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This is definitely the novella North wrote for the Black Mirror anthology that never happened, right? Because it out-Black Mirrors the actual show. This is easily the bleakest book I've read by North. You can feel the anger seeping off the page and in your bones (I had to put it down a few times to calm down, and that's as someone who lacks much of the personal experience this book will resonate with).
It's a brutal examination of abusive relationships, society's standards of beauty, the commercialization of medicine, the predatory nature of credit companies, and so much more.
Also there's a haggis orgy.