ECONOMIA POLÍTICA EM SAÚDE EM TEMPOS DE CRISE E REFORÇO DE PRÁTICAS CONSERVADORAS:

DISPUTA ENTRE PÚBLICO E PRIVADO NO ESTADO DO ESPÍRITO SANTO

Abstract

The present study is part of a master's degree research on the participation of the private system in the Unified Health System in the state of Espírito Santo during the Covid-19 pandemic. To this end, we understand crisis as a cyclical process of capital and as such requires a position from the State, which preserves and guarantees capitalist economic interests. The objective was to analyze the participation of the private sector within the SUS in the state of Espírito Santo during the first year of Covid-19 (February 2020 until February 2021). This is a descriptive-exploratory study with a qualitative approach with data collected on the Transparency Portal of the State of Espírito Santo associated with legislation with analysis based on the Marxist framework and authors of Political Economy in Health. The data show that contrary to the precepts of the reform and corroborating the guidelines of the 1995 management reform, the private sector in its different forms of insertion in the market participates in more than 50% of the Espírito Santo Unified Health System network. Therefore, it is necessary to rethink political management regarding health, given that in times of crisis, the State has been at the mercy of the market.