A dystopia is the idea of an imaginary society ruled by a repressive and controlled state, often in order to reach an utopian goal. It comes from the Greek "bad or hard place". The society described by Ishiguro uses human cloning in order to heal people, without any regards for ethical considerations. Criticizing this form of government doesn't seem to be Ishiguro's first aim, this book being about human relationship or about love which throws away the fear of death. It is about the fragility of art to protect us from the cruelty of the world.
However, we can argue that Ishiguro is describing not a soft dystopia, but a potent one, whose appalling power cannot be hidden by the "delicate" style of writing. Indeed, the society depicted in Never let me go has some of the main features of a "classical" tyranny. This is done in the sake of public good (in this case, public health) which makes the system even more powerful, creating a post-modern dictatorship with neither moral sense nor escape.
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