultured neurons can replace damaged parts, the
results are usually a profound amnesia, changes in personality and behavior
- the patient becomes a new person.
Bionics is in widespread use on Nova and Atlantis. Originally developed
for prosthesises in the 1990’s and 2010’s, they have become used for interfacing
with technology and extending human capacity. The most common types are
neurointerfaces and neurocomputers. Various brain implants exist enabling
control over mood, motivational state, memory and the autonomous nervous
system. Another popular application is releasing drugs or hormones into
the bloodstream. Some of the Nova prototypes (mainly developed by Unity
and allied groups) place the human brain in highly unusual states, this
was the basis of the human-Quai interface developed shortly after the
first FTL contact.
Drugs have developed far on Atlantis and especially Dionysos. They can
target very specific parts of the brain and body, causing well-defined
and safe effects. The legality of non-medical drugs varies from planet
to planet; on Atlantis and Dionysos anything goes, on Mary certain drugs
are legal (the ones sold by BM), Nova and Arcadia have fairly liberal
drug policies, while the rest are restrictive. Needless to say, this causes
some problems when Atlanteans try to sell their recreational pharmaceuticals
or indulge in their own lifestyles off-planet.
Genetic
modifications of humans are common on Arcadia (where they have been nearly
perfected) and Atlantis. On Nova, Penglai and New America, founded still
under the influence of the bio-conservative 2030’s, they are illegal outside
some medical applications. Mary employs only some standard modifications,
removing certain bad genes. Victoria has a formally liberal policy, but
the area has not been developed far, partially due to Trahan influence:
the Trahans dislike the idea of modifying one’s heritage artificially
(even if there is some evidence genetic techniques were used during the
50-54th dynasties). On Ridgewell one family dogma is keeping
the clones "pure" by not modifying the genes except for in vitro
antiaging gene therapy. Dionysos lost the medical knowledge, but is now
embracing Arcadian and Atlantean techniques with few inhibitions.
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