In recent years, political themes have become increasingly prevalent in contemporary women's fiction, with novels often addressing issues such as systemic racism and the rights of marginalized groups. Eliana Ramage's debut, To the Moon and Back, explores the complexities of Native American identity and child welfare through the story of Steph Harper, a girl growing up on the Navajo reservation, and her friend Della Owens, whose life is shaped by the Indian Child Welfare Act. The novel draws inspiration from real-life legal battles over the custody of Native children, highlighting the tension between tribal rights and individual family choices.

Ramage's narrative delves into the challenges faced by Native families, including high rates of poverty, substance abuse, and a shortage of Native foster homes. The book raises questions about the effectiveness and fairness of laws designed to protect Native children, as well as the broader implications for personal and group rights. Through Della's journey of self-discovery and advocacy, the novel examines the lasting impact of these policies on individuals and communities, ultimately questioning whose interests are truly being served.