Because I could not put this book down during the last 100 pages and stayed up well past my bedtime, I give it a four-stars thumbs up. That's storytelling done well, and kudos to the author for tackling a difficult subject, especially in these political times. 
 That being said, some of the characters and issues fall into stereotypes, though I suppose that's part of the point. After all, there is truth to every stereotype, and when you're writing about a social issue, you don't want to sugarcoat things. But as a pediatrician, the part I could not get past was the details of the lawsuit against Ruth. For example, (view spoiler)[it seems unlikely Ruth would be accused of excessive chest compressions with all the other medical staff in the room at the time. Her colleagues would recognize that bruising can happen and stand up for her more in that regard. Or at least I would hope so. Also, I had a hard time believing the hospital would throw one of their nurses under the bus like that so easily. Prejudice or no prejudice, the hospital would know a plaintiff would go after them for big bucks given their deep pockets, not just the nurse, and I would hope they would defend their staff more than they did poor Ruth. Plus, they would have to know she could come right back at them with a discrimination suit. Then again, that was the point of the book--Ruth is not treated like the others because of her color. So I get those things. But the part of the case I struggled to swallow the most was the mention that the results of a newborn metabolic screen would be a "moot point" after an infant's death. On the contrary. The pathologist doing the autopsy would specifically want to know these results before his or her final ruling as to cause of death, as would the doctors and the other staff members in the nursery at the time, since abnormal results could definitely contribute to a newborn death. Also, once that result was known (within a few days of its collection), I would think a prosecutor would be hard pressed to even pursue this case. An infant with MCADD would be at significant risk for death under the same circumstances as this infant was, and I would think knowledge of those tests, even if not confirmed with a repeat sample, would make a prosecutor very unlikely to seek murder charges against the nurse. Lesser charges maybe, but not second degree murder. (hide spoiler)] 
 But it's great fiction so I can suspend disbelief, and I give major props to any book that keeps me turning the pages like this one did, not to mention any book that can get such a long-winded review from me. Books are meant to stir our emotions. This one certainly did.