In the chapter health one parcels out considerable of the population that possua formal job or without conditions not to appeal to the private services had started to have access to the services of health in all the complexity levels and that before they were restricted to the charity and filantropia. An important accomplishment in this process was the insertion in the constitutional text of the health as right of citizenship and duty of the State, what it enhanced and it gave to legal force of public relevance to the actions and services of health. The SUS is consequence of the Brazilian Sanitary Reformation, originated of the sanitary movement, process politician who mobilized the Brazilian society to consider new politics and new models of system organization, practical services and of health. This deep reform in the public health also serves of reference for others public politics. country transforms a system centered, privatized, based in the health concept as absence of illness and with the focus in the health care attention in Only System of Sade (SUS): decentralized, participativo, universal, with social control, taking care of to all without distinction and with an extended concept of health as quality of life. It enters the devices of the Constitution meets it creation of the System Unified and Decentralized of Sade (SUDS).
Based in the beginning of integration of all the services of health, particular public and; to constitute a hierarquizada and regionalizada net with the participation of the community in the administration of the local units. Being that the private sector of health was defined as complementary form to the public services and the filantrpicas entities they would have paper auxiliary in the functioning of the SUDS. The project of municipalizao of the health services found obstacles that had condemned to the failure other decentralizing projects in virtue of many cities to apply part or total of the mount of money destined to the health in other sectors of the public administration and the refusal of the rendering of particular service if to submit to the unified system.