With other words: making with that the contractor (City) has accepted the offers of the doctors if it desires to acquire its crafts. Following part of the problem also is in the management and organization of the system and the establishments of health, that beyond the bureaucracy, that, exactly badly made, if worries more with the administrative proceedings of what with the results in the promotion and the recovery of the health, it has professionals without qualification and using reliable position. (ABRASCO, 2010) Plus an to be understood fact it is the beginning of the integrity that is almost completely relegated to the academic speech, therefore in the exercise we find individualistic, biologicistas, curativitas and hospitalocntricos processes, with few exceptions. Thus, we see the performance of the powerful complexes economic-industrial of the health, that is, commercial interests of the producers and suppliers of medicines and hospital equipment. Therefore, it lacks equally of an efficient fiscalization. Remembering despite the conferences and advice, consecrated legally, have not been capable to assure a substantive debate on the politics of health and the routes of the SUS. Corporative questions have dominated the guideline of quarrels.
Finally, but not less important, it is the relative demobilization of the Brazilian civil society, that it is reflected in the possibilities of advances of the SUS. In accordance with the film ‘ ‘ SiCKO’ ‘ , the improvements in the health system also involve the fear of the Government before the o people, which, this, demands and demands improvements, for having conscience of its social paper. However the solidary and coletivista mentality of those four mentioned countries, which has a quality of exemplary health, did not enter in the philosophy of the life of the Brazilian people, thus valley more to decide personal problems and of its familiar ones and that the remain decides its, if possible. Soon, it seems that the cause of the suffering in Brazil is not necessarily the millionaire owners of the Plans of Health, but also the egoism and the lack of social conscience of each citizen, that only can be transformed through another action: the education. It is one of them pillars that support the society and as such can and must plant in the individuals, since early, the conscience of the responsibility for the development and harmonic conviviality in society.