The crisis of cooperative federalism in the health policies in Brazil
نویسندگان
چکیده
This article analyzes the main aspects of federative political systems according to classical and contemporary theories and the case of the Brazilian health sector. Brazil presents a federative configuration founded on cooperation as a result of the democratic transition in which the consensual dimensions of democracy were strengthened. On the other side, the weakening of the madisonian aspects of separation of the functions and judicial review compromised the policy coordination and the accountability in health policy. It is argued that cooperative aspects are compromised by the singularity of municipalities with federative power without the creation of compensatory institutions of the competitive deficits. KEywordS Federalism. Unified Health System. Public health policy. SaÚdE dEBaTE | rIo dE jaNEIro, v. 40, N. ESpECIal, p. 14-24, dEz 2016 14 A crise do federalismo cooperativo nas políticas de saúde no Brasil The crisis of cooperative federalism in the health policies in Brazil josé mendes ribeiro1, marcelo rasga moreira2 1 Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (Ensp), Departamento de Ciências Sociais (DCS) – Rio de Janeiro (RJ), Brasil. [email protected] 2 Fundação Oswaldo Cruz (Fiocruz), Escola Nacional de Saúde Pública Sergio Arouca (Ensp), Departamento de Ciências Sociais (DCS) – Rio de Janeiro (RJ), Brasil. [email protected] ensaio | essay DOI: 10.1590/0103-11042016S02 SaÚdE dEBaTE | rIo dE jaNEIro, v. 40, N. ESpECIal, p. 14-24, dEz 2016 a crise do federalismo cooperativo nas políticas de saúde no Brasil 15
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