MARC record from Internet Archive

LEADER: 03479cam a2200541 i 4500
001 014146450-X
005 20140823224939.0
008 140314s2014 nyua b 001 0 eng
010 $a 2014002840
020 $a9780814724910 (hardback)
020 $a0814724914 (hardback)
020 $a9780814770313 (paper)
020 $a0814770312 (paper)
020 $z9780814764992 (ebk)
020 $z9780814770702 (ebk)
035 0 $aocn863200909
035 $a(PromptCat)40023927757
040 $aDLC$beng$erda$cDLC$dYDX$dYDXCP$dBTCTA$dBDX
042 $apcc
043 $anwpr---
050 00 $aRA395.P7$bM85 2014
060 4 $aWA 540 DP8
082 00 $a362.1097295
084 $aSOC002010$aSOC026000$aBUS033040$2bisacsh
100 1 $aMulligan, Jessica M.
245 10 $aUnmanageable care :$ban ethnography of health care privatization in Puerto Rico /$cJessica M. Mulligan.
264 1 $aNew York :$bNew York University Press,$c[2014]
300 $axii, 299 pages :$billustrations ;$c24 cm
336 $atext$2rdacontent
337 $aunmediated$2rdamedia
338 $avolume$2rdacarrier
520 $a"In Unmanageable Care, anthropologist Jessica M. Mulligan goes to work at an HMO and records what it's really like to manage care. Set at a health insurance company dubbed Acme, this book chronicles how the privatization of the health care system in Puerto Rico transformed the experience of accessing and providing care on the island. Through interviews and participant observation, the book explores the everyday contexts in which market reforms were enacted. It follows privatization into the compliance department of a managed care organization, through the visits of federal auditors to a health plan, and into the homes of health plan members who recount their experiences navigating the new managed care system.In the 1990s and early 2000s, policymakers in Puerto Rico sold off most of the island's public health facilities and enrolled the poor, elderly and disabled into for-profit managed care plans. These reforms were supposed to promote efficiency, cost-effectiveness, and high quality care. Despite the optimistic promises of market-based reforms, the system became more expensive, not more efficient; patients rarely behaved as the expected health-maximizing information processing consumers; and care became more chaotic and difficult to access. Citizens continued to look to the state to provide health services for the poor, disabled, and elderly. This book argues that pro-market reforms failed to deliver on many of their promises.The health care system in Puerto Rico was dramatically transformed, just not according to plan"--$cProvided by publisher.
504 $aIncludes bibliographical references (pages 277-294) and index.
650 0 $aMedical care$zPuerto Rico.
650 0 $aMedical policy$zPuerto Rico.
650 0 $aHealth care reform$zPuerto Rico.
650 0 $aPrivatization$zPuerto Rico.
650 7 $aSOCIAL SCIENCE / Anthropology / Cultural.$2bisacsh
650 7 $aSOCIAL SCIENCE / Sociology / General.$2bisacsh
650 7 $aBUSINESS & ECONOMICS / Insurance / Health.$2bisacsh
650 2 $aDelivery of Health Care$zPuerto Rico.
650 12 $aDelivery of Health Care$xethnology$zPuerto Rico.
650 22 $aHealth Care Reform$zPuerto Rico.
650 22 $aHealth Maintenance Organizations$zPuerto Rico.
650 22 $aPrivatization$zPuerto Rico.
899 $a415_566010
988 $a20140823
906 $0DLC