FLEURY SONIA REFORMA SANIT RIA 1

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Fleury, Sonia
Reforma sanitária brasileira: dilemas entre o instituinte e o instituído
Ciência e Saúde Coletiva, Vol. 14, Núm. 3, junio, 2009, pp. 743-752
Associação Brasileira de Pós-Graduação em Saúde Coletiva
Brasil
Disponible en: http://redalyc.uaemex.mx/src/inicio/ArtPdfRed.jsp?iCve=63013535010

Ciência e Saúde Coletiva
ISSN (Versión impresa): 1413-8123 [e-mail] Associação Brasileira de Pós-Graduação em
Saúde Coletiva
Brasil

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Brazilian sanitary reform: dilemmas between the instituing and the institutionalized

Sonia Fleury 1

Abstract The article presents the trajectory of social policies in Brazil and identifies, at each stage, the existing social protection model. It affirms that the
Federal Constitution of 1988, when it introduced the concept of Social Security and created the National Health Care System, represented a rupture with what came before. The subordination of the principles of justice and social inclusion, which guided the design of this new social protection model, to a liberal and monetarist policy had important impacts in the phase of implementation of the social policies. However, the dilemma that such policies go through and, in particular, the construction of the
National Health Care System must be analyzed from a theoretical perspective that encompasses the agreements and disagreements between the three movements that characterize Brazilian Sanitary Reform, which are: subjectivation, constitutionalization and institutionalization. Key words Sanitary reform, Social policy, Citizenship, Right to health, National Health Care System

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