The opening sentence of Chapter 9 of The Giver is important as it acts as the thematic sentence of the chapter:
Now, for the first time in his twelve years of life, Jonas felt separate, different.
At Jonas's age, being alienated from others is a profound change. When Jonas opens his folder, which is noticeably thinner than that of the other Twelves, and reads that he now may do things that have hitherto been forbidden, such as being exempted from rudeness and being permitted to lie. He is profoundly shaken as he wonders if he will lose his friends.
With the transformation of his way of living, Jonas wonders what the future will bring. For instance, he reads that he cannot apply for any medication unless he is ill or has been injured; this unnerves him as he recalls the pain of having hurt his hand in the past, and if he had not been given medication, he would have suffered. Further, Jonas also wonders why he is designated to be so exceptional in being given dispensations from the rules.