A dimensão público e privada do sistema protetivo brasileiro : repercussões da contrarreforma do estado na política de saúde

Abstract

This thesis proposes to discuss public and private relations in the Brazilian Protective System, and its repercussions on social policies using the Health Policy as an explanatory field of this reality that has been undergoing dismantling processes for decades regarding its legal precepts, provided for in the Federal Constitution and legal texts of the policy. Such a process is most evident in this pandemic period by COVID-19. The choice of the thesis theme originated from the results found in the master's thesis, defended in March 2016 where the problematizations regarding the relationship of public and private institutions in the single health system, pointed to a State model that, when carrying out agreement with private institutions, have legitimized the presence of these actors in the provision of social policies, corroborating for a departure and / or disengagement regarding the character of law, provided for in the legal texts, mainly within the framework of Social Security inscribed in the Federal Constitution of 1988. Giving Continuing the analysis of the dissertation in the field of Health Policy and updating the corpus of analysis with recent productions and legislation, the material of this thesis proposes the following thesis of the thesis: the Brazilian State conforms as a State that authorizes and legitimizes the market in the provision services within the Brazilian Protective System. Such institutions - private nonprofits - that make up the market and civil society at the same time, although they receive public resources, operate according to their own rules. Private non-profit institutions are the private hegemony devices that act within the State's relations to weaken and dismantle the rights foreseen and hard-won in the Federal Constitution of 1988 and the consequent weakening of the character of public and universal law.