There was no denial of fact (sterile clones is a red herring - the book never defines cloning and sterility as cause and effect). You are looking for explanations and the author offers none. It was quite deliberate, not lazy. That you didn't like it is quite understandable, but that doesn't mean that the author was showing disdain for his readers as it is evident that the approach worked for a significant number of readers.
Normally I'd be right there with you in thinking the book a waste of effort. I normally prefer a more conventional plot, and more clearly explained reasons for peculiarities in the setting. Fiction is generally a comforting entertainment because it offers the explanations and closure that real life fails to provide, and I have enough unexplained things in my life without looking for more. So I find it hard to define exactly why Never Let Me Go worked for me, but it did.
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