“…As a counter argument, the neoliberal rationality is taken to which state action works in reverse, producing inefficiency and patronage which burden, heavily, the citizen who sought any help. Several authors (Barreto Jr., 2008;Cohn, 2009aCohn, , 2009bCohn, , 2009cBehring, 2003) discuss the transformation process which was submitted to health policy that after the promulgation of the Constitution, still needed another decade of regulations (ordinances, Operational Standards of the Ministry of Health, among others) to acquire the contours currently presented. However, studies investigating how these changes countered and transformed the county health systems are scarce, particularly in the aspects related to the installation of hospital care networks, object of this article.…”