Continuum of public health dismantling during the covid-19 crisis: Bolsonaro’s neofascism

Authors

DOI:

https://doi.org/10.1590/S0104-12902022210307pt

Keywords:

Health financing, Primary health care, State, Crisis, Neofascism

Abstract

This article deepens the critical discussion about the policies of the Bolsonaro government regarding public health, particularly regarding the general financing, the confrontation of the pandemic, and the first year of implementation of the new financing model for Primary Health Care (PHC). The analysis evidences the aggravation of the restrict legitimacy of the political regime, assumed by ultra-neoliberal policies and by the neofascism of the Bolsonaro government. These forms of domination – political and economic – produce an internal conjuncture that seeks to remodel the capital accumulation in public health by PHC by subtle bureaucratic “operational” mechanisms of deconstruction of financing universality. In the first part, the coverage of the triple crisis of the capital – sanitary, economic and ecological – and its organic relationship to the State in the Brazilian dependent capitalism is discussed, opening space to the increase of the restriction of the political regime endorsed by the ascension of the neofascism. In the second part, the increase of the de-financing of the Unified Health System (SUS) right in the middle of the covid-19 crisis and the effects of the implementation of the financing model of the PHC, evidencing the continuity of the process of valuing an “operational SUS” in detriment of its universality principle as a neofascist dimension of Bolsonaro’s government.

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Author Biographies

  • Aquilas Mendes, Universidade de São Paulo

    Universidade de São Paulo. Faculdade de Saúde Pública, Departamento de Política, Gestão e Saúde, São Paulo, SP, Brasil.
    Pontifícia Universidade Católica de São Paulo. Faculdade de Economia, Administração, Contabilidade e Atuária, Departamento de Economia. São Paulo, SP, Brasil.

  • Leonardo Carnut, Universidade Federal de São Paulo

    Universidade Federal de São Paulo. Centro de Desenvolvimento do Ensino Superior em Saúde. Programa de Pós-graduação de Ensino em Ciências da Saúde. São Paulo, SP, Brasil.

  • Mariana Melo, Universidade de São Paulo

    Universidade de São Paulo. Faculdade de Saúde Pública, Departamento de Política, Gestão e Saúde, São Paulo, SP, Brasil.

Published

2023-01-31

Issue

Section

Original research articles

How to Cite

Mendes, A., Carnut, L., & Melo, M. (2023). Continuum of public health dismantling during the covid-19 crisis: Bolsonaro’s neofascism. Saúde E Sociedade, 32(1), e210307pt. https://doi.org/10.1590/S0104-12902022210307pt