I liked this one, and was quite frankly chilled at the prospect that this could be a possible future. Anti-immigration folks get their way, but corporations also get their way by getting cheap labor. I'm going to stop here, before I go overboard, but I found the speculated near future both possible and very well written. At the same time, I found the MC to be believable as well, coming to terms with his disability and new situation.
Finally, strokes do happen at any age. I work with 2 people that have had strokes in their 40s, and my father in law passed away from a stroke and complications when he was 60.