No. Medical progress is allowing us to progress and evolve in different ways. That is the only difference. Having medical progress and good medical care allows us to pursue different types of activites we wouldn't be able to pursue otherwise. This at the same time brings a different type of evolution.
Gametes
gametes is another word for sex cells
D it allows all substances to enter & exit the cell.
You see, passive transport needs no energy. So that being said, it moves from areas with high concentration to areas with low concentration.
Hope that helps!