
We are the Compromiso Study
Meet the team: Dr. Jessica Mulligan of Providence College’s Health Policy & Management department, Dr. Adriana Garriga-López of Kalamazoo College’s Anthropology department, and a small group of dedicated undergraduate research students.
Research Goals
- Identify the ethics of care circulating among health care workers in Puerto Rico before and after Hurricane Maria.
- Determine whether or not experiences during and after Hurricane Maria were transformative at the personal, collective, and health system levels.
- Have dialogue with health care workers in Puerto Rico about their ethics of care, challenges presented by the compounded disasters, and experiences delivering care.
- Generate theories about the ethics of care in disaster contexts and how health care workers respond to multiple disasters, resource shortages, and political crises.
Fieldwork in Puerto Rico 2018-2019
Primary Investigators:

Jessica M Mulligan, Providence College
Dr. Mulligan is Professor of Health Policy and Management at Providence College. She is a medical anthropologist who has studied health reform and financialization in Puerto Rico as well as access to insurance, policy implementation, and white resentment in the United States. She is the co-editor of Unequal Coverage: The Experience of Health Care Reform in the United States (NYU Press, 2018) and author of Unmanageable Care: An Ethnography of Health Care Privatization in Puerto Rico (NYU Press, 2014). Her current research examines how health care workers have forged new ethics of care in Puerto Rico post-Hurricane Maria.

Adriana Garriga-López
Adriana María Garriga-López is an anthropologist and multidisciplinary artist. Born and raised in San Juan, Puerto Rico, Garriga-López is Associate Professor of Anthropology at Kalamazoo College in Michigan. She holds a Ph.D. in Anthropology (2010), as well as Master of Philosophy (2006) and Master of Arts (2003) degrees in Anthropology from Columbia University in New York, and a B.A. in Cultural Anthropology and Comparative Literature from Rutgers, the State University of New Jersey (2001).
Student Research Team Spring 2021

Kate Cadigan, Providence College ’21
Hello! I am a senior studying Health Policy and Management with a double minor is Spanish and Public and Community Service. Currently, my role in the research centers around participant recruitment and communication as well as website and research material development. I look forward to continuing my career in research and in public health in the coming years and am grateful for the experience of being on this team!

Kingsley Metelus, Providence College ’21
My name is Kingsley Metelus and I am a Senior at Providence College graduating with a major in Health Policy and Management and a minor in Business Innovation. Throughout my time studying health care, one of my main interests was developing strategies to help vulnerable populations obtain quality healthcare. After graduating, I hope to work with organizations to help promote health care equity and eventually develop my own healthcare clinic!

Hanna Johnston, Providence College ’21
I am a Health Policy & Management and Psychology double major with a desire to promote the health and wellbeing of healthcare workers and this is one reason why I am excited and passionate about this research! I want to become an I/O psychologist specializing in the organizational development of healthcare institutions to promote a healthy workplace culture to prevent provider burnout and increase the quality of patient care.

Elizabeth Murray, Providence College, ’21
I am excited for the opportunity to be able to work with Puerto Rican healthcare workers to learn from their stories and experiences, and hopefully be able to contribute with my background from the HPM program at PC to make a difference. I have no solid plans as of right now for next year but am hoping to work in a clinical setting with some relation to healthcare administration. In the years to come I plan to pursue a master’s degree in public health or related field.

Jailene Vázquez, Providence College ’22
I am a junior Health Policy and Management and Global Studies major. I’m happy to be participating in this research because I think it’s important that we understand how to better prepare for future disasters, especially within marginalized populations.
Past Student Research Members

Bridget Bojic, Providence College ’20
I majored in Health Policy and Management and minored in Spanish. I collaborated with several peers on this project where I analyzed data transcriptions and mixed methods using the software Dedoose, which we then included in an abstract about emergency infrastructures and mitigation post Hurricane Maria. The abstract was chosen to be presented for the 11th Annual Celebration for Student Scholarship and Creativity. I currently work for Alira Health in Boston, a CRO that specializes in product development, regulatory, clinical, market access, strategy consulting, and transaction advisory services. My role is based in the clinical development department.

Lauren Guerra, Providence College ’19
I was a part of the research team during the 2018-19 academic year. I accompanied Dr. Mulligan and the team on the data collection trip to Puerto Rico and helped present findings at the 2019 SFAA conference in Portland, OR. I am currently completing my MPH in Epidemiology at Columbia University and I work at the New York Blood Center on infectious disease clinical trials and behavioral studies.

Morgan Weiner, Providence College ’21
Hi, I’m Morgan and last fall I worked with fellow HPM students to analyze transcripts from interviews with healthcare professionals who were affected by hurricanes Irma and María. I became interested in studying how natural disasters affect healthcare systems after taking Epidemiology my freshman year. Our work highlighted the resilience of providers that we described using the term “compromiso.” Following graduation, I plan to attend Physician’s Assistant school in 2022.
Other research members involved:

Madeline Weil, Providence College ’19
I participated in the Compromiso study in 2018-2019. I was involved in all aspects of the project including grant application, traveling to Puerto Rico for data collection and analysis, developing project findings, and presenting findings at the Society for Applied Anthropology Conference in Portland, OR. I am currently living in Washington D.C. working as a research assistant for NORC at the University of Chicago’s Health Care Programs team. I conduct qualitative research for several Alternative Payment Model evaluations. I look forward to furthering bolstering my qualitative research skills through a career in health policy.
David Zuleta, Providence College ’19
Ann Gross Almonte, Providence College ’19
Ranya Pérez, Kalamazoo ’20






