Reflexões sobre democracia deliberativa: contribuições para os conselhos de saúde num contexto de crise política

Abstract

The essay reflects upon the deliberative democracy and upon the limits and possibilities of the municipal health councils to become institutions that practice and settle it. It is shown that such councils face a process of institutional delegitimization that can subtract their importance in the decision-making process, a risk enhanced by the political crisis that the country is experiencing. For promoting social participation and deliberation as an organized process in the pursuit of consensus in decision-making and for considering the consensual decision the basis of institutional legitimation, it is concluded that a deliberative turn has the potential to boost the councils in overcoming the risks of delegitimization. KEYWORDS

Políticas de saúde e lacunas federativas no Brasil: uma análise da capacidade regional de provisão de serviços

“…The advantages of governance and agreement in the implementation of policies have been highlighted in recent literature as a model to be assessed in each case 10 . The participatory realms of democracy in the light of health policies, an important element of consensual democracy, have been analyzed around the organizational innovations represented by health councils 11 and their repercussions on the Brazilian context 12 .…”

Atuação do Conselho de Saúde do Distrito Federal na reforma da Atenção Primária à Saúde, de 2016 a 2018: estudo de caso

“…This process was not evidenced in the minutes. For those whodeliberate, not all topics and subjects should be submitted to deliberation 23 .…”

Salud es política: pensamiento social de Floreal Antonio Ferrara y sus contribuciones para repensar “lo político” en la salud

“…Esta insistencia de la salud colectiva en la explicación "institucional" pudo ser identificada en diversos análisis sobre el sector salud y la actual coyuntura política brasileña, especialmente en el "calor" del golpe institucional de 2016 que depuso a la presidenta Dilma Rousseff. Entre sus principales protagonistas en el área de la salud colectiva (36)(37)(38)(39)(40), los argumentos transitaban desde la "angustia resignada" hasta la "teoría democrática del policy-making".…”

“…En el caso de los que se anclan en la pléyade del policy-making, los conceptos de democracia y sus infinitas cualificaciones (consensual, deliberativa, participativa, entre otras) (36)(37)(38)(39), han servido al vocabulario maistream de análisis político en el ámbito de la salud colectiva en Brasil, lo que denota su simpática relación con la franja de espectro político del liberal al socialdemócrata cuya capacidad analítica se restringe a conservar todo como está.…”