Chioro Arthur, Gomes Temporão José, Massuda Adriano, Costa Humberto, Castro Marcia C, Lima Nísia Trindade de
Universidade Federal de Sao Paulo Escola Paulista de Medicina, Sao Paulo, Brazil.
Centro de Estudos Estratégicos, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Int J Health Plann Manage. 2023 May;38(3):569-578. doi: 10.1002/hpm.3627. Epub 2023 Feb 25.
This paper takes the government transition that took place between 2022 and 2023 in Brazil as a case study and aims to analyse how a cycle of radical right-wing populist government acted to dismantle Brazil's national health system foundations. It describes how governance was built based on political-clientelism and market-privatising interests and on the adoption of long-term fiscal austerity policies, whose results are public defunding and weakening and disorganisation of the country's national health system, with a significant worsening of health indicators and the capacity to respond to the population health needs. The lessons from recent experience in Brazil should serve as learning and a source of academic and political reflection, since there is an ongoing international movement and signs of rise of radical right-wing populist regimes in several countries, which endanger the Democratic Rule of Law, institutions, and social policies. It allows putting into perspective how political cycles of this nature can affect national universal health systems, including those that have experienced substantial progress towards universal access and universal health coverage. Keeping in mind the Brazilian experience, it was possible to observe the progressive structuring of a radical right-wing neo-populism and in the sanitarian.
本文以2022年至2023年巴西发生的政府更迭为案例研究，旨在分析极右翼民粹主义政府的一个周期是如何采取行动瓦解巴西国家卫生系统基础的。它描述了治理是如何基于政治庇护主义和市场私有化利益以及长期财政紧缩政策的采用而建立起来的，其结果是公共资金削减、国家卫生系统削弱和混乱，卫生指标以及应对民众健康需求的能力显著恶化。巴西近期经验的教训应成为学习内容以及学术和政治反思的来源，因为目前在几个国家存在激进右翼民粹主义政权的国际动向和兴起迹象，这危及民主法治、机构和社会政策。它有助于正确看待这种性质的政治周期如何影响国家全民健康系统，包括那些在普及医疗服务和全民健康覆盖方面取得重大进展的系统。牢记巴西的经验，可以观察到激进右翼新民粹主义在卫生领域的逐步形成。
