ARTICLE. The financing of SUS in a scenario of financialization. Áquilas Mendes; Rosa Maria Marques. Departamento de Economia, Faculdade de Economia e. , de 29 de janeiro de , regulamentou o financiamento e a ações e os serviços públicos de saúde do Sistema Único de Saúde (SUS). Regardless of the scope of SUS management, all purchases of supplies and .. Dispõe sobre as normas de financiamento e de execução do.


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However, later studies indicated that these sources were also very sensitive to the behavior of economy.


According to the Constitution, these federal resources should be added to revenues from State and Municipal Treasuries. However, financiamento sus Constitution did not financiamento sus how the participation of federate entities in Social Security financing should occur.

It was only in that the Constitutional Amendment n. The representatives also had the diligence of defining which social contributions and resources from the governmental bodies would be of exclusive use by the Social Security.

Unfortunately, no government after the enactment of the Constitution complied with this provision. Public health and the financialization of economy For the sake of providing clear understanding of what is in dispute when health is discussed, it should be stated that the social protection standard, which ensured the right to universalization of public health in Brazil, had a late development when compared to developed countries, both with regards to time and to the historic moment that served as its base2.

Unlike what occurred when the European and North American Social Welfare State expanded, the industrial capital no longer directed the capitalist process.

From the s onwards the reappearance of interest-producing capital was long lasting, and determined the economic and social relations of the financiamento sus capitalism.

The "interest-bearing capital", according to Chesnais3, "attempts to make money without leaving the financial sphere, in the form of loan interests, dividends and other payments by way of stock possession and interests generated by successful speculation"3.

Since the onset of the crisis, criticism and the demand for responses from EBS became more frequent, with several countries introducing devices that increased the user's participation in the funding of health, and limited financiamento sus list of medications free of charge, among other measures4.


In that same period the labor market financiamento sus significant changes against its previous scenario. Unemployment, previously limited to problems resulting from an imperfect information system between demand and offer the so-called frictional unemploymentstarted to show high rates in the developed world.

Salaried or independent works, with no social or labor coverage, previously a characteristic of African and Latin American labor markets, became a structural component of the daily life of developed countries.

Since the mid s, real wage increases - a hallmark of the glorious thirty years, were forgotten and replaced by adjustments that meant a loss of purchasing power.

Productive capital, suffocated by financial domination, became a constraint to workers.

  • Opções de acessibilidade

The decrease in work force costs became essential, in consideration of the strength of interest bearing capital by removing the surplus generated in the production. According to Husson5, productive capital imposed a decrease in wage levels and supported financiamento sus elimination of payroll charges, and a substantial reduction financiamento sus taxes, essential elements to the financing of social protection of several countries.

However, in order to keep salaries low it is necessary to maintain high unemployment rates: When Brazilian representatives were writing the Citizen Constitution ofthe country felt very intensely the effects of the problematic constraints resulting from this new worldwide panorama.

Saúde Pública - A longa batalha pelo financiamento do SUS A longa batalha pelo financiamento do SUS

The financiamento sus of the American interest rate promoted by the Federal Reserve from had dramatic results for Latin American countries. These countries - which had been encouraged financiamento sus take advantage from credits associated to the recycling of the petrodollar, suddenly saw debt services be multiplied by three or four.

This situation gave rise to what became known as the debt crisis. In Brazil, the elevation of the American interest rate occurred in the midst of an attempt to rebalance external accounts by promoting a financiamento sus.

Fundo Nacional de Saúde

Considering the growing difficulty in obtaining funding for the deficit of the current transactions - which became evident inthe military government constricted the effective demand by means, among other measures, of controlling public and state-company debts; of a sheer credit reduction; and of increasing taxes on income and imported goods.

These measures resulted in financiamento sus 3. It is evident that this article does not intend to rebuild the history of Brazilian economy from the s onwards. However, it is important to highlight that since the debt crisis Brazil started to deal with a restraint that took financiamento sus takes all of its attention.

Saúde Pública - A longa batalha pelo financiamento do SUS A longa batalha pelo financiamento do SUS

Public funds involved were always insufficient to ensure full, universal, and proper healthcare. Inthe Brazilian public expenditure on financiamento sus federal, state financiamento sus municipal was 3. This project is important for SUS survival, but we are aware that it doesn't solve completely the historical underfunding of public healthcare in Brazil.

In practice, healthcare never had any resources since.