Political challenges facing the consolidation of the Sistema Único de Saúde: a historical approach

This article investigates the circumstances in which Brazil’s sanitation reform was conceived and the Sistema Único de Saúde (SUS) was constructed. A brief analysis is conducted of Brazil’s political transition to democracy, focusing on three political challenges facing the consolidation of SUS: its...

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Published inHistória, ciências, saúde--Manguinhos Vol. 21; no. 1; p. 37
Main Author Rodrigues, Paulo Henrique de Almeida
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil 01.01.2014
Subjects
Brazil
Citizens
Constitutions
Delivery of Health Care - history
Delivery of Health Care - organization & administration
Health Care Services Policy
Health Policy
History, 20th Century
History, 21st Century
Internationality
Labor Unions
Politics
Private Sector
Public Policy
Public Sector
Social Policy
Typology
Welfare State
Brazil
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Summary:This article investigates the circumstances in which Brazil’s sanitation reform was conceived and the Sistema Único de Saúde (SUS) was constructed. A brief analysis is conducted of Brazil’s political transition to democracy, focusing on three political challenges facing the consolidation of SUS: its weak support base amongst workers, competition with the private sector, and the fragmentation of its administration caused by its municipalization. Finally, the changes in the scenario caused by the weakening of neoliberalism since the 2008 crisis, the reemergence of a multipolar political scenario internationally, and the financing conditions of the Brazilian State are described.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:0104-5970
1678-4758
DOI:10.1590/S0104-59702014000100003