Challenges of transexual health care in the unique health system from de look of a team of social workers

Abstract

It is a reflection on the health care of transsexual people in SUS, having as central aspect the Transexualizador Process - care model that composes the Brazilian health policy including professional procedures and conduct of different degrees of complexity and technical diversity, as part of health assistance for transgender people. It starts with authors linked to the health reform paradigm, to the gender debate and to the Marxist field. The study took place through bibliographical and documentary survey, as well as through participant observation. This article discusses the limits of the program in the face of the State's counter-reform in the field of health, which with the systematic de-financing and lack of responsibility on the part of governments, leaves significant portions of these subjects to the margin of basic care and with their specific neglected health demands or insufficiently served in most states and municipalities in the country. Notwithstanding the normative framework that underlies the importance of the transsexualizing process in SUS, it is necessary to consider that the disputes over the state public offer of health policies constitute a reality that marks the history of Brazil. A country in which the fight for the universal right to health is a persistent agenda and never fully contemplated. Thus, the counter-reform of the State in the 90s, will bring impacts to the health sector that will accentuate the challenges of a field that is already very disputed, resulting in limiting determinations for the sector itself, and more specifically for the actions related to the transsexualizing process.