Costa Nilson do Rosário
Departamento de Ciências Sociais, Escola Nacional de Saúde Pública, Fiocruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2017 Nov;22(11):3505-3514. doi: 10.1590/1413-812320172211.19952017.
This paper describes the Brazilian central government bureaucracy and people with disabilities' access to the Continuous Cash Benefit (BPC). This access depends on the Ministry of Social Security bureaucracy's evaluation of the condition of vulnerability. We performed a literature review, analysis of secondary data from time series and cross-sectional data to describe street-level federal bureaucracy. Legal documents and indicators describe the expert evaluation regimen of the Ministry of Social Security (MPS). This paper shows the uneven growth of the number of career public servants of the central government in the last two decades. The Brazilian central government has adopted the international concept of person with disabilities in the evaluation of BPC applicants. Despite this decision, it is shown that the Brazilian central government expanded selectively the career bureaucracy to work in the social area. It was found that the result of the evaluation process was quite strict, favoring applicants in conditions of extreme biomedical vulnerability. Despite adopting the social model, BPC eligibility is tied to medical diagnosis.
本文描述了巴西中央政府官僚机构以及残疾人获得持续现金福利（BPC）的情况。这种获取取决于社会保障官僚机构对脆弱状况的评估。我们进行了文献综述，分析了时间序列和横截面数据中的二手数据，以描述街头层面的联邦官僚机构。法律文件和指标描述了社会保障部（MPS）的专家评估方案。本文展示了过去二十年中央政府职业公务员数量的不均衡增长。巴西中央政府在评估BPC申请人时采用了国际上对残疾人的概念。尽管做出了这一决定，但结果表明巴西中央政府有选择地扩大了从事社会领域工作的职业官僚机构。研究发现，评估过程的结果相当严格，有利于处于极端生物医学脆弱状况的申请人。尽管采用了社会模式，但BPC资格与医学诊断相关联。
