Trabalho, Educação e Saúde - TES (Work, Education and Health) is an open access scientific journal, edited by the Joaquim Venâncio Polytechnic School of Health, from Oswaldo Cruz Foundation.
This essay presents some reflections on outsourcing in the public service inspired by the sociology of work. It takes as reference the implementation of social organizations, which became strong reality in public health over the past 15 years and, from 2015. After the decision of the Brazilian Supreme Court in 2015, it has been considered constitutional, denying the request for direct unconstitutionality action. Thus, released to outsourcing for all essential services under state responsibility. It is also the subject of discussion the implementation of the Brazilian Hospital Services Company (Empresa Brasileira de Serviços Hospitalares), which, although more recent than social organizations, already has such harmful results as them. The argument put forward is that the outsourcing of public service in Brazil is one of the most efficient mechanisms to remove the social content of the state and its privatization, which occurs through various forms of precarious work as outsourcing - through social organizations, civil society organizations of public interest, private companies, public companies under private rules, partnerships, among others - is the main way that neoliberal political forces found to attack the heart of a social and democratic state: the workers who are civil servants.
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