A natureza privatista e mercantilista das Organizações Sociais: um estudo sobre a auferição de renda econômica a partir da captura do fundo público da política de saúde

Abstract

The research object of this thesis is the collection of economic income by Social Organizations (SOs) that are remunerated by the public fund to manage health units through the service contracting model. This model consists of the transfer of self-management by the State to private institutions considered "non-profit‖", that is, those belonging to the so-called "third sector". Based on a bibliographical research, the aim was to reflect on the nature of these institutions, especially their symbiosis with profitable companies, that is, to demonstrate that their objective and management methods are similar to those of companies that aim to obtain profits. The aim was also to analyze the relationship between the third sector with the State, showing that its insertion in public policies has as its axis the expansion of accumulation niches, incorporating the public fund and social policies into the more general movements of capital appreciation, in response to its long-term crisis. Another point of reflection is the expressions of the State‘s neoliberal administration in Brazilian health policy. This theoretical basis supported the empirical research that systematized the results of income earned by the SOs, through accounting statements, with data referring to the years 2015 to 2022 from a sample constructed considering the quantitative criterion of managed units. The results demonstrate that there is effective income earned by the SOs regularly in the years researched. The research led us to two explanations for such income. The first one is about the theoretical similarities between the income and the Marxian category of "land rent" since the SOs act as an intermediary (that sells management, a consultancy) between the public fund of the health policy and the accumulation of capital operated in the health sector; the second one is the financial income, given the modus operandi of the management model in which the resources transferred from the public budget to the SOs are invested in the financial market. The thesis concludes that there is a market of management contracts in formation that reinforces the expansion of income capture possibilities by these institutions, resulting, therefore, in the reinforcement of the capitalist nature of the SOs.