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We don’t tend to write about disease in fiction – not just teen novels but all American novels – because it doesn’t fit in with our idea of the heroic romantic epic. There is room only for sacrifice, heroism, war, politics and family struggle.
Teenage readers also have a different relationship with the authors whose work they value than adult readers do. I loved Toni Morrison, but I don’t have any desire to follow her on Twitter. I just want to read her books.