constituiçao

DEBATE DEBATE

A Constituição Cidadã e os 25 anos do Sistema
Único de Saúde (SUS)
The Citizen Constitution and the 25th anniversary of the Brazilian Unified National Health System
(SUS)
La Constitución ciudadana y el 25o aniversario del
Sistema Único de Salud brasileño (SUS)

Jairnilson Silva Paim

Instituto de Saúde Coletiva,
Universidade Federal da
Bahia, Salvador, Brasil.

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Correspondência
J. S. Paim
Instituto de Saúde Coletiva,
Universidade Federal da
Bahia.
Rua Basílio da Gama s/n,
Salvador, BA 40110-170,
Brasil.
[e-mail]

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Abstract

Resumo

This article, celebrating the 25th anniversary of
Brazil’s 1988 Constitution, aims to review the country’s social policy development, discuss political projects, and analyze challenges for the sustainability of the Unified National Health
System (SUS). Based on public policymaking studies, the article revisits the origins of liberal social policy, focused on social assistance, and analyzes the hegemony of U.S. policies targeting poverty and their repercussions for universal policies. After identifying the formulation of political projects in Brazil’s democratic transition, it discusses their implications during the various Administrations since 1988, along with the difficulties faced by the National Health System.
The article concludes that the political forces occupying government in the last two decades have failed to present a project for the country on the same level as those who drafted the Citizen Constitution.

Este artigo, comemorando 25 anos da Constituição Federal de 1988, teve como objetivos resenhar o desenvolvimento das políticas sociais, discutir projetos políticos e analisar desafios para a sustentabilidade do Sistema Único de Saúde (SUS).
Apoiando-se em estudos sobre políticas públicas que privilegiam a gênese, revisita as origens da política social liberal, centrada na assistência social, e analisa a hegemonia das políticas americanas