Um olhar diverso sobre o inverso do reverso na Política Nacional de Saúde nos governos Luiz Inácio Lula da Silva e Dilma Rousseff: elementos para uma análise alternativa.

Abstract

This doctoral thesis examines the development of the dual health policy in Brazil in the face of the reverse of common interest throughout the national governments led by President Luíz Inácio Lula da Silva and President Dilma Rousseff. It also analyzes the course of the public-private relationship in the successive PT governments in the light of the trajectory dependent on health policy, neoinstitutionalism and common welfare. It is, therefore, a descriptive-exploratory case study of a qualitative nature that was carried out through a literature review where the techniques of documentary and bibliographic analysis centered on Ball's political cycle analysis methodology were used. This method was sought to verify whether the conduct of the policy was directed by the common interest of all Brazilians or was subjugated to the state public interests and / or private interests. One of the conclusions obtained by this work was that health remained treated as a government policy to the detriment of the role of State policy, instituted by the 1988 Constitution, which it should have. Consequently, it is treated as a business with the common flexibilization of the constitutional SUS determined mainly by the existing relations between the public interests of the state and the private interests via legislative and executive. What ultimately seems to have asujeitado the common interest of all to the interests of some groups of power thus configuring the reverse of the common. Another conclusion drawn from this thesis was that the duality of national health policy has been constantly reinforced by the very dependence of the trajectory established by the Constitutional framework and the neoinstitutionalism.