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So Much for That by Lionel Shriver
In So Much for That, Shep Knacker has had a lifetime dream of moving away to a third world country where life is simpler and cheaper. His wife, Glynis, has always found an excuse for them not to go. Shep has sold his successful business and can't stand working for his new boss. He announces to Glynis that he's using the nest egg he's built from selling the company and he's leaving for an island off the coast of Tanzania. She announces to him that she's been diagnosed with mesothelioma. Shep can't quit his job now, because Glynis needs his health insurance, and what the insurance doesn't cover is eating away at their savings. To make matters worse, while Shep tries to be her tender caregiver, he's also the target of her resentment. Lionel Shriver's novel has received positive reviews with the Washington Post saying, "If you can take the story's grisly details and Shriver's badgering insight into all things, this is the rare novel that will shake and change you."