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“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.