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Gene manipulation has always been solely for those who can afford the expensive prenatal treatments.
Income determines status and, more importantly, survival. If your genes have not been optimized, the Order has no use for you.
You are non-essential. Less than. To be eliminated. Everything is geared to keeping the ship of state sailing along smoothly, no matter the cost.
But in every totalitarian system lies the seeds of rebellion, independence, and OUTRAGE.