How did market economics and healthcare become intertwined, where questions and discussion about what a healthy gained life year may cost appear as normal and part of healthcare nowadays. What does this intertwinement mean to us nowadays? Dilemma’s within healthcare are most of time answered from an ethical perspective although these answers are not always sufficient. Therefore the question how market economics and healthcare became intertwined in the first place, causing for these contemporary dilemma’s, will be central in this thesis. To understand the rise of these questions within healthcare I will use the book of Michel Foucault, The Birth of the Clinic, throughout the book he researches the establishing of the medical gaze and institutionalising of the clinic. Secondly, I will elaborate on the book by Debra Satz Why Some Things Should Not Be For Sale, in order to understand the coming to be and development of the market in our society. Both philosophers come from different philosophical movements namely Foucault from the post-structuralists and Satz from ethics, this implies that both have a different aim throughout their research. Although different in approach and aim I will combine both authors to answer the question: ‘Why and how did market economics and healthcare became intertwined? What does this mean for the medical gaze in the 21st century, what does it tell us, how does it govern us and can we be conscious of it?’ Both philosophers are necessary in order to answer the question in its entirety. From Foucault I will use the concept of the medical gaze, which is the perception of the doctor on the patient and the intelligibility of the doctor that is among others, determined by the development of medical sciences. From Satz work I will articulate the rise of the market and the discomfort we experience when healthcare and necessary treatment are to be seen from a market perspective. In order to review the intertwinement of the economic-medical gaze of the 21st century and how we can become conscious of it.