ABSTRACT
The present paper aims to systematize information on health leaders inserted in state and municipal governments, to reflect on technical, academic and political influences in shaping their trajectories, seeking to contribute to the design an overview of Unified Health System (SUS) management at subnational bodies. The study is supported by research from secondary sources, including official databases, government portals and commercial news. Information from the secretaries of the 26 states and their capitals, in addition to the Federal District, in office in May 2021, was processed, generating 53 resumes, that were categorized as specialists (79%), health professionals (75%), career politicians (25%) and businesspeople (19%). Despite the significant partisan influence, a process of formation of bureaucratic cadres by the parties was found, beyond the electoral dispute. Of the thirteen career politicians identified, eleven were also typified by the analysis as ‘specialized’, questioning senses about the opposition between ‘technical’ versus ‘political’ profiles, suggesting the relevance of the intersections of trajectories. An exceptionality of technical insulation of health was not confirmed. Thus, the image that political party forces are antagonistic to academic training and experience in public administration is unrealistic, suggesting that health is simultaneously specialized and politicized.
KEYWORDS
Politics; Unified Health System; Health manager; Local government; State government