Partnering and Choice
The chapter discusses how two market values—partnering and choice—were utilized in Puerto Rico's Medicare and Medicaid programs. It views these values as they were discussed in policy circles and then interrogates ethnographically whether those market values lived up to their promises. Partnering leads to a more business-friendly way to conduct government regulation in the context of contracting out government services to private firms. Choice on the other hand is thought to be what health care consumers want and value above all else—choice in their doctors, treatments, and insurance plans. The chapter raises three important questions regarding these values: (i) Did the focus on “partnering,” which relied on notions of transparency, efficiency, and accountability, really transform the relationship between federal agencies and private corporations? (ii) Were these new partnerships egalitarian and democratic enterprises? (iii) What kinds of choices did market reforms actually afford consumers?
NYU Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.
If you think you should have access to this title, please contact your librarian.
To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.