Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Justiça do Direito (Online) |
Texto Completo: | http://seer.upf.br/index.php/rjd/article/view/8044 |
Resumo: | The filing of individual claims in order to obtain the most diverse health benefits, based directly on the constitutional provision on the fundamental right to health, is a frequent and growing phenomenon in Brazil. The general judicial understanding related to the constitutional right to health seems to be quite broad. However, the Constitution do not specify the exact content of the right to health, nor define what health benefits should necessarily be provided by the Administration. This article intends to demonstrate that there are several incentives for the massive filing of such lawsuits, and that the main one is the dominant understanding adopted by the Judiciary. In this scenario, the Judiciary tends to become an even more relevant actor for the allocation of public resources in the area, through its own criteria. This situation raises problems and criticisms of at least three orders: violation of isonomy; inefficiency of the allocation of resources; and consolidation of the Rule of Law. In this sense, some proposals are presented, which involves, in summary, preference for collective procedures; deference to the technical analysis of Conitec; and judicial provision of unincorporated benefits occurring only in exceptional situations, after thorough procedural instruction. raises problems and criticisms of at least three orders: violation of isonomy; inefficiency of the allocation of resources; and consolidation of the Rule of Law. In this sense, some proposals are presented, which involves, in summary, preference for collective procedures; deference to the technical analysis of Conitec; and judicial provision of unincorporated benefits occurring only in exceptional situations, after thorough procedural instruction. |
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Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigationPor que não ajuizar? Incentivos, problemas e propostas atinentes à judicialização da saúdeThe filing of individual claims in order to obtain the most diverse health benefits, based directly on the constitutional provision on the fundamental right to health, is a frequent and growing phenomenon in Brazil. The general judicial understanding related to the constitutional right to health seems to be quite broad. However, the Constitution do not specify the exact content of the right to health, nor define what health benefits should necessarily be provided by the Administration. This article intends to demonstrate that there are several incentives for the massive filing of such lawsuits, and that the main one is the dominant understanding adopted by the Judiciary. In this scenario, the Judiciary tends to become an even more relevant actor for the allocation of public resources in the area, through its own criteria. This situation raises problems and criticisms of at least three orders: violation of isonomy; inefficiency of the allocation of resources; and consolidation of the Rule of Law. In this sense, some proposals are presented, which involves, in summary, preference for collective procedures; deference to the technical analysis of Conitec; and judicial provision of unincorporated benefits occurring only in exceptional situations, after thorough procedural instruction. raises problems and criticisms of at least three orders: violation of isonomy; inefficiency of the allocation of resources; and consolidation of the Rule of Law. In this sense, some proposals are presented, which involves, in summary, preference for collective procedures; deference to the technical analysis of Conitec; and judicial provision of unincorporated benefits occurring only in exceptional situations, after thorough procedural instruction.O ajuizamento de demandas individuais para a obtenção das mais diversas prestações, fundamentadas diretamente na previsão constitucional relacionada ao direito fundamental à saúde, é um fenômeno frequente e crescente no país. A compreensão dos Magistrados em geral quanto ao que estaria alcançado pelo direito constitucional à saúde parece ser bastante abrangente; todavia, a Constituição não explicitou qual seria o exato conteúdo de tal direito, tampouco definiu quais prestações deveriam ser necessariamente fornecidas pela Administração. No presente artigo, pretende-se demonstrar que existem diversos incentivos para o ajuizamento em massa de tais demandas, sendo o principal deles justamente o entendimento dominante adotado pelo Judiciário. Nesse cenário, o Judiciário tende a se tornar ator cada vez mais relevante para a alocação, por meio dos seus critérios, de recursos públicos na área. Este quadro suscita problemas e críticas de ao menos três ordens: quanto à violação da isonomia; quanto à ineficiência da alocação de recursos na sociedade; e quanto à consolidação do Estado de Direito. Nesse contexto, apresentam-se algumas bases para o tratamento da matéria, que envolvem, em síntese, a preferência por processos coletivos; a concessão de maior deferência às análises técnicas da Conitec; e que o fornecimento judicial de prestações não incorporadas ocorra apenas em situações excepcionais, após minuciosa instrução processual.Universidade de Passo Fundo2019-03-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://seer.upf.br/index.php/rjd/article/view/804410.5335/rjd.v32i3.8044Revista Justiça do Direito; v. 32 n. 3 (2018); 671-708Law of Justice Journal; Vol 32 No 3 (2018); 671-7082238-32121413-7038reponame:Revista Justiça do Direito (Online)instname:Universidade de Passo Fundo (UPF)instacron:UPFporhttp://seer.upf.br/index.php/rjd/article/view/8044/114114466Copyright (c) 2019 Revista Justiça do Direitohttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessCarvalho, Victor Aguiar de2019-06-07T19:02:51Zoai:seer.upf.br:article/8044Revistahttp://seer.upf.br/index.php/rjdPUBhttp://seer.upf.br/index.php/rjd/oairevistajusticadodireito@gmail.com2238-32121413-7038opendoar:2019-06-07T19:02:51Revista Justiça do Direito (Online) - Universidade de Passo Fundo (UPF)false |
dc.title.none.fl_str_mv |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation Por que não ajuizar? Incentivos, problemas e propostas atinentes à judicialização da saúde |
title |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation |
spellingShingle |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation Carvalho, Victor Aguiar de |
title_short |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation |
title_full |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation |
title_fullStr |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation |
title_full_unstemmed |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation |
title_sort |
Why would you not file a lawsuit? Incentives, problems and proposals related to healthcare litigation |
author |
Carvalho, Victor Aguiar de |
author_facet |
Carvalho, Victor Aguiar de |
author_role |
author |
dc.contributor.author.fl_str_mv |
Carvalho, Victor Aguiar de |
description |
The filing of individual claims in order to obtain the most diverse health benefits, based directly on the constitutional provision on the fundamental right to health, is a frequent and growing phenomenon in Brazil. The general judicial understanding related to the constitutional right to health seems to be quite broad. However, the Constitution do not specify the exact content of the right to health, nor define what health benefits should necessarily be provided by the Administration. This article intends to demonstrate that there are several incentives for the massive filing of such lawsuits, and that the main one is the dominant understanding adopted by the Judiciary. In this scenario, the Judiciary tends to become an even more relevant actor for the allocation of public resources in the area, through its own criteria. This situation raises problems and criticisms of at least three orders: violation of isonomy; inefficiency of the allocation of resources; and consolidation of the Rule of Law. In this sense, some proposals are presented, which involves, in summary, preference for collective procedures; deference to the technical analysis of Conitec; and judicial provision of unincorporated benefits occurring only in exceptional situations, after thorough procedural instruction. raises problems and criticisms of at least three orders: violation of isonomy; inefficiency of the allocation of resources; and consolidation of the Rule of Law. In this sense, some proposals are presented, which involves, in summary, preference for collective procedures; deference to the technical analysis of Conitec; and judicial provision of unincorporated benefits occurring only in exceptional situations, after thorough procedural instruction. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-03-08 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://seer.upf.br/index.php/rjd/article/view/8044 10.5335/rjd.v32i3.8044 |
url |
http://seer.upf.br/index.php/rjd/article/view/8044 |
identifier_str_mv |
10.5335/rjd.v32i3.8044 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://seer.upf.br/index.php/rjd/article/view/8044/114114466 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista Justiça do Direito http://creativecommons.org/licenses/by-nc-nd/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista Justiça do Direito http://creativecommons.org/licenses/by-nc-nd/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de Passo Fundo |
publisher.none.fl_str_mv |
Universidade de Passo Fundo |
dc.source.none.fl_str_mv |
Revista Justiça do Direito; v. 32 n. 3 (2018); 671-708 Law of Justice Journal; Vol 32 No 3 (2018); 671-708 2238-3212 1413-7038 reponame:Revista Justiça do Direito (Online) instname:Universidade de Passo Fundo (UPF) instacron:UPF |
instname_str |
Universidade de Passo Fundo (UPF) |
instacron_str |
UPF |
institution |
UPF |
reponame_str |
Revista Justiça do Direito (Online) |
collection |
Revista Justiça do Direito (Online) |
repository.name.fl_str_mv |
Revista Justiça do Direito (Online) - Universidade de Passo Fundo (UPF) |
repository.mail.fl_str_mv |
revistajusticadodireito@gmail.com |
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1776750980426104832 |