OK, I lied. This is really a combo book review and movie review. It appeared that last night at the theater was book club night, as I and my fellow members were just six of a crowd comprised ENTIRELY of women. In a way, I’m glad about that. There’s something very special about seeing a tear-jerker in a room like that, especially if the movie is surprising and engaging and satisfying, as this one was. Even in our enlightened society, there’s something totally freeing about a gaggle of just girls, with no men in sight besides the teen-age ushers. Don’t ask me to explain it.
About half way through the viewing of the film “My Sister’s Keeper,” I realized that based on all the liberties the filmmakers took with Jodi Picoult’s story, they could have easily gone a step further and made the entire film center on the love story between leukemia patient and big sister Kate Fitzgerald and her fellow cancer patient/boyfriend Taylor Ambrose. And changed the name of the film altogether. This relationship was one of the things Picoult got right in the book, and it turned out to be the most affecting part of the movie.
And by the way, as pasty-faced cutie-pies go, my vote goes with Taylor Ambrose over Edward Cullen any day. See for yourself:


Maybe that’s because it seemed like the filmmakers took everything that was wrong with the book, and made the story into what I wanted it to be.
Earlier this summer, I was reading parts of Picoult’s novel out loud in the car to my husband during our trip South. My out loud readings were mostly the result of me having little outbursts over the author’s choices. I snorted at the “coincidence” of the court’s guardian at litem also happening to be the long lost love of Anna Fitzgerald’s attorney, Campbell Alexander, whom Anna — a test tube baby designed specifically to be a donor to big sister Kate — employs to help her sue her parents for medical emancipation. I wondered what was the point of having that awkward love story between these two adults in the book. Clearly the filmmakers also viewed it as unnecessary, and by leaving that part out of the story, it gave Alec Baldwin the opportunity to really shine as the flashy, secretly epileptic, hammy lawyer.
When that epilepsy secret comes home to roost in the final courtroom scene, the author had me shaking my head as Alexander collapsed into a grand mal seizure, with his service dog, Judge, helping out by opening the briefcase and getting a rubber tongue depressor for the attending humans to use. Anyone who has ever taken a first aid course in the last ten years knows that you are NOT supposed to put anything in the mouth of a seizure victim. In the film, the dog’s job, thankfully, was limited to incessant barking and whining as he detected his master’s impending episode. Not to mention the fact that, post seizure, Alexander recovers and, doused in sweat and hair disheveled, tells the judge he’d like to finish out the day’s proceedings. This part the filmmakers didn’t change, and the result is an unintentional sight gag, with Alec Baldwin covered in what could be construed as flop sweat. And maybe it’s just me and my personal obsession over all things hygienic, and my never-ending curiosity about the restroom situations in TV, books and movies, on behalf of characters, but from what I know about grand mal seizures, at the very least? Baldwin/Alexander probably would have needed a change of trousers. Just saying.
While reading the book, I scoffed at the contrived little irony about the father, a firefighter captain, being woefully oblivious to his son Jesse’s pyromania — and how convenient it was that Jesse’s little firestarting habit was limited to vacant buildings in the slums, so we didn’t have to deal with the messiness of him being charged with manslaughter. The author then had me seething in the epilogue, with her use of Daddy’s status as fire captain to help his pyro son get into the Police Academy — even AFTER finding out his son has been setting fires all over town. But I wasn’t seething because that bit of boys club nepotistic nonsense is so contrived, but because that part? She pretty much got that right on the money. In the film, Jesse isn’t so much into starting slum fires as he is into taking drugs, staying out late in downtown L.A. and staring at transvestites. So in the film’s epilogue … he goes to art school? Shrug. Whatev.
The final and most egregious contrivance of the book was its infamous ending, which, on our car trip last month, had me banging the spine of the mass market paperback on the dashboard of my poor unsuspecting Honda Element. It all has to do with Anna and Kate’s dad being a firefighter, and it seemed like Picoult had been setting us up for this moment throughout the entire book. After the judge rightly granted Anna Fitzgerald the right to make medical decisions about her own body — after everyone finds out that it was Kate, the sick girl, who has put Anna up to all of this because she just wants to have permission to die already — Anna implies that she’s going to give Kate her kidney after all. This comes after Alexander, now her medical power of attorney, asks her where she sees herself in ten years. Fine. Lovely. If Picoult had ended it with that line, “In ten years, I’d like to be Kate’s sister,” I would have forgiven all the other little niggling problems with the book, and walked away pretty happy. I might have even tried picking up another of Picoult’s books from time to time, because, as much as I criticize her story machinations, she is a wonderful writer on the technical side, with a great talent for an interesting turn of phrase and vivid descriptions that put you right in the thick of all these hairy ethical dilemmas. Her courtroom scenes in the book are worth reading on the face of them, and comprised about 80 percent of what I read out loud to my husband as we closed in on southern Kentucky.
By the time we hit Tennessee, though, Anna had died in a horrible car crash, and in a melodramatic moment I saw coming a mile away, her father, the firefighter, is called to the scene and has to cut his own daughter out of the wreckage. Then, she’s rushed to the hospital, where Alexander signs off on Anna’s kidney donation, along with a bunch of other organs for a bunch of other nameless people. Then for some reason, even though her organs have been harvested, the hospital staff sees fit to hook her up to a ventilator and heart monitor, only so we can have the dramatic scene where Mom and Dad say goodbye and literally pull the plug. BOO! BOO! BOO! (I’m visualizing that crazy hag shouting curses at Buttercup in The Princess Bride at the moment). 
There’s been a lot of shocked disappointment coming from some of Picoult’s devoted readers regarding the ending of the film. Up on the silver screen the adorable Abigail Breslin (and if you haven’t seen her in Little Miss Sunshine, shame on you. Now go forth and rent it), as Anna, is granted her medical emancipation, but AFTER Kate dies from renal failure. It might seem pointless at first, now that Kate’s gone. And she’s gone because everyone comes to the realization that this is what Kate wants. And because her mother finally realizes she needs to let go, to stop struggling, and just say goodbye. So really, I found the medical emancipation decision to be a moment full of grace. The point was not whether Anna SHOULD give up her kidney, but whether she should be able to have a choice. After all, that’s what Kate would have wanted.


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