The most expensive costs to insurance programs are the first and last six months of life. In Murder—What Difference, At This Point, Does It Make? the government has created ways to drastically reduce those costs. Quint and Doris Ursini are an unwilling part of the cost-reduction program. Although this novel deals in part with the murdering of babies, the story's main focus is the struggle of Quint and Doris Ursini attempting to raise the consciousness of their fellow US citizens, that older people—people over seventy—have value and worth far beyond the reduced costs of insurance; and to somehow stop the government from illegally confiscating wealth and property for redistribution by withholding treatment and euthanizing—murdering—those that are in need of a transplant or extended hospital care. This is a story of an old couple who take on the government.