Download or read book Managed Lives Privatizing Public Health in Puerto Rico written by Jessica Mulligan and published by . This book was released on 2007 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the 1990s, the newly elected statehood party reinvented the healthcare system using a managed care model in Puerto Rico. In a period of two years, the government sold off public hospitals, closed local health centers and enrolled eligible beneficiaries with private insurance companies. The reformers sought to modernize the practices of providers, produce healthier and more health savvy Puerto Ricans, and rationalize health care delivery through corporate management techniques.
Download or read book Unmanageable Care written by Jessica M. Mulligan and published by NYU Press. This book was released on 2014-08-08 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Medical and Hospital Care in Puerto Rico written by Columbia University. School of Public Health and Administrative Medicine and published by . This book was released on 1962 with total page 448 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Private Health Insurance written by Sarah Thomson and published by Cambridge University Press. This book was released on 2020-10-01 with total page 593 pages. Available in PDF, EPUB and Kindle. Book excerpt: Can private health insurance fill gaps in publicly financed coverage? Does it enhance access to health care or improve efficiency in health service delivery? Will it provide fiscal relief for governments struggling to raise public revenue for health? This book examines the successes, failures and challenges of private health insurance globally through country case studies written by leading national experts. Each case study considers the role of history and politics in shaping private health insurance and determining its impact on health system performance. Despite great diversity in the size and functioning of markets for private health insurance, the book identifies clear patterns across countries, drawing out valuable lessons for policymakers while showing how history and politics have proved a persistent barrier to effective public policy. This title is also available as Open Access on Cambridge Core.
Download or read book China s Healthcare System and Reform written by Lawton Robert Burns and published by Cambridge University Press. This book was released on 2017-01-26 with total page 744 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides a comprehensive review of China's healthcare system and policy reforms in the context of the global economy. Following a value-chain framework, the 16 chapters cover the payers, the providers, and the producers (manufacturers) in China's system. It also provides a detailed analysis of the historical development of China's healthcare system, the current state of its broad reforms, and the uneasy balance between China's market-driven approach and governmental regulation. Most importantly, it devotes considerable attention to the major problems confronting China, including chronic illness, public health, and long-term care and economic security for the elderly. Burns and Liu have assembled the latest research from leading health economists and political scientists, as well as senior public health officials and corporate executives, making this book an essential read for industry professionals, policymakers, researchers, and students studying comparative health systems across the world.
Download or read book Unmanageable Care written by Jessica M. Mulligan and published by NYU Press. This book was released on 2014-08-08 with total page 312 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Download or read book Addicted to Christ written by Helena Hansen and published by Univ of California Press. This book was released on 2018-04-20 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: How are spiritual power and self-transformation cultivated in street ministries? In Addicted to Christ, Helena Hansen provides an in-depth analysis of Pentecostal ministries in Puerto Rico that were founded and run by self-identified “ex-addicts,” ministries that are also widespread in poor Black and Latino neighborhoods in the U.S. mainland. Richly ethnographic, the book harmoniously melds Hansen’s dual expertise in cultural anthropology and psychiatry. Through the stories of ministry converts, she examines key elements of Pentecostalism: mysticism, ascetic practice, and the idea of other-worldliness. She then reconstructs the ministries' strategies of spiritual victory over addiction: transformation techniques to build spiritual strength and authority through pain and discipline; cultivation of alternative masculinities based on male converts’ reclamation of domestic space; and radical rupture from a post-industrial “culture of disposability.” By contrasting the ministries’ logic of addiction with that of biomedicine, Hansen rethinks roads to recovery, discovering unexpected convergences with biomedicine while revealing the allure of street corner ministries.
Download or read book Catastrophic Incentives written by Jeff Schlegelmilch and published by Columbia University Press. This book was released on 2023-10-03 with total page 139 pages. Available in PDF, EPUB and Kindle. Book excerpt: Silver Award Winner, 2024 Nonfiction Book Awards Societies are vulnerable to any number of potential disasters: earthquakes, hurricanes, infectious diseases, terrorist attacks, and many others. Even though the dangers are often clear, there is a persistent pattern of inadequate preparation and a failure to learn from experience. Before disasters, institutions pay insufficient attention to risk; in the aftermath, even when the lack of preparation led to a flawed response, the focus shifts to patching holes instead of addressing the underlying problems. Examining twenty years of disasters from 9/11 to COVID-19, Jeff Schlegelmilch and Ellen Carlin show how flawed incentive structures make the world more vulnerable when catastrophe strikes. They explore how governments, the private sector, nonprofits, and academia behave before, during, and after crises, arguing that standard operational and business models have produced dysfunction. Catastrophic Incentives reveals troubling patterns about what does and does not matter to the institutions that are responsible for dealing with disasters. The short-termism of electoral politics and corporate decision making, the funding structure of nonprofits, and the institutional dynamics shaping academic research have all contributed to a failure to build resilience. Offering a comprehensive and incisive look at disaster governance, Catastrophic Incentives provides timely recommendations for reimagining systems and institutions so that they are better equipped to manage twenty-first-century threats.
Download or read book Cumulated Index Medicus written by and published by . This book was released on 1998 with total page 1872 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico written by United States. Congress. House. Committee on Interior and Insular Affairs. Subcommittee on Insular and International Affairs and published by . This book was released on 1991 with total page 1192 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Proposed Legislation to Authorize a Political Status Referendum in Puerto Rico Hearing held in San Juan PR March 9 1990 written by United States. Congress. House. Committee on Interior and Insular Affairs. Subcommittee on Insular and International Affairs and published by . This book was released on 1991 with total page 1204 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Managing Chronicity in Unequal States written by Laura Montesi and published by UCL Press. This book was released on 2021-11-22 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: By portraying the circumstances of people living with chronic conditions in radically different contexts, from Alzheimer’s patients in the UK to homeless people with psychiatric disorders in India, Managing Chronicity in Unequal States offers glimpses of what dealing with medically complex conditions in stratified societies means. While in some places the state regulates and intrudes on the most intimate aspects of chronic living, in others it is utterly and criminally absent. Either way, it is a present/absent actor that deeply conditions people’s opportunities and strategies of care. This book explores how individuals, groups and communities navigate uncertain and unequal healthcare systems, in which inherent moral judgements on human worth have long-lasting effects on people’s wellbeing. This is key reading for anyone wishing to deconstruct the issues at stake when analysing how care and chronicity are entangled with multiple institutional, economic, and other circumstantial factors. How people access the available informal and formal resources as well as how they react to official diagnoses and decisions are important facets of the management of chronicity. In the arena of care, people with chronic conditions find themselves negotiating restrictions and handling issues of power and (inter)dependency in relationships of inequality and proximity. This is particularly relevant in current times, when care has given in to the lure of the market, and the possibility of living a long and fulfilling life has been drastically reduced, transformed into a ‘reward’ for the few who have been deemed worthy of it.
Download or read book Policing Life and Death written by Marisol LeBrón and published by Univ of California Press. This book was released on 2019-04-16 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: In her exciting new book, Marisol LeBrón traces the rise of punitive governance in Puerto Rico over the course of the twentieth century and up to the present. Punitive governance emerged as a way for the Puerto Rican state to manage the deep and ongoing crises stemming from the archipelago’s incorporation into the United States as a colonial territory. A structuring component of everyday life for many Puerto Ricans, police power has reinforced social inequality and worsened conditions of vulnerability in marginalized communities. This book provides powerful examples of how Puerto Ricans negotiate and resist their subjection to increased levels of segregation, criminalization, discrimination, and harm. Policing Life and Death shows how Puerto Ricans are actively rejecting punitive solutions and working toward alternative understandings of safety and a more just future.
Download or read book Water for Food Security and Well being in Latin America and the Caribbean written by Bárbara A. Willaarts and published by Routledge. This book was released on 2014-04-24 with total page 455 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume provides an analytical and facts-based overview on the progress achieved in water security in Latin America and the Caribbean (LAC) region over during the last decade, and its links to regional development, food security and human well-being. Although the book takes a regional approach, covering a vast of data pertaining to most of the LAC region, some chapters focus on seven countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Mexico and Peru). A full understanding of LAC’s trends progress requires framing this region in the global context: an ever more globalized world where LAC has an increasing geopolitical power and a growing presence in international food markets. The book’s specific objectives are: (1) exploring the improvements and links between water and food security in LAC countries; (2) assessing the role of the socio-economic ‘megatrends’ in LAC, identifying feedback processes between the region’s observed pattern of changes regarding key biophysical, economic and social variables linked to water and food security; and (3) reviewing the critical changes that are taking place in the institutional and governance water spheres, including the role of civil society, which may represent a promising means to advancing towards the goal of improving water security in LAC. The resulting picture shows a region where recent socioeconomic development has led to important advances in the domains of food and water security. Economic growth in LAC and its increasingly important role in international trade are intense in terms of use of natural resources such as land, water and energy. This poses new and important challenges for sustainable development. The reinforcement of national and global governance schemes and their alignment on the improvement of human well-being is and will remain an inescapable prerequisite to the achievement of long-lasting security. Supporting this bold idea with facts and science-based conclusions is the ultimate goal of the book.
Download or read book Morbidity and Mortality Weekly Report written by and published by . This book was released on 2002 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Anthropology and Public Health written by Robert A. Hahn and published by Oxford University Press, USA. This book was released on 2009 with total page 753 pages. Available in PDF, EPUB and Kindle. Book excerpt: Anthropologists also work as evaluators, examining the activities of public health institutions and the successes and failures of public health programs.
Download or read book Public Utilities written by David E. McNabb and published by Edward Elgar Publishing. This book was released on 2005-01-01 with total page 374 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professor McNabb has produced an excellent overview of the management challenges facing public utilities in the 21st century. His description of the evolution, changes, and challenges of different types of utilities is insightful. What makes this book uniquely valuable is his addressing the variety of utility management responsibilities including human resources, information services, and strategic planning in a single volume. I recommend it highly. Jeffrey Showman, Washington Utilities and Transportation Commission, US An introduction to the current issues and challenges facing managers and administrators in the investor and publicly owned utility industry, this engaging volume addresses management concerns in three sectors of the utility industry: electric power, natural gas, and water and wastewater systems. Beginning with a brief overview of the historical development of the industry, the author looks at policy issues and discusses management ethics. He then examines a number of the major challenges in these organizational functions: management and leadership, planning, marketing, accounting and finance, information technology, governance, and human resources. In the final section of the volume he looks at issues specific to each of the three industry sectors. Accessible and comprehensive, this thoughtful exploration of the various issues facing managers in public utilities in the new century will prove a useful overview for students of business and economics, utility staff, and directors of local utility governing boards.
