PMID- 31778498 OWN - NLM STAT- MEDLINE DCOM- 20200420 LR - 20200420 IS - 1678-4561 (Electronic) IS - 1413-8123 (Linking) VI - 24 IP - 12 DP - 2019 Dec TI - The coalition of health entrepreneurs and their proposals for the reform of the Brazilian health system: political and programmatic setbacks (2014-2018). PG - 4479-4488 LID - S1413-81232019001204479 [pii] LID - 10.1590/1413-812320182412.25802019 [doi] AB - With the aim of systematizing the health private sector proposals related with the reformulation of the Brazilian health system, as well as contributing to the understanding of its meaning, an essay was carried out, based in documents from the Health Coalition Institute (ICOS) published in the period from 2014 to 2018. The document content analysis was carried out guided by some concepts of Bourdieu, Coutinho and Labra. With the change in the correlation of forces resulting from the 2016 parliamentary coup, the private health sector's proposals gained visibility, which initially seemed to correspond to an update of its historical agenda, but which are progressively changing to suit the new political and economic scenario. From then on, conditions of possibility were created for the protagonism of these entrepreneurs in the field of power in relation to sectoral reform and the formulation of health policies, with consequences related to the disruption of the Brazilian Unified Health System (SUS). The contradictions between the discourse of defense of SUS by the entrepreneurs, and the privatizing concrete proposals may reveal a search for the symbolic profits associated with the defense of the public interests and of the universal. FAU - Morais, Heloisa Maria Mendonca de AU - Morais HMM AUID- ORCID: 0000-0001-8244-6601 AD - Programa de Pos-Graduacao em Saude Coletiva, Universidade Federal de Pernambuco. Av. Prof. Moraes Rego 1235, Cidade Universitaria. 50670-901 Recife PE Brasil. heloisa.morais@uol.com.br. FAU - Oliveira, Raquel Santos de AU - Oliveira RS AUID- ORCID: 0000-0002-6189-1543 AD - Centro de Ciencias Medicas, Universidade Federal de Pernambuco. Recife PE Brasil. FAU - Vieira-da-Silva, Ligia Maria AU - Vieira-da-Silva LM AUID- ORCID: 0000-0003-2518-411X AD - Programa de Pos-Graduacao em Saude Coletiva, Instituto de Saude Coletiva, Universidade Federal da Bahia. Salvador BA Brasil. LA - por LA - eng PT - Journal Article TT - A coalizao dos empresarios da saude e suas propostas para a reforma do sistema de saude brasileiro: retrocessos politicos e programaticos (2014-2018). DEP - 20190903 PL - Brazil TA - Cien Saude Colet JT - Ciencia & saude coletiva JID - 9713483 SB - IM MH - Brazil MH - Economics MH - *Health Care Reform MH - *Health Care Sector MH - Health Policy MH - Humans MH - National Health Programs/*organization & administration MH - Politics MH - *Private Sector MH - *Privatization MH - Right to Health EDAT- 2019/11/30 06:00 MHDA- 2020/04/21 06:00 CRDT- 2019/11/29 06:00 PHST- 2019/01/30 00:00 [received] PHST- 2019/07/12 00:00 [accepted] PHST- 2019/11/29 06:00 [entrez] PHST- 2019/11/30 06:00 [pubmed] PHST- 2020/04/21 06:00 [medline] AID - S1413-81232019001204479 [pii] AID - 10.1590/1413-812320182412.25802019 [doi] PST - ppublish SO - Cien Saude Colet. 2019 Dec;24(12):4479-4488. doi: 10.1590/1413-812320182412.25802019. Epub 2019 Sep 3.