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Inovação Política, Distributivismo e Crise: A Política de Saúde nos Anos 80 e 90

The article assesses the organizational arrangements and innovations in Brazilian health-care policy that occurred during the 1980s and 1990s. The sector underwent important institutional shifts that threatened its entitlement status as a public policy. Health-care policy also created means of access to decision-making mechanisms and to sources of funds associated with distributive type governmental policies. This policy pattern favored decentralized, multi-centered decision-making arenas and satisfactory means of access to public funds at minimum costs for interest demands. This perception of health-care policy as entailing low fiscal and institutional costs account for the fact that sector actors (e.g., representatives of municipal interests) were extremely open to the policy innovations included on the agenda of the 1980s sanitation reform, such as decentralization and social control

Health-care policy; distributivism

Instituto de Estudos Sociais e Políticos (IESP) da Universidade do Estado do Rio de Janeiro (UERJ) R. da Matriz, 82, Botafogo, 22260-100 Rio de Janeiro RJ Brazil, Tel. (55 21) 2266-8300, Fax: (55 21) 2266-8345 - Rio de Janeiro - RJ - Brazil