O caso da Rede Universitária de Telemedicina: análise da entrada da telessaúde na agenda política brasileira The case of Telemedicine University Network: analysis of telehealth entry in the Brazilian political agenda

Estudo de abordagem qualitativa sobre a concepção da política de telessaúde no Brasil baseado em modelos de avaliação em saúde e na análise de políticas públicas, mais especificamente na proposta analítica de múltiplos fluxos e no modelo lógico de avaliação de programas em saúde. As fontes de dados consistiram em documentos relacionados à criação da Rede Universitária de Telemedicina (Rute), artigos disponíveis na literatura sobre telessaúde e avaliação em saúde, atas e participações em reuniões de variados fóruns. O modelo de múltiplos fluxos se concentra nas fases iniciais do ciclo da política pública: a construção da agenda governamental e a escolha de alternativas de políticas. Buscou-se delinear a composição da Rute e responder quais condicionantes levaram os gestores federais de diversos setores a reconhecer a qualidade do sistema como problema na saúde pública e a escolha da implantação de programas de telessaúde como uma das alternativas para a solução. Os processos analisados demonstraram que, na convergência do fluxo de problemas com ambiente político favorável, abriu-se uma janela de oportunidade para a implantação da telessaúde como alternativa vir a ascender como política na agenda de decisão governamental. Porém, para isso, urge a necessidade de inclusão digital no território e identificar as tecnologias da informação e comunicação como inovação para o SUS.<br>A qualitative study on the policy design of telehealth in Brazil based on valuation models in health and public policy analysis, specifically the proposed multiple streams of analytical and logical model for evaluating health programs. Data sources consisted of documents related to the creation of Telemedicine University Network (Rute), articles available in the literature on telehealth and health evaluation, minutes of meetings and participating in various forums. The model focuses multiple streams in the early stages of the cycle of public policy: the construction of the government agenda and choice of alternative policies. We sought to delineate the composition of Rute and answer constraints which led federal managers from various sectors to recognize the quality of the system as a public health problem and the choice of implementing telehealth programs as one of the alternatives. The cases analyzed showed that in the flux convergence problems with favorable political environment, a window of opportunity opened up for the deployment of telehealth to eventually ascend as an alternative in the political agenda of the government decision. But for this, there is urgent need for digital inclusion in the territory and identify the technologies of information and communication as an innovation for SUS

The USA Patriot Acts (et al.): convergent legislation and oligarchic isomorphism in the \u27politics of fear\u27 and state crime(s) against democracy (SCADs)

The irrelevance of habeas corpus and the abolition of “double jeopardy,” secret and protracted outsourcing of detention and torture, and increasing geographic prevalence of surveillance technologies across Anglo-American “democracies” have many citizens concerned about the rapidly convergent, authoritarian behavior of political oligarchs and the actual destruction of sovereignty and democratic values under the onslaught of antiterrorism hubris, propaganda, and fear. This article examines synchronic legislative isomorphism in responses to 9/11 in the United States, the United Kingdom and European Union, and Australia in terms of enacted terrorism legislation and, also, diachronic, oligarchic isomorphism in the manufacture of fear within a convergent world by comparing the “Politics of Fear” being practiced today to Stalinist—Russian and McCarthyist—U.S. abuse of “fear.” The immediate future of Anglo-American democratic hubris, threats to civil society, and oligarchic threats to democratic praxis are canvassed. This article also raises the question as to whether The USA PATRIOT Acts of 2001/2006, sanctioned by the U.S. Congress, are examples, themselves, of state crimes against democracy. In the very least, any democratically inclined White House occupant in 2009 would need to commit to repealing these repressive, and counterproductive, acts. Copyright @2009, SAGE Publication