When do they fully reveal what carer, donation, and completed means?
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I believe that this revelation occurs in Chapter Seven when Miss. Lucy tells them their only purpose is for the harvesting of organs. We understand that there have been hints and innuendos, we also know that Hailsham students do have an inkling of their futures..... but this is the first time it has been said outloud.
In chapter 7, Miss Lucy reveals the truth about the students real purpose and why they were created. Although she does tell the students the truth, she never actually explains what donations, carers or completions mean, we just infer it throughout the novel with the events that take place such as ruth "completes" so we know she died. Donations were explored in Miss Lucy's speech in chapter 7 when she states "you will donate your vital organs," and carer is easy to infer as they all have to 'care' for the donors.