Just like the Chicago riots show why so many migrants were wrong to think of the North as a perfect, integrated paradise, Madison’s sudden, tragic, but unpreventable death in California is deeply ironic because it contradicts Robert’s rosy view of the state (and especially its medical system). At the end of the day, Robert will never definitively win over his brother—or Dr. Clement, the other most influential person in his life who questions his decision to migrate.