For once in Anna's life she is about to be able to call the shots. She has given her sister everything she has ever needed out of love. From blood to bone marrow Anna has sacrificed herself for her sister.
After further discussion Anna has to make a tough decision that will not only jeopardize her family as a whole but will hurt everyone individually. She must go behind her family's back to make a choice either to save Kate or eventually let her sister go.
Many do not understand why Anna is thinking about letting her sister die but because they have such a special bond only Anna knows why she has been asked to choose. Kate is a strong girl and has faught Leukemia her whole life with the help of Anna but she knows she is ready to die and can't fight any longer. It is Kate who asks Anna to stop donating blood. The only reason Anna even considers making this choice is because she loves her sister and knows that will make her happy.
"...Is that there is no good answer. So as parents, as doctors, as judges and as society, we fumble though and make decisions that allow us to sleep at night-beacuse morals are more important than ethics, and love is more important than law"(409).
Love is a difficult thing to understand because it can hurt you but also save you. In Anna's situation she had to make a sacrifice out of love for her sister but it killed her mother. Her sisterly bond to Kate was the key to her sister's survival.
Yet in the end it was the ulimate sacrifice made from Anna that saved Kate. Family is the theme of this book because throughout all the treatments the Fitzgeralds overcame all their struggles together. They had their ups and downs and at times each member felt alone and helpless but together they became stronger because they had each other.
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