Vieira Fabiola Sulpino
Area de Economia da Saúde e Desenvolvimento, Secretaria Executiva, Ministério da Saúde, Brasília, DF, Brazil.
Rev Saude Publica. 2008 Apr;42(2):365-9. doi: 10.1590/s0034-89102008000200025. Epub 2008 Feb 29.
The paper reflects upon the legal interpretations of the right to health and its consequences. In order to exemplify the complexity of the theme and its emotional appeal, it analyzes the Supreme Court's decision in a public litigation against the State of Alagoas demanding that medication be supplied. Different interpretations, by both judges and health professionals, of the notion of integral health care, one of the principles of Brazil's Health System, are examined. It is held that scarcity of resources must be taken into consideration when drawing up public policies that aim to allocate funding efficiently and in a manner that is compatible with the principals of the health system. Finally, the impact of judicial decisions concerning medication not offered by the system and the behavior of the Brazilian judiciary with this respect are discussed.
本文反思了健康权的法律解释及其后果。为了例证该主题的复杂性及其情感诉求,本文分析了最高法院在一项针对阿拉戈斯州的公共诉讼中的裁决,该诉讼要求提供药物。本文审视了法官和卫生专业人员对巴西卫生系统原则之一的全面医疗保健概念的不同解释。本文认为,在制定旨在有效分配资金并符合卫生系统原则的公共政策时,必须考虑资源稀缺问题。最后,本文讨论了关于系统未提供药物的司法裁决的影响以及巴西司法机构在这方面的行为。