This paper considers the context of brazilian social dynamics as a challenge for relations between the management of the health system and health work. In addition to the recently signed agreements between governmental entities, the study recognizes the imperative need for an ethical political pact between managers and workers. In this pact, the management system should take the daily perspective of care production and recognize the role of the essential actor who is the health worker. Given the absence of an ethical-political pact between managers and workers, presents a proposal for its build-up as a contribution to the consolidation of the Unified Health System.
Health care; human resources; personnel management; Unified Health System; Public Health