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Set in a not-too-distant future, Hannah awakes in a prison hospital, her skin genetically altered to a bright red colour, and her movements broadcast to the American nation on reality TV. Her crime? Abortion. In a society where the lines between fundamentalist religion and government have been blurred and a pandemic has left many women sterile, abortion has become one of the worst crimes that can be committed. Many convicted criminals are no longer kept in prison, but are "Chromed" (their skin colour altered) to match the severity of their crime, and are released back into the community to make their way as best they can. Hannah's crime is made worse by the fact that she refuses to name the father of her baby, who is high up in the church.