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Unlike most dystopian novels I've read, Death Panels depicts a near-future (2042), making it easy to see how the the world could slip from the present to a utilitarian government that relies on complacent citizens who have ceded their liberty for the "good" of the world.
Ultimately, Death Panels show what happens when people turn a blind eye to reality and how small acts of resistance and cooperation can begin to turn a culture around.
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