This document expresses the position of the Primary Health Care Research Network (PHC Network) of the Brazilian Association of Collective Health (Abrasco) in a context of threats to the principles and guidelines of the Brazilian Unified Health System (SUS) and the Family Health Strategy (FHS), aggravated in the last two years with the democratic rupture in the Country. The document is signed by the group of researchers of the PHC Network and contains propositions to compose a strategic political agenda for the SUS, main object of the debate held during the XII Brazilian Congress of Collective Health in Rio de Janeiro in July 2018. In this year of 2018 we celebrated 30 years of SUS, the culminating moment of the Brazilian Sanitary Reform Movement and one of the milestones in the redemocratization process of the Country. The SUS was created by the Citizen Constitution of 1988, which established 'Health as a right of all and duty of the State'. From this milestone, Brazil has established health as a fundamental right, through a universal public system and the interaction between social and economic policies 1. This year, we also celebrate the 40th anniversary of the Declaration of the International Conference on Primary Health Care held in 1978 in the city of Alma Ata, Kazakhstan, in the former Union of the Soviet Socialist Republics (USSR), under the auspices of the World Health Organization (WHO) 2. Since Alma Ata, and its slogan of 'Health for all by the year 2000', many initiatives for the implementation of PHC have been undertaken worldwide with different conceptions and approaches: from very selective proposals of minimum baskets to populations in extreme poverty, 'poor medicine for the poor', to integral PHC as the basis of universal public health systems. These approaches have produced different results on the organization of health systems, the right to health and citizenship. Selective PHC corresponds to a conception of residual citizenship, and the integral PHC of the universal systems corresponds to full citizenship 3. To mark the 40th anniversary of the Alma Ata Declaration, WHO will hold the Global Conference on PHC in Astana, capital of Kazakhstan, in October 2018. At that time, the Astana Declaration will be signed, whose preliminary versions indicate a setback in the defense of integral PHC 4. The versions in consultation caused concern to the scientific community in Abrascão 2018, by proposing the Universal Health Coverage without emphasizing the relevance of integral PHC and universal health systems in guaranteeing the full right of citizenship and equitable access to health services according to need. Among the critical points of the proposal, there is little emphasis on guaranteeing the universal human right to health and the segmentation inherent in Universal Health Coverage, to be achieved through insurance