This document discusses Brazil's 22-year experience developing its national health system, known as SUS, towards the goals of universality, comprehensiveness, and equity. Key aspects include establishing health as a right in the 1988 constitution, decentralizing the system to municipalities, expanding primary care through family health teams, and ongoing challenges around sufficient and stable financing. The SUS now provides universal coverage through tax-funded public services and regulated private partnerships, showing progress on health access, outcomes, and inclusion over decades of implementation.

5. The good, for all, the fair, the desirable as an expression of the logic and doctrine of the social and human rights – “the reasonable” A B C Distance towards what is good, fair, desirable Inequities among groups

6. CHILDREN DEVELOPMENT LITERACY OF THE MOTHERS ADECUATED HOUSING MOTHERS EMPLOYMENT + - - + INSPIRED BY DIMENSIONS AND CONTÍNU UMS OF MAX WEBER INFANT SURVIVAL / CHILDREN QUALITY OF LIFE AND OTHER ASSOCIATED VARIABLES

8. Tax funded Universality Targeting Insurances INEQUITY EQUITY Inspired by :Targeting and Universalism in Poverty Reduction, Thandika Makandawire, UNRISD, dic. 2005. INSUFFICIENCY ????? Armando De Negri Filho, 2006

10. The “estructured pluralism”: neoclassical theories and the neo institucionalism for the health reforms in Latin America (WB , 1987, 1993; Frenk and Londoño, 1997 ) Private goods: Diseases centered health care Public goods:Actions towards health problems with high externalities (Public Health) Regulated market of health insurances Descentralized State Targeted Subsidies to the demands Rational elections Principal agent delegation Regulated competition Incorporation of the poor to the market via public / state assistance Dr. Mario Hernandez Alvarez, 2006

17. National Conferences of Health Uni on States Munic ipalities Minist ery of Health State Secretaries Municipal secretaries CIT InterManagers Comission Tripartite National Council of Health State Council of Health Municipal Council of Health CIB InterManagers Comission Bipartite the SUS

19. SUS Financi ng Na t ional Fund State Funds Municipal Funds Health Ministery State Secretaries Municipal Secretaries National Budget 9,8% of General Income of the State State Budgets 12% Municipal Budgets 15% Health Units

24. FONTE: SIAB - Sistema de Informação da Atenção Básica A Primary Health Care Strategy as a political decision related to the building of an universal health system Situa tion of the Implementation of Family Health Teams, Dental Health and Community Health Agents BRASIL, A P RIL/2003 Nº TEAMS – 17.608 Nº MUNIC IPALITIES - 4.276 Nº AGENTES – 177.367 Nº MUNIC IPALITIES - 5.078 Nº TEAMS OF ORAL HEALTH – 4.568 Nº M UNICIPALITIES – 2.451 ESF/ACS/SB ACS SEM ESF, ACS E ESB ESF ESF/ACS

25. Evolu tion of the Number Family Teams Implemented BRASIL - 1994 – A p RIL/2003 FONTE: SIAB - Sistema de Informação da Atenção Básica ESF

32. SECTORIAL POLICY ON HEALTH TOWARDS EQUITY SOCIAL SECURITY ECONOMICAL SECURITY SOCIAL INCLUSION WITHIN THE FRAME OF THE HUMAN DEVELOPMENT