If there is a prize for courageous literature, Picoult deserves to win it. I have grown frustrated over the years as I have watched countless novelists dodge and weave to avoid the mere mention of abortion as a means to deal with an unplanned, unwanted pregnancy, and I wanted to do cartwheels when I read the teaser for this book.  I thank Net Galley and Random House Ballantine for the review copy, and the author and publisher for having the integrity to go there. This book is for sale now.

That said, this isn’t a fun read, and it in no way resembles the character based escapist fiction that is the hallmark of many of Picoult’s other novels. This one is about social justice, and fiction is an approachable medium with which to discuss it. Those seeking to avoid tension and who don’t want to think critically should read something else.

The story opens at a women’s clinic in the Deep South, and a shooter has just killed the owner of the clinic and taken others hostage.  Our main characters are the shooter, George Goddard; Hugh McElroy, the hostage negotiator; Wren, Hugh’s daughter, who has come to the clinic without her father’s knowledge to procure contraception; and Louis, the clinic’s doctor. There are a host of second string characters, and they include clinic workers, clinic protesters, patients, and a spy that has wormed her way inside the clinic in search of the damning proof that fetal tissue is being sold illegally.

Because we start with the shooting and then work our way backward in time, with the narrative unspooling the background and viewpoint of each of about a dozen people, the first third of the book is agonizing. I am not usually one to peek at the ending of a novel, but frankly I couldn’t stand it. I couldn’t read the fine details until I knew who was going to make it out alive and who wasn’t. I suspect that some of the negative reviews I am seeing are because of this aspect of it. It’s a tribute to how effectively Picoult is able to create tension within a story, but she may have overshot the mark a wee bit.

The first half of the book examines the various reasons why some people are opposed to abortion, and it does it in painstaking detail. I began to feel as if she was doing the work of the Right-to-Lifers for them.  More than anything, though, we see inside the troubled mind of the shooter himself. Goddard may be the best developed of the characters present here (though the story is primarily plot based in any case).

We also see the reasons why women choose to have an abortion, and we see the ambivalence and sometimes the regret of those that do so. In fact, my one real issue with this story is that there isn’t a single woman here that is having the procedure, not because she’s been raped or because she’s impoverished or abused, but because her contraception failed and she doesn’t want to be pregnant. These women exist; I know them. In fact, I have been one of them. Not every woman that seeks to terminate a pregnancy is traumatized, and apart from one character that passes in and out of the plot inside of a brief paragraph, these women are not represented here. But this is a relatively minor concern, and my rating reflects this.

Appropriately enough, the empirical voice of reason belongs to Louie Ward, the doctor.  He’s seen a lot:

“Indeed, when the pro-lifers came to him to terminate a pregnancy and told him that they did not believe in abortion, Louie Ward said only one thing: Scoot down.”   Louie respects the women that come to him, and during the conference the state requires him to have with those that have signed on for the procedure,

“He looked into the eyes of each of the women. Warriors, every one of them…They were stronger than any men he’d ever known. For sure, they were stronger than the male politicians who were so terrified of them that they designed laws specifically to keep women down…If he had learned anything during his years as an abortion doctor, it was this:  there was nothing on God’s green earth that would stop a woman who didn’t want to be pregnant.”

I like the ending.

Picoult has done her homework here, observing abortions conducted at various stages of pregnancy and interviewing over one hundred women that have done this. Her end notes show the level of research on which this story is based. Few fiction writers go to such lengths, and I doff my metaphorical hat to her.

Highly recommended to feminists everywhere, as well as to the tiny sliver of the population that isn’t firmly planted in one camp or the other where the topic is concerned.