O fundo público e a relação público x privado no processo de contrarreforma na política de saúde no município de Campina Grande/CG

Abstract

This study aims to analyze the configuration of the public fund in the public x private relationship in the counter-reform process in health policy in the city of Campina Grande/PB, in the period between 2016-2020. We understand that the public fund is composed of resources collected in the form of taxes and contributions arising from the taxation levied on the working class and capitalists; and, return to taxpayers through social and economic policies. Since the 1990s, with the offensive of neoliberalism in Brazil, the debate has started on the need for counter-reforms in social policies, in opposition to universalization and integrality, strengthening privatized and commercialized policies, such as in the case of health . The motivation to carry out this research came from the studies and discussions developed at the Center for Research in Health Policy and Social Work (NUPEPSS) linked to the Department of Social Work at the State University of Paraíba (UEPB), in which we participate in scientific initiation projects, as well as from our participation in the Paraiba Forum in Defense of the Unified Health System (SUS) and Against the Privatization of Health - Campina Grande/PB Section. Thus, the approximation with health policy based on such experiences allowed us to identify that it has been losing its public and universal character, giving way to the privatization of services. In order to achieve the proposed objective, our research focused on the public x private relationship in 04 hospitals in the city, supported by a bibliographic review of the main categories of the study in theses, dissertations and periodicals dealing with the process of counter-reform, commercialization, privatization of the policy of health and the impasses of financing under the aegis of the hegemony of capital. With regard to documents, the Management Reports were analyzed; the Municipal Health Plans; the Annual Health Schedule; and the Annual Accountability of the Municipal Health Council, as well as a consultation with the State Audit Court (TCE) of Paraíba, through the SAGRES Online System covering the period 2016-2020. When analyzing the data from a critical point of view, it seems to us that there is a historical structural determination in Campina Grande that has permeated the configuration of the municipality since the 1990s. This determination concerns the private hospitals-centered character that assigns a large part of the resources of the Municipal Health Fund to High and Medium Complexity, and which can also be characterized by the transfer of resources to the four largest hospitals in operation.