I haven't read anything by Picoult in a few years, and I had forgotten how brilliant she is at blending multiple voices throughout a hefty, impressively researched novel. This book grabbed me hard and didn't let me go (sleep was lost, bus stops missed, etc). The personal, ethical, moral and social issues contained in this book will keep bookclubs talking for weeks.
The story, in a nutshell, is a mother of a precocious but severely disabled child decides, in order to get the cash necessary to keep up with her medical bills and special needs, to sue her obstetrician for "wrongful birth". This means that she must swear under oath that she should have been given all the facts about her daughter's illness in time to have an abortion. The same child that she adores, who is old enough and smart enough to understand what her mother is saying, but not why she is saying it.. Add to that the fact that her best friend is the doctor she is suing. In a small town. As you can see, the scenario is fraught with dramas and dilemmas even without side stories about her lawyer and her other daughter running throughout. There is a twist, at the very end, that will knock the breath out of you (I'm still stunned by so bold a plot turn myself).
One thing I disliked about the book is the recipes running throughout it--Charlotte, the main character, was a pastry chef before Willow's problems forced her into being a stay home mom, so they aren't completely out of place, but I felt like they did more to disrupt the flow of the book than add dimension to it. Still, I give it 5 stars with no hesitation.