Controle Social e Saúde do Trabalhador: limites e desafios da participação dos trabalhadores nas ações de saúde do trabalhador na realidade brasileira

Abstract

This thesis aims to analyze the limits and challenges of social control in workers' health, in order to reflect on the participation of workers in their actions, from the 1990s onwards, when the Unified Health System (SUS) is institutionalized, at the same time that the neoliberal ideology advances in Brazil. It is a bibliographical and documentary research, based on the historical-dialectical materialist method. Thus, the categories used in this study (Work, State and Civil Society, Democracy and Social Participation) are based on the Social Theory of Marx and Engels and on authors of the Marxist tradition. It is based on the understanding that the instances of social control are contradictory spaces and arenas of disputes for hegemony, whose limits are set by their action in the context of a bourgeois state. Therefore, one should not attribute to such spaces of social participation the role of fundamental agents of transformation of the State and society, but rather see them as one among the various arenas where disputes for hegemony in the country are fought. In this sense, social control will be used in this study, from the perspective of democratic control, with a view to encompassing the social struggles of the subaltern classes that also take place outside the political-institutional sphere. It is considered that thinking about actions aimed at confronting the limits and challenges of social control in the health of the Worker, involves the expansion of the collective struggle, the strengthening of social struggles and the organization of the subaltern classes. That is, through the class struggle with an alliance between stable and precarious workers, of an emancipatory nature, in favor of the defense of the preservation of life and its health as a human right.