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Hospice use is associated with increased perceived death quality, particularly for Black decedents, suggesting that expanding equitable access to high-quality hospice services may be a promising pathway for intervention. However, these positive appraisals may reflect lower baseline expectations due to a lifetime of systemic exclusion and unmet needs in health care. Understanding these dynamics is important for interpreting racial patterns in the quality of death, and it is therefore important to assess potential Black–White differences using multiple measures of death quality.