TITLE:
Crisis of Capital and the Ongoing Bolsonaro’s Neo-Fascism: The Destructive Continuum of Public Health via Primary Care
AUTHORS:
Áquilas Mendes, Leonardo Carnut, Mariana Alves Melo
KEYWORDS:
Health Financing, Primary Health Care, State, Crisis, Neofascism
JOURNAL NAME:
Theoretical Economics Letters,
Vol.12 No.6,
December
30,
2022
ABSTRACT: The aim of this article is to update the critical discussion
of the public health policies adopted by the Bolsonaro government, particularly
with regard to the second year of implementation of the new financing model for
Primary Health Care (PHC). The critical analysis is based on a reflection in
which the tightening of the restricted legitimacy of the political regime is
evident, with its form assumed by ultraneoliberal policies and by the
neofascism of the Bolsonaro government. These forms of domination, political
and economic, engender an internal conjuncture that aims to remodel the
accumulation of capital in public health via PHC through subtle bureaucratic
“operational” mechanisms of deconstruction of the financing university. This
article is organized in three parts. The first discusses the scope of the
triple crisis of capital, sanitary, economic and ecological, and its organic
relationship with the State in Brazilian dependent capitalism, allowing space
for the growth of the restriction of the political regime endorsed by the rise
of neo-fascism. The second addresses the reduction of budgetary resources with
the escalating defunding of Health Unified System (SUS). The third part
discusses the continued measures and effects in the second year of
implementation of the Primary Health Care financing model, evidencing the
continuity of the process of valuing an “operational SUS” to the detriment of
its principle of universality as the object of an ongoing project associated
with the neo-fascist dimension of the Bolsonaro government.