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Brazil's health catastrophe in the making
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Brazil's health catastrophe in the making
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Brazil's health catastrophe in the making
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Journal Article
Brazil's health catastrophe in the making
2018
Overview
[...]the country's Government introduced one of the harshest set of austerity measures in modern history. [...]the Government plans to introduce commercial health plans (Planos Populares), meant to replace functions previously performed, free of charge, by the National Health System (Sistema Único de Saúde [SUS]).9 Commercial plans offer a narrower scope of services than the minimum offered by SUS and are subject to less regulatory scrutiny, which generally results in poor service quality and high out-of-pocket costs.10 Thirdly, states and municipalities have so far been obliged to invest federal resources, via so-called financial blocks, in strategic areas of health care, including primary health care and sanitation. New regulations free the regional administrations from adhering to such spending discipline11 by investing specified amounts into strategic areas of health care, which might contribute to the deterioration of SUS and to regional health inequalities. [...]new regulations diminish the obligatory numbers of doctors in emergency wards12 and of personnel in primary health units,12 including the reduction of the obligatory number of community health agents.
