Reflexiones teóricas sobre sujetos de la praxis y sujetos de la antítesis para la Reforma Sanitaria Brasileña

Abstract

The Brazilian Health Reform has been recognized as a project that transcends the sectoral dimension in that it considers an expanded concept of health and social determination, which distinguishes it from other health system reforms of the twentieth century. This article aims to contribute to the construction of the concepts subjects of praxis and subjects of antithesis by discussing certain challenges of praxis in the Brazilian Health Reform, the constitution of social subjects and the emergence of subjects of antithesis. The article argues that theoretical reflection can contribute to political analysis in health and discern the power of a praxis that destabilizes the conservative character of the passive revolution.

Sistema Único de Saúde (SUS) aos 30 anos

“…Considering the peculiarities of the passive revolution in Brazil that has infiltrated the RSB process, it is fundamental to constitute praxis subjects (resistance subjects, new public servants, transformative subjects), both individual and collective, who are capable of defending the SUS, and antithesis subjects who are capable of unbalancing the binomial of conservation-change in favor of transformations, radicalizing democracy and the RSB 6 .…”

“…Currently, faced with the limitations of political parties and the role of social movements, the search for political-cultural hegemony and the struggle for the radicalization of democracy imply the construction of equivalence between agendas and collective individuals, in addition to the capital-labor contradiction. Consequently, the work of Cebes since its relaunch in 2006, and especially its involvement in the June Days and the popular fronts after the 2016 coup, is an incentive to explore other strategies and tactics in the RSB process in defense of democracy, the SUS and social rights 6 . However, proselytizing in defense of the SUS and the ideological practice of the health movement are not sufficient.…”

La fisioterapia en los sistemas de salud: marco teórico y fundamentos para una práctica integral

“…En este sentido, la acción del fisioterapeuta no apunta solo a remediar la discapacidad o mejorar la capacidad residual funcional, sino que apunta, sobre todo, a intervenciones de gran alcance que involucren el cuerpo humano, el ambiente social y las políticas públicas en la búsqueda de la mejora de la independencia y funcionalidad y de la promoción de la salud y el bienestar. Se parte del presupuesto de que los sistemas de salud forman parte de un sistema social más amplio, influenciado por el contexto político, económico, sociocultural y ambiental (29) . Así, la práctica del fisioterapeuta en el sistema de salud y el desempeño de los servicios no están atomizados por la realidad en la que se insertan.…”

Considerações Esparsas Sobre Produção Do Cuidado E Redes De Atenção À Saúde Em Uma Perspectiva Rizomática

“…Esse processo e seus desdobramentos resultam de embates teóricos e políticos que trazem em seu bojo dificuldades que o setor da saúde enfrentou historicamente. O processo de construção do conceito do SUS está conectado com o processo de democratização do estado brasileiro (PAIM, 2017). O qual se encontra na emergência da governamentalidade (arte de governar) neoliberal (FOUCAULT, 2008).…”