Abstract:À professora Sulamis Dain, a quem devo mais do que a coorientação paciente e sempre muito generosa. Acolheu-me no Rio de Janeiro, de onde voltei confiante de que tinha uma tese. Sua importância transbordou para além da orientação e lhe sou muito grata por tudo.Considero-a um exemplo de mulher e intelectual.Ao Denis Maracci Gimenez, por ter aceitado a orientação desta tese no meu reingresso ao IE/UNICAMP, pela leitura cuidadosa do meu texto da qualificação e da versão final, por ter dado contribuições important… Show more
“…Despite such a restrictive character, this system is partially funded by substantial public funds either directly or indirectly. This occurs via tax exemptions for both individual persons and legal entities (Dain et al, 2015;Ocké-Reis;Gama, 2016;Melo, 2017). The expansion of private health services is part of a hard and complex interplay between the international competition for market expansion and capital Temporão, 2020;Hiratuka;Da Rocha;Sarti, 2016).…”
Section: Public-private Relations In Health Servicesmentioning
This article aims to demonstrate how structural fragilities of the Economic and Industrial Complex of Health (HEIC) associated with Brazilian public finances have manifested during the novel coronavirus pandemic, requiring emergency responses. The paper discusses in particular: a) the fiscal rules' impacts on the Unified Health System (SUS) funding; b) the asymmetrical design of the Brazilian fiscal federalism between services delivered by subnational entities and their dependence on the federal government; c) public-private partnerships and their effects on HEIC, especially those involving the inequity on the access to hospital beds, the regulation of health insurances regarding the pandemic, and the norms for the purchase of strategic products given Brazil's external dependence. To conclude, an agenda must be set to respond to the structural challenges of SUS and the vulnerabilities of HEIC in a context of increasing demand for health services and technological changes.
“…Despite such a restrictive character, this system is partially funded by substantial public funds either directly or indirectly. This occurs via tax exemptions for both individual persons and legal entities (Dain et al, 2015;Ocké-Reis;Gama, 2016;Melo, 2017). The expansion of private health services is part of a hard and complex interplay between the international competition for market expansion and capital Temporão, 2020;Hiratuka;Da Rocha;Sarti, 2016).…”
Section: Public-private Relations In Health Servicesmentioning
This article aims to demonstrate how structural fragilities of the Economic and Industrial Complex of Health (HEIC) associated with Brazilian public finances have manifested during the novel coronavirus pandemic, requiring emergency responses. The paper discusses in particular: a) the fiscal rules' impacts on the Unified Health System (SUS) funding; b) the asymmetrical design of the Brazilian fiscal federalism between services delivered by subnational entities and their dependence on the federal government; c) public-private partnerships and their effects on HEIC, especially those involving the inequity on the access to hospital beds, the regulation of health insurances regarding the pandemic, and the norms for the purchase of strategic products given Brazil's external dependence. To conclude, an agenda must be set to respond to the structural challenges of SUS and the vulnerabilities of HEIC in a context of increasing demand for health services and technological changes.
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