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“Why can't they put us to sleep if we are suffering?”

La Nada and the desire for euthanasia among institutionalized older adults in Peru

Bibliographic Data

ID19220586
AuthorsMagdalena Zegarra Chiappori (0000-0002-0497-916X, University of Cambridge, corresponding author)
Year2026
Pagese70079-e70079
Publication date2026-06-15
Open AccessYes
TypeARTICLE
VenueMedical Anthropology Quarterly (JOURNAL)
Journal identifiersISSN: 0745-5194 • E-ISSN: 1548-1387
PublisherWiley (PUBLISHER • GB)
DOI10.1111/maq.70079
PMID42296422
OpenAlexW7164807400
LanguageEN
References cited9

In this article, I examine how institutionalized older adults in Peru articulate suffering through the idiom of la nada-"nothingness"-and how this shapes desires for euthanasia. Moving from close ethnography of bodies in space and time to structural and ethical discourses on euthanasia, I argue that calls for euthanasia arise not only from biomedical suffering or terminal illness, but also from socially produced experiences of relational erosion, confinement, and moral invisibility. Residents' refrain-"no tengo nada"-signals not only material lack but the collapse of reciprocal ties, autonomy, and recognition. Euthanasia thus becomes a moral claim that life cannot be defined by biological survival, absent dignity and belonging. The article challenges narrow bioethical frameworks and shows how end-of-life suffering is constituted through structural abandonment and social death, reframing the wish for euthanasia as a protest against life reduced to mere endurance without dignity

Abandonment (legal) · Bioethics · Cognitive reframing · Dignity · Ethnography · Personhood · Social constructionism · Wish · Anthropological Studies and Insights · Organ Donation and Transplantation · Palliative Care and End-of-Life Issues

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