A Regulação na saúde e o fortalecimento do setor privado sob a orientação do Banco Mundial

Abstract

This work is ruled in a documental research that it looks for an analysis of three regulation models in the health politics: the regulation in the access to the services of health; the regulation through regulation agencies; and the character regulator that the State acquires when reviewing the execution of the health services to entities as the Social Organizations, the Organizations of the Civil Society of Public Interest and the Foundations of Private Law. These three models are resultants of the denominated State Neoliberal Regulator, comes from the model of capitalist accumulation and spread in the social field for the World Bank. The State Neoliberal Regulator was adopted in Brazil, in the decade of 90, that it reorganized the functions of the state, becoming it more regulator than intervenor. In the social field, that model of State was established with division and transfer of the execution of the social politics for the society and to the job market, focusing it action to the poorest sections. The health politics, for the action of the movement of sanitary reform, it become social law in the Federal Constitution of 1988, it will be reached by a counter-reformation caused by the World Bank, that distorted the beginnings of this system, organizing it, in the sense of presenting public health services only to the poorest groups, in the attempt of breaking with the universality of that politics. This situation generates a conflict of interests of two different projects in the field of the health in Brazil: project first, defends the politics health for the inclination of the sanitary reform and another project defends the health for the road of the market. The regulation models here studied are come from counter-reformation and they act under the logic of the project of health returned to the capital, therefore contrary SUS execution.