I want there to be a great future for those of us who (like myself) want to become posthumans. I want to encourage all humans to explore enhancing their health, intelligence and productivity. There is a real risk of being left behind if you do not do that. I also want all of humanity to share in an amazing, grand future, whether they choose to be trans/posthumans or not.
People like me will be able to pay for this out of pocket and use off-label prescriptions from private doctors who focus on upgrading and prevention rather than merely healing. Downstream the extra mood, energy, focus, health, willpower and social skills — enhanced over decades — will accrue further and further advantages to people who upgrade themselves, which will lead to a cycle of further concentration of wealth.
People think of medicine as “healing the sick.” But actually because who is sick is subjective, medicine can also upgrade healthy people on key dimensions. Simple example: I use nearly-invisible hearing aids despite having ok hearing. They boost my hearing to levels significantly above the average human. This can help formulate better responses in conversation, be more persuasive because you hear voice tones better, and many other things that give the user social advantages over others.