Jump to ContentJump to Main Navigation
Unmanageable CareAn Ethnography of Health Care Privatization in Puerto Rico$
Users without a subscription are not able to see the full content.

Jessica M. Mulligan

Print publication date: 2014

Print ISBN-13: 9780814724910

Published to NYU Press Scholarship Online: March 2016

DOI: 10.18574/nyu/9780814724910.001.0001

Show Summary Details
Page of

PRINTED FROM NYU Press SCHOLARSHIP ONLINE (www.nyu.universitypressscholarship.com). (c) Copyright University of NYU Press Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in NYSO for personal use.date: 19 September 2021

Market Values

Market Values

Partnering and Choice

(p.179) 6 Market Values
Unmanageable Care

Jessica M. Mulligan

NYU Press

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?

Keywords:   market values, partnering, choice, Puerto Rico, Medicare, Medicaid, government regulation, private firms, transparency, 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.

Please, subscribe or login to access full text content.

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.