From the publisher:
Ruth, an African-American nurse, has worked at a CT hospital for nearly twenty years as a labor and delivery nurse. So when a young couple, Turk and Brittany, come into the hospital to have their baby, it is business as usual -- until Turk calls in Ruth’s white supervisor after the birth. He says, “I don’t want her or anyone like her to touch my boy,” and pulls up his sleeve to reveal a swastika tattoo: he and his wife are Skinheads. The hospital is used to making patient requests -- they have women who request female OBs, and others who don’t want be cared for by a resident. So a note is placed on the baby’s file and all African-American staff are exempted from caring from that patient -- meaning Ruth, who is the only Black nurse on the ward. The baby is taken to the nursery a day after its birth so circumcision can be done. However, Ruth’s nursing colleague is called away on an emergency C section and Ruth is the only person in the nursery when the baby has cardiac/respiratory failure. After a brief hesitation – she intervenes – and yet, the baby dies. Not long after that, Ruth learns she has been charged with negligent homicide by the state.
Ruth’s attorney is a white woman -Kennedy McQuarrie- who would not consider herself a racist by any means. Like Ruth, she has a child. But unlike Ruth, her family has never had to think about race on a daily basis. In spite of the evidence and the request of a Skinhead barring Ruth from doing her job, Kennedy knows she won’t talk about race in court, because she’d run the risk of polarizing the jury or the judge and losing the case. But to Ruth, that’s not justice.
As the two women form an alliance, and then an unlikely friendship, Kennedy begins to see that racism isn’t just about intent, but power. That even if Skinheads like Turk did not exist, Ruth would still be fighting an uphill battle. And she begins to seek a way to make a predominantly white jury see that they are responsible for the house they did not build…but in which they live.