In biology it's very important to understand situations in which evolution will not occur so that you can understand when it does and why. A system that will not evolve is spoken of as being in Hardy-Weinberg equilibrium. Here are the conditions that would have to be met for that and then we'll discuss our exceptions to that.
Humans would have to have...

Completely random mating. Condition not met. 93% of marriages are couples who married their own race. Besides, by in large nerds marry nerds, jocks, jocks, etc.
Lastly, there'd have to be no mutations in DNA transfer. This, also, is of course not met. Each baby comes out about 2 or 3 mutations different from her/his parents (hundreds of times more than that actually, but since there's so much "junk" DNA in us it doesn't manifest itself). O, and 90% of those mutations came from your dad. It should be noted, too, that this will only increase as couples trend toward getting married later and later.

Next, as a review there are two ways in which true evolution occurs. One is that a survival advantage is paired with a particular mutation - longer neck makes some giraffes get more food, a thicker beak makes cracking more nuts possible to eat, a variant color moth conceals itself better etc., etc. That's known as natural selection, of course. But, there's another equally important factor that must be considered in these discussion and that's having a differential reproductive advantage - some people have more babies than others. This latter factor is by necessity going to have to be the focus of our discussion since modern medicine has such an effect on the former.

We've come to my favorite topic now - sexual selection. What attributes are being selected for by sexual selection? Meaning, why do some people have more babies than others? Well, it might be easiest to contrast this with what used to be the case.
Formerly intelligence was selected for. Males that were brighter gained more status thereby gaining more mates. Monogamy is killing this and the career over family focused intelligencia is reversing it.
It should be noted, however, that this trend isn't unidirectional. Meaning, it isn't just that smart people are having less babies. Severely mentally handicapped people are having less, too, (causing stabilizing selection) and thus enters rape into the discussion. For time and memorial rape has been a sadly significant reproductive strategy for humans. Couldn't get a mate? Make one. Rape selects for completely, completely different characteristics--aggression, victimization, dominance, anti-social behavior and even possibly retarded intelligence. Nowadays those that are aggressive and antisocial won't reproduce if they can't get a stable long term relationship. That's big. Don't underestimate the evolutionary power of that. I see a glimmer of hope in this. Nicer, gentler, more social people can reproduce more. Yay!
What else might be selected for? Social skills like fluency, empathy, attachment, risk taking behavior that results in teen pregnancy, decreased standards and pickiness, more attractive features, resistance to getting fat (for health and reproductive reasons) from a high carb diet (we've only eaten grain for less than 10k years), horniness and I've read that women that are shorter and stockier are more fertile than the gracile, twiggy models of the run way.
In summary, it isn't possible to summarize because it's possible everything I just said is either wrong or irrelevant because of future genetic modification. haha! That's not entirely true, actually. I think the take away summary is that while humans may get both dummer and less healthy we may also become nicer, more pro-social, more empathic beings that may, because intelligence is always communal and synergistic, end up, as a systemic whole, become more intelligent. But, who knows? 600 million years ago before chordates you never could have predicted the dinosaurs. 65 million years ago when the dinosaurs died out you never could have predicted humans. We struggle to predict the weekend's weather, 50 million years from now is impossible to predict...but so fun to think about!!!