"Shriver has a gift for creating real and complicated characters... A highly engrossing novel." -- San Francisco Chronicle

From New York Times bestselling author Lionel Shriver (The Post-Birthday World, We Need to Talk About Kevin), comes a searing, deeply humane novel about a crumbling marriage resurrected in the face of illness, and a family's struggle to come to terms with disease, dying, and the obscene cost of medical care in modern America.