Centres on Ruth Jefferson, an African-American neonatal nurse who has been working in the same hospital for over twenty years. When she is ordered not to care for the newborn child of a white supremacist couple, things spiral into a legal and moral crisis. The baby dies, and Ruth becomes the prime suspect in a high-profile court case. The novel alternates perspectives — including the parents, the lawyer, and Ruth herself — to explore issues of race, prejudice, justice, power, and how deep-seated biases impact lives in both overt and subtle ways. Through its courtroom drama and emotional weight, the story challenges readers to examine fairness, compassion, and the divisions that still persist in society.