As organizações sociais (OSs) e a privatização do Sistema Único de Saúde (SUS) no contexto de contrarreformas do Estado brasileiro

Abstract

This paper aims to analyze the Social Organizations (OSs) and the SUS Privatization in This paper aims to analyze the Social Organizations (OSs) and the SUS Privatization in contrarreformas context of the Brazilian state, to identify the real interests of OSs in the provision of health services in Brazil. The study aimed to initially enter the debate on the new management models, especially the model of OSs, in the broader context of the crisis of capital. To achieve the proposed objective resorted to literature, necessary to the broader understanding of how has given the privatization of health in the Brazilian context of contrarreformas. It employed, too, the documentary research, based on consultation with civil inquiries prepared by the organs of internal and external control - Federal and State Prosecutors Office, Audit Courts of the States and the Union - and reports published in media newspapers print and electronic. Research has shown that structural adjustment state, embodied in contrarreformas, has played the accumulation of capital interests by prioritizing macroeconomic policies and the privatization and commodification of social policies, especially health policy, emptying its public and universal character, in this, in order to maintain their rates of accumulation, has appropriated the public fund privately in many ways. In the specific case of this study, it is emphasized that the implementation of the OSs model has emerged as one of the forms of appropriation of public funds, especially in health. Based on the survey data, it was found that, unlike the speech of governments to greater efficiency of services and optimization of resources, implementation of the model of OSs in public health units has occurred under the ballast numerous complaints from higher spending, inefficiency in service delivery and labor losses. However, it was found that the implementation and expansion of this model does not come without giving up resistors. The National Front against the Privatization of Health has been protagonist in this process.