[The history of the public health reform in Brazil and of the Sistema Único de Saúde: changes, continuities, and the current agenda].
The paper offers a historical retrospective of Brazil's Sistema Único de Saúde (SUS), including its background and its legacy on its current design. It begins describing some of the system's structural problems, especially the co-existence of a public system alongside a private one. It identifies problems that have hampered a firmer solidification of SUS, while it also highlights the immense import of establishing a unified, universal system in a country the size of Brazil. The discussion includes the effects of the system, which has represented a major change in the field of social rights, introducing new actors, and internalizing the notion of health as a right. Lastly, recent developments that have put SUS on the public agenda are discussed.
Faculdade de Filosofia e Ciências Humanas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.
Telma Maria Gonçalves
TM
Menicucci
D001938:Brazil; D003695:Delivery of Health Care / Q000266:history* / Q000458:organization & administration*; D018166:Health Care Reform / Q000266:history*; D049673:History, 20th Century; D049674:History, 21st Century; D011634:Public Health / Q000266:history*