0155/2018 - Meritocracia neoliberal e capitalismo financeiro: Implicações para a proteção social e a saúde. Neoliberal meritocracy and financial capitalism: Implications for social protection and health.
Existe uma tensão inerente à ideia de saúde como direito social e de saúde como bem econômico e individual, na medida em que esta ultima aproxima a prestação de serviços de saúde da lógica proprietária, cujo acesso depende da capacidade de pagamento de cada indivíduo ou família. A preferência por mercados (sobre os governos), incentivos econômicos (sobre normas sociais ou culturais) e empreendedorismo individual (sobre a ação coletiva ou comunitária) é uma característica marcante do neoliberalismo e, por isso mesmo, um projeto de desmonte do estado social, definido como um conjunto de dispositivos que visam atender às necessidades coletivas. O objetivo do artigo é examinar esse processo e suas implicações para a proteção social e a saúde, mediante algumas reflexões sobre dois fenômenos que ameaçam a saúde como direito social: as ideias e políticas neoliberais, de um lado, e a financeirização da riqueza, de outro. Argumentamos que o bem comum precisa ser defendido ou insulado tanto da devassa provocada pelo capital financeiro quanto pela erosão e fragmentação provocada pelo neoliberalismo nas instituições públicas e nos sistemas de proteção social.
Palavras-chave:
capitalismo; mercantilização; politica publica; saúde pública
Abstract:
There is an intrinsic tension to the idea of health understood as a social right and health as an economic and individual good, in that the latter approximates healthcare provision to the proprietary logic, whose access depends on the capacity of payment of each individual or family. The preference for markets (over governments), economic incentives (over social or cultural norms) and individual entrepreneurship (over collective or community action) is a hallmark of neoliberalism and, therefore, a project to dismantle the welfare state, defined as a set of policy mechanisms that aim to meet collective needs. The aim of this article is to examine this process and its implications for social protection and health by providing some reflections on two phenomena that threaten health as a social right: neoliberal ideas and policies, on the one hand, and financial capitalism, on the other. We argue that the common good must be defended or insulated boththe negative effects of financial capital andthe erosion and fragmentation caused by neoliberalism in public institutions and social protection systems.
Keywords:
capitalism; commodification; public policy; public health
Neoliberal meritocracy and financial capitalism: Implications for social protection and health.
Resumo (abstract):
There is an intrinsic tension to the idea of health understood as a social right and health as an economic and individual good, in that the latter approximates healthcare provision to the proprietary logic, whose access depends on the capacity of payment of each individual or family. The preference for markets (over governments), economic incentives (over social or cultural norms) and individual entrepreneurship (over collective or community action) is a hallmark of neoliberalism and, therefore, a project to dismantle the welfare state, defined as a set of policy mechanisms that aim to meet collective needs. The aim of this article is to examine this process and its implications for social protection and health by providing some reflections on two phenomena that threaten health as a social right: neoliberal ideas and policies, on the one hand, and financial capitalism, on the other. We argue that the common good must be defended or insulated boththe negative effects of financial capital andthe erosion and fragmentation caused by neoliberalism in public institutions and social protection systems.
Palavras-chave (keywords):
capitalism; commodification; public policy; public health
Viana, ALV, Silva, H.P.. Meritocracia neoliberal e capitalismo financeiro: Implicações para a proteção social e a saúde.. Cien Saude Colet [periódico na internet] (2018/Abr). [Citado em 08/11/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/meritocracia-neoliberal-e-capitalismo-financeiro-implicacoes-para-a-protecao-social-e-a-saude/16688?id=16688&id=16688
