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Weird thing I just realized about Star Trek is that even with the superscience medicine, no one ever talks about their great-grandparents or great-great-grandparents being alive? Might be a side effect of how many wars and periods of upheaval they go through.
I guess that, for the sake of drama in a post-scarcity utopia, they have basically imagined that diseases keep pace with medicine in a kind of superscience cold war. There's always Space Anthrax or Hypermeasles or Antarean Dysentery or Someone's Syndrome being discovered.
Right, and McCoy makes it weirder.

"How would it come up?" People talk about their family. It's never the go-to anecdote for where someone learned a trick, or what the week's gaseous or spatial anomaly reminds someone of from back home.
Dr. McCoy establishes that human beings absolutely do live to be a hundred and a some decades old in the 24th century. So where's any dialogue, world-building, about this? Why aren't there centenarians on Risa? Why no 111 year old Romulan tech experts called out of retirement?
People talk about their parents and sometimes their grandparents, but in ways that imply mostly people still die at the same ages they do in the industrialized world of 20c earth.

No one talks about summer at great-great-grandpop's farm, or great-grandma who's a freighter pilot.
I'm talking about humans. Human experts on Romulan technology the Federation might need to call upon to deal with some new intrigue.

God bless and keep each and every person replying to a thread of me thinking too deeply about Star Trek with the assumption that I don't actually know anything about Star Trek.
Oh, right. The holodeck exists.

Objection entirely withdrawn, and I'm adding "holodeck = bloodsport for population control" to my list of dystopian Federation headcanons.

I feel like Vulcans and Klingons are pretty well world-built in this regard? Vulcans have a low reproductive rate and do not advertise familial connections, and Klingons have a culture that encourages each generation to give way for the subsequent ones.

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