Abstract
This article aims to discuss the impacts of the private sector on brazilian health policy and its relationship with the dismantling of the Unique System of Health (SUS). Therefore, we seek to carry out an analysis of the impacts of ultra-liberal economic policies that defend proposals for market-oriented health systems. The dismantling of public policies, especially in Primary Health Care, in a social, political and economic scenario in which contradictions pertaining to management models in the country operate is a reflection of the biggest challenge: the politic. Therefore, the defense of democracy and the history of struggles reintegrate the need for reflection on the processes experienced by workers and users during the Brazilian Health Reform.

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