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I think Kathy is effective (I know that means neither reliable nor unreliable) as a narrator; she's the personification of the "told and not told" style used to teach the young clones. The untold story behind many of her throwaway details attests to the obverse reality of the clones' life. The suggestion, for example, that the number of clones dwindles as they age (from the comment about the numbers in the dorms), indicates that some clones were harvested at a young age, as indeed they must have been as organ donors for children and Miss Emily specifically invokes "children" as a justification. "Do it for the kids!"
My point is that I don't think Kathy ever shows any signs of greater insight nor is that possibility inherent in her. Perversely, that makes her more reliable as a narrator; she's not trying to present a case or a viewpoint, just recall events. She's forgotten a lot. She certainly seems oblivious to the implications of much of what she says.
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