This should perhaps be more accurately described as speculative fiction regarding the near future of the medical field. With everyone growing up with the internet and generally much more exposure to sex and nudity, I expect that a number of factors will result in a lot less bodily modesty and greater acceptance of public nudity and sex. And the economics of the huge expense of modern medicine may force a lot less concern for privacy.
Martha Kringle is Kris's new wife. She is running the entire operation because the Big Guy is not in good spirits. The elves are not able to satisfy her sexual appitites so she has taken Gunther the reindeer handler as her new lover. His ability to degrade her makes her hum with anticipation whenever she is near to him. Her stepdaughter Krystal holds her in contempt until she falls under the spell of Martha's special TLC.