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Is This a Deathbed Novel, a Novel About a Patient With Tuberculosis?
Orwell had tuberculosis and quite badly. He didn't immediately know that he was going to die of it, but I think he became more and more aware the illness wasn't going to get better. At the same time as being a tuberculosis patient kind of finds its way into the novel. This is before widespread antibiotic use that could help patients with tuberculosis. It's also about what it's like to be in a place where you have no freedom, where your body and your mind are being controlled.