The new developments in medicine pose serious questions on the assumption of Darwinistic views. Considering the sixty or more operative specialities (and the sub-specialities), the new borders of medicine, at least in the rich Western countries, may be summarized in three main branches: genetic-based medicine, or predictive medicine; regenerative medicine of organs, for an organic life without physical death, even with the death of self-consciousness; adaptive medicine, based on the adaptation to the self-conscious aims of a person, or enhancement medicine. These three kinds of applied science, in different and peculiar ways, put the free game of the natural Darwinistic evolution in crisis turning it on itself.