Jack of Harts

By the Twenty-First Century, we were finally starting to use basic genetic sciences.  Nothing compared to what the Peloran brought of course, but those could afford it finally began to fill their organ banks with stuff grown from their own cells.  Only the rich could afford that though.  Everyone else had to deal with scraps.  Still it was a pretty big boost to the lifespan for the rich and famous.  It’s easy to live a long time with young and healthy organs.