I think it was obvious you're not supposed to take the movie literally. Everything was dream-like. All the people were almost like exaggerated caricatures, especially Dennis Quaid. The workout fashion of the 80's, the vehicles of the 80's, didn't belong in a world of LCD tvs and smartphones. Very much like a dream where things are out of place. I would argue everything was a nightmare, or a flash-forward of things to come if she did inject herself. I bet she was still standing there thinking about injecting the needle. But if the movie ended like that, it would make it too easy for us.
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