I'm just going to boast here for a minute and say it only took me two sentences to guess this book was a dystopian story.
Anyway, I was really intrigued by the way Kathy H. addresses the reader directly. She casts the reader as a character in her story by implying we have all had experiences similar to her own. You know when someone waves in your direction and you wonder if they are waving at you or the person behind you? That's how this book makes me feel. I wonder who she is actually talking to, because I have no clue what she is talking about. But the way she tells her story assumes we have some prior knowledge of the state of the world, what carers are, and the nature of these "donations." This has really drawn me into the story and made me extremely interested in the missing details. A page turner I'd say.