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Upon seeing the title I was reminded of Rōjin Z, an anime I watched about 20 years ago, whose McGuffin was an AI-equipped robotic hospital bed that could assimilate any machinery it needs to tend to its elderly patient (and eventually becomes a katamari-like monstrosity of destruction). So I expected a cautionary tale about runaway tech, dehumanization, etc.
Instead I got... an early prototype of the book from The Diamond Age.
Very movingly written - I was immediately reminded of Alex Rivera's Sleep Dealer[1] (the remote exploitation - or is it? - without the drone strikes).
I thought it was going say "Soylent Green"