@urusan The human races' existence depends on large pharmaceutical companies because: 1. woman and mankind are so divided that the general public resorts to fertility or artificial womb services; thus, every newborn is vulnerable to nonconsentual genetic modification 2. it is fashionable to elect for body modifications that require maintenance or subscription medicine 3. the human immune system has been rendered obsolete or nonfunctional
@urusan Either #1 (genetic tampering) or some external or environmental immune system maladaption. E.G the cause of (fatal) allergies is finally discovered, but the information was never released to the public. Instead, the government is lobbied to recreate the conditions that cause immune system maladaption under seemingly well intended propositions.
@urusan Almost forgot your first question: fertility fraud is already an existent concept. (There's a fertility doctor named Donald Cline who has 50 children.) The capability for genetic engineering, no public oversight, and virtually all modern biotech being closed source changes the situation a bit.