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How did this happen? Can we keep it going? Aside from occasional setbacks (HIV, collapse of social organizations, wars, Ebola(?)) can one harbor the hope that by the year 2050 newborn cohorts will be expected to live 90-100 years? And if so, how healthy could the 90% of newborns who will make it to their 90th birthday expected to be? And what does this do to the course of human evolution?