Uma análise da Empresa Brasileira de Serviços Hospitalares (EBSERH) no contexto de privatização da saúde pública.

Abstract

This paper seeks to analyze the Health Policy in Brazil and the effectiveness of the Unified Health System in the face of privatization processes arising from the context of the State's counter­reform. To this end, this study investigates the creation and insertion of the Brazilian Hospital Services Company (EBSERH) in public health, essentially in the administration of Federal University Hospitals (HUs). In this sense, we will carry out a literature review based on the debates carried out by health scholars and a documentary research with legal instruments that comprise SUS and EBSERH, such as laws 8.080 of 1990 and 12.550 of 2011, the Bylaws and the Code of Conduct Ethics and Conduct of EBSERH. Initially, we presented a brief debate on Brazilian social policy and discussed the effectiveness of the Health Policy, highlighting the advances in the implementation of SUS. Subsequently, we analyzed the structural crisis of capital and the counter­reform of the Brazilian State and its impact on the Health Policy, focusing on privatizations that began in the 1990s. The main objective of this work is to demonstrate how this company represents a dismantling of public health in Brazil, by promoting a withdrawal of the public fund for private purposes, by placing private interests above public interests, by compromising the tripod of teaching, research and extension of Federal Universities. Therefore, EBSERH represents risks for SUS and its fundamentals: universality, integrality and equity. The most dangerous thing is that EBSERH removes from the State its duty that should be exclusive, to carry out a totally free and quality public health for all, since it is a constitutional right.