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A society that doesn't class people as fully human probably doesn't want them breeding with "normal" people. And real world science has little to do with the science in this dystopia. Whether a natural result of the program or deliberate doesn't really matter.
This book reminds me somewhat of an academic essay on a narrow topic. The type that starts off with a set of assumptions that are to be presumed true and not questioned for the purposes of that essay. The author in this book concentrates on what he wants to write about with scant regard to anything else.
It seems fairly apparent that this ruined the book for many of us here, but not all of us.
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