SciELO - Scientific Electronic Library Online

 
vol.24 issue11Digital cervicography criteria: improving sensitivity in uterine cervical cancer diagnosisParticipation, knowledge production, and evaluative research: participation by different actors in a mental health study author indexsubject indexarticles search
Home Page  

Cadernos de Saúde Pública

Print version ISSN 0102-311X

Abstract

TAKAHASHI, Mara Alice Batista Conti  and  IGUTI, Aparecida Mari. Changes in workers' rehabilitation procedures under the Brazilian social security system: modernization or underminingof social protection?. Cad. Saúde Pública [online]. 2008, vol.24, n.11, pp. 2661-2670. ISSN 0102-311X.  http://dx.doi.org/10.1590/S0102-311X2008001100021.

This article describes the changes in workers' rehabilitation practices under the Brazilian National Social Security Institute (INSS) in the 1990s, in the context of neoliberal economic adjustment measures, based on an analysis of INSS documents from 1992 to 1997. The INSS plan for "modernization" of workers' rehabilitation led to: (1) dismantling of multidisciplinary teams; (2) induction of workers to accept proportional retirement pensions and voluntary layoffs; (3) under-utilization of the remaining INSS professional staff; (4) elimination of treatment programs for workers' rehabilitation; and (5) dismantling of INSS rehabilitation centers and clinics. The changes in the Brazilian social security system undermined the county's social security project and hegemony and reduced social security reform to a mere management and fiscal issue. Current "rehabilitation" falls far short of the institution's original purpose of social protection for workers, while aiming at economic regulation of the system to contain costs of workers' benefits. Workers that suffer work-related accidents are denied occupational rehabilitation, which aggravates their social disadvantage when they return to work.

Keywords : Social Security; Occupational Health; Rehabilitation.

        · abstract in Portuguese     · text in Portuguese     · pdf in Portuguese