A fictional portrait of one of the most influential figures of the twentieth century follows the founder of Planned Parenthood, Margaret Sanger, who sacrificed two husbands, three children, and scores of lovers in her fight for sexual equality and freedom.

"Decades after economic and environmental collapse destroys much of civilization in the United States, the Coast Road region isn't just surviving but thriving by some accounts, building something new on the ruins of what came before. A culture of population control has developed in which people, organized into households, must earn the children they bear by proving they can take care of them and are awarded symbolic banners to demonstrate this privilege....