The desperate poor aren’t going anywhere.
Desperate poverty is rapidly disappearing across the world. Look it up!
I doubt we'll figure out how to do genetic reprogramming on people. It seems like patching a few SNPs isn't going to do much.
Our own evolution is slow, but because of our numbers and tech, we're modifying everything around us at an unbelievable pace.
As long as whether you can survive and make children is independent from your gene, Evolution never occurs.
So selection is still around, but nowadays we select for different things than nature used to when medicine wasn't as well developed as it is today.
Note that this selection alone won't cause any genetic change faster than what existed in the past. What really accelerates changes in the gene pool is us deliberately doing them. We'll start with eliminating hereditary diseases, but I don't think we'll stop there. We'll likely study which genetic variants give rise to desirable traits and then make those mutations to upcoming children of interested individuals.