University of Caxias do Sul, Caxias do Sul, RS, Brazil.
World Neurosurg. 2012 Mar-Apr;77(3-4):425-6. doi: 10.1016/j.wneu.2011.10.048. Epub 2011 Dec 7.
The Brazilian Health System has two different forms of access, public and private. The purpose of the public health system is to provide universal, complete access, free of charge, for the entire population. The private sector is composed by people who have private insurance. Nowadays, about 43 million Brazilians, or 26.3% of the population, have private health insurance. The main motivations of the physicians for the strike were the low payment for medical services and the constant interference of the private health insurance companies in medical autonomy. For this reason, Brazilian physicians held a 24-hour strike against the Medical Insurance Companies that did not accept to negotiate new fees in almost all Brazilian states. At least 120,000 physicians from all specialties stopped elective activities during that day, only providing urgent or emergency care. It is estimated that the strike affected 25 to 35 million Brazilians, about 76% of the total number of medical insurance users.
巴西的卫生系统有两种不同的就医途径，即公共和私人途径。公共卫生系统的目的是为全体民众提供免费的、普及的、全面的医疗服务。私人部门则由拥有私人保险的人群组成。如今，约有 4300 万巴西人（占总人口的 26.3%）拥有私人医疗保险。此次罢工的主要动机是医疗服务的低报酬，以及私人医疗保险公司对医疗自主权的不断干涉。出于这个原因，巴西医生举行了 24 小时的罢工，以抗议医疗保险公司拒绝在几乎所有巴西州重新协商费用。至少有来自所有专业的 12 万名医生停止了择期活动，只提供紧急或急救服务。据估计，此次罢工影响了 2500 万至 3500 万巴西人，约占医疗保险用户总数的 76%。
