A política de saúde na proteção social do Brasil: gasto orçamentário e welfare state em perspectiva histórica

Abstract

In this paper we intend to discuss some of the main aspects of the public policy studies, mainly those related to the production of the welfare state, linked to the classical ideas of common good and public interest. Our premise is that, under the austerity program in political economy we‟ll find a decrease of public investment, with the consequent decrease of public policies that are the responsible for producing the social welfare intended by the welfare state. Therefore, our main goal is to reflect on the presence of a welfare state in Brasil, through the analyses of the specialized literature. Our philosophical reflection will point to a definition of welfare that interrelate the political science with the public health debate, once that the paradigm adopted in Brazil after the proclamation of the Constitution in 1988 we have a concept of social welfare that gets closer to the one of “integral health”, used in the literature about the country‟s public health system, taking in account bio psychosocial aspects of the human being.