I just wrote in the last chapter's comment thread that we're just sitting around waiting for the actual story to start, and here we are. We'll have to see if this actually goes somewhere, or if it's ignored for another six chapters or so like last time...
I'm still a bit confused about the whole hierarchy thing - like what's the point of the whole tier system if being at the top tier possible for a factory-born still doesn't have doctors that can fix you, and the tiers above can't fix you either because... they don't deal with this kind of problem in the first place? So despite the society being capable of mass-producing human life, and someone had to have made a mistake somewhere to cause this death sentence in the first place, nobody has the capability to fix this?
Like I'd understand if it'd just be prohibitively expensive or the heroine could never get the clearance, but from how the conversation with the doctor went it seems like literally nobody can help her even if they wanted to. I'm sure this is narratively supposed to line the heroine up with her character in the game, but this just feels like a weird setting choice when she could've just had cancer or something and not have all this weird future tech clone nonsense.