Seventeen Expert community and sectoral policy: the Brazilian Sanitary Reform
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Nilson do Rosário Costa
Abstract
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.
Abstract
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.
Kapitel in diesem Buch
- Front Matter i
- Contents v
- List of tables and figures vii
- Notes on contributors ix
- Acknowledgements xv
- Policy analysis in Brazil: the state of the art 1
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Styles and Methods of Policy Analysis in Brazil
- Professionalisation of policy analysis in Brazil 13
- Policy analysis styles in Brazil 27
- Modernisation of the state and bureaucratic capacity-building in the Brazilian Federal Government 39
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Policy Analysis by Governments and the Legislature
- Policy analysis and governance innovations in the federal government 55
- Policy monitoring and evaluation systems: recent advances in Brazil’s federal public administration 69
- Privatisation and policy decision-making in Brazil 81
- Production of policy-related information and knowledge in Brazil: the state government agencies 95
- Policy analysis at the municipal level of government 107
- The role of the Brazilian legislature in the public policy decision-making process 119
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Parties, Councils, Interest Groups and Advocacy-Based Policy Analysis
- Brazil’s National Council for Social Assistance and the policy community supporting social assistance as a right 135
- Brazil’s response to the HIV/AIDS epidemic: integrating prevention and treatment 149
- Media and policy analysis in Brazil: the process of policy production, reception and analysis through the media 163
- Parties and public policy: programmatic formulation and political processing of constitutional amendments 177
- Business associations and public policy analysis 191
- Policy analysis in non-governmental organisations and the implementation of pro-diversity policies 205
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Academic and Research Institute-Based Policy Analysis
- Expert community and sectoral policy: the Brazilian Sanitary Reform 219
- Brazilian think tanks: between the past and the future 233
- Policy analysis by academic institutions in Rio de Janeiro State 249
- Postgraduate instruction and policy analysis training in Brazil 261
- Index 273
Kapitel in diesem Buch
- Front Matter i
- Contents v
- List of tables and figures vii
- Notes on contributors ix
- Acknowledgements xv
- Policy analysis in Brazil: the state of the art 1
-
Styles and Methods of Policy Analysis in Brazil
- Professionalisation of policy analysis in Brazil 13
- Policy analysis styles in Brazil 27
- Modernisation of the state and bureaucratic capacity-building in the Brazilian Federal Government 39
-
Policy Analysis by Governments and the Legislature
- Policy analysis and governance innovations in the federal government 55
- Policy monitoring and evaluation systems: recent advances in Brazil’s federal public administration 69
- Privatisation and policy decision-making in Brazil 81
- Production of policy-related information and knowledge in Brazil: the state government agencies 95
- Policy analysis at the municipal level of government 107
- The role of the Brazilian legislature in the public policy decision-making process 119
-
Parties, Councils, Interest Groups and Advocacy-Based Policy Analysis
- Brazil’s National Council for Social Assistance and the policy community supporting social assistance as a right 135
- Brazil’s response to the HIV/AIDS epidemic: integrating prevention and treatment 149
- Media and policy analysis in Brazil: the process of policy production, reception and analysis through the media 163
- Parties and public policy: programmatic formulation and political processing of constitutional amendments 177
- Business associations and public policy analysis 191
- Policy analysis in non-governmental organisations and the implementation of pro-diversity policies 205
-
Academic and Research Institute-Based Policy Analysis
- Expert community and sectoral policy: the Brazilian Sanitary Reform 219
- Brazilian think tanks: between the past and the future 233
- Policy analysis by academic institutions in Rio de Janeiro State 249
- Postgraduate instruction and policy analysis training in Brazil 261
- Index 273
