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The financialization of social and health policy in Brazil in the 21st century: elements for beginning the process

Abstract

The objective of this article is to review the literature on financialization and to: show how it is expressed in the debate on Brazilian social policies, especially Healthcare, assuming financial dominance as a new way of being of the global wealth production regime. It emphasizes evidence of financialization, its concepts and its expression in the Brazilian case. Gaps are pointed out in current studies on the welfare state and possible approaches to the topic of financialization. We highlight studies with this proposal in Brazil, identifying trends in social assistance, pensions, housing, education and, particularly, healthcare. The review highlights the relevance of the theme and the limits of sectoral approaches in Brazil. It is postulated that, in the healthcare sector, changes in the pattern of accumulation followed the spread of financialization. This new context weakens approaches restricted to public budget issues and the role of the state, and demands to be improved by empirical research on private agent's frame and political agenda.

Keywords:
Financialization; Social policy; Welfare state; Health policies

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