An alternative narrative in the teaching of the Brazilian Sanitary Reform: the critical debate of a political choice

Leonardo Carnut Áquilas Mendes Maria Cristina da Costa Marques About the authors


The Brazilian Sanitary Reform is a fundamental chapter for understanding the history of collective health. In spite of the relevance of the theme, there is a tendency to focus the teaching of this content on the institutional trajectory of policies to the detriment of the ‘political choice’ that were made. In this perspective, this article aims to construct an alternative narrative for the teaching of the Sanitary Reform, through the rescue of the arguments of three authors affiliated to the Marxist thought, namely, Sergio Arouca, Jaime de Oliveira, and Jairnilson Paim. Specific texts of these authors are used for didactic purposes in distinct socio-historical periods, considered as essential sources for understanding the political choices made by the Reform movement. The excerpts of the texts that deal with the categories that are fundamental for a Marxist analysis were considered as corpus of analysis. Proposals that conversed between the categories and the political choice of the Sanitary Reform presented by the authors were taken as the unity of the text. It is concluded that the building up of this other narrative for the teaching of the Brazilian Sanitary Reform can contribute to the expansion of a critical thought about the future of public health in the country, in the context of the increasing democratic restrictions.

Politics; Unified Health System; Health systems; Teaching; History

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