Sestelo José Antonio de Freitas
Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro. Cidade Universitária, Fundão. 21044-020 Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2018 Jun;23(6):2027-2034. doi: 10.1590/1413-81232018236.04682018.
This article gives, first, a historical account of the action of capital in healthcare in contemporary Brazil and then introduces a debate on the dominance of finance ('financial dominance') in healthcare based on one case to examine: the hypertrophy of the structure for intermediation in private healthcare existing in Brazil, using the theses of José Carlos de Souza Braga as its principal reference. The article highlights the nebulous nature of what happens at the interface between the public and private elements of the Brazilian health system, and the limits inherent to the use of reductionary, or dichotomic, models to explain details and factors in this interaction.
本文首先对当代巴西医疗领域资本的作用进行了历史叙述，然后基于一个案例引入了一场关于医疗领域金融主导地位（“金融霸权”）的辩论，以供审视：以若泽·卡洛斯·德·索萨·布拉加的论点为主要参考，分析巴西私立医疗中介结构的膨胀。文章强调了巴西卫生系统公共和私营部分之间界面所发生情况的模糊性质，以及使用简化或二分法模型来解释这种互动中的细节和因素所固有的局限性。
