A privatização da saúde pública por meio das organizações sem fins lucrativos que atuam como prestadoras de serviços oncológicos no município de Natal-RN

• Ano de defesa: 2023
• Autor(a) principal: Freitas, Ivaneide Duarte de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Rio Grande do Norte; Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM SERVIÇO SOCIAL
• Palavras-chave em Português: Crise do capital; Contrarreformas do estado; Privatização da saúde; Organizações da sociedade civil; Organizações sem fins lucrativos; CNPQ::CIENCIAS SOCIAIS APLICADAS::SERVICO SOCIAL
• Link de acesso: https://repositorio.ufrn.br/handle/123456789/54370

The structural crisis of capital unleashed from 1970 onwards the process of restructuring capital as a bourgeois strategy to contain the tendency to fall in the rate of profit, as a reflection of this scenario, the neoliberal State re-updates its relations with Civil Society by transferring it to part of their responsibilities in the implementation of social policies. In Brazil, the counter-reform in health was consolidated from 1990 onwards, through the intensification of the commodification of services and the privatization of the newly created Unified Health System (SUS). In view of the above, this research aimed to analyze how the privatization of health is expressed through non-profit organizations that act as providers of oncological services in the municipality of Natal, in Rio Grande do Norte. To this end, it sought to investigate the main trends of public-private “partnerships” in health in the State's counter-reform process; identify the benefits and advantages of the organizations that dominate the provision of oncological services in Natal; analyze the origin of the transfer and distribution of SUS public resources among the institutions that provide these services, and identify the oncological services that particularize the hegemony of the organizations when they are provided. It is, therefore, a quantitative and qualitative research, grounded in the light of critical social theory having its foundations in the historical-dialectical materialist method formulated by Karl Marx. It starts with a broad bibliographic review, followed by documentary research and data analysis using the Content Analysis technique. The results point to the deepening of the process of privatization of SUS through Civil Society Organizations, which expand vertiginously in the field of health, largely sustained with resources from the public fund. With regard to the provision of oncology services in the city of Natal, philanthropic organizations have historically held the provision of these services, however, they are consolidated and structured in the market based on the regulation of the SUS. Its expansion results from the commodification of health, the outsourcing of SUS services and resources and tax incentives from the State. This scenario expresses the urgency in resuming the process of political organization of workers, with a view to intensifying the struggle to guarantee health as a universal, integral, free and quality right, maintained and offered through institutions of the sector. State.