Throughout the last 30–40 years, New Public Management (NPM) has come to dominate public administration. The aim of this article is to explore NPM-inspired practices in rape care and analyse how care milieus’ specific responsibilities for economy and results – to own responsibility – effects care and care personnel. That way I want to argue that economy and administration needs to be further acknowledged in ethnological research. In the article interviews with health care professionals are used as empirical material. Focusing on two departments and their owning of responsibility, it highlights how economy and administration is highly valued in rape and health care and, as a consequence, the impact of professionals’ knowledge, experience and ambition is reduced. In practice, this creates intricate situations for health care personnel to handle, but also affect care quality in various ways. Conclusively, I discuss how an increased sensitivity regarding economy and administration can serve to broaden the scope on health care and other organisations, both within ethnology and research on male rape.