"I was like you, Tommy. I was pretty much ready when I became a donor. It felt right. After all, it's what we're supposed to be doing, isn't it?" (19.61)
To us, the idea of being "ready" to donate your organs sounds pretty crazy. But to Ruth, it's what she's "supposed to be doing." She doesn't see becoming a donor as a defeat or a sign that she's given up. Instead, it's more like she's finally reached the goal that society set for her. She has finally fulfilled her purpose.