This book is an ethnographic study, which examines the dialectical interplay between a large, impersonal managed care system and the activities of everyday multi-disciplinary practice conducted in health service organizations. The materiality of the managed care system and its connections to the clinical practice setting cannot easily be known. But the various ideological elements of this managed care system have a core structure associated with a new economic paradigm. Corporatist ideological discourses have gained some prominence in health care, affecting people practices and health care...