Abstract
This paper articulates contemporary themes of the development agenda as global phenomena that affect the dissemination and direction of health technical progress, subjecting the sustainability of the Unified Health System (SUS). The evaluation of the external dependence of the Brazilian Health Economic Industrial Complex, the bibliographical review of the literature on economic complexity and its data on Latin America and Brazil and the collection and evaluation of statistical data from the World Intellectual Property Organization and the National Institute of Industrial Property enable us to build an overview of increasing economic and power asymmetries that reiteratesthis centre-periphery pattern in multiple themes and geographical scales. This perspective consolidates the endogenous link between national development patterns and structural possibilities and boundaries for the setting of a Brazilian universal health system. Confronting global technological asymmetries is part of a strategic agenda that conditionsthe advancingof the Unified Health Systemtowards its founding principles of universality, comprehensiveness and equity.
Highlights
In the late 1990s, the intertwining of economic, social and global geopolitics realms emerges strongly in the field of health, involving aspects related to the struggle for economic hegemony and the global technological pattern that are highly relevant to national policies, as was evident in the 1994 negotiations on the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS), its developments in the Doha Round which began in 2001 and the priority treatment given by the World Health Organization to innovation, intellectual property and access[1,2]
This paper shows how dependency is manifested in the situation of trade flows between countries and regions, the specialization of the productive base in products and services with different degrees of complexity and private appropriation of innovations, evidencing the reproduction of global asymmetric patterns in the field of health
Lula and Dilma governments, especially in the 2003-2014 period, despite having strong macroeconomic policy continuity elements, were marked by the resumption of a vision and actions focused on industrial policy and productive development, prioritizing productive sectors, chains and complexes with greater technological content, with Health Economic-Industrial Complex (HEIC) gaining significant prominence and where strengthened bilateral negotiations with countries of the South[6,10] was an important event
Summary
In the late 1990s, the intertwining of economic, social and global geopolitics realms emerges strongly in the field of health, involving aspects related to the struggle for economic hegemony and the global technological pattern that are highly relevant to national policies, as was evident in the 1994 negotiations on the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS), its developments in the Doha Round which began in 2001 and the priority treatment given by the World Health Organization to innovation, intellectual property and access[1,2].The articulation between health, national development patterns and international relationships and disputes has been strengthened by the process of increasing competition on a global scale.
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