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The funding of the healthcare system tends to be a little complicated and some benefit more than others. The problem is the funding comes from the federal, state and municipalities. The larger states will get more funding than the smaller states so in fact the larger states would have better care and facilities to treat the people than the smaller and more poor states. The percentage of GDP that is spent on SUS is only 3% which is completely not accurate with the amount of people who depend on SUS. Most of the rest of the health GDP is invested in the private sector of health. This leads to a constant competition between the public and private sectors which leads to conflicting goals.

See The Economist. Health Care in Brazil. An Injection of Reality. http://www.economist.com/node/21524879

There also seems to have been corruption within the Ministry of Health. In which funds designated to the SUS wasn’t completely going to the system. Since only a specific percentage has to be recorded the amount that could have been taken out isn’t known. There were also instances where the same doctor was being hired in multiple different specialties instead of just one. The doctors were also found to be charging patients for surgeries or practices that were already covered by SUS. This leads there to be a system of checks and balances needed to be put in place with the health care system.

See  Brazil’s SUS National Health Problems by Felicia Bryson in The Rio Times

For all the programs the problem seems to be that there aren’t enough doctors, nurses, clean hospitals, equipment and sanitation in the system. There aren’t enough beds to service the population who rely in the system and the long waits for care at the moment and in the future causes people to at times worsen in their respective conditions. Also, what a doctor makes in providing his work to the public sector he can be making twice as much in the private sector. There is no incentive for any doctor to stay in the public sector of health when they can easily make the switch to the private sector which is growing. The income inequality is especially large in Brazil and more and more people who are rising out of poverty are leaving the system in order for better care in the private side of it. In October of this year there was a massive strike in Rio and 21 other states by the doctors and health professionals in protest against the low pay and poor working conditions. They are protesting that the care that is being provided by the SUS isn’t sufficient for the people and for those who provide it.A federal hospital in Rio also went on strike because of the lack of physicians, other medical professionals and funding being provided. A survey was later conducted and showed that there were many parts of the hospitals that were shut down due to lack professionals working in them.

See The SUS Doctors in Brazil Strike in 21 States and Federal Hospitals to go on Strike in Rio by Brennan Stark in The Rio Times 


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