Their best friends, Jackson and Carol, have a daughter suffering from congenital familial dysautonomia, a rare condition that wreaks havoc on the digestive system. They have amassed enormous debts because of the cost of health care for Flicka (what's with that name?) and Carol works day and night to keep their sick daughter alive. Their younger daughter suffers emotional problems, feeling neglected because of her sister's high level needs.
Jackson, Glynis and Flicka are all angry. Shep is angry too but less overtly so. Given the hands they have been dealt their rage is logical.
Shep is forced to face a new reality: out of pocket costs that skyrocket with alarming speed, eating away at the profits from the sale of his company. And despite all the money that is going into her care, Glynis is not getting better. Then Shep's elderly father becomes ill and has to be admitted to a care facility. Shep coughs up the dough for that too because his father and sister never put anything aside for a rainy day and are flat broke. His care of his wife is exemplary yet she resents his "saintliness". The situation is impossible and can only get worse when the money finally runs out.
Jackson and Carol have similar pressures. Jackson opts for an elective surgery which is a failure and several reconstructive surgeries are required. This is the straw that breaks their marriage's back.
It is hard to imagine that this novel about fatal illness and marriage breakdown will end happily but it ends well given the bleakness of the subject matter. In the end So Much For That leaves us grappling with the question of how much one life is worth. It's not for hypochondriacs or the faint of heart.