Jodie Picoult - My Sister's Keeper

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New York Times Anna is not sick, but she might as well be. By age thirteen, she has undergone countless surgeries, transfusions, and shots so that her older sister, Kate, can somehow fight the leukemia that has plagued her since childhood. The product of preimplantation genetic diagnosis, Anna was conceived as a bone marrow match for Kate — a life and a role that she has never challenged...until now. Like most teenagers, Anna is beginning to question who she truly is. But unlike most teenagers, she has always been defined in terms of her sister — and so Anna makes a decision that for most would be unthinkable, a decision that will tear her family apart and have perhaps fatal consequences for the sister she loves.
My Sister's Keeper
My Sister's Keeper
The Richard and Judy Best Read of the Year (nominee)
Sainsbury's Popular Fiction Award (nominee)

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I take a few steps forward. "I know I jump at every sliver of possibility that might cure Kate, but it's all I know how to do. And even if you don't agree with me, even if Kate doesn't agree with me, I want to be the one who says I told you so. Ten years from now, I want to see your children on your lap and in your arms, because that's when you'll understand. I have a sister, so I know—that relationship, it's all about fairness: you want your sibling to have exactly what you have—the same amount of toys, the same number of meatballs on your spaghetti, the same share of love. But being a mother is completely different. You want your child to have more than you ever did. You want to build a fire underneath her and watch her soar. It's bigger than words." I touch my chest. "And it still all manages to fit very neatly inside here."

I turn to Judge DeSalvo. "I didn't want to come to court, but I had to. The way the law works, if a petitioner takes action—even if that's your own child—you must have a reaction. And so I was forced to explain, eloquently, why I believe that I know better than Anna what is best for her. When you get down to it, though, explaining what you believe isn't all that easy. If you say that you believe something to be true, you might mean one of two things—that you're still weighing the alternatives, or that you accept it as a fact. I don't logically see how one single word can have contradictory definitions, but emotionally, I completely understand. Because there are times I think what I am doing is right, and there are other times I second-guess myself every step of the way.

"Even if the court found in my favor today, I couldn't force Anna to donate a kidney. No one could. But would I beg her? Would I want to, even if I restrained myself? I don't know, not even after speaking to Kate, and after hearing from Anna. I am not sure what to believe; I never was. I know, indisputably, only two things: that this lawsuit was never really about donating a kidney… but about having choices. And that nobody ever really makes decisions entirely by themselves, not even if a judge gives them the right to do so."

Finally, I face Campbell. "A long time ago I used to be a lawyer. But I'm not one anymore. I am a mother, and what I've done for the past eighteen years in that capacity is harder than anything I ever had to do in a courtroom. At the beginning of this hearing, Mr. Alexander, you said that none of us is obligated to go into a fire and save someone else from a burning building. But that all changes if you're a parent and the person in that burning building is your child. If that's the case, not only would everyone understand if you ran in to get your child—they'd practically expect it of you."

I take a deep breath. "In my life, though, that building was on fire, one of my children was in it—and the only opportunity to save her was to send in my other child, because she was the only one who knew the way. Did I know I was taking a risk? Of course. Did I realize it meant maybe losing both of them? Yes. Did I understand that maybe it wasn't fair to ask her to do it? Absolutely. But I also knew that it was the only chance I had to keep both of them. Was it legal? Was it moral? Was it crazy or foolish or cruel? I don't know. But I do know it was right."

Finished, I sit down at my table. The rain beats against the windows to my right. I wonder if it will ever let up.

CAMPBELL

I GET TO MY FEET, look at my notecards, and—like Sara—toss them into the trash. "Like Mrs. Fitzgerald just said, this case isn't about Anna donating a kidney. It isn't about her donating a skin cell, a single blood cell, a rope of DNA. It's about a girl who is on the cusp of becoming someone. A girl who is thirteen—which is hard, and painful, and beautiful, and difficult, and exhilarating. A girl who may not know what she wants right now, and she may not know who she is right now, but who deserves the chance to find out. And ten years from now, in my opinion, I think she's going to be pretty amazing."

I walk toward the bench. "We know that the Fitzgeralds were asked to do the impossible—make informed health-care decisions for two of their children, who had opposing medical interests. And if we—like the Fitzgeralds—don't know what the right decision is, then the person who has to have the final say is the person whose body it is… even if that's a thirteen-year-old. And ultimately, that too is what this case is about: the moment when perhaps a child knows better than her parents.

"I know that when Anna made the choice to file this lawsuit, she did not do it for all the self-centered reasons you might expect of a thirteen-year-old. She didn't make this decision because she wanted to be like other kids her age. She didn't make this decision because she was tired of being poked and prodded. She didn't make this decision because she was afraid of the pain."

I turn around, and smile at her. "You know what? I wouldn't be surprised if Anna gives her sister that kidney after all. But what I think doesn't matter. Judge DeSalvo, with all due respect, what you think doesn't matter. What Sara and Brian and Kate Fitzgerald think doesn't matter. What Anna thinks does." I walk back toward my chair. "And that's the only voice we ought to be listening to."

Judge DeSalvo calls for a fifteen-minute recess to render his decision, and I use it to walk the dog. We circle the little square of green behind to the Garrahy building, with Vern keeping an eye on the reporters who are waiting for a verdict. "Come on already," I say, as Judge makes his fourth loop around, in search of the ultimate spot. "No one's watching."

But this turns out to not be entirely true. A kid, no older than three or four, breaks away from his mother and comes crashing toward us. "Puppy!" he yells. He stretches out his hands in hot pursuit, and Judge steps closer to me.

His mother catches up a moment later. "Sorry. My son's going through a canine stage. Can we pet him?"

"No," I say automatically. "He's a service dog."

"Oh." The woman straightens, pulls her son away. "But you aren't blind."

I'm epileptic, and this is my seizure dog. I think about coming clean, for once, for the first time. But then again, you have to be able to laugh at yourself, don't you? "I'm a lawyer," I say, and I grin at her. "He chases ambulances for me."

As Judge and I walk off, I'm whistling.

When Judge DeSalvo comes back to the bench he brings a framed picture of his dead daughter, which is how I know that I've lost this case. "One thing that has struck me through the presentation of the evidence," he begins, "is that all of us in this courtroom have entered into a debate about the quality of life versus the sanctity of life. Certainly the Fitzgeralds have always believed that having Kate alive and part of the family was crucial—but at this point the sanctity of Kate's existence has become completely intertwined with the quality of Anna's life, and it's my job to see whether those two can be separated."

He shakes his head. "I'm not sure that any of us is qualified to decide which of those two is the most important—least of all myself. I'm a father. My daughter Dena was killed when she was twelve years old by a drunk driver, and when I rushed to the hospital that night, I would have given anything for another day with her. The Fitzgeralds have had fourteen years of being in that position—of being asked to give anything to keep their daughter alive a little bit longer. I respect their decisions. I admire their courage. I envy the fact that they even had these opportunities. But as both attorneys have pointed out, this case is no longer about Anna and a kidney, it's about how these decisions get made and how we decide who should make them."

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