This book rides on the coattails of "A Handmaids Tale" popularity. This is a tale of a current America where women have been largely denied the right to speak. Unlike "the Handmaids Tale", there has been no crisis or catastrophe, no civil war that precipitated the evil regime. I cannot believe that 300 million well-armed people would passively accept women being silenced without violent insurrection and civil war. I also cannot believe that the word counting bracelets women are required to wear cannot be hacked, tampered with, or cut off and replaced with fakes. The story would have been more believable if set in a fantasy world or an unnamed faraway land in the past. Another criticism is that it takes the easy route of insulting millions of Christians. No current rhetoric or historical precedent would lead an educated person to assume that Christians would want to silence women. However, it was a fast read and the prose was workmanlike.

This book used the storytelling device of the unreliable narrator to good effect. There were 3 different story lines that the reader initially assumes to be from one voice. The initiating event was an auto accident where a woman was rendered comatose, and the narratives branched off to the comatose woman, the events of the few days preceding the accident, and of a young girl in the 1990s. The assumption is that there was foul play, but the reader doesn't know for sure until nearly the end. Of the 3 narratives, I found the young girl's story of her rough upbringing with an alcoholic mother to be the most compelling, followed by the comatose woman's distorted perceptions and dreams next. The narrative describing the events leading up to the accident wasn't very interesting, rather prosaic, and failed to make me identify with the teller. If not for this, I would have rated the book higher, otherwise it is a good first try. The twist near the end was a real showstopper and turned my perceptions of the story around.