People often forget that the God of Death began his divine career as the God of Practical Jokes. They especially tend to forget that he never stopped.
It's something many dystopian fictions get wrong: the way it just slips in, slowly and passively. Like, people live in this hell, calculate how much of debts they'll have left when they'll die of their diabetes they won't be able to pay, while others are shouting 'Murica number 1' in riot to remove the vaccines, brainwashed by politics that just play with them. I just wonder, how it would have been seen if it was explained to someone in the 70s.