By Jessica M. Mulligan
In Unmanageable Care, anthropologist Jessica M. Mulligan is going to paintings at an HMO and files what it’s fairly wish to deal with care. Set at a medical health insurance corporation dubbed Acme, this publication chronicles how the privatization of the well-being care process in Puerto Rico reworked the adventure of having access to and delivering care at the island. via interviews and player remark, the ebook explores the standard contexts during which marketplace reforms have been enacted. It follows privatization into the compliance division of a controlled care association, throughout the visits of federal auditors to a future health plan, and into the houses of well-being plan participants who recount their studies navigating the hot controlled care system.
In the Nineteen Nineties and early 2000s, policymakers in Puerto Rico offered off many of the island’s public future health amenities and enrolled the negative, aged and disabled into for-profit controlled care plans. those reforms have been imagined to advertise potency, cost-effectiveness, and prime quality care. regardless of the positive delivers of market-based reforms, the approach turned costlier, no more effective; sufferers hardly behaved because the anticipated health-maximizing info processing shoppers; and care turned extra chaotic and tough to entry. voters endured to appear to the kingdom to supply health and wellbeing prone for the negative, disabled, and aged. This publication argues that pro-market reforms did not carry on lots of their promises.The health and wellbeing care method in Puerto Rico used to be dramatically reworked, simply no longer based on plan.