In Jodi Picoult's "My Sister's Keeper," the protagonist contemplates the value of her own existence, suggesting that her life may hold more worth in death than in life. This reflects a deep internal struggle with identity and purpose, questioning the significance of individual lives in the face of family needs and societal expectations.

The quote highlights a poignant theme of the book regarding the complexities of familial relationships and moral dilemmas. It raises critical questions about how people perceive their worth and the sacrifices they make for loved ones, suggesting that sometimes the perceived 'value' of a person can be distorted by external circumstances.