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There is an emergency meeting at Whitney-Palm; even the president of the company—Howard Anderson—is present. Michelle is asked to join and takes notes. She’s annoyed that Dr. Caviolini comes in late and makes a joke, then passes her a note asking when she plans to get married. The meeting revolves around Teddy’s death, which has gained media attention in large part due to Yessenia’s protest. Teddy’s father is suing, and the board is discussing how to respond. Michelle admits she’s happy the situation is blowing up because she knows the company is understaffing the facility, but she still empathizes with her boss, Tim, who she thinks has a tough job.
At the meeting, the lawyers and PR team discuss how they need to “frame” the situation to focus on how few children die in comparison to how many live under Whitney-Palm’s care. When Dr. Caviolini makes a meaningless comment out of context, Michelle chuckles out loud because of how idiotic he is, and everyone stares at her uncomfortably. The meeting continues, and Mr. Anderson, the company president, assures everyone there won’t be any major repercussions because ILLC is “one of the few businesses for which there will always be a need. We’re like funeral directors” (232). He laughs, and Michelle is beginning to feel more uncomfortable.
They decide to target “sympathetic” parents and workers who need their institution and to have them speak out in support of ILLC. The president believes Yessenia’s protest was staged by an adult, and Mrs. Phoebe mentions Joanne’s involvement. They discuss firing her, but Mrs. Phoebe informs them it could bring bad publicity, since Joanne’s the only disabled employee. The board decides to wait regarding Joanne and to focus on spinning the current situation into a more positive outlook from the public’s perspective. Michelle jokes about how she should turn over her notes of the company’s lack of seriousness to the news and that she is “over” her job—but also that she never actually would do that.
Having lost her job, Joanne is back at her house. Ricky is over, helping her with chores, but Joanne doesn’t like feeling dependent on him. She feels bad about having been fired by Mrs. Phoebe; mostly, she feels guilty for not being able to support the young patients anymore. Ricky suggests working at CDJ or Access Now, but Joanne is unsure. She wants to write an article about ILLC for the Plumed Serpent, and Ricky encourages her. Meanwhile, Joanne is encouraging Ricky to get a new job. Joanne mentions how a psychiatric ward for youth hired Louie, and Ricky can’t believe it. Ricky thinks of going back to school to get a degree and potentially working at juvie. Though she supports his search, Joanne doesn’t think juvie is the best fit. The chapter ends with Joanne feeling anxious about meeting Ricky’s family at a BBQ—she isn’t sure what will become of them in the future, but she is enjoying their time together in the moment.
Ever since Yessie’s protest, ILLC has been changing for the better. More houseparents have been hired, and a new psychologist has informed Mrs. Phoebe that it’s illegal to deny patients like Mia a power chair if they need it, so Mia finally gets one. However, rumors abound that Mrs. Phoebe might get fired or retire, and that ILLC might close. This worries the youth and parents since they might not have anywhere to go. Jimmie thinks about adopting Yessie as her foster daughter as a potential solution. She and Yessie get along, and Jimmie knows she can’t replace Tía Nene, but also believes she can help “finish raising” Yessie (242). Even if ILLC doesn’t close, Jimmie will suggest the idea.
Michelle has quit at Whitney-Palm and is hungover after a night of drinking with her friend, Farrah. She explains how she met Farrah while working retail in a commercial district and how she never wants to work retail again because of how rude rich customers can be. Michelle feels bad for quitting because she thinks Tim has been a good boss to her, and his company is going through a difficult moment.
Dr. Caviolini was arrested for his involvement ordering unnecessary tests and then keeping the money, and Michelle is somewhat glad because she never liked him. Michelle learns “He made half a million dollars a year ordering fake tests as in tests they didn’t need for nursing-home people including children” (245). Michelle feels conflicted about working for Whitney-Palm, and her life is a mess. Her apartment is in shambles, and she took leftover drugs from a dentist operation and is surprised she woke up the next morning.
Mia sees Connie—her new therapist—every week, since the old one was fired. She feels comfortable around Connie and openly shares her feelings. Mia greatly misses Teddy and often talks about him, sometimes crying. Connie supports her, and they share laughs together, though Mia still hasn’t talked about Jerry. Mia is thriving with her new power chair and goes to Access Now to take leadership classes from other disabled activists. One day, Ricky gives her a gift from Joanne—it’s a pink backpack with a photo and letter from Joanne inside. The letter includes Joanne’s phone number so they can stay in touch, and the photo is of Mia and Teddy together. Mia feels happy and wants to show Connie.
Even though things are changing for the better at ILLC since the protest, Yessie feels sad because the community she once had has disappeared. Joanne was fired, Teddy died, Mia is active with Access Now, Cheri is gone, and Jimmie is too busy training new houseparents. Jimmie has something important to tell Yessie but hasn’t had time to meet with her, and Yessie thinks Jimmie is planning to quit. So, in response, Yessie runs away. She takes a bus downtown and wanders around for the first time in her life.
Yessie gets on a bus to Milwaukee and calls a boy she met on the internet (Pedro Nunez) to pick her up. She is skeptical at first but gets in the car, and they go to McDonalds. In the parking lot, Pedro tries to get on top of her aggressively, but Yessie fights back, and he apologizes and takes her to his house. They settle in and watch TV with beers and snacks. After a few beers, Yessie feels drunk and becomes more friendly. She gets up to use the bathroom but feels lightheaded. She refuses Pedro’s help, and when she gets to the bathroom, she crawls to the toilet. It reminds her of the only other time she was drunk—when she drank her tía’s liquor and began throwing up until her tía got home from work and grounded her. Pedro eventually helps get onto the toilet, and Yessie thinks to herself how she hates being a virgin.
When they get back to the couch, they kiss. They end up having sex, and Yessie says it felt “real, real, real, like, good” (257). She wishes she could tell her tía about it. Pedro takes her back to the bus stop and says he’d like to visit her in Chicago. She gives him an old address and wonders if they’ll meet again, worried what trouble she’ll get into back at ILLC. On the bus, she begins to think about everything and cries. She recalls a therapist she used to meet with in juvie and how she would cry to her. Yessie finally makes it back to ILLC in the middle of the night. The place looks “real dark from the street...[with] one little light in the lobby but nobody in there, not even the security guard” (260). She rolls over to the tree she chained herself to during the protest. Then, she notices someone come outside for her. It’s Jimmie.
In the final chapters of the book, characters resolve their conflicts and begin toward new paths. Michelle finally breaks away from Whitney-Palm, having tolerated too much guilt and mistreatment from the board of directors. The more access she gains into corporate leadership, the more she begins to realize how cruel and inhumane the company is, which she wants no part of. In the final meeting she attends after Teddy’s death, the lack of compassion for human life is evident in the way the Whitney-Palm executives address Teddy’s tragedy:
And he died. Because he had his legs amputated and got pneumonia. None of this was that big a deal—well, it was a huge deal for the boy, of course, and his father who is suing but what I meant to say is it wasn’t picked up by the media at all until one of the girls here decides to sit in front of the building one day with a big sign that says THEY ABUSE AND KILL CHILDREN HERE (229).
The sheer neglect of Teddy’s life is obvious in the carefree tone and dismissive descriptions provided by the executive—i.e. “None of this was that big a deal” in describing a young man’s severe death. This tone symbolizes how disconnected and unsympathetic the Whitney-Palm corporation is towards their patients, and how, from a universal standpoint, the healthcare system ignores the wellbeing of the masses in order to collect profit for a select group of individuals sitting in an exclusive business meeting. Even with Yessie’s bold sign, they still refuse to accept the situation and offer their help, instead scheming for “damage control” and protecting their public image.
Michelle’s increasing sense of resentment towards the company’s stance can be seen in how she laughs at Dr. Caviolini’s incompetence and loses interest in her role until she finally gets drunk and quits. This act salvages her character’s integrity, showing that she does, indeed, realize the horrific conditions for these patients is intolerable and wrong. She no longer wants a part in the exploitation of disabled humans, proving her moral compass is still intact.
Joanne’s resolution, on the other hand, is forced by her firing from ILLC. Though she is glad to leave her work duties behind, she feels saddened by her abandonment of the young patients, who she knows will continue to need support and advocacy. However, Joanne’s work of social empowerment manifests in both Yessie’s political action and Mia’s leadership training with Access Now. Joanne’s character largely represents the power of community, love, and faith when shared with youth. By trusting the young patients, treating them respectfully, empathizing with their struggles, and exposing them to different ways of political thinking, she has given them a sense of confidence and autonomy that they lacked before. When they are trapped within a system of exploitation, abuse, and neglect, the youth are—as expected—depressed, rebellious, and even violent towards their abusers. But Joanne operates outside of this institutional abuse and actually views the young patients as capable, funny, wholesome people, and this act serves as a catalyst for their forward progress. Mia’s pink power chair is symbolic proof of how the youth are able to move forward into the future with Joanne’s encouragement and support.
Though Ricky’s resolution is unclear, he wants to leave ILLC, and his solidarity with the patients and Joanne is undeniable. His role as a physical enforcer at the beginning of the book has turned into his role as an emotional support for many of the disabled characters, and his ability to use his large, male body to help others is also proof of how health care can work if the right people make good decisions. Unlike his counterparts—Louie, Jerry, and Candy—who all use their bodies to exploit and harm the helpless patients, Ricky refuses to overpower others and instead uses his abilities to care for those who are largely uncared for. His character—along with Joanne, Yessenia, and Mia—acts as a hero for the ILLC community, who stands up to the malicious characters around him to provide safety and advocacy for a vulnerable population.
Another hero in this story is Jimmie, whose large physical stature and wholesome emotional care persist until the final sentence of the final page, in which she is waiting to receive Yessie in the middle of the night. Whereas Ricky represents a fatherly/brotherly hero and positive influence, Jimmie represents motherly/sisterly hero and positive influence. Her decision to propose the adoption of Yessenia is the apex of her sisterly care. Her love for Yessie goes beyond any financial or professional responsibility, it’s from pure compassion and the desire to “raise” a young girl who needs guidance: “I just love Yessie and I think I could finish raising her” (242). In many ways, adults in the story like Jimmie, Ricky, and Joanne are able to heal both themselves and the youth by committing good deeds. They each have their own past of suffering and tragedy, and by caring for and helping these patients, they receive happiness and personal fulfilment in a healthy, genuine, and non-monetary way.
Lastly, Yessenia’s character transformation from an angry, aggressive, and even violent girl into an independent, visionary, and politically curious young woman marks the benefit of caring for our youth. Though her character is imperfect and still prone to mistakes (highlighted by her rash decision to run away to Milwaukee for a night), she is still able to come to her senses and doesn’t break. Having been largely misguided, uncared for, and abused in her life, it is understandable that the choices she makes aren’t always the best. Yet, the way she has evolved into a maturing, compassionate, and socially aware person shows that she is moving in the right direction once she has freed herself from ILLC’s control (literally and metaphorically). She wants to support her peers, and she also wants to be supported by others, and her search for her identity and self are signs of a young woman taking control of her life. Much like Joanne and Jimmie, Yessenia is determined to be a fierce woman who will accept help from others, but she refuses to be a dependent, subservient weakling.
Joanne’s description of her relationship with Ricky is proof of how the female characters are independent and self-sufficient, even when their bodies limit them: “I don’t want to forget how long it took for me to become self-sufficient again after being injured. I always want to be self-sufficient. You never know how long anything might last, relationship wise” (234). Joanne’s self-determination here largely reflects the determination of all the female heroines—including Yessenia, Mia, and Jimmie—how must each, in their own ways, discover how to take care of themselves while also finding ways for others to take care of them. The theme of self-sufficiency and self-advocacy is best exhibited in these characters, representing a larger message for readers that with community, trust, political awareness and confidence, a shot at happier living is possible—particularly for marginalized groups such as people of color, women, the disabled, and youth.
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