BONE MARROW TRANSPLANTATION AND INVERTED LOGIC OF SUS: CHALLENGES FOR THE PRACTICE OF THE PROFESSIONAL

Abstract

The study was conducted from the experience lived in the multiprofessional residence in oncology.
We aim to analyze the inversion of the logic of SUS in the materialization of BMT, addressing the role
played by the social worker who opts for the professional ethical-political project, in the face of
contradictions, limits and possibilities put to practice in health, in a transplant unit. To this end, we
address the socioeconomic conditions for maintaining life with quality of the transplanted user and
the challenges of acting against social policies and trends in health. In order to achieve these goals,
we need to identify the impacts suffered by users after the BMT, the cost, the analysis of social
policies in the current conjuncture and the trends assumed, especially in the health area. Results:
With the almost exclusive priority of performing BMT, without guaranteeing the socioeconomic
conditions for the user to support the transplant and survive, the logic of SUS is reversed. Thus, if the
priority of investments was given to actions aimed at prevention and health promotion, the incidence
and mortality rates for chronic diseases would be significantly reduced, thus reducing the amount of
demands for high cost treatments, reducing, consequently, their need. However, if the logic of
constitutional SUS were maintained, it would impact the prospect of maintaining health as a potential
business area, as an interesting commodity, aiming for gradually higher profits, in the proposal of
capital appreciation and concentration. Conclusion: We note that the way in which investments in
health are applied reveals that the interest is not focused on ensuring the health of the population,
meeting the principles and guidelines of the SUS, but on meeting the bourgeois interests of capitalist
accumulation.