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Policy analysis in Brazil$
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Jeni Vaitsman, Jose M. Ribeiro, and Lenaura Lobato

Print publication date: 2013

Print ISBN-13: 9781447306849

Published to Policy Press Scholarship Online: January 2014

DOI: 10.1332/policypress/9781447306849.001.0001

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Expert Community and Sectoral Policy: The Brazilian Sanitary Reform

Expert Community and Sectoral Policy: The Brazilian Sanitary Reform

(p.219) Seventeen Expert Community and Sectoral Policy: The Brazilian Sanitary Reform
Policy analysis in Brazil

Nilson do Rosário Costa

Policy Press

The political analysis that resulted in the adoption of the universal right to health in the 1988 Federal Constitution and the intellectual foundations of the health sector reform are examined in this chapter. In connection with the democratic transition of the 1980s, it highlights the role of political argumentation by the epistemic community of experts in the health field as central to the universalist health sector reform. The basis for argumentation in favour of the health sector reform was produced by researchers at public universities and research institutes, who challenged the idea of subordinating the reform to the social security conception in favour of the proposal for universalization supported by general taxation. This community's analytical output concentrated on deconstructing the government's medical care policy at a time when the constitutional drafting assembly was calling for institutional arguments to justify the health sector reform project, and thus ensured the reform's approval.

Keywords:   Health Sector Reform, Epistemic Community, Social Security Reform, Democratic Transition, Brazil

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