“Don’tcha think it should cost less to be alive?” That line, which concludes the father's speech to his daughter's new live-in boyfriend, captures much of what this play is about. Karam gets at the financial stress that burdens the middle-class in this period of stagnation. Jobs and pensions lost, dead-end jobs stoically endured for decades, caring for an aging parent while still holding down full-time jobs, etc. Karam shows the interconnections between these economic woes and the social and psychological burdens the family members also face: allegiance to one's childhood faith, struggles with weight, chronic health issues, the fear of NYC after 9-11, recovering from depression, use of anti-depressants, class differences, the importance of marriage, etc. Karam wonderfully avoids hitting one over the head with any of these issues; instead, they are subtly (and often humorously) invoked during conversations. What Karam doesn't make a conflict is also significant; we see here a family that has no problem with their daughter's/sister's homosexuality. Instead, each is incredibly supportive (mom even brings up scissoring during dinner). Nor is the young woman's depression due to her sexuality; instead, Karam suggests it has to due with the intersection of her ulcerative colitis and her worries about finding a new partner for life.
Karam tackles these issues through comedy-drama instead of tragedy. This family supports one another, but they can also make some great jokes about each other. I haven't seen this on-stage yet, but Karam gives a good amount of text that is supposed to be conveyed non-verbally, and comedic actors and directors could do a lot with this. This comedy in the face of financial, social, and psychological burdens, along with the family members' support and lack of hate for one another, characterize this play. Other key characteristics include the set design (kind of a cross-section of the two floors and four rooms of this apartment, where action often occurs simultaneously) and the use of what Freud calls the uncanny (which Karam quotes as an epigram to the book). The use of the uncanny (think "hauntings") comes to a head at the very end of the play and is surprisingly nicely in tension with the incredible realism of the set (including the noises old apartments make) and the dialogue (characters often leave lines unfinished and interrupt each other).
I would highly recommend reading this play, and I can't wait to see it performed.