From the New York Times bestselling author of Big Lies in a Small Town It is 1960 in North Carolina and the lives of Ivy Hart and Jane Forrester couldn't be more different. Fifteen-year-old Ivy lives with her family as tenants on a small tobacco farm, but when her parents die, Ivy is left to care for her grandmother, older sister, and nephew. As she struggles with her grandmother's aging, her sister's mental illness, and her own epilepsy, she realizes they might need more than she can give. When Jane Forrester takes a position as Grace County's newest social worker, she is given the task of recommending which of her clients should be sterilized without their knowledge or consent. The state's rationalization is that if her clients are poor, or ill, or deemed in some way 'unfit' they should not be allowed to have children. But soon Jane becomes emotionally invested in her clients' lives, causing tension with her new husband and her supervisors. No one understands why Jane would want to
