Abstract
Did the population change or did the system change? Before the creation of the Unified Health System (SUS), in 1988, access to health services in Brazil was subdivided into some categories: there were private patients (nowadays called private payers) out of pocket); social security patients (those who collected an amount for social security social, as a result of being formally employed, with a signed professional card); some insured (by public institutes, such as the Instituto de Assistência Doctor to the State Public Servant of São Paulo – Iamspe); other beneficiaries of a few plans existing private health services (such as Samcil, the Amil, some Unimed or linked to companies such as CASSI, among others); rural areas (with some degree of coverage health care through the Assistance Fund for Rural Worker – Funrural); and the so-called indigent, unable to pay for services provided in some way. In theHoly Houses of Misericórdia, a type of health service available in the country shortly after the discovery (1500s)
until the nowadays, it was possible for citizens of any of these categories are met.
References
Boletim do Instituto de Saúde. São Paulo: Instituto de Saúde; 2023;24(Edição Especial).
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