Judicialization and right to health in Brazil: a trajectory of matches and mismatches

ABSTRACT This study discusses the impacts of judicialization on the guarantee of the right to health in Brazil and the need to reassess the role of the Judicial system in its protection. We used evidence from the technical-scientific literature and information on the budgetary-financial execution an...

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Main Author: Fabiola Sulpino Vieira
Format: Article
Language:English
Published: Universidade de São Paulo 2023-02-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100600&lng=en&tlng=en
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author Fabiola Sulpino Vieira
author_facet Fabiola Sulpino Vieira
author_sort Fabiola Sulpino Vieira
collection DOAJ
description ABSTRACT This study discusses the impacts of judicialization on the guarantee of the right to health in Brazil and the need to reassess the role of the Judicial system in its protection. We used evidence from the technical-scientific literature and information on the budgetary-financial execution and the acquisition of medicines from the Brazilian Ministry of Health to substantiate the arguments. In 2019, lawsuits consumed 25.2% of the resources of the Specialized Component of Pharmaceutical Care, 21% for 10 medicines. Although the Judicial promotes this right when the State fails to ensure access to medicines incorporated into the Brazilian Unified Health System (SUS), this system compromises access to medicines of the population with the determinations of acquisition of non-incorporated products. The Judicial needs to guide its control over compliance with constitutional and legal precepts in public policies, especially in fiscal policy, given its impact on the financing of the SUS.
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spelling doaj.art-203c787384d14b3dbaee4c99cce910a62023-02-21T07:35:08ZengUniversidade de São PauloRevista de Saúde Pública1518-87872023-02-015710.11606/s1518-8787.2023057004579Judicialization and right to health in Brazil: a trajectory of matches and mismatchesFabiola Sulpino Vieirahttps://orcid.org/0000-0001-7377-7302ABSTRACT This study discusses the impacts of judicialization on the guarantee of the right to health in Brazil and the need to reassess the role of the Judicial system in its protection. We used evidence from the technical-scientific literature and information on the budgetary-financial execution and the acquisition of medicines from the Brazilian Ministry of Health to substantiate the arguments. In 2019, lawsuits consumed 25.2% of the resources of the Specialized Component of Pharmaceutical Care, 21% for 10 medicines. Although the Judicial promotes this right when the State fails to ensure access to medicines incorporated into the Brazilian Unified Health System (SUS), this system compromises access to medicines of the population with the determinations of acquisition of non-incorporated products. The Judicial needs to guide its control over compliance with constitutional and legal precepts in public policies, especially in fiscal policy, given its impact on the financing of the SUS.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100600&lng=en&tlng=enHealth’s JudicializationAccess to Essential Medicines and Health TechnologiesEquity in the Resource AllocationUnified Health SystemRight to Health
spellingShingle Fabiola Sulpino Vieira
Judicialization and right to health in Brazil: a trajectory of matches and mismatches
Revista de Saúde Pública
Health’s Judicialization
Access to Essential Medicines and Health Technologies
Equity in the Resource Allocation
Unified Health System
Right to Health
title Judicialization and right to health in Brazil: a trajectory of matches and mismatches
title_full Judicialization and right to health in Brazil: a trajectory of matches and mismatches
title_fullStr Judicialization and right to health in Brazil: a trajectory of matches and mismatches
title_full_unstemmed Judicialization and right to health in Brazil: a trajectory of matches and mismatches
title_short Judicialization and right to health in Brazil: a trajectory of matches and mismatches
title_sort judicialization and right to health in brazil a trajectory of matches and mismatches
topic Health’s Judicialization
Access to Essential Medicines and Health Technologies
Equity in the Resource Allocation
Unified Health System
Right to Health
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102023000100600&lng=en&tlng=en
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