The fact that Anna wins the case just to die in a tragic car accident right after, then have all her organs cut out of her (her kidney of course going to Kate) is ironic to a point that I do not think anyone would have been able to predict. With all things considered it was a relatively happy ending, Kate survived, Jesse made something positive out of himself, and Anna saved Kate in the process of her tragic passing. As harsh as it sounds, I think Anna dying instead of the expected passing of Kate occurring was actually a preferred result for the family. Sadly it seems no one ever really looked at Anna as just another child of the family, but a cure for Kate. That is what she always was, not a child, not part of the family, and not equal to Jesse in importance and especially not equal to Kate in importance. Her parents did love Anna of course, but not to the extent that they should have.
Also after Anna's death I feel everyone was all too quick to pronounce her dead and cut out all her vital organs. Any other family would have hung on to Anna and wished for the miracle of her recovery. Poor Anna was overshadowed by everyone hopes of Kate;s miracle recovery. To the point of it not even crossing any ones minds to look at options or hope for options of saving Anna.
On a side note Camble and Julia got married, I swore to myself about halfway through the book that if they didn't I would forever hate the book no matter what else happened. Julia and Camble just had to wind up together, they had to much history that neither of them ever overcame even thought they hadn't seen each other in years.
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