GOMES, Gabriela Rolim.
Résumé:
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.
