What determines how the family treats each daughter?

A visible timer counting down to the younger sister's sixteenth birthday dictates all resource allocation.

What happens to the narrator on the sister's sixteenth birthday?

Stricken with fever, the narrator is locked in a storage room and left unaided as the family focuses on the sister.

My Sister Survived. I Didn't

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My Sister Survived. I Didn't — A visible death timer forces a family to neglect one daughter while lavishing everything on her sister.

Every family member sees a countdown hovering over the younger sister, marking her sixteenth birthday as the moment she will die. Because the deadline is treated as absolute, the household revolves entirely around her: she receives the new clothes, the special outings, and the bulk of parental attention. When that birthday arrives, the older sibling spikes a high fever. Fearing the illness will mar the sister's final hours, the parents confine the sick child inside a storage room and ignore escalating pleas for help. Footsteps recede and the locked door remains shut as consciousness fades.

Quick answers

What determines how the family treats each daughter?: A visible timer counting down to the younger sister's sixteenth birthday dictates all resource allocation.
What happens to the narrator on the sister's sixteenth birthday?: Stricken with fever, the narrator is locked in a storage room and left unaided as the family focuses on the sister.