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Claiming the Right to Health in Brazilian Courts: The Exclusion of the Already Excluded?

Published online by Cambridge University Press:  27 December 2018

Virgílio Afonso da Silva  and
Fernanda Vargas Terrazas
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Abstract

The aim of this article is to test a widespread belief among Brazilian legal scholars in the area of social rights, namely, the claim that courts are an alternative institutional voice for the poor, who are usually marginalized from the political process. According to this belief, social rights litigation would be a means (supposedly “a better means”) of realizing rights such as the right to health care, since supposedly both the wealthy and the poor have equal access to the courts. To probe the consistency of this belief, we analyzed the socioeconomic profiles of plaintiffs in the city of Sao Paulo (Brazil) who were granted access to specific medications or medical treatments by judicial decisions. In this study, the justiciability of social rights has not proven to be a means of rendering certain public services more democratic and accessible.

Type
Articles
Information
Law & Social Inquiry , Volume 36 , Issue 4 , Fall 2011 , pp. 825 - 853
Copyright
Copyright © American Bar Foundation, 2011 

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References

References

Abramovich, Victor, and Courtis, Christian. 2002. Los derechos sociales como derechos exigibles [Social Rights as Justiciable Rights]. Madrid: Trotta.Google Scholar
Alston, Philip, and Quinn, Gerard. 1987. The Nature and Scope of States Parties' Obligations under the International Covenant on Economic, Social and Cultural Rights. Human Rights Quarterly 9 (2): 156–229.Google Scholar
ANS, Agência Nacional de Saúde Suplementar/Brazilian Federal Commission for Complementary Health. 2007. “Caderno de Informação da Saúde Suplementar” [Booklet of Information on Complementary Health]. http://www.ans.gov.br/portal/upload/informacoesss/caderno_informaca_03_2007.pdf (accessed October 23, 2010).Google Scholar
Arango, Rodolfo. 2002. Promoción de los derechos sociales constitucionales por vía de protección judicial [Fostering Constitutional Social Rights Through Judicial Protection]. El Otro Derecho 28:103–22.Google Scholar
Bazán, Victor. 2005. Los derechos económicos, sociales y culturales en acción: sus perspectivas protectorias en los ámbitos interno y interamericano [Economic, Social, and Cultural Rights in Action: Perspectives for Protection in the National and the Inter‐American Levels]. In Anuario de Derecho Constitucional Latinoamericano, ed. Woischnik, Jan, 547–83. Montevideo, Uruguay: Konrad‐Adenauer‐Stiftung.Google Scholar
Berger, James O. 2003. Could Fisher, Jeffreys and Neyman Have Agreed on Testing? Statistical Science 18 (1): 1–12.Google Scholar
Bonavides, Paulo. 1982 1993. Curso de direito constitucional [Handbook of Constitutional Law], 4th ed. Sao Paulo, Brazil: Malheiros.Google Scholar
Bontempo, Alessandra Gotti. 2005. Direitos sociais: eficácia e acionabilidade à luz da constituição de 1988 [Social Rights: Efficacy and Justiciability under the Brazilian 1988 Constitution]. Curitiba, Brazil: Juruá.Google Scholar
Câmara, Gilberto, Sposati, Aldaiza, Koga, Dirce, Monteiro, Antonio Miguel, Ramos, Frederico Roman, Camargo, Eduardo, and Fuks, Suzana Druck. 2004. Mapping Social Exclusion and Inclusion in Developing Countries: Spatial Patterns of Sao Paulo in the 1990s. In Spatially Integrated Social Science, ed. Goodchild, Michael F. and Janelle, Donald G., 223–38. Oxford: Oxford University Press.Google Scholar
Chieffi, Ana Luiza, and Barata, Rita Barradas. 2009. Judicialização da política pública de assistência farmacêutica e eqüidade [Judicialization of the Public Health Policy of Distribution of Medicines]. Cadernos de Saúde Pública 25 (8): 1839–49.Google Scholar
Cohen, Jacob. 1994. The Earth Is Round (p < .05). American Psychologist 49 (12): 997–1003.Google Scholar
Contesse, Jorge, and Lovera Parmo, Domingo. 2008. Access to Medical Treatment for People Living With HIV/AIDS: Success without Victory in Chile. Sur—International Journal of Human Rights 8:142–61.Google Scholar
Cranston, Maurice. 1967. Human Rights, Real and Supposed. In Political Theory and the Rights of Man, ed. Raphael, D. D., 43–53. Bloomington: Indiana University Press.Google Scholar
Duarte, Clarice Seixas. 2006. Reflexões sobre a justiciabilidade do direito à educação no Brasil [Considerations on the Justiciability of the Right to Education in Brazil]. In A educação entre os direitos humanos, ed. Haddad, Sérgio and Graciano, Mariângela, 127–53. Campinas, Brazil: Autores Associados/Ação Educativa.Google Scholar
Feria Tinta, Mónica. 2007. Justiciability of Economic, Social, and Cultural Rights in the Inter‐American System of Protection of Human Rights: Beyond Traditional Paradigms and Notions. Human Rights Quarterly 29 (2): 431–59.Google Scholar
Ferraz, Octavio L. M. 2009. The Right to Health in the Courts of Brazil: Worsening Health Inequities? Health and Human Rights 11 (2): 33–45.Google Scholar
Ferraz, Octavio L. M., and Vieira, Fabiola Sulpino. 2009. Direito à saúde, recursos escassos e equidade: os riscos da interpretação judicial dominante [The Right to Health, Scarce Resources, and Equity: Inherent Risks in the Predominant Legal Interpretation]. Dados 52 (1): 223–51.Google Scholar
Fisher, R. A. 1935. The Logic of Inductive Inference. Journal of the Royal Statistical Society 98 (1): 39–54.Google Scholar
Fredman, Sandra. 2008. Human Rights Transformed: Positive Rights and Positive Duties. Oxford: Oxford University Press.Google Scholar
Fried, Charles. 1978. Right and Wrong. Cambridge, MA: Harvard University Press.Google Scholar
Frischeisen, Luiza Cristina Fonseca. 2002. Proteção e garantia dos direitos humanos: alguns aspectos da atuação do Ministério Público [The Protection of Human Rights: Some Aspects of the Role of Public Attorneys]. Revista de Direito Constitucional e Internacional 41:199–214.Google Scholar
García Ramírez, Sergio. 2003. Protección jurisdiccional internacional de los derechos econômicos, sociales y culturales [International Judicial Protection of Economic, Social, and Cultural Rights]. Cuestiones Constitucionales 9:127–157.Google Scholar
Gargarella, Roberto. 2006. Theories of Democracy, the Judiciary and Social Rights. In Courts and Social Transformation in New Democracies, ed. Gargarella, Roberto, Domingo, Pilar, and Roux, Theunis, 13–34. Aldershot, UK: Ashgate.Google Scholar
Gargarella, Roberto, Domingo, Pilar, and Roux, Theunis. 2006. Courts, Rights and Social Transformation: Concluding Reflections. In Courts and Social Transformation in New Democracies, ed. Gargarella, Roberto, Domingo, Pilar, and Roux, Theunis, 255–81. Aldershot, UK: Ashgate.Google Scholar
Gauri, Varun, and Brinks, Daniel M. 2008. Introduction: The Elements of Legalization and the Triangular Shape of Social and Economic Rights. In Courting Social Justice: Judicial Enforcement of Social and Economic Rights in the Developing World, ed. Gauri, Varun and Brinks, Daniel M., 1–10. Cambridge: Cambridge University Press.Google Scholar
Gill, Jeff. 1999. The Insignificance of Null Hypothesis Significance Testing. Political Research Quarterly 52 (3): 647–74.Google Scholar
Gloppen, Siri. 2006. Courts and Social Transformation: An Analytical Framework. In Courts and Social Transformation in New Democracies, ed. Gargarella, Roberto, Domingo, Pilar, and Roux, Theunis, 35–59. Aldershot, UK: Ashgate.Google Scholar
Goldstone, Richard J. 2008. Foreword. In Courting Social Justice: Judicial Enforcement of Social and Economic Rights in the Developing World, ed. Gauri, Varun and Brinks, Daniel M., vii–xiii. Cambridge: Cambridge University Press.Google Scholar
Hoffmann, Florian F., and Bentes, Fernando R. N. M. 2008. Accountability for Social and Economic Rights in Brazil. In Courting Social Justice: Judicial Enforcement of Social and Economic Rights in the Developing World, ed. Gauri, Varun and Brinks, Daniel M., 100–45. Cambridge: Cambridge University Press.Google Scholar
Holmes, Stephen, and Sunstein, Cass R. 1999. The Cost of Rights: Why Liberty Depends on Taxes. New York: Norton.Google Scholar
Hunter, John E. 1997. Needed: A Ban on the Significance Test. Psychological Science 8 (1): 3–7.Google Scholar
Jinrong, Huang. 2006. The Justiciability of Economic and Social Rights: The Chinese Perspective. Chinese Yearbook of Human Rights 4:77–102.Google Scholar
Junqueira, Eliane Botelho. 2003. Brasil: obstáculos en el camino hacia una justica total [Brazil: Obstacles to an Accomplished Justice]. In Culturas jurídicas latinas de europa y américa en tiempos de globalización, ed. Fix‐Fierro, Hector, Friedmann, Lawrence M., and Perdomo, Rogelio Pérez, 117–194. México: UNAM.Google Scholar
Klarman, Michael J. 2004. From Jim Crow to Civil Rights: The Supreme Court and the Struggle for Racial Equality. New York: Oxford University Press.Google Scholar
Krell, Andreas J. 2002. Direitos sociais e controle judicial no Brasil e na Alemanha: os (des)caminhos de um direito constitucional “comparado”[Social Rights and Judicial Review in Brazil and in Germany]. Porto Alegre, Brazil: Sergio Antonio Fabris.Google Scholar
Lima, Jayme Benvenuto Jr. 2002. O caráter expansivo dos direitos humanos na afirmação de sua indivisibilidade e exigibilidade [The Expansive Character of Human Rights and their Indivisibility and Justiciability]. In Direitos humanos, globalização e integração regional, ed. Piovesan, Flávia, 651–667. Sao Paulo, Brazil: Max Limonad.Google Scholar
Lopes, José Reinaldo de Lima. 2006. Brazilian Courts and Social Rights: A Case Study Revisited. In Courts and Social Transformation in New Democracies, ed. Gargarella, Roberto, Domingo, Pilar, and Roux, Theunis, 182–211. Aldershot, UK: Ashgate.Google Scholar
López Obregón, Clara Eugenia. 2005. Economía de los derechos [Economy of Rights]. Bogotá, Colombia: Diké/Universidad del Rosario.Google Scholar
Mancuso, Rodolfo de Camargo. 2001. A ação civil pública como instrumento de controle judicial das chamadas políticas públicas [The Public Class Action as a Means of Judicial Control of Public Policies]. In Ação civil pública: Lei 7.347/1981—15 anos, ed. Milaré, Edis, 707–751. Sao Paulo, Brazil: RT.Google Scholar
McCann, Michael W. 1994. Rights at Work: Pay Equity Reform and the Politics of Legal Mobilization. Chicago: University of Chicago Press.Google Scholar
Neri, Marcelo, and Soares, Wagner. 2002. Desigualdade social e saúde no Brasil [Social Inequality and Healthcare in Brazil]. Cadernos de Saúde Pública 18 (Suppl.): 77–87.Google Scholar
Nolan, Aoife, Porter, Bruce, and Langford, Malcolm. 2007. The Justiciability of Social and Economic Rights: An Updated Appraisal. Center for Human Rights and Global Justice Working Paper 15. http://www.chrgj.org/publications/docs/wp/NolanPorterLangford.pdf (accessed October 23, 2010).Google Scholar
Novogrodsky, Noah. 2009. Duty of Treatment Human Rights and the HIV/AIDS Pandemic. Yale Human Rights & Development Law Journal 12:1–61.Google Scholar
Olsen, Ana Carolina Lopes. 2008. Direitos fundamentais sociais [Basic Social Rights]. Curitiba, Brazil: Juruá.Google Scholar
Pieterse, Marius. 2004. Coming to Terms with Judicial Enforcement of Socio‐Economic Rights. South African Journal on Human Rights 20:383–417.Google Scholar
Piovesan, Flávia. 2008. Brazil: Impact and Challenges of Social Rights in Courts. In Social Rights Jurisprudence: Emerging Trends in International and Comparative Law, ed. Langford, Malcolm, 182–91. Cambridge: Cambridge University Press.Google Scholar
Piovesan, Flávia, and Vieira, Renato Stanziola. 2006. Justiciabilidade dos direitos econômicos e sociais no Brasil: desafios e perspectivas [Justiciability of Socioeconomic Rights in Brazil: Challenges and Perspectives]. Araucaria 15:128–146.Google Scholar
Pogge, Thomas W. 1995. How Should Human Rights Be Conceived? Jahrbuch für Recht und Ethik 3:103–20.Google Scholar
Roesler, Shannon. 2007. Permutations of Judicial Power: The New Constitutionalism and the Expansion of Judicial Authority. Law & Social Inquiry 32 (2): 545–79.Google Scholar
Rosenberg, Gerald N. 1991 2008. The Hollow Hope: Can Courts Bring About Social Change? 2nd ed. Chicago: University of Chicago Press.Google Scholar
Rosenberg, Gerald N. 2004. Substituting Symbol for Substance: What Did Brown Really Accomplish? PS: Political Science & Politics 37:205–209.Google Scholar
Rosnow, Ralph L., and Rosenthal, Robert. 1989. Statistical Procedures and the Justification of Knowledge in Psychological Science. American Psychologist 44 (10): 1276–84.Google Scholar
Scheffer, Mário, Salazar, Andrea Lazzarini, and Grou, Karina Bozola. 2005. O remédio via Justiça [The Access to Medicine through the Courts]. Brasília, Brazil: Ministerio da Saúde.Google Scholar
Scheingold, Stuart A. 1974 2004. The Politics of Rights: Lawyers, Public Policy, and Political Change, 2nd ed. Ann Arbor: University of Michigan Press.Google Scholar
Schräpler, Jorg‐Peter. 2004. Respondent Behavior in Panel Studies: A Case Study for Income Nonresponse by Means of the German Socio‐Economic Panel (SOEP). Sociological Methods Research 33 (1): 118–56.Google Scholar
Shue, Henry. 1980. Basic Rights: Subsistence, Affluence & U.S. Foreign Policy. Princeton, NJ: Princeton University Press.Google Scholar
Silva, Virgílio Afonso da. 2007. The Limits of Constitutional Law: Public Policies and the Constitution. In Conflict, Power, and the Landscape of Constitutionalism, ed. Tarabout, Gilles and Samaddar, Ranabir, 167–181. New Delhi, India: Routledge.Google Scholar
Singer, Eleanor, von Thurn, Dawn R., and Miller, Esther R. 1995. Confidentiality Assurances and Response: A Quantitative Review of the Experimental Literature. Public Opinion Quarterly 59 (1): 66–77.Google Scholar
Ssenyonjo, Manisuli. 2003. Justiciability of Economic and Social Rights in Africa: General Overview, Evaluation and Prospects. East African Journal of Peace & Human Rights 9:1–36.Google Scholar
Terrazas, Fernanda Vargas. 2008. O Poder Judiciário como voz institucional dos pobres: o caso das demandas judiciais por medicamentos [The Judiciary as an Institutional Voice for the Poor: The Case of the Judicial Demands for Medicines]. Master's diss., Department of Public Law, University of Sao Paulo, Sao Paulo, Brazil.Google Scholar
Trindade, Antônio Augusto Cançado. 1997. Tratado de direito internacional dos direitos humanos [Handbook of International Human Rights Law]. Porto Alegre, Brazil: Sergio Antonio Fabris.Google Scholar
Vieira, Fabiola Sulpino, and Zucchi, Paola. 2007. Distorções causadas pelas ações judiciais à política de medicamentos no Brasil [Distortions in the National Drug Policy Caused by Lawsuits in Brazil]. Revista de Saúde Pública 41 (2): 214–22.Google Scholar
Gong, Xianghe. 2006. Theories on the Justiciability of Socio‐Economic Rights: a Critical Appraisal. Chinese Yearbook of Human Rights 4:53–75.Google Scholar

Cases Cited

Brazil, Federal Supreme Court (http://www.stf.jus.br)Google Scholar
ADPF 45 (2004).Google Scholar
AI 570.455 (2006).Google Scholar
RE 271.286 (2000).Google Scholar
RE 232.335 (2000).Google Scholar
RE 297.276 (2004).Google Scholar
RE 342.413 (2004).Google Scholar
RE 353.336 (2005).Google Scholar
Brazil, State Court of Sao Paulo (http://www.tj.sp.gov.br)Google Scholar
AI 291.732‐5/8 (2002).Google Scholar
AI 286.554.5/3 (2002).Google Scholar
AI 291.816.5/1 (2002).Google Scholar
AI 308.117‐5/8‐00 (2003).Google Scholar
AI 306.778‐5/9‐00 (2003).Google Scholar
AI 369.381‐5/8‐00 (2004).Google Scholar
AI 375.351.5/0 (2004).Google Scholar
AC 311.355‐5/0‐00 (2005).Google Scholar