Survival is another country too, and we have to make it there first.
In world where no-one is treated kindly, it is women alone who are stripped of choice: they are allotted either blue or white tickets upon reaching adulthood which determine the whether or not they are legally permitted to have children; they are monitored by doctors and they are conned into believing they are given the tickets they deserve and that it's not a lottery. However, it isn't a world in which only men oppress women: it is a brutal, patriarchal society in which men oppress each other too, and in which some women are involved in effecting the oppression of their fellows as the narrator, a woman who tries to flee learns: she becomes a criminal by choosing to have a child despite having been allotted a freedom ticket instead of a motherhood ticket only to be betrayed by another woman.