So the "elevator pitch" for this book would be "Logan's Run meets Never Let Me Go with a Scandinavian twist." The "twist" I refer to is the sense of calm that pervades this book - this story could certainly be told in a much different way, but I like that there is that feeling of tranquility throughout. I think it makes the story sink in more deeply that if it had been written in a more overtly emotional fashion. Don't get me wrong - there is a lot of emotion here, and a lot of emotional scenes, it's just that they are presented in a way that's ... reflective, I guess.
In some ways, I am not 100% of the message the author expects readers to take away from this book. As someone who is rather close (coughcoughcough) in age to the protagonist of this book, and who is married but childfree, I can identify with a relate the sense of procreation being considered more important than quality of life for single people, older people, etc. - and the idea that there are no adult spaces left, that "families" (ONLY including people who have children, and NEVER referring to a married couple) are taking over every conceivable space and place, literally and figuratively pushing out people who dare to veer off what I see called on the Internet the LifeScriptTM (birth, school, graduate high school, graduate college, get a job with decent pay/benefits, "settle down" by getting married and immediately having kids... you get the idea). This book is definitely food for much thought, and it will stay with me for a long time. Recommended.