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The setting is a society in which aging has been cured, individuals have indefinite lifespans, and population control is used to limit the population of the United States to forty million. This is maintained through a combination of infanticide and government-assisted suicide - in short, in order for someone to be born, someone must first volunteer to die. As a result, births are few and far between, and deaths occur primarily by accident.
The scene is a waiting room at the Chicago Lying-In Hospital, where Edward K. Wehling, Jr. is faced with the situation that his wife is about to give birth to triplets, but he has found only one person - his maternal grandfather - who will volunteer to die. A painter on a stepladder is redecorating the room with a mural depicting famous doctors and nurses - in particular, Dr. Benjamin Hitz, the hospital's Chief Obstetrician. Leora Duncan, from the Service Division of the Federal Bureau of Termination, arrives to pose for the mural. The mural is a picture of a garden that's well taken care of. It is a metaphor for the United States at that time. Later, Dr. Hitz enters the scene, conversing with everyone but the painter of the mural.
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