The urgency of reinventing the Brazilian Health Reform in defense of the Brazilian National Health System

Abstract

This article focused to discuss the challenges to the  Brazilian Health Reform and to the Brazilian National  Health System today. Current literature on the subject was reviewed; some of its fundamental  features were recovered as a historical process and of its actors, and referred to the current political  conjecture regarding the Brazilian National Health  System. From an exploratory study historically based  on the pertinent literature, the purpose was to  encourage reflections on the theme based on those  analyzes of the sanitary movement, contributing with new perspectives on the health issue as a right to  face the challenges that the SUS faces. The advances  of the sanitary movement in the construction of this  system were acknowledged, with the expansion of  access and coverage to health care according to health precepts as a right, at the same time that the  historical limitations to the achievement of its  principles and guidelines and current political and  social disputes were highlighted, aiming to point out  new possibilities for the Brazilian Health Reform. It  was concluded that there was an urgent need to  update the original proposals for the reform, to  recover its dimension of political struggle, to expand  alliances with different social segments in defense of  the Brazilian National Health System and to resume  health as a social issue within democratic resistance  movements, seeking new spaces and political  subjects in defense of the public system.