Efeitos distributivos da judicialização da saúde: o estudo do caso do município de Franca/SP na perspectiva da teoria dos sistemas autopoiéticos e do ciclo de políticas públicas
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Data
2017-06-14
Autores
Hass, Henrique Duz [UNESP]
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Universidade Estadual Paulista (Unesp)
Resumo
Este estudo tem por objetivo analisar a capacidade do Poder Judiciário em lidar com questões relativas a políticas públicas de assistência farmacêutica, bem como examinar a eficiência distributiva pela qual vem promovendo este direito social. O government by policies, a constitucionalização dos direitos sociais e a crise de representatividade política têm levado os Tribunais a assumirem um papel central na efetivação destes direitos. Contudo, trata-se de um tema que necessita aprofundamento, tendo em vista as formas com que o Judiciário intervém e as implicações que provoca. Esta proposta investigativa não pretende discutir a possibilidade de existência do fenômeno, tampouco a legitimidade democrática da atuação jurisdicional. O diferencial está no enfrentamento da questão a partir da compreensão dos limites da capacidade operacional do sistema jurídico, na análise interdisciplinar de políticas públicas e na demonstração empírica de seus impactos. Pretende-se, assim, examinar se o padrão de funcionamento judicial é adequado e válido para substituir o crivo político-administrativo e lidar com todos os elementos necessários da implementação da política pública e, além disso, se mostra-se consciente do conjunto de processos que constituem uma política pública. Por fim, verificaremos quais os efeitos distributivos da decisão judicial, com base em uma pesquisa documental qualitativa, no intuito de avaliar se a judicialização assiste os mais vulneráveis e reduz as desigualdades sociais ou se, na verdade, acaba por inverter a lógica distributiva, beneficiando os já favorecidos. Tudo isso no intuito de averiguar se o Judiciário é capaz ou não de desempenhar a função política que atualmente desagua nele ou se seu protagonismo evidencia uma disfuncionalidade.
The objective of this study is to analyze the capacity of the Judiciary to deal with issues related to public policies of pharmaceutical assistance, as well as to examine the distributive efficiency that this social right has been promoted. The governments by policies, constitutionalization of social rights and crisis of the political representation have led the Courts to play a central role in the realization of these rights. However, this is a subject that needs to be deepened, considering the ways in which the Judiciary intervenes and the implications that it causes. This investigative proposal does not intend to discuss the possibility of existence of the phenomenon, nor the democratic legitimacy of the judicial action. The differential lies in confronting the issue by understanding the limits of the operational capacity of the legal system, the interdisciplinary analysis of public policies and the empirical demonstration of its impacts. The aim is to examine whether the standard of judicial functioning is adequate and valid to replace the political-administrative sieve and to deal with all the necessary elements of the implementation of public policy. In addition, we intend to analyze if the Judiciary is aware of the set of processes that constitute a public policy. Finally, we verify the distributive effects of the judicial decision, based on a qualitative documentary research, in order to evaluate if the judicialization assists the most vulnerable and reduces social inequalities or reverses the distributive logic. All this in order to find out if the Judiciary is capable of performing the political function that currently drains in him or if its protagonism shows a dysfunctionality.
The objective of this study is to analyze the capacity of the Judiciary to deal with issues related to public policies of pharmaceutical assistance, as well as to examine the distributive efficiency that this social right has been promoted. The governments by policies, constitutionalization of social rights and crisis of the political representation have led the Courts to play a central role in the realization of these rights. However, this is a subject that needs to be deepened, considering the ways in which the Judiciary intervenes and the implications that it causes. This investigative proposal does not intend to discuss the possibility of existence of the phenomenon, nor the democratic legitimacy of the judicial action. The differential lies in confronting the issue by understanding the limits of the operational capacity of the legal system, the interdisciplinary analysis of public policies and the empirical demonstration of its impacts. The aim is to examine whether the standard of judicial functioning is adequate and valid to replace the political-administrative sieve and to deal with all the necessary elements of the implementation of public policy. In addition, we intend to analyze if the Judiciary is aware of the set of processes that constitute a public policy. Finally, we verify the distributive effects of the judicial decision, based on a qualitative documentary research, in order to evaluate if the judicialization assists the most vulnerable and reduces social inequalities or reverses the distributive logic. All this in order to find out if the Judiciary is capable of performing the political function that currently drains in him or if its protagonism shows a dysfunctionality.
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Palavras-chave
Judicialização da saúde, Teoria dos sistemas autopoiéticos, Análise jurídica de políticas públicas, Ciclo de políticas públicas, Efeitos distributivos, Health judicialization, Theory of autopoietic systems, Legal analysis of public policies, Public policies cicle, Distributive effects