This network contributes to institutional sustainability because it enables groups of people to acquire knowledge, skills and values linked to SUS principles and directives. The SUS incorporates a network of teaching and research institutions, such as universities, public health institutes and schools, which interact with state and municipal secretariats, the Ministry of Health, agencies and foundations. The SUS is also supported by other organizations such as the Brazilian Association of Health Economics (Abres), the Rede Unida, health councils (national, state and municipal), the National Association of Public Ministry in Defense of Health (Ampasa), the National Conference of Brazilian Bishops (CNBB), the National Council of Health Secretariats (Conass), the National Council of Municipal Health Secretariats (Conasems), the popular health movement, and others. The Brazilian Health Reform Movement (MRSB),which supports the SUS, is composed of entities with more than four decades of history and commitment to the defense of the universal right to health, such as the Brazilian Center for Health Studies (Cebes) and the Brazilian Association of Collective Health (Abrasco). Inspired by values such as equality, democracy and emancipation, the SUS is an integral feature of the Brazilian Constitution, ordinary legislation, and technical and administrative norms. What are the positive vectors that have sustained the SUS? The aim of this article is to dialogue with some of the studies and questions regarding the SUS on it´s thirtieth anniversary. have indicated more complex phenomena in the area of health than mere analyses of conjuncture can highlight, and they raise the following questions: a) what are the positive vectors that have sustained the SUS? b) what have been the obstacles and threats to the SUS? c) what are the alternatives? d) how is it possible to broaden the basis of social and political support? e) will the SUS end? f) what strategies and tactics can be used to consolidate the SUS? Rio de Janeiro: Universidade Federal do Rio de Janeiro 2017. Planos e seguros de saúde do Brasil de 2000 a 2015 e a dominância financeira. Campinas: Universidade Estadual de Campinas 2017.- 5 5. Relações público-privadas no sistema de saúde brasileiro. Barcelona: Universitad Autónoma de Barcelona 2016.Ĥ. Trayectoria y cambios de dirección em las políticas públicas: análisis de la reforma del sistema sanitario brasileño (1975-2015). The fact is that the SUS was implemented however, it has not been consolidated. The Temer government both continued and intensified the existing hegemony against the SUS, reducing it even further and running the risk that it may become a simulacrum. Crise econômica, austeridade fiscal e saúde: que lições podem ser aprendidas? Brasília: Ipea 2016. 95 (EC-95/2016), which freezes the public budget for twenty years 2 2. The lack of priority given to the SUS, and the attacks aimed at dismantling it, were reinforced by the economic crisis, by fiscal austerity policies and, especially, by Constitutional Amendment No. The coup by the forces of capital, which has been waged since 2014 through the media, segments of the middle class and parliament, with the approval of the judiciary, ruptured the social pact that was established at the end of the dictatorship, attacking democracy and suppressing various civil, social and political rights. A Constituição Cidadã e os 25 anos do Sistema Único de Saúde. The Democratic-Popular and Hope and Change projects formulated during the democratic transition in Brazil were not privileged by the political forces that had the historic opportunity to occupy the federal government after the promulgation of the Citizen’s Constitution 1 1.
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