Hilary Mantel is the finest underappreciated writer working in Britain. While her better-known contemporaries (Martin Amis, Julian Barnes, Kazuo Ishiguro, Ian McEwan—make your own list) garner fame and fortune, she quietly produces one excellent novel after another. Each is different: They range from a portrait of a sheltered twentieth-century woman misreading a Muslim culture (Eight Months on Ghazzah Street [1988]) to a hilariously dark send- up of the psychic profession in all its guises (Beyond Black [2005]) to the best novel I have ever read about the French Revolution (A Place of Greater Safety [1992]). Yet they all contain the

Perhaps the chief draw of any postapocalyptic spectacle is the vast opportunity for plunder; Chris Adrian’s medical millenarianism, however, envisions a band of survivors rather indisposed to such distraction. The Children’s Hospital imagines a genre-exploding eschaton where the chief residual vice is less indulgence than blinkered intensity: Its legatees are doctors, and come hell or high water—or, in this case, both—nothing will delay their rounds. Adrian’s epic opens with a flood that drowns the planet under seven miles of water, and the only postdiluvial buoy is a floating pediatric hospital with its thousand-odd inhabitants.