““It was as though the whole world was thrown back six or seven hundred years without having the organizations those ancient peoples had." He paused, breathing heavily. "Of course, there were many survivors who understood small skills. Some of them would repair small engines, but they couldn't manufacture them. They couldn't refine fuels. Fortunately a good many doctors who had practiced in small towns and in the country survived. They had their medical books, but they could no longer get the drugs they needed. Anyway, medicine survived after a fashion. Then gradually little patterns of order began to appear and another Bureaucracy came into being.””
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