The deep relationship between siblings is a recurring theme in My Sister’s Keeper. The most significant instance of this is the relationship between the protagonist, Anna, and her older sister, Kate. Although Anna is suing for the right to refuse to donate her kidney to Kate, this does not mean she hates Kate; on the contrary, the two are shown to be extremely close from their very first scene together, in which Anna knows the plot of Kate’s favorite soap opera by heart. As a result of their closeness, though, Anna frequently struggles to reconcile her desire for her sister to live with the knowledge that she would be freer if Kate was gone. As it turns out, this sense of obligation is mutual—at the climax of the novel, it is revealed that Kate asked Anna to refuse to donate her kidney in order to spare Anna from any more sacrifices on Kate’s behalf. In this way, Kate and Anna’s relationship functions as the moral heart of the story, with their love for each other transcending all other ethical questions and material obstacles.
Furthermore, while Kate and Anna’s bond is the most significant sibling relationship in the novel, their older brother, Jesse, is also an important figure in both of their lives. Although Jesse often lashes out and isolates himself due to his pain over not being able to help Kate, his isolation from family affairs often allows him to be an unexpected source of support for his sisters—especially Anna, whom he wholeheartedly supports throughout her entire lawsuit.
In addition to the Fitzgerald siblings, the novel features two adult sister pairs: the girls’ mother, Sara, and her older sister, Suzanne, as well as Anna’s guardian ad litem, Julia, and her sister Izzy. Interestingly, in both cases, Picoult portrays the sisters as opposites: Sara is a stay-at-home mother while Suzanne is an assertive corporate executive, and Julia works a 9-to-5 legal job while Izzy sells jewelry for a living. Despite these differences, though, the sisters are always there for each other in crisis, with Suzanne providing vital childcare during Kate’s illness and Izzy comforting Julia during her ups and downs with Campbell. Thus, these adult sisters underscore how the bonds of siblinghood are powerful tools for overcoming life’s most difficult moments.
Siblinghood ThemeTracker
Siblinghood Quotes in My Sister’s Keeper
I was born because a scientist managed to hook up my mother’s eggs and my father’s sperm to create a specific combination of previous genetic material. In fact, when Jesse told me how babies get made and I, the great disbeliever, decided to ask my parents the truth, I got more than I bargained for. They sat me down and explained all the usual stuff, of course—but they also explained that they chose little embryonic me, specifically, because I could save my sister, Kate. “We loved you even more,” my mother made sure to say, “because we knew what exactly we were getting.”
It made me wonder, though, what would have happened if Kate had been healthy. Chances are, I’d still be floating up in Heaven or wherever, waiting to be attached to a body to spend some time on Earth. Certainly, I would not be part of this family. See, unlike the rest of the free world, I didn’t get here by accident. And if your parents have you for a reason, then that reason better exist. Because once it’s gone, so are you.
I tap my pen on the desk, and Judge—my dog—sidles closer. “What happens if you don’t give your sister a kidney?”
“She’ll die.”
“And you’re okay with that?”
Anna’s mouth is set in a thin line. “I’m here, aren’t I?”
“Yes, you are. I’m just trying to figure out what made you want to put your foot down, after all this time.”
She looks over at the bookshelf. “Because,” she says simply, “it never stops.”
My first strike was marrying a guy without a college degree. My second and third were getting pregnant. I suppose that when I didn’t go on to become the next Gloria Allred, [Suzanne] was justified in counting me a failure. And I suppose that until now, I was justified in thinking that I wasn’t one.
Don’t get me wrong, she loves her niece and nephew. She sends them carvings from Africa, shells from Bali, chocolates from Switzerland. Jesse wants a glass office like hers when he grows up. “We can’t all be Aunt Zanne,” I tell him, when what I mean is that I can’t be her.
For a minute I look at [Anna]. What would I do, if I found out that Izzy needed a kidney, or a part of my liver, or marrow? The answer isn’t even questionable—I would ask how quickly we could go to the hospital and have it done.
But then, it would have been my choice, my decision.
[Kate] sprinted, and nearly had it, but then Jesse took a running leap and slammed her to the ground, crushing her underneath him.
In that moment everything stopped. Kate lay with her arms and legs splayed, unmoving. My father was there in a breath, shoving at Jesse. “What the hell is the matter with you!”
“I forgot!”
My mother: “Where does it hurt? Can you sit up?”
But when Kate rolled over, she was smiling. “It doesn’t hurt. It feels great.”
My parents looked at each other. Neither of them understood like I did, like Jesse did—that no matter who you are, there is some part of you that always wishes you were someone else—and when, for a millisecond, you get that wish, it’s a miracle. “He forgot,” Kate said to nobody, and she lay on her back, beaming up at the cold hawkeye sun.
I’m a coward. There are times when my shift is over that I’ll stay and roll hose, or put on a fresh pot of coffee for the crew coming in, instead of heading straight to my house. I have often wondered why I get more rest in a place where, for the most part, I’m roused out of bed two or three times a night. I think because in a firehouse, I don’t have to worry about emergencies happening—they’re supposed to. The minute I walk through the door at home, I’m worrying about what might come next.
“You are allowed to take a break, you know. No one has to be a martyr twenty-four/seven.”
But I hear her wrong. “I think once you sign on to be a mother, that’s the only shift they offer.”
“I said martyr,” Zanne laughs. “Not mother.”
I smile a little. “Is there a difference?”
“Did you want to get your crown of thorns out of the suitcase first? Listen to yourself, Sara, and stop being such a drama queen. Yes, you drew a bad lot of fate. Yes, it sucks to you.”
Bright color rises on my cheeks. “You have no idea what my life is like.”
“Neither do you,” Zanne says. “You’re not living, Sara. You’re waiting for Kate to die.”
I decided one day to force myself into imagining what it would be like after Kate died. That way, […] when it really happened, I’d be ready.
I kept at it for weeks. […] There were entire days when I did nothing but cry; others where I felt like I’d swallowed a lead plate; some more where I worked really hard at going through the motions of getting dressed and making my bed and studying my vocab words because it was easier than doing anything else.
But then, there were times when I let the veil lift a little, and other ideas would pop up. Like what it would be like to study oceanography at the University of Hawaii. Or try skydiving. Or move to Prague. Or any of a million other pipe dreams. I’d try to stuff myself into one of these scenarios, but it was like wearing a size five sneaker when your foot is a seven—you can get by for a few steps, and then you sit down and pull off the shoe because it plain hurts too much. I am convinced that there is a censor sitting on my brain with a red stamp, reminding me what I am not supposed to even think about, no matter how seductive it might be.
What if I was the one who was sick? What if Kate had been asked to do what I’ve done? What if one of these days, some marrow or blood or whatever actually worked, and that was the end? What if I could look back on all this one day and feel good about what I did, instead of feeling guilty? What if the judge doesn’t think I’m right?
What if he does?
I can’t answer a single one of these, which is how I know that whether I’m ready or not, I’m growing up.
“I’m sick of waiting for something that’s going to happen anyway. I think I’ve fucked up everyone’s life long enough, don’t you?”
“But everyone’s worked so hard just to keep you alive. You can’t kill yourself.”
All of a sudden Kate started to cry. “I know. I can’t.”
It took me a few moments to realize this meant she’d already tried before.
There might be a morning when I wake up and her face isn’t the first thing I see. Or a lazy August afternoon when I can’t quite recall anymore where the freckles were on her right shoulder. Maybe one of these days, I will not be able to listen to the sound of snow falling and hear her footsteps.
When I start to feel this way I go into the bathroom and I lift up my shirt and touch the white lines of my scar. I remember how, at first, I thought the stitches seemed to spell out her name. I think about her kidney working inside me and her blood running through my veins. I take her with me, whenever I go.