Elton uses this setting to tell a story that isn't really about Internet culture but about the rise of ignorance and celebrity obsession in general. Tabloid-style mob justice keeps everyone on their toes and there's a sinister populist religion that has taken advantage of the situation. In this future, the neonatal death rate has skyrocketed and the people have forgotten that it was not always so - a third of the way through, the story changes direction and follows a secret order who continue to provide children with vaccinations in a world where the ignorant population has rejected them as evil and unnatural.
This change in direction doesn't really help the narrative. Nevertheless the satire is spot on - the religious council that suddenly declares that everyone is now a celebrity, or the much repeated slogan "What's not to like?" are products of a society that is self-obsessed to delusional levels. I fully endorse the aims and methods of this novel, and it's an enjoyable satirical read if not quite on a par with Gridlock, Stark or Popcorn.