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Rules and Order
Although there are no rules or order to cancer and car accidents (two defining moments in My Sister's Keeper), there are the rules of the law to abide by. A large part of this book takes place in the courtroom, and it seems like almost every character is either in the legal profession (Sara, Campbell, and Julia), law enforcement (Brian, who is a fire fighter, which is close enough), filing a lawsuit (Anna), or simply breaking the law (Jesse). Yep, all six narrators are involved in this system somehow. If Kate weren't bedridden by cancer, she'd probably be applying to law school or something.
Sara simply adds to the family drama by representing herself. The case would have been much easier (no restraining order, for example) if she had hired an attorney.
Jesse turns from law breaker to law enforcement in the end. He always did need some direction in life, and once Anna dies, he decides to focus on saving others instead of destroying himself.
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