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There are some very difficult questions raised in this story. Does Anna have the obligation to risk her own health to save her sister? Do her parents have the right to make the medical decisions about Anna's donor role, and where should their loyalties lie? Where is the fine line between what is legal and what is ethical in a situation like this? There seem to be no right or wrong answers here, and the ensuing trial recounts all the physical, moral, psychological, and familial struggles that are brought to bear on the issue. Picoult paints a powerfully emotional picture of a family in turmoil. She adds additional tension to the story through brother Jesse, whose drug taking and criminal tendencies add even more burdens to an already overwrought situation. The story also includes the love/hate relationship between Anna's lawyer and her legal guardian.
The narrative switches from character to character so that the reader hears the voices of each family member, as well as that of Anna's lawyer and of the legal guardian appointed to watch out for her interests. Sara's narrative includes flashbacks on the history of Kate's illness, Anna's role in providing medical support, and the toll that the constant threat of Kate's death takes on the family. There are several shocking twists to the plot that make the story even more riveting. This is Picoult's best book yet!
Eileen Rieback
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