I really did not enjoy this book. The whole premise was very weird and basically copied from George Orwell. The writing style was so simple it was just boring and exhausting to read. The author also has weird views on the medical system, that are very present in this book. All the symbols and metaphors are very on the nose. There was a weird “half love story” mixed in, that just didn’t fit into the story at all. 
1.5 because it had a lesbian kiss halfway through.