This is a novel that is technically classified as science fiction, probably mostly because it takes place in the future. I think it is actually more in the genre of social cataclysm/catastrophy - in the family of Surreal 3000, The Giver, 1984, the Hunger Games, etc.
He does a wonderful job of creating a world where global warming, agribusiness, energy shortage, religious fundamentalism, racism, famine and genetically modified disease have all worked to cause the collapse of society as we know it. I suppose what makes it a bit "science fiction" is the role of genetically modified people, and rampant genetic tinkering. The author also develops some very interesting ideas around how the society would find the energy to accomplish what little technology is still usable. There is also the concept of the reduction of living beings, including humans, to a calorie source to accomplish work - how many calories in vs. how many calories out.
The basic underlying plot is american big agribusiness vs. humanism.
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