Setting: The story takes place in Rhode Island and it alternates from the present time to events that took place from 1990 to 2010. Characters: Anna Fitzgerald, Kate Fitzgerald, Sara Fitzgerald, Brian Fitzgerald, Jesse Fitzgerald, Campbell Alexander, Julia Romano, Judge DeSalvo, Dr. Chance, and Judge (service dog)
Anna sues her parents for medical emancipation because she does not want to donate her kidney to her sister Kate. Kate's long battle with leukemia and now she is in end stage kidney failure and other health issues. Jesse's delinquency due to lack of attention. A tension filled relationship between Campbell and Julia, and the mystery of why Campbell has a service dog and his sarcastic responses when asked questions about the dog.
When Kate was diagnosed with a rare form of Leukemia in 1990, Brian and Sara decided to have another baby that would be genetic match for Kate, with the help of scientists. Since Anna was born, she has had to endure many medical procedures to try to save Kate's life. When Kate's kidneys start failing Anna's parents expect her to donate a kidney to Kate. Anna finds a lawyer, Campbell Alexander. to represent her in the lawsuit against her parents for medical emancipation. Julia Romano, Anna's court appointed guardian ad Litem, find there is still an attraction between them even though their previous romantic ended when Campbell disappeared with no explanation. There is also a mystery as to why Campbell has a service dog when there is no evidence as to why he needs one and he refuses to give the real reason and only gives sarcastic answers. Jesse is drinking, doing drugs, stealing, and setting abandoned buildings on fire. Jesse gets arrested after stealing a judges car.
As Anna is on the stand testifying in court Cambell has a epileptic seizure When Anna testifies that it was Kate that asked her not to donate her kidney and that was the reason she filed the lawsuit, her mother does not believe her at first Both of these events bring out the truth : the reason Anna decided she did not want to donate a kidney to Kate, why Cambell has a service dog and why he end his relationship with Julia, Brian confronts Jesse about the fires he has been starting
Judge DeSalvo grants Anna medical emancipation from he parents and assigns Campbell her medical power of attorney. Sara apologizes to Kate, at first she did not believe that Kate wanted to die. Julia and Campbell get back together. Jesse admits to feeling frustrated and angry that he could not save Kate and because he felt like he was invisible.
Anna and Campbell get in a car accident, and Anna is declared brain dead. Campbell, being Anna's medical power of attorney, makes the decision to donate Anna's organs. Kate receives Anna's kidney, makes a recovery and becomes a dance teacher, Jesse became a police officer, after sinking into a period of alcoholism, Brian pulls himself together. Campbell and Julia get married.