[Development, health-industrial complex and industrial policy].
This paper puts health questions within the context of national development and industrial policy. It follows the idea of structuralist, Marxist and Schumpeterian approaches, in which industry and innovations form determining factors for the dynamism in capitalist economies and relative positions within the world economy. All countries that have developed and started to compete under better conditions with advanced countries have had an association between strong industry and an endogenous knowledge, learning and innovation base. However, in the field of health, this vision presents problems because business interests move according to the economic logic of profit rather than to meet health needs. The notion of the health-industrial complex is an attempt to provide a theoretical reference that enables linkage between two distinct types of logic: health and economic development. This study has sought to show, on the basis of foreign trade data, how disregard for the logic of health policy development has led to a situation of economic vulnerability in this sector, which may limit the objectives of universality, equality and comprehensiveness. Within this context, a cognitive and political break with these antagonistic visions that put health needs on one side and industrial needs on the other is proposed. A country that aims to reach a condition of development and independence requires strong innovative industries and an inclusive and universal health system, at the same time.
Gadelha
Carlos Augusto Grabois
CA
Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil. gadelha@ensp.fiocruz.br
D035843:Biomedical Research; D001938:Brazil; D003153:Community Health Services; D004059:Diffusion of Innovation; D019981:Health Care Sector / Q000458:organization & administration*; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D007221:Industry / Q000191:economics*; D007449:Investments; D012109:Research Support as Topic; D012924:Social Conditions; D013672:Technology