The quote from "The Handmaid's Tale" reflects a profound sense of isolation and the deep human need for connection. The speaker suggests that while they may survive physically without sexual intimacy, it is the absence of love that truly affects their existence. This highlights how critical emotional bonds are for a fulfilling life, revealing that mere existence is not enough without meaningful relationships.

The mention of loved ones being dead or unreachable emphasizes the theme of loss and separation. The speaker feels like a missing person themselves, indicating that they are not just physically alone but also emotionally disconnected from others. This sense of longing for connection and the pain of being cut off from love captures a fundamental aspect of the human experience, resonating throughout Atwood's narrative.