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Evan's job is to help people die. Evan is a nurse, a suicide assistant. His job is legal - just. He's the one at the hospital who hands out the last drink to those who ask for it. Evan's friends don't know what he does during the day. His mother, Viv, doesn't know what he's up to at night. And his supervisor suspects there may be trouble ahead. As he helps one patient after another die, Evan pushes against the limits of the law - and his own morality.

Nine brilliantly told and connected stories take place in a post-apocalyptic world sometime in the near future and follow the narrator at different stages of his life, trying to survive in a savage landscape of climate change, plague, larceny, and a new sexual order.