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Unmanageable Care – An Ethnography of Health Care Privatization in Puerto Rico - NYU Press Scholarship Online
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Unmanageable Care: An Ethnography of Health Care Privatization in Puerto Rico

Jessica M. Mulligan


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 ... More

Keywords: health insurance, health care system, Puerto Rico, health care privatization, health plan members, public health, health service

Bibliographic Information

Print publication date: 2014 Print ISBN-13: 9780814724910
Published to NYU Press Scholarship Online: March 2016 DOI:10.18574/nyu/9780814724910.001.0001


Affiliations are at time of print publication.

Jessica M. Mulligan, author

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