Brazil 's public health care system, considered among the world's most advanced when it was launched, is being pushed to the brink by the ...
BookmarkRIO DE JANEIRO: Brazil's public healthcare system, considered among the world's most advanced when it was launched, is being pushed to the brink by the coronavirus pandemic, which has exposed the impact of years of under-funding and mismanagement.
As Brazil closes in on 100,000 deaths from COVID-19 - the second country in the world to reach that bleak milestone, after the United States - the public healthcare system is struggling to care for those who depend on it.AdvertisementREAD: Latin America see coronavirus records tumble as cases near 5 million
Launched in 1988, the so-called SUS - for Sistema Unico de Saude, or Single Health System - was modelled on Britain's National Health Service (NHS).It was created when Brazil adopted a new constitution to steer it out of its 1964-1985 military dictatorship. headtopics.com
The constitution states that"health is a universal right and a duty of the state."AdvertisementAdvertisementMore than 70 per cent of Brazil's 212 million people depend exclusively on the public health care system. (AFP/TARSO SARRAF)The SUS is one of the only systems in Latin America to offer universal coverage, meaning free access to health care for the entire population - in theory, at least.
"On paper, the SUS is a perfect system. But in reality, we have a lot of problems," said Fred Nicacio, an emergency room physician in the southeastern city of Bauro."We need more hospital beds, staff and a wider range of medicines," he told AFP.
Several of his colleagues have been infected with the virus, taking them out of commission for two weeks - sometimes without being replaced."The healthcare professionals on the front line are demotivated, underpaid and feel undervalued," he said.
He also noted that systemic corruption is another major problem."It stretches all the way from political leaders embezzling funds for supplies to patients pretending to be sick so they can get a doctor's note for work," he said.Brazil has been rocked by numerous scandals related to the pandemic, including over-billing for emergency ventilator purchases and field hospitals that were budgeted for but never built. headtopics.com
"CHRONIC CONDITION"But corruption alone, though a"serious problem," does not explain the cruel lack of resources for the public health system, said Guilherme Werneck, vice president of the Brazilian Collective Health Association (ABRASCO).
"The constitution says the state has a duty to guarantee access to healthcare, but funding for the SUS is extremely, chronically insufficient," he said.Doctors treat a patient infected with COVID-19, which has pushed the Brazilian healthcare system to the brink, at the Intensive Care Unit of the Hospital de Clinicas, in Porto Alegre, Brazil, on Apr 15, 2020. (AFP/Silvio AVILA)
A 2019 report by the Organisation for Economic Co-operation and Development (OECD) found Brazil was among the countries making the least public investment in healthcare, with per capita spending 30 per cent below the average for developed and emerging countries.
Brazil spends just four per cent of gross domestic product (GDP) on public health, less than half the level in countries such as Germany, France and Britain."Since the SUS was created 30 years ago, health has never been a strategic priority on the national agenda," said Luciana Dias Lima, a researcher at leading public health institute Fiocruz. headtopics.com
Far-right President Jair Bolsonaro's administration"is not engaged enough" in coordinating the public health services, she said.READ: 'What are you afraid of?': Recovered from COVID-19, Brazil President Bolsonaro says nothing to fear
VIRUS HIGHLIGHTS INEQUALITIESParadoxically, even as the federal government faces accusations of under-funding the public health system, it indirectly finances the private health system via tax breaks for those who can afford private health insurance."No other country with a universal healthcare system funds the private sector like that," said Lima.
"That money could be spent on financing the SUS instead," said Werneck, who has a doctorate in public health and epidemiology from Harvard.More than 70 per cent of Brazil's 212 million people depend exclusively on the SUS.Its track record has not been good during the pandemic: the rate of recovery for COVID-19 patients hospitalised in the private system is 50 per cent higher than for those in the public system.
"The pandemic has deepened inequality: the poorest are most exposed, because they often live in inadequate sanitation conditions, have more chronic illnesses and have more problems getting a hospital bed," said Werneck.Brazil's track record has not been good during the pandemic: the recovery rate patients hospitalised in the private system is 50 per cent higher than for those in the public system.(recovering patient pictured July 15, 2020 in Rio de Janeiro). (AFP/Mauro PIMENTEL)
"If the SUS were better-funded, the response to COVID-19 would have been much better," he added. Read more: CNA »
A Chinese ‘auntie’ went on a solo road trip. Now, she’s a feminist icon
Covid-19 weighs on two of HK's biggest retail landlordsTWO of Hong Kong's biggest landlords reported lacklustre results on Thursday, showing early evidence of how deep the retail pain extends in the city. Read more at The Business Times.
307 new COVID-19 cases in Singapore, including 1 community infectionSINGAPORE: Singapore reported 307 new COVID-19 cases as of noon on Saturday (Aug 1), including one community infection, said the Ministry of ...
COVID-19: Singapore confirms 307 new cases, one in the communityThe Ministry of Health preliminarily reported 307 new COVID-19 cases in Singapore as of Saturday (1 August) noon, taking the country’s total to 52,512.
Tokyo reports record 472 new COVID-19 cases on Saturday: ReportThe number of new coronavirus cases confirmed in Tokyo was around 472 on Saturday, a new record, NHK public television quoted Tokyo officials as ...
Telemonitoring solutions for Covid-19 patientsCovid-19 patients being cared for in community care facilities (CCFs) are getting their vital signs monitored round the clock using smart tracking kits that send their data remotely to doctors.. Read more at straitstimes.com.
China reports 49 new COVID-19 cases for Aug 1China reported 49 cases of the new coronavirus in the mainland for Aug. 1, up from 45 cases a day earlier, the health commission said on Sunday.