67 pages • 2 hours read
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Jimenez grounds Lisa Diaz’s story in the clinical realities of early-onset dementia. In real life, neurologists note that the disease’s faster progression in younger patients often forces families to become full-time caregivers. The novel dramatizes that pressure: Samantha struggles to balance a salaried marketing job with supervising her mother’s hygiene, medication, and wandering risk.
Jimenez also depicts the financial concerns families face when Samantha’s dad weighs hiring in-home aides (quoted at $25 to $40 per hour) against a $6,000 per-month memory care facility. Those numbers align with 2024 Genworth Cost of Care data that lists the median national rate for home health aides at $77,792 annually, but it even offers an optimistic view of memory care facility costs, which Genworth estimates at between $111,325 and 127,750 annually (“Genworth and CareScout Release Cost of Care Survey Results for 2024.” Genworth Financial, Inc., 2025). By having the siblings debate Medicaid eligibility, COBRA premiums, and the price of adult day centers, the novel reflects how American long-term care is financed primarily through personal savings. The Diaz family’s eventual rotation—Dad on evenings, Tristan on nights, Samantha on weekdays—echoes the patchwork solutions reported by advocacy groups like the Alzheimer’s Association, which note that unpaid relatives provide 83% of dementia assistance in the United States (“ Unlock all 67 pages of this Study Guide Plus, gain access to 9,250+ more expert-written Study Guides. Including features:
By Abby Jimenez