Do controle social à gestão participativa: perspectivas (pós soberanas) da participação política no SUS

Abstract

This work is based on the hypotesis that discussing the political participation at SUS requires problematization of options and concepts that guide its definition as social control, operated by mechanisms of interests representation. The promotion of a reflectiononthe political participation at the SUS is referred to the institutional routine , as a challenge to build participative managements modes. The methodological proposal is based on a philosophical approach, whose aim is to outlinemanagement concepts and devices management, marked by the theme of politics. Conceptual matrixes are the two philosophical plans selected for study in the field of Public health, i. e., Health Planning and the Assistance Model in Defense of Life. The concept of Politics adopted here is defined not in terms of (formal) equality as opposed to (social) differences, but as co-access ad use of common goods, in their idefinite and open capacity to create values. Thinking about participationin these terms means to build participations as means of setting rules, and not only controlling the fulfillment and inspectionof current rules. So we propose considering management as co-production of healthcare, from the plubicization and reticulated articulation of the normative dimension of of human activity, what means arguing the concrete production (this local) of public politics and interventions. Among themain theoretical issues disscussed here, we pont out the articulation of cooperation networks and the construction of knowledge, technical support and devices that allow the production and legitimacy of the Health-values as common good. This perspective explains the implications we want to incorporate to the concept of participative management as a possible government port-authoritive technology. Health participation is taken here from the constitution of a public politics able to remain open and unpredictable, though keeping material conditions for equality. In this sense, a public politics breaking with the mechanisms of modern authority while incorporating, in its institutional design, the unpredictability of normative production, pretending to be an ethical device (thus open and common) of value production.