It is the same world, she thought, but I am different. Or is it a different world, but I am the same? - Gabrielle Zevin

On Earth, Liz was constantly occupied with studying and finding a college and a career and all those other things that the adults in her life deemed terribly important. Since she had died, everything she was doing on Earth had seemed entirely meaningless. From Liz's point of view, the question of what her life would be was now definitively answered. The story of her life is short and pointless: There once was a girl who got hit by a car and died. The end.

Other people's parents are often a delight.

Throughout his life, Sam had hated being told to 'fight,' as if sickness were a character failing. Illness could not be defeated, no matter how hard you fought, and pain, once it had you in its grasp, was transformational.