SUS and social policies: Contemporary challenges for primary health care

• Autor(a) principal: Lazarini, Welington Serra
• Data de Publicação: 2019
• Outros Autores: Sodré, Francis
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/1904
• topic: Social Policy; International Bank for Reconstruction and Development; Unified Health System; Primary Health Care; Política Social; Banco Internacional de Reconstrucción y Fomento; Sistema Único de Salud; Atención Primaria de Salud; Política Social; Banco Interamericano de Reconstrução e Desenvolvimento; Sistema Único de Saúde; Atenção Primária à Saúde; Sistema Único de Saúde; Atenção Primária à Saúde; Política Social.

This paper is a theoretical study whose premise is the imposition made by the current stage of capitalism on poor countries, among them Brazil, which aims to make the structuring of its social policies more flexible, threatening important achievements, such as the Unified Health System. It was important, as a goal, to analyze the Brazilian social policies in the context of contemporary capitalism, in which the most fetishized form of capital, namely, the interest-bearing capital, and its unfolding for the SUS, predominates. We also sought to understand the role of international organizations, especially the World Bank, in this context. The first part shows a discussion about the crisis of the Welfare State and the reconfiguration of social policies according to the rationale of the current stage of capitalism. Furthermore, it discusses the dispute over public funds and its relevance to the process of accumulated and expanded interest-bearing capital. The second part shows the strategic role of international organizations, especially the World Bank, as the spokesperson for the neoliberal agenda. It addresses the influence of the World Bank on the domestic policy of the states so as to articulate international geopolitics according to “market interests”. Finally, some remarks are made regarding the future of the Brazilian health system, particularly for Primary Health Care.