Abstract
The growth of neoliberalism in Brazilian social policies has resulted in setbacks in social indicators, in working conditions and performance of health services. Nonetheless, little is known about how neoliberalism acts in concrete practices and care relationships. This article aims to contribute to the analysis of the impacts of neoliberalization of health in Brazil, focusing on the capillarization of neoliberalism in daily care., and to reflect about forms of resistance to neoliberalism in health. We draw on the Marxist and feminist critique of everyday life, which considers the interdependence between the global and the local in health policies and practices. We consider results of a qualitative research on health care for the unhoused population in Rio de Janeiro, as a way of illustrating the impact of neoliberalism in the daily life of health services and its consequences on the perceptions of health professionals and users. We observed that individual and collective attitudes of health professionals show forms of resistance to hegemonic neoliberal rationality. The lens of everyday life allows us to observe both the reproduction of neoliberal global dynamics, as well as attitudes that can enable transformations and the persistence of an empathic approach to care as an act of resistance to neoliberalism.
Keywords:
Primary Health Care; Health Services; Neoliberalism; Privatization; Homeless Persons