Perhaps not her best (that would be "We Need to Talk About Kevin") but Lionel Shriver's latest is nothing short of fantastic. Ex-pat Shriver manages to distill the American health care situation into the story of two families coping with devastating illnesses. Her ability to make you really feel what the patients are feeling is spot-on (I read this book while going through chemo and some of the parallels to my own life were eerie) and for a book with such a grim subject, she manages to make it end on a positive and wholly satisfying note.