In this novel, Chamberlain takes readers back to North
Carolina in the early sixties. Jane Forrester is a newlywed, married to a pediatrician
who is more than a little status conscious. He wants a stay-at-home wife and
children, but Jane wants a career. Against his better judgement, he allows this
to happen, thinking she will tire of it quickly and they can start their family.
She takes a job as a social worker and is introduced to two families who work and live on a tobacco farm. She is told from the very beginning not to open her heart to the clients she has been assigned to, but this is not in Jane's programming. Immediately, she becomes emotionally involved with fifteen-year-old Ivy Hart, Ivy's diabetic grandmother, her beautiful but mentally challenged older sister, and her nephew, Baby William. When Jane learns that Mary Ella, Ivy's sister, was unknowingly part of a state program that sterilizes what they deem to be “mental defectives,” and others with supposedly undesirable characteristics, she is taken by surprise. Then she is told that because of her epilepsy, Ivy will become part of the program as well. The more she gets to know the girl, the more she learns about her, including Ivy's dream to become a mother one day.
Chamberlain weaves fiction and history together beautifully in Necessary Lies. This topic is a difficult one, and this story is not without pain and struggle. I loved the way things came to a close. It was a happy ending but disturbing at the same time. It was real and sad and lovely all at once.

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