A few weeks ago, I saw a Nova episode about how there's strong evidence that humanity's ancestors were forced out of the trees and onto the plains by climate change. About how we owe a climate changing over a geological timescale (thousands of years) to our evolution
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Well, both, if you favor the eugenics argument that technology arrests evolution by allowing the unfit to survive and pass on their debilitating hereditary characteristics and diseases.
Which, to my mind, doesn't explain diabetics. Sure, in the absence of insulin supplies they'd sicken and die, but diabetes is hereditary, so why are there any diabetics at all? Surely they'd have all died out tens of thousands of years ago, unless it's so recessive that it could carry across a thousand generations, in which case the collapse of civilization won't eradicate it anyway!
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http://en.wikipedia.org/wiki/Diabetes_mellitus#History
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Of course, we also think that our universe has "rules" that self-select for the creation and evolution of life from "inorganic matter" and if so, we find it highly unlikely that life only evolved on this little rock. But what if?
Plus, species survival instincts. *shrug* We consider ourselves part of humanity and would prefer that humans manage to grow to explore the vastness of space and other realities.
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