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History Recap / StarTrekEnterpriseS01E13DearDoctor

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Phlox is feeding his pets, when Hoshi enters with a letter from his exchange doctor Jeremy Lucas, who is serving on Phlox's planet. Phlox begins writing a letter to him about the ways humans and Denobulans are different, also suggesting that Cutler has a crush on him.

On the bridge, the crew has found a pre-warp vessel, that doesn't respond to hails and has two weak bio-signs on it. They dock the vessel and take the aliens to sickbay, where one alien begs for medical attention as their species (called Valakians) is going extinct. When they reveal that despite being pre-warp, they've met warp-capable species and know all about warp drive, T'Pol agrees to help them. Phlox describes the situation in his letter, noting that it started as humanitarianism and was the greatest dilemma he'd ever faced.

to:

Phlox is feeding his pets, pets when Hoshi enters with a letter from his exchange doctor Jeremy Lucas, who is serving on Phlox's planet. Phlox begins writing a letter to him about the ways humans and Denobulans are different, also suggesting that Cutler has a crush on him.

On the bridge, the crew has found a pre-warp vessel, that doesn't respond to hails and has two weak bio-signs on it. They dock the vessel and take the aliens to sickbay, where one alien begs for medical attention as their species (called Valakians) is going extinct. When they reveal that that, despite being pre-warp, they've met warp-capable species and know all about warp drive, T'Pol agrees to help them. Phlox describes the situation in his letter, noting that it started as humanitarianism and was the greatest dilemma he'd ever faced.



* SandInMyEyes: When Trip cries during a sad movie, he doesn't admit it, instead pretending that something is caught in his eye.

to:

* SandInMyEyes: When Trip cries during a sad movie, he doesn't admit it, instead pretending that something is caught in his eye.eye.
----


** Probably unintentional, but early in the episode, Phlox treats the Captain's dog Porthos for a tummy ache, and mentions how odd it seems to him that humans get emotionally invested in "lesser creatures." By the end of the episode, this seems HarsherInHindsight.

to:

** Probably unintentional, but early in the episode, Phlox treats the Captain's dog Porthos for a tummy ache, and mentions how odd it seems to him that humans get emotionally invested in "lesser creatures." (He also comments on humans showing compassion for fictional characters during the movie.) By the end of the episode, this seems HarsherInHindsight.HarsherInHindsight. The original, unedited ending (see WhatMightHaveBeen under [[Trivia/StarTrekEnterpriseS01E13DearDoctor Trivia]]) would have [[CallBack called back]] to this.


** Probably unintentional, but early in the episode, Phlox treats the Captain's dog Porthos for a tummy ache, and mentions how odd it seems to him for humans to get emotionally invested in "lesser creatures." By the end of the episode, this seems HarsherInHindsight.

to:

** Probably unintentional, but early in the episode, Phlox treats the Captain's dog Porthos for a tummy ache, and mentions how odd it seems to him for that humans to get emotionally invested in "lesser creatures." By the end of the episode, this seems HarsherInHindsight.

Added DiffLines:

** Probably unintentional, but early in the episode, Phlox treats the Captain's dog Porthos for a tummy ache, and mentions how odd it seems to him for humans to get emotionally invested in "lesser creatures." By the end of the episode, this seems HarsherInHindsight.

Added DiffLines:

** Though an alternate reading of that scene is that Hoshi really is asking if they are having sex, while Cutler's politely telling her not to get so personal.


While Dr. Phlox is dictating a letter to his colleague Dr. Lucas, ''Enterprise'' is called in to save an alien race from extinction.

to:

While Dr. Phlox is dictating feeding his pets, when Hoshi enters with a letter from his exchange doctor Jeremy Lucas, who is serving on Phlox's planet. Phlox begins writing a letter to him about the ways humans and Denobulans are different, also suggesting that Cutler has a crush on him.

On the bridge, the crew has found a pre-warp vessel, that doesn't respond to hails and has two weak bio-signs on it. They dock the vessel and take the aliens to sickbay, where one alien begs for medical attention as their species (called Valakians) is going extinct. When they reveal that despite being pre-warp, they've met warp-capable species and know all about warp drive, T'Pol agrees to help them. Phlox describes the situation in
his colleague Dr. Lucas, letter, noting that it started as humanitarianism and was the greatest dilemma he'd ever faced.

In the mess hall, Hoshi, who is learning Denobulan, discusses the situation of Cutler's crush in a combination of English and Denobulan with Phlox. The
''Enterprise'' then arrives at the Valakian home world, where Archer, T'Pol, Phlox, and Hoshi tour the medical department. Hoshi discovers that there is another species on the planet called the Menk, who aren't as advanced as the Valakians and are immune to the disease.

Phlox continues his letter, describing the challenges of finding a treatment for the disease and conversations he'd had with T'Pol about interspecies relationships. He finds out that the disease is not a pathogen but rather genetic, and that he does not know how to cure it.

While Phlox continues searching for medical information, he finds learning about the Menk and Valakians' society exciting. When the Valakians reveal that they do all the farming, believing that they could do it better than the Menk, Hoshi disapproves of this, believing the Menk are being treated like "pets", but Phlox just believes it's good that the two species are, for the most part, getting along. While visiting a Menk city, Phlox, Hoshi, and Cutler find out that the Menk are capable of learning English and organising tissue samples.

When everyone packs up, Phlox asks Culter if she is indeed interested
in him, and she affirms. He reveals that he has three wives, and each wife has three husbands. Cutler says that she doesn't want to save an marry Phlox, but likes him as a friend and isn't opposed to dating him in the future.

Archer visits the first
alien race he rescued in the hospital. The alien asks Archer for warp technology so that they can search for other species who can find a cure if Phlox fails. Archer returns to the ''Enterprise'' and finds out that they've received 29 hails from extinction.other clinics, all requesting help, and has been approached by two vessels who thought they already had a cure. In the ready room, Archer talks to T'Pol about how he's not so sure about giving them warp technology, since they have no experience.

Archer and Phlox talk over the situation at dinner in the mess hall. Phlox thinks that it would be best not to cure the Valakians since he believes that the genetic disease is an "evolutionary dead end" they've hit, and that the Menk need to advance and will only do so without the Valakians. Archer disagrees, but Phlox, despite being revealed to have found a cure, is adamant that he not give it to them.

The next day, at the hospital, Archer now agrees with Phlox not to cure the Valakians as that would be "playing god". However, they do give the Valakians medicine for the symptoms. Phlox finishes the letter and goes to have dinner with Cutler.



* BlindIdiotTranslation: Hoshi accidentally asks Phlox if he and Cutler are "mating" instead of dating in Denobulan.



* ForeShadowing: Any longtime ''Trek'' fan will know exactly what Archer is hypothesizing for the future. It's a little too obvious (see the YMMV Narm for this episode).

to:

* ForeShadowing: Any longtime ''Trek'' fan will know exactly what Archer is hypothesizing for the future. It's a little too obvious (see the YMMV Narm for this episode).



* ICantBelieveImSayingThis:
** Regarding the dilemma of whether and how to teach a species to build warp engines, and the irony of facing it despite disliking perceived Vulcan foot dragging on that very same topic.

to:

* ICantBelieveImSayingThis:
**
ICantBelieveImSayingThis: Regarding the dilemma of whether and how to teach a species to build warp engines, and the irony of facing it despite disliking perceived Vulcan foot dragging on that very same topic.



* OffscreenInertia: Since this episode is the first and last time we see these species, it is commonly assumed that the decision by Archer to not offer a cure at the end means that the Valakians were doomed to extinction. However, this is all being filed in his reports to Starfleet, which the Vulcans read. Archer himself says that they may still figure it out for themselves with the treatment information he does give them buying them at least a decade to do so, and Phlox earlier said that the timeframe for complete collapse was a couple centuries. Archer's decision at that moment is therefore by no means the final word.

to:

* InterspeciesRomance: Cutler, a human, has a crush on Phlox, a Denobulan.
* MatingSeasonMayhem: Discussed. Jeremy Lucas is on Denobulus during mating season and apparently things are very complicated and chaotic.
* MyHovercraftIsFullOfEels: When Hoshi tries to speak Denobulan she first calls an eggplant a "nostril" when meaning to call it a fruit, then she accidentally says that Phlox and Cutler would make a cute "washboard" instead of a cute couple.
* NatureLover: Phlox says that Menk as a whole seem to enjoy growing plants.
* OffscreenInertia: Since this episode is the first and last time we see these species, it is commonly assumed that the decision by Archer to not offer a cure at the end means that the Valakians were doomed to extinction. However, this is all being filed in his reports to Starfleet, which the Vulcans read. Archer himself says that they may still figure it out for themselves with the treatment information he does give them buying them at least a decade to do so, and Phlox earlier said that the timeframe for complete collapse was a couple centuries. Archer's decision at that moment is therefore by no means the final word.word.
* SandInMyEyes: When Trip cries during a sad movie, he doesn't admit it, instead pretending that something is caught in his eye.


* FriendsWithBenefits: Cutler has no objection to an interspecies fling with a married man, though perhaps she has already learned as viewers do in a later episode that Phlox (and Denobulans at large, presumably) has no objections to doing so either when his wife, Feezal, propositions Commander Tucker while helping them install a quantum microscope she delivered to Enterprise, which Phlox encourages him to accept. While Phlox understands Trip's hesitance to oblige, he and his wife are nonetheless amused with humanity's sexual norms.

to:

* FriendsWithBenefits: Cutler has no objection to an interspecies fling with a married man, though perhaps she has already learned as viewers do in a later episode that Phlox (and Denobulans at large, presumably) has no objections to doing so either when his wife, Feezal, propositions Commander Tucker while helping them install a quantum microscope she delivered to Enterprise, which Phlox encourages him to accept. While Phlox understands Trip's hesitance to oblige, he and his wife are nonetheless amused with humanity's sexual norms.man.


--> '''Archer:''' Someday my people are going to come up with some sort of a doctrine: something that tells us what we can and can't do out here should and shouldn't do. But until somebody tells me that they've drafted that directive, I'm going to have to remind myself every day that we didn't come out here to play God."

to:

--> '''Archer:''' Someday my people are going to come up with some sort of a doctrine: something that tells us what we can and can't do out here should and shouldn't do. But until somebody tells me that they've drafted that directive, I'm going to have to remind myself every day that we didn't come out here to play God."

Added DiffLines:

* ForeShadowing: Any longtime ''Trek'' fan will know exactly what Archer is hypothesizing for the future. It's a little too obvious (see the YMMV Narm for this episode).
--> '''Archer:''' Someday my people are going to come up with some sort of a doctrine: something that tells us what we can and can't do out here should and shouldn't do. But until somebody tells me that they've drafted that directive, I'm going to have to remind myself every day that we didn't come out here to play God."


* BookEnds: The episode opens with Phlox coming into his office sayin good monrning to all his animals and ends with him goiung out, turning the light off, and sayin good night.

to:

* BookEnds: The episode opens with Phlox coming into his office sayin saying good monrning morning to all his animals and ends with him goiung going out, turning the light off, and sayin saying good night.



* FramingDevice: The episode is loosely framed by Phlox´s letter to a colleague.

to:

* FramingDevice: The episode is loosely framed by Phlox´s Phlox's letter to a colleague.

Added DiffLines:

* BookEnds: The episode opens with Phlox coming into his office sayin good monrning to all his animals and ends with him goiung out, turning the light off, and sayin good night.


Added DiffLines:

* FramingDevice: The episode is loosely framed by Phlox´s letter to a colleague.


* AppealToNature: Doctor Phlox argues against curing a disease affecting the Valakians on grounds that the existence of the Valakian species is [[GoalOrientedEvolution holding back the evolution]] of the Menk species on the same planet. He argues to Captain Archer that they should "let nature take its course". For icing on the cake, Archer's closing monologue in effect claims this incident as the origin of the PrimeDirective.



** Phlox believes, based on scant and untested evidence from less than 2 days of information gathering and genetic profiling, that the Menk will someday be the dominant sentient species on the planet if the Valakians go extinct. But assuming future evolution from current trends, and making a medical conclusion based on that, is extremely arrogant and shortsighted. In addition, evolution has competition as a large component; far from 'holding them back', their relationship with the Valakians could in fact be what is driving the Menk to become more intellectually sophisticated, and Phlox is in fact dooming both species

to:

** Phlox believes, based on scant and untested evidence from less than 2 days of information gathering and genetic profiling, that the Menk will someday be the dominant sentient species on the planet if the Valakians go extinct. But assuming future evolution from current trends, and making a medical conclusion based on that, is extremely arrogant and shortsighted. In addition, evolution has competition as a large component; far from 'holding them back', their relationship with the Valakians could in fact be what is driving the Menk to become more intellectually sophisticated, and Phlox is in fact dooming both species species.


* OffscreenInertia: Since this episode is the first and last time we see these species, it is commonly assumed that the decision by Archer to not offer a cure at the end means that the Valakians were doomed to extinction. However, this is all being filed in his reports to Starfleet, which the Vulcans read. Archer himself says that they may still figure it out for themselves with the treatment information he does give them buying them at least a decade to do so, and Phlox earlier said that the timeframe for complete collapse was a couple centuries. Archers decision at that moment is therefore by no means the final word.

to:

* OffscreenInertia: Since this episode is the first and last time we see these species, it is commonly assumed that the decision by Archer to not offer a cure at the end means that the Valakians were doomed to extinction. However, this is all being filed in his reports to Starfleet, which the Vulcans read. Archer himself says that they may still figure it out for themselves with the treatment information he does give them buying them at least a decade to do so, and Phlox earlier said that the timeframe for complete collapse was a couple centuries. Archers Archer's decision at that moment is therefore by no means the final word.


* AlienNonInterferenceClause: At first subverted; since the ship encountered was explicitly looking for help and the M'klexa and Ferengi have already dropped by, even T'Pol thinks it no longer applies, so an away team visits the planet to learn more about the medical crisis. After discovering its cause and a pitch by Phlox based on Denobulan medical ethics that they shouldn't interfere, Archer eventually decides against helping the Valakians since "we didn't come out here to play God." Notably, they couldn't have done this in any other series of the show, since the Prime Directive has been established to have an exemption for people who actually ask for help.

to:

* AlienNonInterferenceClause: At first subverted; since the ship encountered was explicitly looking for help and the M'klexa and Ferengi have already dropped by, even T'Pol thinks it no longer applies, so an away team visits the planet to learn more about the medical crisis. After discovering its cause and a pitch by Phlox based on Denobulan medical ethics that they shouldn't interfere, Archer eventually decides against helping the Valakians since "we didn't come out here to play God." Notably, they couldn't have done this in any other series of the show, since the Prime Directive has been established to have an exemption for people who actually ask for help.



* OffscreenInertia: Since this episode is the first and last time we see these species, it is commonly assumed that the decision by Archer to not offer a cure at the end means that the Valakians were doomed to extinction. However, this is all being filed in his reports to Starfleet, which the Vulcans read. Archer himself says that they may still figure it out for themselves with the treatment information he does give them buying them at least a decade to do so, and Phlox earlier said that the timeframe for complete collapse was a couple centuries. Archers decision at that moment is therefore by no means the final word, but since this episode is all we have on them, there is a common assumption that no cure at the end meant no cure ever and Archer had directly doomed the species.

to:

* OffscreenInertia: Since this episode is the first and last time we see these species, it is commonly assumed that the decision by Archer to not offer a cure at the end means that the Valakians were doomed to extinction. However, this is all being filed in his reports to Starfleet, which the Vulcans read. Archer himself says that they may still figure it out for themselves with the treatment information he does give them buying them at least a decade to do so, and Phlox earlier said that the timeframe for complete collapse was a couple centuries. Archers decision at that moment is therefore by no means the final word, but since this episode is all we have on them, there is a common assumption that no cure at the end meant no cure ever and Archer had directly doomed the species.word.


* AbortedArc: Phlox and Crewman Cutler flirt with each other this episode, and nothing becomes of it in later episodes. Kellie Waymire would die during Season 3, but her character stopped appearing long before.
* AlienNonInterferenceClause: Archer eventually decides against helping the Valakians because doing so will "interfere with their natural development." Notably they couldn't have done this in any other series of the show, since the Prime Directive has been established to have an exemption for people who actually ask for help.
* ArtisticLicenseBiology: ...oh, let's count the ways.
** The Valakians have supposedly naturally evolved the genetic disease. Evolution is a means of ''avoiding'' extinction. If they got this disease, it must have been through an accident.
** There is no such thing as "evolutionary predestination." There is no set course for how a species will evolve.
** When Archer argues Phlox has no way of knowing how things will turn out for sure, only having a theory, Phlox says that "evolution is not a theory, it's a fundamental scientific principle". Except that Archer doesn't question the existance of evolution, only Phlox's prediction which factually is just a hypothesis.
* BlueAndOrangeMorality: Lampshaded by Phlox to Cutler, but unfortunately averted with the issue of the week (Phlox was originally going to destroy the cure against Archer's wishes, but ExecutiveMeddling altered this).
** It would have been impossible to justify Phlox still being part of the crew afterwards if they had gone with the original plan, not to mention impossible to dodge around directly admitting it's an act of genocide.
* CallForward: The [[Series/StarTrekTheNextGeneration Ferengi]] are briefly mentioned as having visited the planet, though [[ContinuityNod no-one recognises their name]].

to:

* AbortedArc: Phlox and Crewman Cutler flirt with each other this episode, and but nothing becomes comes of it in later episodes. Her actress, Kellie Waymire Waymire, would later die during the filming of Season 3, but her character Cutler had already stopped appearing long before.
after Season 1.
* AlienNonInterferenceClause: At first subverted; since the ship encountered was explicitly looking for help and the M'klexa and Ferengi have already dropped by, even T'Pol thinks it no longer applies, so an away team visits the planet to learn more about the medical crisis. After discovering its cause and a pitch by Phlox based on Denobulan medical ethics that they shouldn't interfere, Archer eventually decides against helping the Valakians because doing so will "interfere with their natural development.since "we didn't come out here to play God." Notably Notably, they couldn't have done this in any other series of the show, since the Prime Directive has been established to have an exemption for people who actually ask for help.
help.
* ArtisticLicenseBiology: ...oh, let's count ArtisticLicenseBiology:
** Evolution leads species to inadvertent extinction all
the ways.
time, usually from something like overspecialization, such as a single species parasite being out of luck if that species itself goes extinct. But the idea of a straight up genetic disease, somehow treatable with antibodies yet interfering with protein production to the point of death, spreading enough to doom an entire species, is simply nonsense.
** The Phlox believes, based on scant and untested evidence from less than 2 days of information gathering and genetic profiling, that the Menk will someday be the dominant sentient species on the planet if the Valakians have supposedly naturally evolved go extinct. But assuming future evolution from current trends, and making a medical conclusion based on that, is extremely arrogant and shortsighted. In addition, evolution has competition as a large component; far from 'holding them back', their relationship with the genetic disease. Evolution Valakians could in fact be what is a means of ''avoiding'' extinction. If they got this disease, it must have been through an accident.
** There is no such thing as "evolutionary predestination." There is no set course for how a species will evolve.
** When Archer argues
driving the Menk to become more intellectually sophisticated, and Phlox has no way is in fact dooming both species
** Conflation
of knowing how things will turn out for sure, only having a theory, Phlox says that "evolution is not a theory, it's a fundamental scientific principle". Except that Archer doesn't question theory and Scientific Theory on the existance topic of evolution, but reversed from the usual misconception that evolution is 'only' a theory; Archer (accurately) says that the conclusions of Phlox concerning the relationship of the Valakians and Menk are only Phlox's prediction a theory, which factually Phlox in his response dismisses by deferring to the Theory of Evolution. This is just a hypothesis.
non sequitur, since Archer was clearly using the term generically to refer to what in scientific parlance would be a hypothesis, something which needs testing and is certainly not a final conclusion.
* BlueAndOrangeMorality: Lampshaded by Phlox to Cutler, but unfortunately averted with the issue of the week (Phlox was originally going to destroy the cure against Archer's wishes, but ExecutiveMeddling altered this).
** It would have been impossible to justify Phlox still being part of the crew afterwards if they had gone with the original plan, not to mention impossible to dodge around directly admitting it's an act of genocide.
main dilemma is a fairly straightforward medical ethics clash between human and Denobulan perspectives.
* CallForward: The [[Series/StarTrekTheNextGeneration Ferengi]] are briefly mentioned as having visited the planet, though [[ContinuityNod no-one recognises no one recognizes their name]].



* FriendsWithBenefits: Cutler has no objection to an interspecies fling with a married man.
** Then again, we find out in a future episode that Phlox (and Denobulans at large, presumably) has no objections to doing so either [[spoiler:when his wife, Feezal, propositions Commander Tucker while helping them install a quantum microscope she delivered to Enterprise, to which Phlox encourages him to accept. While Phlox understands Trip's hesitance to oblige, he and his wife are nonetheless amused with humanity's sexual norms.]]
* {{Hypocrite}}: Archer and Phlox
** Archer is this on several levels. When all is said and done, he is quite happy for him and his crew to have the services of an ''alien physician'' with advanced bio-medical knowledge to assist them as they explore the unknown and have to deal with the health threats inherent in doing so. But helping the Valakians is "playing God"! In the episode [[Recap/StarTrekEnterpriseS04E11ObserverEffect "Observer Effect"]], Archer wants two aliens, with a similar non-intervention rule, to figuratively play God and bring Trip and Hoshi BackFromTheDead after they died from a disease they picked up, even berating the Organians for not already saving them from the disease when they could easily have done so, and blasts them for their lack of compassion. While doing this, he actually alludes to and ''continues to defend'' his actions in "Dear Doctor", despite the similarity of the situation.
** In other episodes, Phlox points out that Denobulan Medical Ethics prevent him from treating someone who does not want to be treated and that he ''must'' respect his patients wishes, even if they lead to their death. Which makes his actions in "Dear Doctor" even more shocking in retrospect, since the Valakians most certainly ''did'' want to be treated! He also claimed in "Observer Effect" that the aliens' "behaviour is appalling".

to:

* FriendsWithBenefits: Cutler has no objection to an interspecies fling with a married man.
** Then again, we find out
man, though perhaps she has already learned as viewers do in a future later episode that Phlox (and Denobulans at large, presumably) has no objections to doing so either [[spoiler:when when his wife, Feezal, propositions Commander Tucker while helping them install a quantum microscope she delivered to Enterprise, to which Phlox encourages him to accept. While Phlox understands Trip's hesitance to oblige, he and his wife are nonetheless amused with humanity's sexual norms.]]
* {{Hypocrite}}: Archer and Phlox
** Archer is this on several levels. When all is said and done, he is quite happy for him and his crew to have the services of an ''alien physician'' with advanced bio-medical knowledge to assist them as they explore the unknown and have to deal with the health threats inherent in doing so. But helping the Valakians is "playing God"! In the episode [[Recap/StarTrekEnterpriseS04E11ObserverEffect "Observer Effect"]], Archer wants two aliens, with a similar non-intervention rule, to figuratively play God and bring Trip and Hoshi BackFromTheDead after they died from a disease they picked up, even berating the Organians for not already saving them from the disease when they could easily have done so, and blasts them for their lack of compassion. While doing this, he actually alludes to and ''continues to defend'' his actions in "Dear Doctor", despite the similarity of the situation.
** In other episodes, Phlox points out that Denobulan Medical Ethics prevent him from treating someone who does not want to be treated and that he ''must'' respect his patients wishes, even if they lead to their death. Which makes his actions in "Dear Doctor" even more shocking in retrospect, since the Valakians most certainly ''did'' want to be treated! He also claimed in "Observer Effect" that the aliens' "behaviour is appalling".



** Regarding the dilemma of whether and how to teach a species to build warp engines, and the irony of facing it despite disliking perceived Vulcan foot dragging on that very same topic.



* InsaneTrollLogic: Phlox's belief in "evolutionary predestination."
* MoralDissonance: For many fans, this episode is what drove them away from ENT, as Phlox and Archer willfully sanction genocide.
* WouldBeRudeToSayGenocide: Phlox and Archer call their actions "evolution," even though millions are due to die.

to:

* InsaneTrollLogic: Phlox's belief in "evolutionary predestination."
* MoralDissonance: For many fans,
OffscreenInertia: Since this episode is what drove the first and last time we see these species, it is commonly assumed that the decision by Archer to not offer a cure at the end means that the Valakians were doomed to extinction. However, this is all being filed in his reports to Starfleet, which the Vulcans read. Archer himself says that they may still figure it out for themselves with the treatment information he does give them away from ENT, as buying them at least a decade to do so, and Phlox earlier said that the timeframe for complete collapse was a couple centuries. Archers decision at that moment is therefore by no means the final word, but since this episode is all we have on them, there is a common assumption that no cure at the end meant no cure ever and Archer willfully sanction genocide.
* WouldBeRudeToSayGenocide: Phlox and Archer call their actions "evolution," even though millions are due to die.
had directly doomed the species.

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