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A married couple decides they will take control of their final years by exiting the world together at the age of 80 - with unexpected consequences and possibilities in New York Times bestselling author Lionel Shriver's brilliantly conceived parallel-universe novel of sickness, marriage, old age, and mortality reminiscent of The Post-Birthday World."The Cassandra of American letters." - New York TimesWhen her father dies, Kay is relieved. For ten years, she watched helplessly as Alzheimer's ravaged this once decorous man. Her husband of twenty-eight years, Cyril, found his brief exposure to her father's decline intolerable.Healthy and full of vitality, both Kay and Cyril, now in their early 50s, fear what may lie ahead for them. One thing is certain: neither wants to die without dignity.