No Perfect Choice, by Lilliana Méndez-Soto
When the law decides your fate, survival becomes an act of defiance.
After a heart attack lands Alina Rodriguez in a Texas ER, she receives a second, unthinkable diagnosis: a non-viable, life-threatening pregnancy. With doctors unwilling to treat her, the clock ticks, and Ali is forced into a desperate search for care in a system where her life comes second.
But this isn’t Ali’s first impossible dilemma. Decades earlier, as a pregnant teen navigating faith, fear, and family fracture in suburban Chicago, she found quiet allies to help when she couldn’t trust those she loved. Now, as past and present collide, the hidden histories of her grandmother and aunt in pre-revolutionary Cuba simmer to the surface, revealing a legacy of silence, sacrifice, and resilience.
No Perfect Choice is a gripping, deeply human story of autonomy, inheritance, and the price women pay when doctors’ hands are tied.
“No Perfect Choice thrusts readers into the medical, moral, and ethical quagmire of America’s latest round of reproductive tyranny.”
— Martin J. Smith, Edgar Award-nominated author of four Memory Series psychological thrillers, Combustion, and 27 Knots
“Moving between past and present with urgency and compassion, No Perfect Choice is a deeply human novel about autonomy, family, resilience, and the impossible decisions women are sometimes forced to make.
— Achy Obejas, author of The Boy Kingdom/El reino de los varones, among many others, and translator for Rita Indiana’s Amodeus
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