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Love this -- have never thought about the topic before.
Related: the dissolution of sociality, the fact that human needs have receded to market provisioning, e.g., your death and decline are meant to be solved by the market and (after that fails) the government, vs your family and your community. If people are isolated, living alone with an aged spouse, far from children who don't view maintenance and care of parents as a job-to-be-done, then what? A boom in elevator manufacture, architectural choices, which in turn beget larger consequences and social ripples.
Breathtaking to consider the ways in which everything is connected.