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Unmanageable CareAn Ethnography of Health Care Privatization in Puerto Rico$
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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

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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

Chapter:
(p.179) 6 Market Values
Source:
Unmanageable Care
Author(s):

Jessica M. Mulligan

Publisher:
NYU Press
DOI:10.18574/nyu/9780814724910.003.0007

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

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