In Joyce Carol Oates' novel "Carthage," the phrase "Not hearing impaired but just not hearing which is a way of not caring" explores the theme of willful ignorance in interpersonal relationships. This suggests that individuals sometimes choose to ignore the reality of others' experiences, reflecting a lack of empathy or concern. This attitude can create barriers between people and hinder genuine connections.

The statement emphasizes the emotional distance that can arise when one consciously decides not to engage with the feelings or struggles of others. It raises questions about the impact of such indifference, suggesting that emotional neglect is a significant issue that affects relationships and community dynamics in the narrative.