Plano de Cargos Carreiras e Salários: uma agenda prioritária para o fortalecimento do SUS

Abstract

Considering that the man work is essential to the effective fulfillment of the Brazilian Health System (SUS) foundations, as were foreseen in the Sanitary Reform and formalized with the Federal Constitution of 1988, this study aims to recover the historical trajectory of the Brazilian Sanitary Reform from the discussion on Plan of Offices, Careers and Salaries (PCCS) within the SUS. As methodological basis this study is of a qualitative view, carried out through a combination of a non-systematic literature review and documentary analysis. It is argued that there is a tradition of debates on PCCS within the Sanitary Reform, which, for the time being, is historically weakened by the liberal structure established in the Brazilian State in the 1990s and early 2000s. This structure has acted and continues to act as a federal inducement to the Work Management policy, deterring the implementation of PCCS in the SUS nationwide. A series of simultaneous attacks on labor law were realized, running as a federal induction of the Human Resources policy in the SUS, these attacks were arbitrary, but not random and had a direct influence on the hiring, remuneration and management of healthcare professionals, discouraging the debate of the Brazilian Sanitary Reform for the labor public policy in the SUS. It is concluded that the new forms of contracts for management signed with private initiatives and philanthropic entities contribute to the fragmentation of healthcare services and, therefore, should be questioned. PCCS can signify a confrontation to these obstacles, but it is essential to understand it as a deep dispute with the policies contained in the State Administrative Reform that made the development of the SUS career unviable from the perspective of valuing labor relations.