Os donos da saúde: a relação parasitária entre o público e o privado na saúde de Alagoas

Abstract

The "The Owners of Health: The Parasitic Relationship between Public and Private in Health in Alagoas" research approaches how the captalism transforms vital human needs in commodities, focusing Alagoas health area. Based on my professional and academic experiences, I decided to study the local scenario, due to the lack of research on Alagoas reality. Utilizing dialectal materialism as a methodological approach, this research aims to understand how the political, social, economic, and cultural of the dominant class and its factions have influenced social policies, especially at the health área. This thesis has three chapters, the first one focuses on the capitalist State, capital domination, and accumulation in Brazil, based on writing from authors such as Marx, Engels, Lênin, Gramsci, and Poulantzas, to understand the capitalist state, society, and economy relations. The second approach is to examine the relationship between Brazil and international organisms, as well as the impact of neoliberalism on health policies, analyzing the policies applied by different governments since redemocratization. In the third one, the study focuses on the dominant class and its factions in Alagoas, as well as how they have interfered with health mercantilization in the state, based on bibliographical and documental sources to investigate power relations and the direction of public funds to attend private interests. The research shows that in Alagoa’s history, the dominant class and its factions have cooptated the state apparatus to their benefit, deviating funds, and favoring the privatization (in its classic and nonclassic forms) of the sector. The deviating of public funds to private enterprises, the constant increase of public debt, and fiscal privileges conceived to the dominant class and its factions regionally on the State, the private debt conversion with Produban in public debt that compromises social policies financing, especially the health one, explicating the parasitic relationship of the private sector over the public one, through invert complementarity, that mischaracterizes even more the public health as a universal right, making it a commodity.