People who don't see the lie at this point are spending insane amounts of mental energy desperately trying to block the invasion of reality.

1) Introduce, propagandize, and mandate new genetic therapy with known cardiac issues for every arm, regardless of any reason not to do so.

2) Cardiac issues arise at a scale never witnessed before.

3) Invent new "Disorder" to explain these cardiac issues.

Because as we know, Winston learned that 2+2 = 5 if the Party says so.

We have arrived.