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University of California Press, 2012).\u00a0In\u00a02008, Mexico City passed the Advance Directive Law, authorizing the right to refuse or withdraw life-sustaining treatment and affording palliative care services to the terminally ill through public hospitals. While these measures have ostensibly ameliorated end-of-life suffering, a growing movement of activists argues that the law falls short. They advocate for the legalization of assisted dying as central to \u201cdignified death\u201d despite resistance from the Catholic hierarchy and its political allies. Drawing on one year of research in Mexico\u2019s National Cancer Institute, we analyze the place of public palliative care clinicians in this fraught debate, parsing their model of care, which is predicated on surrendering to the body\u2019s preordained rhythms of life and death. We argue that this orientation gives rise to a paradox at the heart of public palliative care,\u00a0which simultaneously expands end-of-life choices\u00a0while making certain choices inconceivable. Our argument has implications for anthropological theories of human agency and choice, provoking complex\u00a0questions about who is authorized to draw boundaries around life and death.<\/jats:p>","DOI":"10.1007\/s11013-025-09937-0","type":"journal-article","created":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T18:32:38Z","timestamp":1759689158000},"page":"1286-1305","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A Time to Die: Mexican Life Debates and the Paradox of Choice in Palliative Care"],"prefix":"10.1007","volume":"49","author":[{"given":"Elyse Ona","family":"Singer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norma Alicia","family":"Ord\u00f3\u00f1ez V\u00e1zquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,5]]},"reference":[{"issue":"26\u201327","key":"9937_CR1","first-page":"162","volume":"14","author":"A \u00c1lvarez Del R\u00edo","year":"2009","unstructured":"\u00c1lvarez Del R\u00edo, A. 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