Amy Bloom is known for examining the dynamics of intimate relationships in her fiction (White Houses, Lucky Us), yet never has she gotten closer to the flame than in this memoir of her marriage. In Love begins, as Blooms puts it, with a “not quite normal” trip to Zurich. She traveled there with her husband, Brian, in January 2020, but the plan was for her to return without him. This is because her husband was pursuing a medically assisted suicide following his diagnosis of early-onset Alzheimer’s disease.
In the compressed, gripping pages that follow, scenes alternate between the couple’s grim journey and the strenuous months that led up to it. “I’d rather die on my feet than live on my knees,” Brian commented within days of his diagnosis. Because he was already experiencing mild dementia, it fell to Bloom, who had always been strong and resourceful, to figure out the logistics of what came next. The window of opportunity was small: A key criterion of an accompanied suicide is that the patient should be capable of making an independent and firm decision. With pressure mounting, Bloom explored options on the dark web, wept with friends and therapists, and received deep, unshakable support from the people she loves, including her sister, who gave her $30,000 to cover the next few months’ costs. (Medically assisted suicide is not inexpensive.)
Bloom, in turn, was steadfastly present to Brian, though the couple’s emotional connection, she makes clear, flickered unevenly. The mundane was still inescapable. Words spoken hastily were regretted for months afterward. Suffering simply hurts, but Bloom shares the details without flinching. “Please write about this,” Brian exhorted her.
Just as Bloom found comfort in watching videos made by families navigating this impossible situation, In Love now offers comfort to those who follow in her footsteps. People who are disturbed by the way death in the United States seems increasingly impersonal, or passionate about giving the people they love agency to do what they want to do, will strongly connect to this book—but so will anyone interested in deep stories of human connection.