Status Updates From If I Ever Get Out of Here

"I thought once that if I could find a good plastic surgeon, like the one who worked on Billy Shears, one who might come out to the reservation clinic, maybe I could ask for a few modifications, a pull here and there, some skin bleach, and suddenly, I wouldn't be that kid from the reservation anymore. I would be like everyone else, a Dear Boy."

Oh dear...this sounds sad...

Enjoying this but surprised my library files it as juvenile fiction. It's solidly YA to me; I'd have serious hesitation rec'ing it for pre-high-school-age kids.