Proxy by Alex London
Knox was born into one of the City's wealthiest families. A Patron, he has everything a boy could possibly want—the latest tech, the coolest clothes, and a Proxy to take all his punishments. When Knox breaks a vase, Syd is beaten. When Knox plays a practical joke, Syd is forced to haul rocks. And when Knox crashes a car, killing one of his friends, Syd is branded and sentenced to death.
Syd is a Proxy. His life is not his own.
Then again, neither is Knox’s. Knox and Syd have more in common than either would guess. So when Knox and Syd realize that the only way to beat the system is to save each other, they flee. Yet Knox’s father is no ordinary Patron, and Syd is no ordinary Proxy. The ensuing cross-country chase will uncover a secret society of rebels, test both boys’ resolve, and shine a blinding light onto a world of those who owe and those who pay. Some debts, it turns out, cannot be repaid.
What's queer about it? One of the teen boys is gay! You can check out this fun interview with the author here to read more about the book - and check out the first two chapters!
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Oh, and just because I like it more, here's the other cover: