I read the book and saw the movie. As you can guess, the book was better, although I thought the book had a few elements I found a little disturbing.
I really don't like the way they did the movie, though. They turned it into a political commentary on something that was completely different than the book did, and I didn't like it. It left me feeling... I don't know, maybe a bit dirty?
The book did a lot better of a job than the movie at explaining why there were no kids; the main character had more of a back story, and it was really good. There were no "fugees" in the book, or at least, they were so non-integral to the story that I didn't pick up on them.
I thought the book was a lot more heart-wrenching than the movie. After seeing the movie, it really kind of felt... flat and like they tried super-ultra hard to bend over backwards to make some kind of a point that I thought really detracted from the central theme.
Overall, the story was good, and I like the insinuations of it.
It actually really made me think about things. I mean, fertility in the modern world has dropped rapidly. Infertility treatments have gone like, through the roof, and it's now estimated that nearly 1 in 5 women in the developed world will need infertility counseling/help. I think that's just crazy. It may very well be that our lifestyle is not at all conducive for the human race to continue beyond a few more generations, not because of global warming, but just because of our lifestyle. It's a scary thought. And even scarier when you realize that something that nearly everyone is subjected to-
- vaccines-- has never been tested for effects on fertility.
ETA: I just read a PP post: The movie ending really didn't make any sense in comparison to the book... I never could put my finger on why it was so weird... but in the book, like half of the point was that the pregnant woman was running from the government for one really, really good reason--having nothing to do with escaping the country--- she wanted a natural birth. That's it. She just wanted a natural, un-messed with, no cameras and strangers, birth.