The 21st century is coming to a close, and the medical industrial complex dominates the world economy. It is a world of synthetic memory drugs, benevolent government surveillance, underground anarchists, and talking canine companions. Power is in the hands of conservative senior citizens who have watched their health and capital investments with equal care, gaining access to the latest advancements in life-extension technology. Meanwhile, the young live on the fringes of society, ekeing out a meagre survival on free, government-issued rations and a black market in stolen technological gadgetry from an earlier, less sophisticated age.

Mia Ziemann is a 94-year-old medical economist who enjoys all the benefits of her position. But a deathbed visit with a long-ago ex-lover and a chance meeting with a young bohemian dress-designer brings Mia to an awful revelation. She has lived her life with such caution that it has been totally bereft of pleasure and adventure.