A searing, unflinchingly intimate memoir about one young couple caught up in the machinery of America's military system, learning to live and love through war and all that comes after

Karie Fugett is living out of her car in a Kmart parking lot when her boyfriend Cleve suggests “Maybe we could get married or somethin’.” Karie says yes out of love, but also out of convenience. As a twenty-year-old high school dropout who ran away from her family and recently lost her job, Karie has nowhere else to turn. Just months after they elope, Cleve’s Marine unit is deployed to Iraq. Then Karie gets the call: Cleve’s Humvee has been hit by an IED, and he’s suffered severe injuries.

Karie rushes to Walter Reed, where she’s told it’s a miracle that her husband has survived. “Happy Alive Day, man,” a fellow vet says to Cleve, explaining that the date will always be marked as the day he was given a second chance at life. Newlyweds barely out of their teens, Karie and Cleve are thrust into utterly foreign roles. Karie tries to adapt to her job as a caregiver, navigating the labyrinthine system of veterans affairs, hospital bureaucracy, and doctors who do little more than shrug when she raises concerns about Cleve’s dependency on painkillers. It is clear to Karie that Cleve is using opiates to dull a pain that is more than physical. She catches his first overdose, but what if she can’t save him a second time? Will she still be able to save herself?

Fugett’s story depicts an oft-overlooked reality of war: the experience of the many thousands of caregivers and spouses—mostly women, mostly young, mostly poor—whose lives have been shattered by battles fought against enemies abroad and against addiction at home. Tender, vivid, and laced with dark humor, Alive Day is at once an epic and engrossing love story, a testament to the resilience of the human spirit, and a powerful indictment of the sins of a nation.