It's this system. Our medical system. It's failing all of us.
Emma is in the medical field for all the right reasons. After the tragic passing of her parents, she wants to give back, to help, and to save lives. Becoming a doctor has given her so much, and police detective husband Nate and son Josh help round out her life, giving her a happiness she only dreamed possible. This picture-perfect suburban life comes crashing down around her when Josh is dealt a heavy hand: he has been diagnosed with leukemia, and not your standard garden variety, but a leukemia with very few treatments, the most promising of which is astronomically expensive. Emma is still paying off years of medical school, and Nate's salary cannot possibly absorb this extra financial blow...especially when Emma learns insurance will hardly cover any portion of the special treatment that will give Josh a fighting chance. Emma then forms a dangerous plan and a future only a few prescription pads and her signature can buy: she launches headfirst into the dangerous world of opioid sales. The deeper she goes, the more tangled her web ultimately becomes, as Nate is investigating the very drug ring that Emma, her brother, and former high school friend are in...and needs to crack the case to secure a promotion. As Emma tries to keep her husband's prying eyes and suspicions at bay, will the heavy hand of justice unravel her carefully spun web? And will the treatments be enough to save Josh in the end?
Christina McDonald has absolutely jumped on the topical and timely train with this novel, and I am so thrilled that she did! What I loved most about this novel was the careful balance she maintained between an exploration of the pure heartbreak our current medical system can inflict on a family and an engaging and fast-paced thriller. Having Emma as the center of the storm was also a well-reasoned choice, since she can ponder as a character the reasons why a patient might really NEED opiates, how the spiral of addiction (or even selling!) can start, and of course the ethical dilemma she faces as a doctor willing to risk her career to save her son's life. Everyone I know has a story to tell when it comes to our very broken medical system, and while Emma's story seems extreme, the sentiment behind her motives is all too familiar. When GoFundMe provides as many dollars as major insurance companies do to help cover medical treatments, there is something intrinsically wrong with our system, and we desperately need a change in our priorities and focus as a nation. I also really appreciated that McDonald worked in commentary on our lack of accessible and affordable mental health care, which has led so many people into addiction as they try any means necessary to self medicate. Plenty of twists and turns abound also, and there were definitely a few wonderful fake-outs to keep my pulse pounding!
This story is absolutely riveting, heartbreaking, thrilling, and thought-provoking, and I am SO glad it was my first read from Christina McDonald! I hope someday we can live in a world where these type of scenarios truly ARE fiction, but until then, I look forward to more hard-hitting topics carefully wrapped in a suspenseful coating which leave me both heartbroken and desperate for more! 4 ⭐