This book explores the author's experiences giving away an organ to a stranger through an innovative form of altruism: a kidney chain. The questions and fears Rachel grappled with led her on a path to self-discovery to unravel why she felt moved to give of herself in an unusual way. Her working-class values, coupled with decades in the labor movement, informed her decision and expanded her family to include a community embracing her as one of their own, allowing this story to transcend the boundaries of solidarity and justice.

From television celebrities like Katie Couric to her own grandmother, Rachel chose to act on the insights they shared. Her Uncle Ed's gift of life as a deceased organ donor, along with her grandmother's storytelling, ensured the family legacy of giving continued through her. Rachel explores the full circle of donation as she reflects on her mother's and uncle's deaths by suicide, and how that influenced the way she celebrated birthdays. From the halls of Congress to the Rose Parade, she discovered a new platform and a realm of possibilities for living a purpose-driven life.