Sem voz e sem vez: a mutilação no câncer de laringe e a (des)proteção social dos trabalhadores

• Autor(a) principal: Alcantara, Luciana da Silva
• Data de Publicação: 2017
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/15908
• topic: Social protection; Total laryngectomy; Employment; Consumption; Social security; Proteção social; Laringectomia total; Trabalho; Consumo; Seguridade social; Laringe Câncer; Políticas públicas; CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL

This thesis deals with the lack of social protection experienced by patients submitted to surgical removal of the larynx through the Total Laryngectomy procedure. The case study, which is the result of reflection and professional experience of the author as a social worker with patients with laryngeal cancer, attended at the Head and Neck Surgery Section of the National Cancer Institute José Alencar Gomes da Silva (INCA), shows that Total Laryngectomy can be understood as one of the expressions of the predatory dynamics of capitalist accumulation and a mutilating outcome in the life of a significant portion of elderly male patients, inserted mainly in Civil Construction. It is understood that the lack of social protection occurs from the difficulty of accessing resources from Health, Social Security and Social Assistance policies. The research has an exploratory nature, a qualitative character and a reference on the dialectical perspective, with the realization of theoretical-bibliographic revision of documentary research for survey and analysis of secondary data, both in the legislation and in the attendance statistics available in the sector and in medical records of patients enrolled in the period from March 2014 to May 2015, totalizing 38 patients aged 18 years or over. Based on the identification of the conditions of labor activity and forms of social protection, either through health care or through social security and / or health care insertion during treatment, it was possible to conduct the discussion and expose the results of the research, which asserts, as a the study hypothesis, the lack of social protection of workers. The axis of analysis and exposure were: the relationship between capitalist development in Brazil and the health degradation of laryngectomized workers; the theoretical contribution of the concept of the social determination of the health-disease process; cancer as a chronic non-transferable disease (CNTD) in capitalism and the technological character of treatment; the possible exposure to the workplace and other agents, with the intense blame imposed on the patient, regarding the consumption of substances considered to be "a risk" to health, such as tobacco and alcohol - considering that the same society that stimulates the consumption is the one that blames the user, resorting to the behavioral approach for the promotion of cancer prevention campaigns; the demand and access to cancer treatment in the Unified Health System (UHS), as well as the obstacles to its continuity; the limits and possibilities for the patients access to social protection, in the areas of Social Assistance and Social Security and the process of "assistance." In this sense, it considers the ex post facto performance of the policies that make up the tripod of Social Security in its process of lack of social protection, as well as the (in) visibility of cancer related to work in Brazil.