Demick uses this passage to hint at the long-term ramifications of the things Mi-ran and Jun-sang had to do both physically and psychologically in order to survive as the famine worsened. Mi-ran, Demick shows, would carry the guilt of surviving when so many died through the rest of her life. With this, Demick emphasizes how when people are pushed to the brink, they can do unthinkable things—including coldly ignoring the plight of others in order to keep themselves alive and focused.