Marathe's intake interview with Pat — "Disabled, also. Also deformed,’ Marathe said…"
‘Disabled, also. Also deformed,’ Marathe said, shrugging stoically, inclining his veil at the dark carpet. The woman was examining his O.I.N.S. documents with the pursed mouth and face for poker of O.N.A.N. authorities in all places. One of her hands was twisted in the manner of a claw. ‘We all come in with issues, Henry,’ she said.
Context
The theme's thesis in a two-line exchange: Marathe announces his deformity fishing for the solicitude U.S. institutions are supposed to supply, and Pat — whose own hand is "twisted in the manner of a claw" — declines to be impressed. "We all come in with issues" is the non-solicitous respect Fortier claimed Americans cannot give, delivered by a claw-handed intake director.