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Cover of Small Great Things

Small Great Things

by Jodi Picoult

Fiction Book ClubContemporaryAudiobookAdultAdult FictionRace

Book Description

What happens when a life hangs in the balance and prejudice clouds judgment? In 'Small Great Things,' a dedicated labor and delivery nurse finds herself entangled in a shocking case when an emergency turns into a courtroom battle. Accused of a crime she didn’t commit, Ruth faces the chilling weight of systemic racism and personal fears. As the trial unfolds, the intersecting lives of Ruth, a grieving couple, and a determined public defender reveal deep-seated biases and the quest for justice. Can one act of kindness spark a transformation? How far will one woman go to reclaim her dignity?

Quick Summary

"Small Great Things" by Jodi Picoult explores the intersection of race, justice, and conscience in modern America. Ruth Jefferson, an experienced African American labor and delivery nurse, is prohibited from caring for a newborn by the baby’s white supremacist parents. When an emergency arises, Ruth hesitates before intervening, and the baby tragically dies. Accused of murder, Ruth faces a harrowing trial that exposes systemic bias in the courtroom and beyond. Her attorney, Kennedy, a white public defender, grapples with her own assumptions about privilege. As the story unfolds, each character is forced to confront uncomfortable truths about prejudice, empathy, and the transformative power of standing up for what is right. The novel asks: how far should we go to challenge injustice, and how can compassion change us all?

Summary of Key Ideas

Systemic Racism and Prejudice

Ruth Jefferson is a skilled African American nurse dedicated to her job at a Connecticut hospital. Her life takes a drastic turn when she is assigned to care for a newborn whose parents, Turk and Brittany Bauer, are white supremacists. At their request, the hospital orders that Ruth be removed from their son's care. When an emergency occurs during Ruth's shift and the baby goes into cardiac distress, Ruth is caught between following orders and her duty as a nurse. She hesitates, ultimately intervening, but the baby dies, and Ruth is unfairly charged with murder.

Moral Courage and Standing Up for Justice

The legal battle that ensues shines a harsh spotlight on systemic racism within the justice system. Ruth's appointed attorney, Kennedy McQuarrie, initially asks Ruth to avoid using race as the basis for her defense, unsure how a jury will react. However, the trial forces both women to address the complexities of race, privilege, and unconscious bias. Kennedy’s journey is as transformative as Ruth’s, pushing her to recognize and confront her own blind spots and the ways she benefits from the very systems oppressing her client.

Empathy and Perspective-Taking

Turk and Brittany Bauer’s story runs parallel to Ruth’s. Turk, firmly embedded in white supremacist ideology, is fueled by rage and grief over losing his child. His character offers a rarely examined look into the roots and ramifications of hate, prejudice, and inherited trauma. In the course of the trial—and as he learns more about Ruth and himself—Turk faces an internal struggle with the beliefs that have defined his life.

Privilege and Self-Reflection

The novel’s courtroom drama becomes a crucible for deep exploration of empathy and moral complexity. Through testimony and cross-examination, characters must see beyond their assumptions and confront uncomfortable truths. Ruth, Kennedy, and even Turk come to realize the far-reaching consequences of everyday biases and the transformative impact that empathy and honest conversation can have on individuals and communities alike.

Transformation Through Difficult Conversations

In the aftermath of the trial, the story’s characters are forever changed. The narrative illustrates that acts of courage—both large and small—spark change and force self-examination. Ruth regains a sense of dignity and purpose, while Kennedy confronts her role within a flawed system. Turk, finally, begins to unravel his own beliefs. "Small Great Things" concludes with a message that change is possible through empathy, recognition of privilege, and the willingness to act against injustice, one person at a time.