Genetically engineered humans work as slaves.

Year: 2725. What a bright future!

Everyone is non-binary since they have no reproductive organs and are bald.

Welcome to the bald club!

No hair = efficient

The elite are able to reproduce the 'human' way, passing on their genes and actually living.

You, on the other hand, cannot do that. Your lack of freedom and reproductive organs, in addition to the mind numbing drug Apathon you're not really forced to take, prevent you from living the life humans once used to live.

Oh, and L30-N43 gained conscious thought because his Apathon dispenser stopped working and he just... didn't tell anyone.