How can those who formulate policies deal with the aspiration of producing a universal health context in a context of fiscal restrictions of the State? There seems to be a contradiction between the redistributive model the Brazilian Constitution predicates and the level of public expenditure with health. In this scenario, increasing financial resources is a precondition in order to deny the 'non-universal' and 'non-decentralized' SUS, so it will not deny itself as a social right. Such as the model of decentralization professed by SUS ideologues, a system that suffered from the scarcity of resources, most of the management problems result from the chronic funding crisis, and adopting efficiency measures cannot serve as the base to cut the SUS' level of financial or organizational resources. On the contrary: improved efficiency can, in fact, mean and require increased spending.
health; government expenditures and health; efficiency
