SUS: da perda da radicalidade democrática ao novo desenvolvimentismo

Abstract

SUS: da perda da radicalidade democrática ao novo desenvolvimentismo SUS: da perda da radicalidade democrática ao novo desenvolvimentismoResumo: Este texto apresenta uma contextualização da política de saúde no Brasil, tratando propriamente da implementação do Sistema Único de Saúde (SUS), nos anos de 1990 e 2000. Tem por objetivo fazer algumas reflexões sobre a direção que a política de saúde foi tomando a partir da implementação do SUS, tendo como referências as bandeiras que o Movimento da Reforma Sanitária conseguiu institucionalizar na Constituição de 1988 e nas leis orgânicas da saúde. A premissa que norteia as reflexões deste texto é que nos anos de 1990 houve uma perda da radicalidade democrática com a política neoliberal e nos anos 2000 esta perda da radicalidade democrática tem continuidade e se soma a perspectiva do novo desenvolvimento. Palavras-chave: SUS. Política de saúde. Desenvolvimento. SUS: from the Loss of Radical Democracy to New DevelopmentalismAbstract: This study places Brazilian healthcare policy in context, specifically the implementation of the Single Healthcare System (SUS) in the 1990s and 2000. Its purpose is to reflect on the direction that healthcare policy took, based on the implementation of SUS, using as references the work goals that the Healthcare Reform Movement was able to institutionalize in the Constitution of 1988 and in the organic healthcare laws. The premise that guided the reflections of this paper is that in the 1990s there was a loss of democratic radicality and a rise in neoliberal policies and in the first decade of the new century this loss of democratic radicality continued and combined with a new developmentist perspective.

Políticas de saúde no Brasil: uma análise a partir dos projetos financiados pelo Banco Mundial durante os governos Lula e Dilma

“…In the case of health (which structures itself in a decentralized system), the World Bank relies on the autonomy of local actors to maintain its role as spokesperson of the neoliberal ideal, misleading not only the SUS original concept, but also the very notion of the right to health that grounds the system. Thus, in general, the projects and programs aimed the poorest populations, such as the focusing of actions, access to public services and microcredit offer (Kruger, 2014;Ugá, 2008).…”

“…The bank sees, in the cutback policies towards social areas (such as health), a very profitable market, which drains the public funds towards the medical-industrial health complex (Bahia, 2018;Mendes, 2014). In this context, along with the settling of the debate concerning the economic development of the country, are the reforms and interests of the capital -among them, the narrative of privatization of public services (Kruger, 2014).…”

“…While the SUS is recognized as the greatest social Brazilian reform, grounded on the principles of universality, equality and integrality (Alves, 2005), its trajectory was marked by tensions and conflicts that strayed it from the radical democracy of its original conception (Bahia, 2018;Kruger, 2014). The restraints imposed by the interests of the power structures prevented the system from consolidating, given that the universal right to health is not part of liberalism and health is a consumer good, offered by the market (Rizzotto;Campos, 2016).…”