This was another hard to read chapter, though again critically important. Racism, sexism, and of course queerphobia of all sorts infests the medical industry. Hearing about the mutilation of intersex individuals, it's a phenomenon I knew of but hearing about the John story really puts it right in front of you. I also appreciate that biological determinism was addressed right there and then, to avoid the reader falling into the wrong conclusions.
Les also ties it to Cuba, which now also has a very progressive family code, not just good and free healthcare! That's something to again take to heart, absolutely none of these demands for better healthcare are outside the realm of possibility.
Haven't played since Chapter 1, just started again, and yep, it's really good! My partner likes voicing some of the characters while I voice the rest, it's a fun time.
Only played the original. My advice, is to save psionics for playthrough 2. It's super fun, but is best on another playthrough. Also, it's more RPG focused and ImSim focused than Bioshock.