”There is way too much to explain – my own blood seeping into my sister’s veins; the nurses holding me down to stick me for white cells Kate might borrow; the doctor saying they didn’t get enough the first time around. The bruises and the deep bone ache after I gave up my marrow; the shots that sparked more stem cells in me, so that there’d be extra for my sister. The fact that I’m not sick, but I might as well be. The fact that the only reason I was born was as a harvest crop for Kate. The fact that even now, a major decision about me is being made, and no one’s bothered to ask the one person who most deserves it to speak her opinion.” (Page 18-19)
Anna is three years younger than her older sister Kate, who has a rare form of leukemia. Anna was conceived by medical intervention to be an ideal donor for her sister. Her first contribution of stem cells occurs hour after she is born. As a five-year-old, she is haunted by needles when white blood cells are drawn for her sister’s care. Not long after, she’s put under anesthesia and marrow is drawn from her hips (an extremely painful procedure for the donor).
Now, at age 13, Anna will be going under anesthesia again, this time to give one of her kidneys to her sister – a step that may not even save her Kate’s life, but merely prolong it. No one asks Anna what she wants, so she pawns everything she cares about to collect $136.87 and sets off to hire a lawyer.
This novel alternates between the voices of the major characters: Anna, her mother Sara, her father Brian, her outlaw brother Jesse, her lawyer Campbell and Julia, the woman the judge appoints as a Guardian ad litem (to determine Anna’s interests). At first, I found these switches disorienting. Between different ‘voices,’ even the font changed. Later, I would find the font handy for remembering who was ‘speaking’ at any given time. On the plus side, these different voices allow the reader to experience the story from different perspectives. Sometimes, individual characters would recount an identical conversation, allowing the reader to see how the context changed with the individual.
I liked this book and the subject matter intrigued me. In fact, I would go as far to say it was a brilliant book except for one thing: the romance the author cooks up between two of the adults in the story feels contrived and silly. There were times when I just wanted to skip the relationship parts so I could get back to the story. These sections felt out of place and disturbed the flow of an otherwise well-told story.
This book anticipates that you will take sides as you read it. Because Kate, the older sister, is not allowed a ‘voice’ until the very end of the book, I tended to sympathize with Anna. The ending was unexpected and really made me think about families, compassion and medical ethics.
I still don’t know what I would have done if I was in Anna’s shoes, but the question haunts me.