Marques Silvia Badim, Dallari Sueli Gandolfi
Departamento de Prática de Saúde Pública, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, SP, Brasil.
Rev Saude Publica. 2007 Feb;41(1):101-7. doi: 10.1590/s0034-89102007000100014.
To evaluate how the Judicial Power safeguards the social right to pharmaceutical assistance as well as the relationships between the legal and political systems to safeguard this right.
There were assessed decisions in lawsuits of drug supply in the state of São Paulo, Southern Brazil, between 1997 and 2004. Discourse of the Collective Subject of procedural actors was the methodological approach used.
In 96.4% of the cases analyzed, judges' discourse sentenced the State. In these cases, the State was obliged to provide drugs exactly as requested by the plaintiff, even when drugs were not registered in the National Health Surveillance Agency (9.6% of cases). Also, 100% of the lawsuits were proposed by individual plaintiffs; in 77.4% of the cases the plaintiff requested an specific drug of a specific pharmaceutical company; and in 93,5%, the drugs were provided to the plaintiff through an urgent preliminary order.
The Judicial Power is not taking into account in its decisions political elements of drug policies, established to enforce the social right to pharmaceutical assistance. The Judicial Power is hindering the collective decision making process by the political system, prioritizing plaintiffs' individual needs over community interests.
评估司法权如何保障社会药品援助权利以及保障该权利的法律与政治制度之间的关系。
对1997年至2004年间巴西南部圣保罗州药品供应诉讼案的判决进行评估。采用程序行为主体集体主体话语作为方法论途径。
在分析的96.4%的案件中，法官的判决判定国家有责。在这些案件中，国家有义务按原告要求提供药品，即使这些药品未在国家卫生监督局注册（占案件的9.6%）。此外，100%的诉讼由个人原告提起；在77.4%的案件中，原告要求特定制药公司的特定药品；在93.5%的案件中，药品通过紧急初步命令提供给原告。
司法权在其判决中未考虑为执行社会药品援助权利而制定的药品政策的政治因素。司法权正在阻碍政治制度的集体决策过程，将原告的个人需求置于社区利益之上。
