Seeing like an economist: using the case of Dutch healthcare reform to bring professions and their epistemologies back in the field of new economic sociology

Abstract The article scrutinizes the Dutch healthcare market system to provide empirical grounding debates around extent which rationally constructed markets can develop as originally planned. Focusing on one specific pricing device, we document how perceived economic ‘rationalities’ embedded in its design are challenged by unforeseen and unanticipated ‘irrationalities’ of daily practices. We trace professionals developed informal ways adapt rules expectations that resulting forms ‘counter performativity’ threaten quality accessibility healthcare. main theoretical contribution is bridge gap between ‘Actor Network Theory-based sociology’ emphasis (counter-) performativity agency devices with older European continental inflections building Weber, Durkheim Bourdieu, drawing attention distinct epistemologies different professions, using insights from James Scott sociology professions.