Unmanageable Care

An Ethnography of Health Care Privatization in Puerto Rico

Business & Finance, Industries & Professions, Insurance, Nonfiction, Social & Cultural Studies, Social Science, Anthropology
Cover of the book Unmanageable Care by Jessica M. Mulligan, NYU Press
View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart
Author: Jessica M. Mulligan ISBN: 9780814770702
Publisher: NYU Press Publication: August 8, 2014
Imprint: NYU Press Language: English
Author: Jessica M. Mulligan
ISBN: 9780814770702
Publisher: NYU Press
Publication: August 8, 2014
Imprint: NYU Press
Language: English

In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an
HMO and records what it’s really like to manage care. Set at a health insurance
company dubbed Acme, this book chronicles how the privatization of the health
care system in Puerto Rico transformed the experience of accessing and
providing care on the island. Through interviews and participant observation,
the book explores the everyday contexts in which market reforms were enacted.
It follows privatization into the compliance department of a managed care
organization, through the visits of federal auditors to a health plan, and into
the homes of health plan members who recount their experiences navigating the
new managed care system.

In
the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the
island’s public health facilities and enrolled the poor, elderly and disabled
into for-profit managed care plans. These reforms were supposed to promote
efficiency, cost-effectiveness, and high quality care. Despite the optimistic
promises of market-based reforms, the system became more expensive, not more
efficient; patients rarely behaved as the expected health-maximizing information
processing consumers; and care became more chaotic and difficult to access.
Citizens continued to look to the state to provide health services for the
poor, disabled, and elderly. This book argues that pro-market reforms failed to
deliver on many of their promises.The
health care system in Puerto Rico was dramatically transformed, just not
according to plan.

View on Amazon View on AbeBooks View on Kobo View on B.Depository View on eBay View on Walmart

In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an
HMO and records what it’s really like to manage care. Set at a health insurance
company dubbed Acme, this book chronicles how the privatization of the health
care system in Puerto Rico transformed the experience of accessing and
providing care on the island. Through interviews and participant observation,
the book explores the everyday contexts in which market reforms were enacted.
It follows privatization into the compliance department of a managed care
organization, through the visits of federal auditors to a health plan, and into
the homes of health plan members who recount their experiences navigating the
new managed care system.

In
the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the
island’s public health facilities and enrolled the poor, elderly and disabled
into for-profit managed care plans. These reforms were supposed to promote
efficiency, cost-effectiveness, and high quality care. Despite the optimistic
promises of market-based reforms, the system became more expensive, not more
efficient; patients rarely behaved as the expected health-maximizing information
processing consumers; and care became more chaotic and difficult to access.
Citizens continued to look to the state to provide health services for the
poor, disabled, and elderly. This book argues that pro-market reforms failed to
deliver on many of their promises.The
health care system in Puerto Rico was dramatically transformed, just not
according to plan.

More books from NYU Press

Cover of the book Is Diss a System? by Jessica M. Mulligan
Cover of the book Can Unions Survive? by Jessica M. Mulligan
Cover of the book After the Protests Are Heard by Jessica M. Mulligan
Cover of the book The Correspondence of Walt Whitman (Vol. 4) by Jessica M. Mulligan
Cover of the book The Production of American Religious Freedom by Jessica M. Mulligan
Cover of the book The Gender Line by Jessica M. Mulligan
Cover of the book Virtues of the Imam Ahmad ibn Hanbal by Jessica M. Mulligan
Cover of the book Amheida II by Jessica M. Mulligan
Cover of the book Selling Sex Overseas by Jessica M. Mulligan
Cover of the book The Education of the Southern Belle by Jessica M. Mulligan
Cover of the book Discretionary Justice by Jessica M. Mulligan
Cover of the book Policy Drift by Jessica M. Mulligan
Cover of the book Local Democracy Under Siege by Jessica M. Mulligan
Cover of the book Majorities and Minorities by Jessica M. Mulligan
Cover of the book Radio Fields by Jessica M. Mulligan
We use our own "cookies" and third party cookies to improve services and to see statistical information. By using this website, you agree to our Privacy Policy