This was a great book with all the intensity of a Lionel Shriver book but it won't haunt me like 'We Need to Talk About Kevin' did. I cringed most of the way through with some of the characters and Ms. Shriver has an incredible knack of being able to write whole chapters from the perspective of her characters but all in the third person. I also cringed at 'The System'... of health care and the wasted funds, but the ending was beautiful and worthy and made it all seem okay in the end. I would definitely recommend this as a good read.