In America

[Child loss, Traumatic pregnancy] Hanging over the family is the death of their five-year-old son Frankie, who died from a brain tumor discovered after a fall down the stairs. Sarah is pregnant and her baby is born prematurely and in poor health, and is in need of a blood transfusion. Johnny and Sarah are ultimately nervous not only about the baby's survival chances, but also of the skyrocketing hospital bills that will now need to be paid following the baby's delivery, causing Sarah to have a brief nervous breakdown and blame Johnny for Frankie's death, and tearfully berates him.