Alarming data on the part of health care providers on the increase of the claim rate and its potential risk has emerged. It is a descriptive study, with the objective of understanding the changes in the healthcare provider sector in recent years, using the temporal analysis of historical series related to the sector. The variables selected for this study were the claim rate, the coverage rate, and the number of private healthcare providers in activity, observed from 2003 to 2014. The method used for evaluation of the temporal trend was Linear Regression. The claim rate and the coverage rate show an upward trend in the period, while the number of operators in Brazil showed a decreasing trend during the same period. These results show that even with the increase in demand, there was a decrease in the number of operators active in the country. The claim rate is one of the possible causes observed this inverse relationship because the increased offers risks of survival and the opening of new operators. Moreover, the decrease in the number of providers, is leading the country to an oligopolistic industry with an increasing demand in the number of beneficiaries. This decrease is also associated with regulatory processes, which regulates the sector's relationship with the beneficiary.
O estudo propõe uma reanálise principiológica do parecer relacionado com a liberação da hidroxicloroquina pelo Conselho Federal de Medicina (CFM). No Parecer, o CFM libera o médico prescritor de sanções éticas, fundamentado na falta de outros recursos medicamentosos disponíveis, disponibilidade da droga, baixo custo e no princípio da autonomia. Desconsiderando as relações principiológicas, assim como, o Biodireito, código de defesa do consumidor e outros pensamentos ligados aos códigos civil e penal, poderá expor o médico a imputações judiciais.
Aqui, relatamos os resultados de um estudo de caso (qualitativo) abordando questões relacionadas ao discurso governamental, o qual enfatiza a proteção econômica e desconsidera a magnitude das consequências pandêmica pela COVID-19 para a população, instituindo a mistanásia como medida de conduta. Sobre os serviços de saúde pairam as decisões de privilegiarem os casos de cura mais viáveis, abandonando pacientes agravados ou membros dos grupos de risco à própria sorte. Destaca-se que, a política de mitigação mal planejada e o desequilíbrio da relação oferta / demanda dos serviços de saúde causarão aumento nos números de fatalidades entre os casos que poderiam ter sido evitados, portanto mistanásia. Concluímos que o quantitativo das fatalidades pela COVID-19 poderá até ser ocultado, entretanto, a dor causada pelos óbitos de cunho etiológicos político-sociais, figura a morte sofrida, infeliz, precoce e evitável.
A qualitative and quantitative analysis of the Sars-CoV-2 pandemic, verifying evidence of Misthanasia, even in territories with no lack of human and economic resources, due to the prioritizing of economic stabilization and the naturalization of deaths within the national public policies. As an observational territory, the United Kingdom has had its data produced and communicated in an official manner, in relation to the COVID-19 pandemic, analyzed according to analog and comparative criteria. It was possible to follow the pandemic phenomenon’s evolution through time, in virtue of regular collecting and executed under relatively standardized conditions, which allowed us to create an in-panel analytical exposition, having as a comparative model the data collected in Germany, during the same period. The origin of the data sources produced come from the Institute of Health Metrics and Evaluation (IHME); Worldometer Coronavirus. Therefore, it concludes that Misthanasia characterized the course of public policies and the attitudes of the UK’s government in sight of the Sars-CoV-2 contamination, exposing citizens to the risks of a disease that shows no class predilections and disrespects estates, and has a strong impact on those who are vulnerable. The naturalization of death configures itself on the primordial aspect of necropolitics and necropower, placing economy over health in different States, in the pandemic phenomenon of global scale.
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