A Crise do Sistema único de Saúde e a Fuga para o Mercado

摘要

The paper discusses the paradoxes of some unanticipated consequences of the actions in the field of collective health, created by the universal egalitarian ideal formulated by the Brazilian Constitution, and also the dilemmas that nowadays are posed to the public health system. An analysis based on the present hypotheses on the relationship between the public and private health care systems was carried out using an empirical investigation, with special attention for the local knowledge. The sampling technique used was the "experts sampling method". This method identify the most important actors involved in the process of institutional implantation and management in the realm of the Brazilian Unified Health System (SUS). Forty-nine participants were interviewed, all of them