Dr. Offit reviews a series of incidents in which children died of treatable illnesses due to the pursuit of their guardians or parents of spiritual healing through supplication in lieu of standard medical practice. He then gives an interpretation of Christianity which rejects spiritual healing as a substitute for medicine. Then he provides an overview of the historically recent development of state protection of children from abuse by their parents and guardians. Finally, he discusses efforts to proscribe and punish parents and guardians who fail to provide standard medical care to the children in their care and resistance by some religious groups which led to religious exemptions to these anti-neglect laws.
The organization of the book makes for a logical progression to Dr. Offit's call for an end to all religious exemptions to laws designed to protect minors.
