Dificuldades no acesso aos serviços públicos de saúde no Brasil: a realidade de travestis e pessoas trans

Abstract

Health is a right constitutionally guaranteed to all citizens, but access to it varies a lot in the experiences of specific social groups, such as for transgender people and transsexuals in Brazil. Although the Unified Health System was built under the assumptions of universality, equity and integrality, what can be seen from the analysis of the experiences of transgender people and transsexuals organized here is the imposition of constants to daily activities and access to rights and services very basic. The study aims to demonstrate that transphobia and prejudice against transgender people function as insurmountable barriers that prevent these people from even enjoying rights expressly produced in existing norms, such as the social name and humanized care, while the State fails to seek the efficiency of their policies and the fulfillment of the rights they assure. The bibliographical review out used the literature on the subject, regulations in the health area, official documents and data obtained by surveys organized by civil society in order to verify whether these legal taxes on transvestites and transsexuals are a result of the lack of norms that guarantee these rights or from the prevailing discrimination that prevents these norms from being complied with. Through the legal-sociological approach, this work analyzes what has been done about the history of the relationship between transgender people, transsexuals and public health in Brazil. It then gathers and organizes data obtained from published research that investigated the difficulties these people identify in accessing public health services in specific regions of the country. Finally, the perceived result is that viable measures historically identified by the social movement as alternatives to confronting these exclusions have already been adopted by health regulations and have not solved the common problems due to the discrimination that still prevails in the reality of public services.