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Meaning of "the way they they used to use up old women, in Russia, sweeping dirt" in "The Handmaid's Tale"?

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Rand al'Thor
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I think of my mother, sweeping up deadly toxins; the way they used to use up old women, in Russia, sweeping dirt. Only this dirt will kill her.

"I think of my mother, sweeping up deadly toxins; the way they used to use up old women, in Russia, sweeping dirt. Only this dirt will kill her." What does this mean?

"I think of my mother, sweeping up deadly toxins; the way they used to use up old women, in Russia, sweeping dirt. Only this dirt will kill her." What does this mean?

I think of my mother, sweeping up deadly toxins; the way they used to use up old women, in Russia, sweeping dirt. Only this dirt will kill her.

What does this mean?

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Meaning of "the way they they used to use up old women, in Russia, sweeping dirt" in "The Handmaid's Tale"?

"I think of my mother, sweeping up deadly toxins; the way they used to use up old women, in Russia, sweeping dirt. Only this dirt will kill her." What does this mean?