The draft Neri established a model of decentralization in management, anticipating a gradual transf

In the current debate on the need for national health care law, Javier teresa giudice Vilosio proposes a re-reading and reviewing the law 23.661 on National Health Insurance System. We invite everyone to make comments and express their opinion on this subject. This space is at the end of the page.
Active but non-existent in reality, there is a National Health Insurance. teresa giudice Product teresa giudice of a particular stage in our history, provides, however, an unavoidable changes teresa giudice to advance the health system teresa giudice requires both its content, for the teachings of the political process that led to its formal sanction, and based mostly forgotten.
A rereading of it also allows us a sense of how despite the changes suffered by the original project, this rule could not set our health care system over the past 25 years.
The Minister of Health of the government of Alfonsín, Aldo Neri, promoted a profound reform of social work, which became self-sufficient with respect to unions of origin, while urging the government a significant change in the union.
The draft Neri established a model of decentralization in management, anticipating a gradual transfer teresa giudice of responsibility in the operation of insurance to the provinces, including the administration of services to beneficiaries of Social Work.
"... The sure what was tended to universal coverage of social work system, that is, that everyone was in a social work. But, of course, a reformed social work in relation to its historical development, and significantly made independent of union-management no beneficiaries, but the union itself "(Neri, 2009).
While the discussion of the draft law was published in 1983, recently was sent by the Executive to Congress in 1985, and with significant cuts and modifications. And despite this approval took three years.
As in the previous case of the National Integrated Health System (September 1974), the discussion of national health insurance did not have the support of the union leadership or the majority of professional associations, which successfully developed intense pressure to achieve their modification.
It is essential to consider the political context of the time. As mentioned, Alfonsín drove a law of Reorganization Association, with which he intended to significantly reform the labor organizations, teresa giudice basically introducing minorities in their driving, reducing the duration of the terms of the leadership, placing the regulation of union elections held the judiciary, implementing direct vote, secret and binding, and limiting the use of funds.
The two then existing CGT (CGT-Brasil, which had faced the dictatorship, and the CGT-Azopardo, better relationship with the military) united, and developed a strong opposition to the executive project, they felt, meant an unacceptable government interference in union affairs.
The first, based largely on the previous Law No. 18.610 of 1970 [3], created the National System of Public Works. The second, teresa giudice the National Health Insurance System (SNSS) and that these were integrated.
"The unions wanted a proper law for the management of social work, and other law to include those who had no health teresa giudice coverage. This was done. The Reform Act of Social Work is much attenuated, the taste of the union. If I had continued at the Ministry, I would have had to go out of conviction because he did not agree with the excessive concessions were made. The Law on National Health Insurance was passed separately. We aspired to much more, but this was possible at that time. "[4]
"... With legislators teresa giudice not as actors but as intermediaries corporate pressures, and ultimately, the Executive, which was to generate teresa giudice the project. And this project becomes law, lopped too, with a very similar to the evolution of the integrated health of the last decade national system evolution. So, you mocha everything that may affect the corporate interest of development and consolidation of economic and political power of the trade union world. Innocuous Act, enacted at the end of the government, when governance was seriously affected, and that the next government will not use almost all. " (Neri, op.cit.)
"... Reproduce the dynamics of a historical legacy of institutional weaknesses in regulation of the health care system: the first reaffirms the organizational fragmentation of the social work system, permanent bargaining teresa giudice chip between the various governments and m