This book starts out a generation after a plague wiped out about half the population of Great Britain. The plague is over, but its effects are not: the plague left most of the population sterile. A scientist has developed a way to combat the virus in-vitro, so a lottery is set up for women who want to have children. The rich, of course, just pay to have the treatment, but all others have to take their chances in the lottery.
The story centers on Kate. She won the lottery, but does not want children, so she gives her winning ticket to her sister. Somehow her sister dies at the IVF facility and the rest of the story is about solving the mystery of her death, finding out the truth about the virus and the IVF process, an underground group that tries to offer treatments to women who can't afford it, and a political power struggle over who will control the reproductive process in the country. The author gets in a few digs at the situation of the world today by talking about Kate's struggle to overcome what she has always believed as told to her by the government and what she finds to be the truth once she starts investigating her sister's death. You will recognize quite a few familiar themes in the book that you may actually be reading about in the newspaper today.
Once Kate starts investigating her sister's death, the book turns to almost non-stop action as she meets people in the underground, people who live outside of the main society, and goes undercover at the IVF facility, where she discovers some grisly truths.
You don't know which side some of the characters in the book are on and some of them seem to be changing sides--or are they just faking it to save themselves? Kate ends up becoming more involved and passionate about her life, after years of just following the government-mandated routine. She's smart and is able to play other people to find out what she needs.
The book puts some ugly truths out there and you may find yourself wondering how close to reality the book is. I really enjoyed the book. There was a lot of scientific information given, but it was presented in an easy-to-understand way. It may also make you think what actions are ethical in the face of the end of humanity. Is it OK to do anything? Do right and wrong still matter? These aren't easy questions to answer.
I was provided with a complimentary copy of this book, through Reading Deals, so I could give an honest review.