Sistema Regional de Información
en línea para Revistas Científicas de América Latina,
el Caribe, España y Portugal

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In the globalization process, labor flexibilization and the population's vulnerability tend to increase. The purpose of this study is to analyze the situation of the work market in the Brazilian health sector under the light of vulnerability in the globalization context. A systematic study was carried out based on national and international technical and scientific production. The concepts of vulnerability were used as the theoretical base, as they consider not only issues that are pertinent to the health sector, but also to its relationship with the social structure and superstructure, which can integrate with each other in the framework of this sector's work conditions, which, in turn, can elucidate the formulation of policies that are more human for the workers.

The impacts capitalistic globalization has had on the health professionals' education can be represented by technical, polyvalent, individualistic and competitive training, among other aspects. In this context, the public space, the humanistic dimension, and critical thought are neglected. The purpose of this essay is to propose reflection on the education of health professionals for alienated work in health in the context of neoliberalism and suggests possibilities to break away from this type of training. A thematic agenda presents concepts that are considered fundamental for the organization of critical thought among health professionals. The goal is to point to paths to include health professionals in the construction of another possible world, breaking away from the dehumanizing logic of capital that has individualism and profit as its foundations.

This article proposes a reflection on the transformations that have been taking place in professional training in health, using the health sector and education competencies as a reference in the professionals' ordainment in consonance with the construction of the Single Health System and of its policies from the Family Health Strategy perspective. The text focuses on the progress made in the formulation of the health human resource policy in Brazil with regard to the reorganization of the higher education institutions and opportunities for the reorientation of new pedagogic models to develop health professionals who are knowledgeable of the population's social problems and health, becoming capable of intervening in the sector's reorganization. In this regard, it contributes to the discussions in the health human resource area, offering subsidies to a reflection on professional qualification for the Single Health System/Family Health Strategy.

This article analyzes the changes the main multilateral agencies made, in the turn of the century, to the public policy approaches in countries where there was 'dependent capitalism,' changes materialized in the 'millennium development policies' (MDP). It is noticeable that new ideological bases, underpinned by Robert Putnam's 'social capital theory,' were introduced in these policies. In the realms of education, it is thought this adjustment process will trigger a new stage of renewal of the human capital ideology, one that increases the attributions of the school and limits the political dimension that inserts pedagogic action. The thesis is that the MDPs are intellectually- and morally-driven function hegemony mechanisms, with concrete actions and goal definitions focused on the tiers of workers who are 'excluded' from the productive process but, none-theless, are still able to produce, aiming to establishing a more intensive process of educating for conformism. The Gramsci categories are used as a base for the analyses.

The article seeks to dialogue with the discoveries presented by Luciana Dias de Lima in her article about fiscal federalism and decentralized funding of health in Brazil by presenting partial, unpublished results of a study carried out between 2006 and 2008 regarding basic care funding strategies in cities with more than 100,000 inhabitants in the State of São Paulo. The study involved two interrelated modules: secondary data collection and analysis, seeking to relate health funding indices on the local plan to basic care performance levels, and semi-structured interviews with health managers of selected cities. The results show, on one token, that the different basic care models that exist in the cities, as well as the differentiated levels of efficacy and effectiveness of the municipal health systems, are related to the health funding and expenditure standard in these cities; and, on the other, that there are several aspects that tend to play decisive roles in the availability of financial resources for the development of basic care, including committing resources with medium-complexity and high-complexity services and the city's political alignment with the remaining spheres of government.