But Aerith still believes in this dream that she is in Midgar, so she just smiles, hoping to be conciliatory. "Come to the church again, and I'll show you it," she says. Her smile turns brighter, amused, recognizing one major flaw in the dream's logic. "How else are we going to pay you?" Her mother couldn't have afforded an appointment with a high-class doctor unless Shinra was involved.

It's a rhetorical question -- she's not so concerned about payment in the first place -- and she doesn't wait for an answer; she's not one to linger in doctor's offices. She leaves the office and the brief dream, remaining safe asleep.