New Health

autocracy
consu meeting 1
Invasions suspend voting on Unicamp health autonomy project Two episodes of invasion of two consecutive sessions of the University Council (Consu), suspended, this Tuesday (16), the voting on the proposal that intends to submit to the government of the State of São Paulo the project of autonomy of the health area and the academic expansion program of Unicamp. The first interruption occurred at 10:15 am, when representatives of student movements, the Unicamp Employees Union (STU), and social entities such as members of the MST (Landless Workers' Movement) stormed the Council room, which is next to the Rector's building, preventing the session from continuing. The group occupied tables and chairs and promised to remain in the room at least until the end of the day. The university administration attempted to negotiate the evacuation and resumption of the session, but was unsuccessful. Because of this, he decided to hold an online meeting in the afternoon, this time in a room at the Unicamp Development Foundation (Funcamp). But the building was once again taken over by protesters and the meeting had to be suspended again. "Today is a very sad day." "The University shouldn't be experiencing days like this," said Rector Paulo Cesar Montagner at the end of the day. "These voices of students who have just arrived at the University saying that there was no discussion, don't know that this process has been under discussion at the University for over 30 years." There was already a plan underway for this project in 2010, and we committed to bringing this updated version to fruition. Therefore, this seems to us to be a clearly delaying tactic," the rector assesses. According to the leader, this attitude became clear after the request to remove the item from the agenda and another request for a review were defeated in plenary session. "Unicamp cannot have some students and some employees who think they own the University, and who can restrict, coerce, and harass with violence." "They did all of that today," he added. Montagner said the process will continue. "We are clear about the importance of the proposal and we will study the best way to proceed with the process." "It doesn't end here," he assured. The general coordinator of Unicamp, Professor Fernando Coelho. He said he regretted the incidents. According to him, the movements have moved towards an anti-democratic process. "These episodes are regrettable, insofar as we see the University coexisting with anti-democratic procedures." I think this does not represent the democratic thinking of the University and, in general, it is something that we must unanimously reject. "We won't move forward with these mechanisms," he stated. The project proposes transforming the Health area, which is currently part of Unicamp's administrative and budgetary structure, into a new autonomous entity – which would be called the Unicamp Health Complex. According to the proposal, the autonomous entity would be linked to the São Paulo State Health Secretariat for administrative and budgetary purposes, similar to the models already established in the Medical Schools of USP and Unesp (Botucatu). The health complex, however, would remain linked to the University for teaching, research, professional training, and supervision of teaching and residency programs. The project also stipulates that the complex will continue to provide full services through the Unified Health System (SUS). According to the rector, the main objective of the measure is to alleviate the budgetary pressure on Unicamp - which currently spends around R$ 1,1 billion/year in the health sector. Furthermore, he argues, it will allow for the implementation of an academic expansion plan with the creation of new courses, vacancies, and the hiring of staff. Negotiations: The proposal to change the health management system emerged in September, when the state government admitted the possibility of taking over the sector's budget. From then on, a Working Group (WG) was formed to develop the basic project. Next, the consultation cycle with the community regarding the GT report began, with sectorial meetings with unit and department directors, faculty, staff and student representatives, as well as representatives from the Unicamp Workers' Union (STU). The procedure was repeated after the draft project was prepared. In a second phase of the listening process, the advisors presented suggestions, recommendations, and warnings through a form. According to the University Rector, many of the suggestions were incorporated into the proposal. The project to be submitted to the state government considers six fundamental principles. The idea is that the new structure will be established through a Complementary Law Project, thus ensuring its permanence. It will also have to guarantee the full rights of workers currently employed in the health sector at Unicamp. According to the university administration, this group will remain as Unicamp employees until retirement. The third principle is that care provided by the new autonomous entity will remain 100% through the SUS (Unified Health System). The fourth principle guarantees that Unicamp will appoint the administrators of the new autonomous entity, and the fifth stipulates that there will be a sufficient number of faculty members hired to support the academic growth of the University. Finally, the last principle ensures that the process of becoming autonomous cannot affect the University's budget. Implementation: The proposal foresees a 10-year transition period. The rules would remain as they are for the first two years. Starting in the 3rd year, the Health Department begins a process of paying for so-called "extra expenses" - which are disbursements to pay for services such as hospital restaurants, employee transportation, and costs not related to payroll. Today, these expenses represent approximately R$ 300 million per year. According to the plan, at the end of three years, the Secretariat will have assumed all of these expenses. Starting in the 5th year of the agreement, the gradual process of reimbursing Unicamp for the payroll costs—currently equivalent to R$ 754 million/year—will begin. Reimbursement will be gradual until, at the end of the 10th year, the department begins to transfer the full payroll amount. With the resources that will no longer be taken from the budget, Unicamp intends to promote an expansion program, which includes opening new courses, new places in the entrance exam, hiring teachers and staff, and improving infrastructure. The executive director of the Health Area (Deas), Professor Luiz Carlos Zeferino, points out that the model to be proposed for Unicamp follows the one adopted by Unesp, which in 2010 transformed the Hospital das Clínicas de Botucatu into an autonomous entity. Zeferino also pointed out that this model has been working at USP for several decades. Furthermore, it is widely disseminated among federal universities. "Of the 51 teaching hospitals linked to 36 federal universities, 48 ​​are autonomous," he points out.
Letter of Commitment formalizes principles guiding the creation of a new autonomous entity.
Meeting with directors defines principles that should guide the autonomous agency project.
University Rector's Office meets with unit directors to discuss Unicamp expansion project.
Council members will be able to submit suggestions to the draft bill that changes the management of healthcare at Unicamp.
The university administration opens a new round of talks with community representatives.
Extraordinary Meeting of the University Council
The University Council votes on a bill to make Unicamp autonomous and expand its academic activities.