I wonder to what degree anti-western sentiments impact the delivery of certain treatments. Thinking about the distrust I read about after a fake vaccination campaign was used to take out bin Laden, and other distrust and anti-messaging that has to be contended with. It sounds so impossibly frustrating to have the added burden against such basic medicine.

I highly doubt we’ll get to a post-scarcity space faring civilization stage. More likely, we’re in the midst of the “self-destruction” part of the Great Filter.