In this scene, Ko shows readers the profound power Peilan’s government has over her. Because she only has rural hukou, her family isn’t wealthy, and this means she can’t afford to pay a fine for having a baby without a “birth permit.” However, she also doesn’t qualify for an abortion, putting her in an extremely difficult position. And though the nurse seemingly takes pity on her, she ends up deciding to go through with her pregnancy. She makes this decision, it seems, because she’s afraid of having an abortion, though this is ultimately less of a choice than it is a surrender. Indeed, none of the options available to her in this moment are desirable. As such, this marks the first time that Peilan is unable to do what she wants.