A precursor experience of the SUS with the participation of Paulo Freire.

The text is based on a round table held at the Faculty of Education (FE) of the State University of Campinas (Unicamp) as one of the activities to commemorate Paulo Freire's Centenary (2021). It aims to record part of his time at the university, from 1980 to 1991, based on the work conducted with FE and the Faculty of Medical Sciences (FCM) through training and extension activities at the Paulínia-SP School Health Center. It also describes and analyses the agendas of the country's re-democratization process, the clashes over public policies in the National Constituent Assembly, and the process of setting up an integrated and universal system of education and collective public health from a participatory perspective.

30 years of SUS: the beginning, the pathway and the target.

In this text, we refer to the solid and historical civilizational roots of the Brazilian Unified Health System, SUS (Sistema Único de Saúde) that give it a perennial status. Data and analyses are systematized, pointing out, in parallel to the construction of SUS, the construction of another public health policy that has subverted the principles and guidelines of the Federal Constitution of 1988: a real, implicit and hegemonic policy. As for SUS, we identify and reinforce explicit advances and resistances with its principles and guidelines, over this 30 year period, but with invaluable accumulation in management, evaluation, knowledge construction, appropriate technologies, resistance strategies and politicization in defense of the constitutional directives.

[The Brazilian Unified Health System (SUS), State Public Policy: its institutionalized and future development and the search for solutions].

This paper redeems the significance of the health reform movement and the municipal healthcare movement in the context of the 1970s and 1980s, and its social, politic and innovative power in the democratic reconstruction of the day. It then notes that the implementation of the constitutional guidelines, regulated in 1990 by Laws 8080/90 and 8142/90, has been characterized in the last 22 years by four major and mounting obstacles imposed by State policy on all governments: federal underfunding; federal subsidies to the private health plan market; resistance to reform of the State management structure of service provision; and the handing over of administration of public facilities to private entities. The Brazilian Unified Health System (SUS) included half the population that was once excluded in the public health system, though these obstacles keep the coverage of primary care focused below the poverty line and with poor resolution.

[Public healthcare policy in Brazil: crossroads and choices].

Besides recognizing the irreversible advances made in the Brazilian Health System, the author unveils the crossroad by identifying questions still pending over the more than seventeen years of the Organic Law on Health--in the management models of the system and of the services, in the healthcare models, in the democratic participation. Scenarios of the current situation are evaluated, the Pact in favor of Life, the Brazilian Health System, the EC-29 regulation (Amendment to the Constitution) and the Plan for Growth Acceleration in Health and its intersections. The author points to some solutions and finally refers to three successive conjunctures--the 80s, the 90s and the present decade--aiming to contribute to the search and choice of directions.

[The evolution of the Brazilian National Health System, strategic courses of action and strategies to understand these actions].

The author has the intention to propose to the Brazilian health care management and sanitary reform managers an examination and positioning on the course of action in the implementation of SUS (Brazilian National Health System). The findings underscore two non-convergent set of policies that have affected the course of action in the implementation of the SUS in the 1990s: the first and 'main' course of action derives from policies created in 1988 in the so-called Citizen Constitution, of which the SUS is the most important achievement. The second and "additional" course of action derives from the prevailing macro-economic model and its related policies, implemented since the 1990s, besides advocating a social inclusion measure while leaving out all the related improvements of SUS such as Universality, Integrity and Equity.

[Quality of life in renal transplant patients: impact of a functioning graft].

Objective measures to evaluate quality of life are gaining importance as an adjuvant in assessing therapeutic interventions. The study purpose was to compare quality of life in renal transplant patients with functioning graft and those who restarted dialysis after graft loss. Quality of life was measured using the World Health Organization Quality of Life questionnaire (WHOQOL-Bref).