I love the visuals, the music, the sound, I love so much about this game. I guess my only problem is the concept - If the world we play in has no backdrop and yet has a message, we have to take that message as relevant to either no world, or the world we live in. The problem is, the message in this game is so asinine when we consider that no one could disagree with it in today's society.
I could only see two solutions - 1, give us some dialogue closer to that which disabled people hear every day or 2, give us a backdrop on how the world we play in became so dystopic. That way, we either learn more about how regular disabled people feel day-to-day or we want to avoid however the playing universe became so messed up.
Dialogue and story isn't usually such a big problem for games, but the thing is that this game is pretty much 90% concept, in terms of how we experience it.