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A Novel
by Lionel Shriver
Book Reviewed by:From the acclaimed author of the New York Times bestseller The Post-Birthday World comes a searing, ruthlessly honest new novel about a marriage both stressed and strengthened by the demands of serious illness.
Shep Knacker has long saved for "The Afterlife": an idyllic retreat to the Third World where his nest egg can last forever. Traffic jams on the Brooklyn-Queens Expressway will be replaced with "talking, thinking, seeing, and being"—and enough sleep. When he sells his home repair business for a cool million dollars, his dream finally seems within reach. Yet Glynis, his wife of twenty-six years, has concocted endless excuses why it's never the right time to go. Weary of working as a peon for the jerk who bought his company, Shep announces he's leaving for a Tanzanian island, with or without her.
Just returned from a doctor's appointment, Glynis has some news of her own: Shep can't go anywhere because she desperately needs his health insurance. But their policy only partially covers the staggering bills for her treatments, and Shep's nest egg for The Afterlife soon cracks under the strain.
Enriched with three medical subplots that also explore the human costs of American health care, So Much for That follows the profound transformation of a marriage, for which grave illness proves an unexpected opportunity for tenderness, renewed intimacy, and dry humor. In defiance of her dark subject matter, Shriver writes a page-turner that presses the question: How much is one life worth?
Given the acrid tone and complex implications of the current debates on health care, it's clear that these issues will remain with us for a long time to come; by melding the political with the personal, Shriver's novel, in the way of the very best topical fiction, will bring the matter home, to people's dining room tables and living room sofas, as families and book clubs and friends debate - using the tools of fiction - the issue that will define our times...continued
Full Review
(641 words)
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(Reviewed by Norah Piehl).
Two devastating diseases precipitate the health care crises of So Much for That. Glynis develops mesothelioma, a type of invasive cancer that is associated with exposure to asbestos. This type of cancer typically starts in the lungs but can affect the entire mesothelium - the tissue that lines many internal organs. Not only is mesothelioma notoriously difficult to treat, it's also hard to pinpoint its exact cause, since its onset typically happens 30 to 50 years after initial exposure to asbestos. In Shriver's novel, Glynis, an artist who works with metal, was exposed to the hazardous substance in the studio as an art student, although she initially blames her husband Shep for introducing the toxin through his work in the home construction ...
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