From the acclaimed author of theNew York TimesbestsellerThe Post-Birthday Worldcomes a searing, ruthlessly honest new novel about a marriage both stressed and strengthened by the demands of serious illness.

Shep Knacker has long saved for "The Afterlife": an idyllic retreat to the Third World where his nest egg can last forever. Traffic jams on the Brooklyn-Queens Expressway will be replaced with "talking, thinking, seeing, and being" - and enough sleep. When he sells his home repair business for a cool million dollars, his dream finally seems within reach. Yet Glynis, his wife of twenty-six years, has concocted endless excuses why it's never the right time to go. Weary of working as a peon for the jerk who bought his company, Shep announces he's leaving for a Tanzanian island, with or without her.

Just returned from a doctor's appointment, Glynis has some news of her own: Shep can't go anywhere because she desperately needs his health insurance. But their policy only partially covers the staggering bills for her treatments, and Shep's nest egg for The Afterlife soon cracks under the strain.

Enriched with three medical subplots that also explore the human costs of American health care,So Much for Thatfollows the profound transformation of a marriage, for which grave illness proves an unexpected opportunity for tenderness, renewed intimacy, and dry humor. In defiance of her dark subject matter, Shriver writes a page-turner that presses the question: How much is one life worth?