<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1657-4702</journal-id>
<journal-title><![CDATA[Revista Latinoamericana de Bioética]]></journal-title>
<abbrev-journal-title><![CDATA[rev.latinoam.bioet.]]></abbrev-journal-title>
<issn>1657-4702</issn>
<publisher>
<publisher-name><![CDATA[Universidad Militar Nueva Granada]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1657-47022021000100031</article-id>
<article-id pub-id-type="doi">10.18359/rlbi.4788</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A judicialização da saúde: a biopolítica e os parâmetros éticos na microjustiça de medicamentos no estado do Rio de Janeiro, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Health Prosecution: Biopolitics and Ethical Parameters in Medicine Micro Justice in the State of Rio de Janeiro, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[La judicialización de la salud: la biopolítica y los parámetros éticos en la microjusticia de medicinas en el estado de Rio de Janeiro, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[de Almeida Mayernyik]]></surname>
<given-names><![CDATA[Marcelo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Batista Franco]]></surname>
<given-names><![CDATA[Túlio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Câncer  ]]></institution>
<addr-line><![CDATA[Rio de Janeiro ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Federal Fluminense  ]]></institution>
<addr-line><![CDATA[Niterói ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>21</volume>
<numero>1</numero>
<fpage>31</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1657-47022021000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1657-47022021000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1657-47022021000100031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: a judicialização é fruto da complexidade da vida humana no meio político, econômico e social, com o envolvimento de diversos protagonistas, de distintas percepções e perspectivas, no espaço de disputa da microjustiça, ou seja, desde o início do conflito, o manejo, até o seu desfecho, mobilizando tanto o sistema de saúde quanto o sistema de justiça, na produção do cuidado com o cidadão. O objetivo deste estudo é investigar essa ideia de cuidado, do ponto de vista dos representantes do Judiciário, do Executivo e do próprio cidadão, assim como compreender a dinâmica entre a política da vida e a política sobre a vida, entre a biopotência e o biopoder, no contexto da judicialização de medicamentos no estado do Rio de Janeiro, no Brasil. A metodologia adotada para esta pesquisa contempla a abordagem qualitativa integrada com a análise da retórica dos relatos dos entrevistados. Ao final, com base nos argumentos processuais e nos relatos dos participantes da pesquisa, é possível identificar distintos parâmetros éticos que, presentes tanto nos argumentos processuais como no agir cotidiano dos participantes, orientam as tomadas de decisões e, por fim, refletir como tais parâmetros operam como potência de vida ou potência de morte para uma ética de cuidado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Prosecution is the result of the complexity of human life in the political, economic and social environment, with the commitment of various stakeholders, from different perceptions and perspectives in the concept of a micro justice dispute, which means that from the beginning of the conflict, its management, and outcome, mobilizing both the health system and the justice system, for the production of care to the citizen. The purpose of this article is to investigate this idea of care from the point of view of the representatives of the law, the executive and the citizens, to understand the dynamics between life policy and policy on life, biopower, within the framework of judicialization of medicines in the state of Rio de Janeiro, Brazil. The methodology used in the research considers the qualitative approach integrated with the analysis of the rhetoric of the interviewees' narrative. Finally, based on the processual arguments and narrative of the participants in the research, it is possible to identify different ethical parameters that are present in both the process arguments and also on the daily action of participants, guide decision-making; and reflect on how such parameters operate as life power or death power for a care ethic.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La judicialización es fruto de la complejidad de la vida humana en el medio político, económico y social, con el compromiso de diversos protagonistas, desde diferentes percepciones y perspectivas, en el espacio de disputa de la microjusticia, es decir, desde el inicio del conflicto, el manejo, hasta su desenlace, movilizando tanto el sistema de salud como el sistema de justicia, en la producción del cuidado con el ciudadano. El propósito del artículo es investigar esta idea de cuidado desde el punto de vista de los representantes del Judiciario, del Ejecutivo y del proprio ciudadano, y comprender la dinámica entre política de la vida y política sobre la vida, entre biopotencia y biopoder, en el marco de la judicialización de medicinas en el estado de Rio de Janeiro, Brasil. La metodología empleada en la investigación contempla el enfoque cualitativo integrado con el análisis de la retórica de los relatos de los entrevistados. Por último, con base en los argumentos procesuales y los relatos de los participantes en la investigación, es posible identificar diferentes parámetros éticos que, presentes tanto en los argumentos procesuales como en el actuar cotidiano de los participantes, orientan las tomas de decisiones; además, reflexionar cómo tales parámetros operan como potencia de vida o potencia de muerte para una ética del cuidado.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[judicialização da saúde]]></kwd>
<kwd lng="pt"><![CDATA[direito à saúde]]></kwd>
<kwd lng="pt"><![CDATA[ética]]></kwd>
<kwd lng="pt"><![CDATA[bioética]]></kwd>
<kwd lng="pt"><![CDATA[biopolítica]]></kwd>
<kwd lng="en"><![CDATA[health prosecution]]></kwd>
<kwd lng="en"><![CDATA[right to health]]></kwd>
<kwd lng="en"><![CDATA[ethics]]></kwd>
<kwd lng="en"><![CDATA[bioethics]]></kwd>
<kwd lng="en"><![CDATA[biopolitics]]></kwd>
<kwd lng="es"><![CDATA[judicialización de la salud]]></kwd>
<kwd lng="es"><![CDATA[derecho a la salud]]></kwd>
<kwd lng="es"><![CDATA[ética]]></kwd>
<kwd lng="es"><![CDATA[bioética]]></kwd>
<kwd lng="es"><![CDATA[biopolítica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schramm]]></surname>
<given-names><![CDATA[FR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bioética da proteção: ferramenta válida para enfrentar problemas morais na era da globalização]]></article-title>
<source><![CDATA[Rev. Bioet]]></source>
<year>2008</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>11-23</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Foucault]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Segurança, Território, População]]></source>
<year>1978</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Martins Fontes]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Foucault]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Microfísica do poder]]></source>
<year>2013</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Graal]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[TB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Trabalho criativo e cuidado em saúde: um debate a partir dos conceitos de servidão e liberdade]]></article-title>
<source><![CDATA[Saúde Soc]]></source>
<year>2015</year>
<volume>24</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>102-14</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rose]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<source><![CDATA[The politics of life itself: biomedicine, power and subjectivity in the twenty-first century]]></source>
<year>2007</year>
<publisher-loc><![CDATA[Princeton ]]></publisher-loc>
<publisher-name><![CDATA[University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[TB]]></given-names>
</name>
<name>
<surname><![CDATA[Merhy]]></surname>
<given-names><![CDATA[EE]]></given-names>
</name>
</person-group>
<source><![CDATA[Trabalho, produção do cuidado e subjetividade em saúde]]></source>
<year>2013</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Hucitec]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hardt]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Negri]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Império]]></source>
<year>2010</year>
<publisher-loc><![CDATA[Rio de Janeiro ]]></publisher-loc>
<publisher-name><![CDATA[Record]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Negri]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Cinco lições sobre império]]></source>
<year>2003</year>
<publisher-loc><![CDATA[Rio de Janeiro ]]></publisher-loc>
<publisher-name><![CDATA[DP&amp;A]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Luz]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
</person-group>
<source><![CDATA[Natural, racional, social: razão médica e racionalidade científica moderna]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Rio de Janeiro ]]></publisher-loc>
<publisher-name><![CDATA[Fiocruz/Edições Livres]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pignarre]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Comment sauver (vraiment) la Sécu: et si les usagers s'en mêlaient? L'exemple des médicaments]]></source>
<year>2004</year>
<publisher-loc><![CDATA[Paris ]]></publisher-loc>
<publisher-name><![CDATA[La Découverte]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Foucault]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Dits et écrits: 1954-1988]]></source>
<year>1994</year>
<publisher-loc><![CDATA[Paris ]]></publisher-loc>
<publisher-name><![CDATA[Gallimard]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<collab>Fortes PAC, Zoboli ELCP, organizadores</collab>
<source><![CDATA[Bioética e saúde pública]]></source>
<year>2004</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Edições Loyola]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Passos]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Judicialização de políticas públicas e sociais]]></article-title>
<source><![CDATA[Revista Contribuciones a las Ciencias Sociales]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diniz]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Medeiros]]></surname>
<given-names><![CDATA[MM]]></given-names>
</name>
<name>
<surname><![CDATA[Schwartz]]></surname>
<given-names><![CDATA[IVD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consequências da judicialização das políticas de saúde: custos de medicamentos para as mucopolissacaridoses]]></article-title>
<source><![CDATA[Cad. saúde pública]]></source>
<year>2012</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>479-89</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sant'ana]]></surname>
<given-names><![CDATA[RN]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atuação da Defensoria Pública para a garantia do direito à saúde: a judicialização como instrumento de acesso à saúde]]></article-title>
<source><![CDATA[Rev. bras. polít. públicas]]></source>
<year>2018</year>
<volume>8</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>194-211</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lopes]]></surname>
<given-names><![CDATA[FD]]></given-names>
</name>
<name>
<surname><![CDATA[Mello]]></surname>
<given-names><![CDATA[TRC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A judicialização e seu papel na efetivação do direito à saúde pública]]></article-title>
<source><![CDATA[Rev. gest. sist. saúde]]></source>
<year>2018</year>
<volume>7</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>275-86</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernardo]]></surname>
<given-names><![CDATA[LF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Políticas públicas e judiciário: a necessidade de aprimoramento do sistema processual de tutela coletiva brasileiro voltado ao controle jurisdicional de políticas públicas]]></article-title>
<source><![CDATA[REDP]]></source>
<year>2019</year>
<volume>20</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>250-87</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Araujo]]></surname>
<given-names><![CDATA[WC]]></given-names>
</name>
<name>
<surname><![CDATA[Rodrigues]]></surname>
<given-names><![CDATA[MS]]></given-names>
</name>
<name>
<surname><![CDATA[Kamimura]]></surname>
<given-names><![CDATA[QP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Judicialização da Saúde: um estudo no Estado de São Paulo]]></article-title>
<source><![CDATA[LAJBM]]></source>
<year>2018</year>
<volume>9</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>267-87</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[FFC]]></given-names>
</name>
<name>
<surname><![CDATA[Cherchiglia]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[CD]]></given-names>
</name>
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[VC]]></given-names>
</name>
<name>
<surname><![CDATA[Acurcio]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[EIG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acesso aos procedimentos de média e alta complexidade no sus: uma questão de judicialização]]></article-title>
<source><![CDATA[Cad. saúde pública]]></source>
<year>2014</year>
<volume>30</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>31-43</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Machado]]></surname>
<given-names><![CDATA[MAA]]></given-names>
</name>
<name>
<surname><![CDATA[Acurcio]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Brandão]]></surname>
<given-names><![CDATA[CMR]]></given-names>
</name>
<name>
<surname><![CDATA[Faleiros]]></surname>
<given-names><![CDATA[DR]]></given-names>
</name>
<name>
<surname><![CDATA[Guerra-Júnior]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Cherchiglia]]></surname>
<given-names><![CDATA[ML]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[EIG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Judicialização do acesso a medicamentos no Estado de Minas Gerais]]></article-title>
<source><![CDATA[Brasil. Rev. Saúde Públ]]></source>
<year>2011</year>
<volume>45</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>590-8</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Biehl]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Petryna]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamentos jurídicos: os mercados terapêuticos e a judicialização do direito à saúde]]></article-title>
<source><![CDATA[Hist. ciênc. saúde-Manguinhos]]></source>
<year>2016</year>
<volume>23</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>173-92</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pauli]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Almeida]]></surname>
<given-names><![CDATA[LP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Atendimento à população venezuelana no Brasil: uma análise da &#8220;reserva do possível&#8221; e do mínimo existencial]]></article-title>
<source><![CDATA[TraHS]]></source>
<year>2019</year>
<volume>4</volume>
<page-range>123-36</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Spinoza]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<source><![CDATA[Ética]]></source>
<year>2007</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Editora Autêntica]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Honneth]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Luta por reconhecimento: a gramática moral dos conflitos sociais]]></source>
<year>2009</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Editora 34]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
