The regimes made Haiti a more dangerous place and made traveling in and out of the country very difficult. This made it very hard to do his job and help people. The junta made it especially dangerous for him. At one point soldiers even stop his car and poin guns at his head until he says “Long live the Hatian army”. He got 10,000 dollars from John WHite to fund an underground pacifist resistance movement. His only protection is that his superior medical knowledge makes him too difficult to be killed. He ends up leaving Haiti and doesnt come back till Aristide is re-instated.
I would say the bet answer would be option D "Five-year-olds will be evaluated." This would set the stories setting as a dystopia because no five year old would be evaluated at such a young age and given a job. Tommy was also worried that his creativity, and intelligence would go unnoticed and he would be placed as a coal processor and hoped he would become a scientist or a programmer. Also, remember that a dystopia is a made up world of injustice and suffering.