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The Vidiians were once, as a whole, redefined and afflicted by a horrific degenerative disease known as the phage 2,000 years ago. Their entire technological base, resources and government, the Vidiian Sodality, was centered around medicine and the prolongation of life, as their bodies failed and new transplants and procedures were required to keep them alive. Hostile portions of Vidiian culture became aggressive, despite being opposed to violence, in the pursuit of new ways to stave off the phage, often harvesting organs from unwilling donors and performing horrific medical experiments on outsiders they encountered. (VOY episodes: "Phage", "Faces", "Deadlock", "Lifesigns", "Fury"; ST reference: The Visual Dictionary)
In an alternate timeline, the cure for the phage was found, thanks to the combined efforts of the Doctor and Denara Pel. While it would take a long time for them to repair their civilization, the grateful Vidiians nevertheless offered the crew of the USS Voyager protection if they ever returned to that part of space. (ST - Myriad Universes novel: Places of Exile)