CAP 5,6,7 CURSO DE DIREITO CONSTITUCIONAL GM.pdf

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Cap’tulo 5
DIREITOS SOCIAIS
GILMAR FERREIRA MENDES
1. DIREITOS SOCIAIS
1.1. Considera›es preliminares
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1.2. Notas sobre teoria dos direitos fundamentais e
suas implica›es nos direitos sociais
1.2.1. Significados dos direitos fundamentais
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 OG >CL?CNI MO<D?NCPI KO;HNI ;KO?F?M IONLIM
 =IH=?<C>IM
=IGI A;L;HNC;M CH>CPC>O;CM | @ILG;G ; <;M? >I IL>?H;G?HNI
DOLd>C=I�>?�OG�"MN;>I�>?�!CL?CNI�>?GI=L[NC=I�
W P?L>;>? =IHM;<C>;
 >?M>? KO? '?FFCH?E >?M?HPIFP?O ; MO;
Teoria dos quatro Òstatus~��
 KO? IM >CL?CNIM @OH>;G?HN;CM =OG�
JL?G�>C@?L?HN?M�@OH`k?M�H;�IL>?G�DOLd>C=;�
+; MO; =IH=?J`_I NL;>C=CIH;F
 IM >CL?CNIM @OH>;G?HN;CM M_I
direitos de defesa �Abwehrrechte�
 >?MNCH;>IM ; JLIN?A?L >?N?LG�
CH;>;M JIMC`k?M MO<D?NCP;M =IHNL; ; CHN?LP?H`_I >I -I>?L -l<FC=I
M?D; J?FI �;� H_I CGJ?>CG?HNI >; JL[NC=; >? >?N?LGCH;>I ;NI
 M?D;
J?F; �<� H_I CHN?LP?H`_I ?G MCNO;`k?M MO<D?NCP;M IO J?F; H_I ?FCG�
CH;`_I�>?�JIMC`k?M�DOLd>C=;M���
+?MM; >CG?HM_I
 IM >CL?CNIM @OH>;G?HN;CM =IHNcG >CM�
JIMC`k?M >?@CHC>IL;M >? OG; competncia negativa do Poder
Pœblico �negative Kompetenzbestimmung�
 KO? @C=; I<LCA;>I
 ;M�
MCG
 ; L?MJ?CN;L I Hl=F?I >? FC<?L>;>? =IHMNCNO=CIH;FG?HN? ;MM?�
AOL;>I���
,ONL;M HILG;M =IHM;AL;G >CL?CNIM ; JL?MN;`k?M >? dH>IF?
JIMCNCP; �Leistungsrechte�
 KO? N;HNI JI>?G L?@?LCL�M? ;
884/2051
JL?MN;`k?M @[NC=;M >? dH>IF? JIMCNCP; �faktische positive Handlun-
gen� KO;HNI ; JL?MN;`k?M HILG;NCP;M >? dH>IF? JIMCNCP; �normative
Handlungen����
1;F =IGI I<M?LP;>I JIL %?MM?
 ; A;L;HNC; >? FC<?L>;>? >I
CH>CPd>OI
 KO? IM >CL?CNIM @OH>;G?HN;CM JL?N?H>?G ;MM?AOL;L
MIG?HN? a ?RCNIM; HI =IHN?RNI >? OG; MI=C?>;>? FCPL?� -IL IONLI
F;>I
 OG; MI=C?>;>? FCPL? JL?MMOJk? ; FC<?L>;>? >IM CH>CPd>OIM ?
=C>;>_IM
 ;JNIM ; >?=C>CL MI<L? ;M KO?MNk?M >? M?O CHN?L?MM? ? L?�
MJIHM[P?CM J?F;M KO?MNk?M =?HNL;CM >? CHN?L?MM? >; =IGOHC>;>?�
"MM;M =;L;=N?LdMNC=;M =IH>C=CIH;G ? NCJC@C=;G
 M?AOH>I %?MM?
 ;
?MNLONOL; ? ; @OH`_I >IM >CL?CNIM @OH>;G?HN;CM� "MN?M ;MM?AOL;G
H_I ;J?H;M >CL?CNIM MO<D?NCPIM G;M N;G<aG IM JLCH=dJCIM I<D?N�
CPIM�>;�IL>?G�=IHMNCNO=CIH;F�?�>?GI=L[NC=;���
1.2.2. Direitos fundamentais enquanto direitos de
defesa
+; =IH>C`_I >? direitos de defesa
 IM >CL?CNIM @OH>;G?HN;CM
;MM?AOL;G ; ?M@?L; >? FC<?L>;>? CH>CPC>O;F =IHNL; CHN?L@?LcH=C;M
CF?AdNCG;M >I -I>?L -l<FC=I
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 >I )?�
ACMF;NCPI IO
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JCI
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 KO? JI>?
=IHMCMNCL
�@OH>;G?HN;FG?HN?
�?G�OG;�
���JL?N?HM_I�>?�;<MN?H`_I��Unterlassungsanspruch��
�� JL?N?HM_I >? L?PIA;`_I �Aufhebungsanspruch�
 IO
;CH>;
�?G�OG;
���JL?N?HM_I�>? ;HOF;`_I��Beseitigungsanspruch����
,M >CL?CNIM >? >?@?M; IO >? FC<?L>;>? F?ACNCG;G ;CH>; >O;M
IONL;M�JL?N?HMk?M�;>C=CIH;CM�
}�� JL?N?HM_I >? =IHMC>?L;`_I �BerŸcksitigungsanspruch�
KO? CGJk? ;I "MN;>I I >?P?L >? F?P;L ?G =IHN; ; MCNO;`_I >I
?P?HNO;F�;@?N;>I
�@;T?H>I�;M�>?PC>;M�JIH>?L;`k?M����?
�� JL?N?HM_I >? >?@?M; IO >? JLIN?`_I �Schutzanspruch�
KO? CGJk? ;I "MN;>I
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N?L=?CLIM~���
� =F[MMC=; =IH=?J`_I >? G;NLCT FC<?L;F�<OLAO?M; >IM >CL?CN�
IM @OH>;G?HN;CM CH@ILG; KO? N;CM >CL?CNIM =IHMNCNO?G
 ?G JLCG?CLI
885/2051
JF;HI
 >CL?CNIM >? >?@?M; >I CH>CPd>OI =IHNL; CHA?LcH=C;M >I
"MN;>I ?G MO; FC<?L>;>? J?MMI;F ? JLIJLC?>;>?� "MM; >?@CHC`_I >?
>CL?CNIM @OH>;G?HN;CM | ;J?M;L >? M?L J;=d@C=I H; >IONLCH; I L?�
=IHB?=CG?HNI >? >CP?LM;M IONL;M | ;CH>; =IHNCHO; I=OJ;H>I
FOA;L >? >?MN;KO? H; ;JFC=;`_I >IM >CL?CNIM @OH>;G?HN;CM� "MM;
C>?C;
 MI<L?NO>I
 I<D?NCP; ; FCGCN;`_I >I JI>?L ?MN;N;F ; @CG >? ;M�
M?AOL;L ;I CH>CPd>OI OG; ?M@?L; >? FC<?L>;>?� -;L; N;HNI
 IONILA;
;I CH>CPd>OI OG >CL?CNI MO<D?NCPI KO? FB? J?LGCN? ?PCN;L CHN?L@?L�
cH=C;M CH>?PC>;M HI ]G<CNI >? JLIN?`_I >I >CL?CNI @OH>;G?HN;F IO
G?MGI ; ?FCGCH;`_I >? ;AL?MMk?M KO? ?MN?D; MI@L?H>I ?G MO; ?M�
@?L;�>?�;ONIHIGC;�J?MMI;F���
�H;FCM;H>I ;M JIMC`k?M DOLd>C=;M @OH>;G?HN;CM KO? CHN?A�
L;G IM >CL?CNIM >? >?@?M;
 CGJILN; =IHMCAH;L KO? ?MN?M H_I M? FCG�
CN;G \M FC<?L>;>?M ? CAO;F>;>?M �>CL?CNI A?L;F >? FC<?L>;>? ?
CAO;F>;>?
 <?G =IGI MO;M =IH=L?NCT;`k?M�
 ;<L;HA?H>I
 ;CH>;
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G;CM >CP?LM;M JIMC`k?M DOLd>C=;M KO? IM >CL?CNIM @OH>;G?HN;CM CH�
N?HN;G JLIN?A?L =IHNL; CHA?LcH=C;M >IM JI>?L?M Jl<FC=IM ? N;G�
<aG =IHNL; ;<OMIM >? ?HNC>;>?M J;LNC=OF;L?M
 >? @ILG; KO? M?
=OC>; >? A;L;HNCL ; FCPL? G;HC@?MN;`_I >; J?LMIH;FC>;>?
 ;MM?AOL�
;H>I�OG;�?M@?L;�>?�;ONI>?N?LGCH;`_I�>I�CH>CPd>OI���
1.2.3. Direitosfundamentais enquanto normas de pro-
te‹o de institutos jur’dicos
*OCN;M P?T?M
 ; IHMNCNOC`_I JI>? =IH@?LCL A;L;HNC; ; >?�
N?LGCH;>IM CHMNCNONIM
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 ; OG =IGJF?RI =IIL>?H;>I >? HIL�
G;M
�=IGI�;�JLIJLC?>;>?
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 ; FC<?L>;>? >? ;MMI=C;`_I � #
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J?H>?
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 >; ?RCMNcH=C; >? HILG;M >CM=CJ�
FCH;>IL;M >I >CL?CNI >? MI=C?>;>? �=IHMNCNOC`_I ? ILA;HCT;`_I >?
J?MMI; DOLd>C=; ?N=��� 1;G<aG ; FC<?L>;>? >? ?R?L=d=CI JLI@CMMCIH�
;F ?RCA? ; JIMMC<CFC>;>? >? ?MN;<?F?=CG?HNI >? PdH=OFI =IHNL;NO;F
? JL?MMOJk?
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DOLd>C=I� , >CL?CNI >? JLIJLC?>;>?
 =IGI I<M?LP;>I
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KO?L�CG;ACH[P?F�M?G�>CM=CJFCH;�HILG;NCP;���
!; G?MG; @ILG;
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HI ;LN� �u
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 I >CL?CNI >? >?@?M; �;LN� �u
 )3� ? I >CL?CNI ;I
DOCT H;NOL;F �;LN� �u
 5553&&�
 ;M A;L;HNC;M =IHMNCNO=CIH;CM >I
886/2051
habeas corpus
 >I G;H>;>I >? M?AOL;H`;
 >I G;H>;>I >? CHDOH�
`_I ? >I habeas data M_I NdJC=;M A;L;HNC;M >? =;L[N?L CHMNCNO=CIH;F
>IN;>;M�>?�]G<CNI�>?�JLIN?`_I�G;L=;>;G?HN?�HILG;NCPI���
"HNL? HgM
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MNCNO=CIH;CM HI =;N[FIAI >; HIMM; IHMNCNOC`_I ; A;L;HNC; >; JLI�
JLC?>;>? �;LN� �u
 55&&�
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 555�
 I
1LC<OH;F >I 'lLC �;LN� �u
 5553&&&�
 ; FdHAO; H;=CIH;F JILNOAO?M;
�;LN� ���
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 caput
 ? p
�u��
1;G<aG @IL; >I LIF >IM >CL?CNIM ? A;L;HNC;M @OH>;G?HN;CM
�1dNOFI &&� JI>?G M?L FI=;FCT;>;M A;L;HNC;M CHMNCNO=CIH;CM
 N;CM
=IGI ; A;L;HNC; >? OG MCMN?G; >? M?AOLC>;>? MI=C;F �;LN� ����
 >;
@;GdFC; �;LN� ����
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����
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/?MM;FN?�M? KO? ;FAOHM >?MM?M CHMNCNONIM JI>?G ;Na G?MGI
M?L =IHMC>?L;>IM A;L;HNC;M CHMNCNO=CIH;CM @OH>;G?HN;CM
 ?G @;=? >;
;<?LNOL;�G;N?LC;F�JLIJC=C;>;�J?FI�;LN���u
�p��u
�>;� IHMNCNOC`_I���
+?MM?M =;MIM
 ; ;NO;`_I >I F?ACMF;>IL L?P?F;�M? CH>CM�
J?HM[P?F J;L; ; JLgJLC; =IH=L?NCT;`_I >I >CL?CNI� -I>?�M? N?L ;KOC
OG ;ONcHNC=I dever constitucional de legislar
�Verfassungsauftrag�
 KO? I<LCA; I F?ACMF;>IL ; ?RJ?>CL ;NIM
HILG;NCPIM }=IH@ILG;>IL?M~ ? =IH=L?NCT;>IL?M >? ;FAOHM >CL?CN�
IM���
1.2.4. Direitos fundamentais enquanto garantias posit-
ivas do exerc’cio das liberdades
� A;L;HNC; >IM >CL?CNIM @OH>;G?HN;CM ?HKO;HNI >CL?CNIM >?
>?@?M; =IHNL; CHN?LP?H`_I CH>?PC>; >I "MN;>I ? =IHNL; G?>C>;M F?�
A;CM L?MNLCNCP;M >IM >CL?CNIM >? FC<?L>;>? H_I M? ;@CAOL; MO@C=C?HN?
J;L; ;MM?AOL;L I JF?HI ?R?L=d=CI >; FC<?L>;>?� ,<M?LP?�M? KO? H_I
;J?H;M ; ?RCMNcH=C; >? F?C G;M N;G<aG ; MO; @;FN; JI>? =IHMNCNOCL
;@LIHN; ;IM >CL?CNIM @OH>;G?HN;CM��� W I KO? M? P?LC@C=;
 v. g., =IG
IM >CL?CNIM \ JL?MN;`_I JIMCNCP; >? dH>IF? HILG;NCP;
 CH=FOMCP? I
=B;G;>I direito ˆ organiza‹o e ao processo �Recht auf Organ-
isation und auf Verfahren� ?
 H_I L;L;M P?T?M
 =IG I >CL?CNI >?
CAO;F>;>?�
887/2051
3CH=OF;>IM \ =IH=?J`_I >? KO? ;I "MN;>I CH=OG<?
 ;FaG >;
H_I CHN?LP?H`_I H; ?M@?L; >; FC<?L>;>? J?MMI;F >IM CH>CPd>OIM
A;L;HNC>; J?FIM >CL?CNIM >? >?@?M;
 ; N;L?@; >? =IFI=;L \ >CMJIMC`_I
IM G?CIM G;N?LC;CM ? CGJF?G?HN;L ;M =IH>C`k?M @[NC=;M KO? JIMMC<�
CFCN?G I ?@?NCPI ?R?L=d=CI >;M FC<?L>;>?M @OH>;G?HN;CM
 IM >CL?CNIM
@OH>;G?HN;CM ; JL?MN;`k?M I<D?NCP;G
 ?G lFNCG; ;H[FCM?
 ;
A;L;HNC; H_I ;J?H;M >; FC<?L>;>?�;ONIHIGC; �FC<?L>;>? J?L;HN? I
"MN;>I� G;M N;G<aG >; FC<?L>;>? JIL CHN?LGa>CI >I "MN;>I
J;LNCH>I >; JL?GCMM; >? KO? I CH>CPd>OI
 HI KO? =IH=?LH? \ =IH�
KOCMN; ? G;HON?H`_I >? MO; FC<?L>;>?
 >?J?H>? ?G GOCNI >? OG;
JIMNOL; ;NCP; >IM JI>?L?M Jl<FC=IM� �MMCG
 ?HKO;HNI >CL?CNIM >?
>?@?M; �status libertatis ? status negativus� >CLCA?G�M?
 ?G JLCH=d�
JCI
 ; OG; JIMC`_I >? L?MJ?CNI ? ;<MN?H`_I JIL J;LN? >IM JI>?L?M
Jl<FC=IM
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 KO?
 >? GI>I A?L;F
 L?MM;FP;>IM
IM ;P;H`IM L?ACMNL;>IM ;I FIHAI >I N?GJI
 JI>?G M?L L?=IH>OT�
C>IM ;I status positivus >? '?FFCH?E
 CGJFC=;G OG; JIMNOL; ;NCP;
>I "MN;>I
 HI M?HNC>I >? KO? ?MN? M? ?H=IHNL; I<LCA;>I ; =IFI=;L \
>CMJIMC`_I >IM CH>CPd>OIM JL?MN;`k?M >? H;NOL?T; DOLd>C=; ? G;N?L�
C;F���
� =IH=L?NCT;`_I >IM >CL?CNIM >? A;L;HNC;M \M FC<?L>;>?M ?R�
CA?
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 ; ?>C`_I >? ;NIM F?ACMF;NCPIM
 >? GI>I KO?
?P?HNO;F CHaL=C; >I F?ACMF;>IL JI>? =IH@CAOL;L ;@LIHN; ; OG >?P?L
=IHMNCNO=CIH;F�>?�F?ACMF;L�
1.2.4.1. Direitos ˆs presta›es positivas
 IGI L?MM;FN;>I
 ; PCM_I >IM >CL?CNIM @OH>;G?HN;CM ?H�
KO;HNI direitos de defesa �Abwehrrecht� L?P?F;�M? CHMO@C=C?HN?
J;L; ;MM?AOL;L ; JL?N?HM_I >? ?@C=[=C; KO? >CG;H; >I N?RNI =IH�
MNCNO=CIH;F� 1;F =IGI I<M?LP;>I JIL (L?<M
 H_I M? =OC>; ;J?H;M
>? ter liberdade em rela‹o ao Estado �Freiheit vom����
 G;M >?
desfrutar essa liberdade mediante atua‹o do Estado �Freiheit
durch�������
� GI>?LH; >IAG[NC=; >IM >CL?CNIM @OH>;G?HN;CM >CM=ON? ;
JIMMC<CFC>;>? >? I "MN;>I PCL ; M?L I<LCA;>I ; =LC;L IM JL?MMOJIM�
NIM @[NC=IM H?=?MM[LCIM ;I ?R?L=d=CI ?@?NCPI >IM >CL?CNIM =IHMNCNO�
=CIH;FG?HN? ;MM?AOL;>IM ? MI<L? ; JIMMC<CFC>;>? >? ?P?HNO;F
888/2051
NCNOF;L >I >CL?CNI >CMJIL >? JL?N?HM_I ; JL?MN;`k?M JIL J;LN? >I
"MN;>I���
0? ;FAOHM MCMN?G;M =IHMNCNO=CIH;CM
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J?F; )?C #OH>;G?HN;F >? �IHH
 ;>GCN?G >CM=OMM_I MI<L? ; ?R�
CMNcH=C; >? >CL?CNIM @OH>;G?HN;CM >? =;L[N?L MI=C;F �soziale
Grundrechte���
 a =?LNI KO? N;F =IHNLIPaLMC; H_I ;MMOG? G;CIL
L?F?PI ?HNL? HgM
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 ?G<IL; ?G =;JdNOFIM
>?MN;=;>IM
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 KO? N;G�
<aG PCH=OF;G I -I>?L -l<FC=I
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PCH=OF;HN? KO? M? ?RNL;C >; A;L;HNC; JLI=?MMO;F�=IHMNCNO=CIH;F >I
G;H>;>I >? CHDOH`_I ? >; ;`_I >CL?N; >? CH=IHMNCNO=CIH;FC>;>?
JIL�IGCMM_I���
0? I "MN;>I ?MN[ =IHMNCNO=CIH;FG?HN? I<LCA;>I ; JLIP?L N;CM
>?G;H>;M
 =;<? CH>;A;L M?
 ? ?G KO? G?>C>;
 ;M ;`k?M =IG I
JLIJgMCNI >? M;NCM@;T?L N;CM JL?N?HMk?M JI>?G M?L juridicizadas
CMNI a
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;G?HN?���
,ONL; J?=OFC;LC>;>? >?MM;M JL?N?HMk?M ; JL?MN;`k?M >? dH�
>IF? JIMCNCP; a ; >? KO? ?F;M ?MN_I PIFN;>;M G;CM J;L; ; =IH@ILG�
;`_I >I @ONOLI >I KO? J;L; ; JL?M?LP;`_I >I status quo� 1;F =IGI
I<M?LP;>I JIL (L?<M
 JL?N?HMk?M \ =IH@ILG;`_I >I @ONOLI
�Zukunftgestaltung� CGJk?G >?=CMk?M KO? ?MN_I MO<G?NC>;M ; ?F�
?P;>IM LCM=IM� I >CL?CNI ;I NL;<;FBI � #
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C=; ?MN;N;F ;>?KO;>; >? =LC;`_I >? ?GJL?AIM� !; G?MG; @ILG;
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>CL?CNI \ ?>O=;`_I � #
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= I ;LN� �u�
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=C; MI=C;F � #
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= I ;LN� �u� ? \ JL?PC>cH=C; MI=C;F � #
;LN� ��� =
= I ;LN� �u� >?J?H>?G >; M;NCM@;`_I >? OG; MaLC? >?
JL?MMOJIMNIM�>?�dH>IF?�?=IHiGC=;
�JIFdNC=;�?�DOLd>C=;�
� MO<GCMM_I >?MM;M JIMC`k?M ; L?AL;M DOLd>C=;M IJ?L; OG
fen™meno de transmuta‹o
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G?HN? =IHMC>?L;>;M >? H;NOL?T; JIFdNC=; ?G MCNO;`k?M DOLd>C=;M�
1?G�M?
 JICM
 ; juridiciza‹o >I JLI=?MMI >?=CMgLCI
 ;=?HNO;H>I�
M?�;�N?HM_I�?HNL?�>CL?CNI�?�JIFdNC=;���
,<M?LP?�M? KO?
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DOLC>C=;G?HN?
 a =?LNI KO? ; MO; ?@?NCP;`_I ?MN[ MO<G?NC>;
 >?HNL?
IONL;M =IH>C=CIH;HN?M
 \ reserva do financeiramente poss’vel
�Vorbehalt des finanziell Mšglichen�� +?MM? M?HNC>I
 L?=IHB?=?O ;
 ILN? IHMNCNO=CIH;F ;F?G_
 H; @;GIM; >?=CM_I MI<L? numerus
889/2051
clausus >? P;A;M H;M 2HCP?LMC>;>?M �numerus clausus
Entscheidung�
 KO? JL?N?HMk?M >?MNCH;>;M ; =LC;L IM JL?MMOJIMNIM
@[NC=IM H?=?MM[LCIM J;L; I ?R?L=d=CI >? >?N?LGCH;>I >CL?CNI ?MN_I
MO<G?NC>;M \ reserva do poss’vel �Vorbehalt des Mšglichen���
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1.2.4.2. Direito ˆ organiza‹o e ao procedimento
+IM lFNCGIM N?GJIM P?G ; >IONLCH; ONCFCT;H>I�M? >I =IH�
=?CNI >? direito ˆ organiza‹o e ao procedimento �Recht auf Or-
ganisation und auf Verfahren� J;L; >?MCAH;L NI>IM ;KO?F?M >CL?CN�
IM @OH>;G?HN;CM KO? >?J?H>?G
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A_IM
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L;M
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A;L;HNC;M JLI=?MMO;CM�=IHMNCNO=CIH;CM �>CL?CNI >? ;=?MMI \ 'OMNC`;
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JLI=?>CG?HNI =IGI ?F?G?HNI ?MM?H=C;F >; L?;FCT;`_I ? A;L;HNC;
>IM�>CL?CNIM�@OH>;G?HN;CM���
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890/2051
5553&&�
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J?H;F �CH;>GCMMC<CFC>;>? >; JLIP; CFd=CN;
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G?MGI >? MO; JLgJLC; ?RCMNcH=C; =IGI CHMNCNOC`k?M >? CGJILN]H=C;
PCN;F J;L; ; >?GI=L;=C;� KO;HNI \ A;L;HNC; >? OG; CAO;F>;>? >?
IJILNOHC>;>?M HI KO? =IH=?LH? \ J;LNC=CJ;`_I HI JLI=?MMI >?GI�
=L[NC=I���
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=CJ;`_I H; ILA;HCT;`_I ? JLI=?>CG?HNI =?HNL;�M? H; JIMMC<CFC>;>?
>? ?RCACL�M? >I "MN;>I �>? GI>I ?MJ?=C;F >I F?ACMF;>IL� ; ?GCMM_I
>? ;NIM F?ACMF;NCPIM ? ;>GCHCMNL;NCPIM >?MNCH;>IM ; =LC;L gLA_IM ?
?MN;<?F?=?L JLI=?>CG?HNIM
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A;L;HNCL ;IM CH>CPd>OIM ; J;LNC=CJ;`_I ?@?NCP; H; ILA;HCT;`_I ?
JLI=?>CG?HNI� +; P?L>;>?
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I<LCA;`_I >I "MN;>I H?MM? M?HNC>I ? M? ; ?MN; =ILL?MJIH>? OG
>CL?CNI�MO<D?NCPI�@OH>;G?HN;F�>I�CH>CPd>OI���
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=?>CG?HNI
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M?H_I JLIN?A?L I >CL?CNI G?>C;HN? I ?MN;<?F?=CG?HNI >? HILG;M >?
JLI=?>CG?HNI�
W I KO? I=ILL?
 v. g., KO;H>I M? CGJk? KO? >?N?LGCH;>IM
;NIM JLI=?MMO;CM MIG?HN? JI>?L_I M?L JL;NC=;>IM =IG ; JL?M?H`;
>I ;>PIA;>I >I ;=OM;>I� ,O
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<L;MCF?CL;
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JI>?L_I M?L =?F?<L;>;M =IG ; J;LNC=CJ;`_I >;M ILA;HCT;`k?M MCH>C�
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891/2051
1.2.5. Direitos fundamentais, dever de prote‹o e proib-
i‹o de prote‹o insuficiente
� =IH=?J`_I KO? C>?HNC@C=; IM >CL?CNIM @OH>;G?HN;CM =IGI
JLCH=dJCIM I<D?NCPIM F?ACNCG; ; C>?C; >? KO? I "MN;>I M? I<LCA; H_I
;J?H;M ; I<M?LP;L IM >CL?CNIM >? KO;FKO?L CH>CPd>OI ?G @;=? >;M
CHP?MNC>;M >I -I>?L -l<FC=I �direito fundamental enquanto direito
de prote‹o ou de defesa Ñ Abwehrrecht� G;M N;G<aG ; A;L;HNCL
IM >CL?CNIM @OH>;G?HN;CM =IHNL; ;AL?MM_I JLIJC=C;>; JIL N?L=?CLIM
�Schutzpflicht des Staats����
� @ILG; =IGI ?MM? >?P?L M?L[ M;NCM@?CNI =IHMNCNOC N;L?@; >IM
gLA_IM ?MN;N;CM
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;`_I���
� DOLCMJLO>cH=C; >; ILN? IHMNCNO=CIH;F ;F?G_ ;=;<IO JIL
=IHMIFC>;L ?HN?H>CG?HNI HI M?HNC>I >? KO? >I MCAHC@C=;>I I<D?N�
CPI >IM >CL?CNIM @OH>;G?HN;CM L?MOFN; I >?P?L >? I "MN;>I H_I
;J?H;M M? ;<MN?L >? CHN?LPCL HI ]G<CNI >? JLIN?`_I >?MM?M >CL?CNIM
G;M N;G<aG >? JLIN?A?L ?MM?M >CL?CNIM =IHNL; ; ;AL?MM_I ?HM?D;>;
JIL�;NIM�>?�N?L=?CLIM���
1;F CHN?LJL?N;`_I >I Bundesverfassungsgericht ?GJL?MN;
M?G >lPC>; OG; HIP; >CG?HM_I ;IM >CL?CNIM @OH>;G?HN;CM
@;T?H>I =IG KO? I "MN;>I ?PIFO; >; JIMC`_I >? advers‡rio
�Gegner� J;L; OG; @OH`_I >? AO;L>C_I >?MM?M >CL?CNIM
�Grundrechtsfreund oder Grundrechtsgarant����
W @[=CF P?L KO? ; C>?C; >? OG >?P?L A?HaLC=I >? JLIN?`_I
;FC=?L`;>I HIM >CL?CNIM @OH>;G?HN;CM L?F;NCPCT; MI<L?G;H?CL; ;
M?J;L;`_I ?HNL? ; IL>?G =IHMNCNO=CIH;F ? ; IL>?G F?A;F
 J?L�
GCNCH>I KO? M? L?=IHB?`; OG; CLL;>C;`_I >IM ?@?CNIM >?MM?M >CL?CN�
IM��Austrahlungswirkung��MI<L?�NI>;�;�IL>?G�DOLd>C=;���
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 ?G NI>IM IM =;MIM
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H?=?MM[LC;M J;L; ; L?;FCT;`_I IO =IH=L?NCT;`_I >IM >CL?CNIM @OH>;�
G?HN;CM���
,M >CL?CNIM @OH>;G?HN;CM H_I =IHNcG ;J?H;M OG; JLIC<C`_I
>? CHN?LP?H`_I �Eingriffsverbote�
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F;>I >? JLIN?`_I �Schutz-gebote�� %;P?LC;
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JL?MM_I >? ;H;LCM
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892/2051
�†bermassverbote� G;M N;G<aG ; JLIC<C`_I >? JLIN?`_I CHMO@C�
=C?HN? �Untermassverbote���� " N;F JLCH=dJCI N?G ;JFC=;`_I ?MJ?�
=C;F�HI�]G<CNI�>IM�>CL?CNIM�MI=C;CM�
+IM N?LGIM >; >IONLCH; ? =IG <;M? H; DOLCMJLO>cH=C; >;
 ILN? IHMNCNO=CIH;F ;F?G_
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@C=;`_I�>I�>?P?L�>?�JLIN?`_I���
;� >?P?L >? JLIC<C`_I �Verbotspflicht�
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JLIC<CL�>?N?LGCH;>;�=IH>ON;�
<� >?P?L >? M?AOL;H`; �Sicherheitspflicht�
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>?P?L >? JLIN?A?L I CH>CPd>OI =IHNL; ;N;KO?M >? N?L=?CLIM G?>C;HN?
;>I`_I�>?�G?>C>;M�>CP?LM;M�
=� >?P?L >? ?PCN;L LCM=IM �Risikopflicht�
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;NO;L =IG I<D?NCPI >? ?PCN;L LCM=IM J;L; I =C>;>_I ?G A?L;F G?>C�
;HN? ; ;>I`_I >? G?>C>;M >? JLIN?`_I IO >? JL?P?H`_I ?MJ?=C;F�
G?HN?�?G�L?F;`_I�;I�>?M?HPIFPCG?HNI�Na=HC=I�IO�N?=HIFgAC=I�
!CM=ONCO�M? CHN?HM;G?HN? M? B;P?LC; OG >CL?CNI MO<D?NCPI \
I<M?LP]H=C; >I >?P?L >? JLIN?`_I IO
 ?G IONLIM N?LGIM
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C; OG >CL?CNI @OH>;G?HN;F \ JLIN?`_I� � ILN? IHMNCNO=CIH;F
;=;<IO JIL L?=IHB?=?L ?MM? >CL?CNI
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P]H=C; >? OG >?P?L >? JLIN?`_I =ILL?MJIH>? ; OG; F?M_I >I
>CL?CNI�@OH>;G?HN;F�JL?PCMNI�HI�;LN���u
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1.2.6. Notas conclusivas
1;F =IGI PCMNI
 ; ?MNLONOL; >IM >CL?CNIM @OH>;G?HN;CM MI=C�
;CM�JI>?�M?L�=IHN?GJF;>;�=IGI
�;� A;L;HNC;�?MJ?=C;F�G?>C;HN?�HILG;M�DOLd>C=;M�PCH=OF;HN?M�
�<� >CL?CNIM�MO<D?NCPIM�>?�M?OM�NCNOF;L?M�
�=� >CL?CNIM�J;MMdP?CM�>?�DO>C=C;FCT;`_I���
"G<IL; M? JIMM; L?=IHB?=?L H; ?MNLONOL; >? GOCNIM >CL?CNIM
MI=C;CM =;L;=N?LdMNC=;M >? >CL?CNIM MO<D?NCPIM @OH>;G?HN;CM
 KO?
IONILA;G ;I NCNOF;L ; JIMMC<CFC>;>? >? @ILGOF;L OG; JL?N?HM_I >?
;>I`_I >? OG; >;>; =IH>ON; �}>?P?L DOLd>C=I L?F;=CIH;F~�
893/2051
J;MMdP?F >? DO>C=C;FCT;`_I
 a CH?A[P?F N;G<aG KO? ?MM?M >CL?CNIM
JI>?G =IHMCMNCL
 =IGI I<M?LP;>I
 ?G }>?P?L MO<D?NCPI H_I L?F;�
=CIH;F~
 H_I CGJILN;H>I ?G L?=IHB?=CG?HNI >? }>CL?CNI MO<D?N�
CPI~ JLIJLC;G?HN? >CNI JIL M? NL;N;L >? }HILG;M I<D?NCP;M>?
JLCH=dJCI~���
+?MM?�lFNCGI�M?HNC>I
�;M�I<M?LP;`k?M�>?��j=E?H@jL>?�
});M HILG;M�JLCH=CJCIM MIH G;H>;NIM >? IJNCGCT;=CgH KO? JO?>?H
L?;FCT;LM? ?H >C@?L?HN? G?>C>; S ?H F;M KO? F; G?>C>; I<FCA;>; >?
L?;FCT;=CgH HI MIFI >?J?H>? >? F;M JIMC<CFC>;>?M L?;F?M >? L?;FCT;�
=CgH
 MCHI N;G<CaH >? F;M DOLd>C=;M� 1C?H?H OH; N?H>?H=C; HILG�
;NCP; ; F; IJNCGCT;=CgH MCH KO?
 MCH ?G<;LAI
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>?N?LGCH;>I =IHN?HC>I� MIH | H?=?M;LC;G?HN? | ;==?MC<F?M ; F;
JIH>?L;=CgH~���
�FaG >? F?ACNCG;L ; =IHMNCNOC`_I >? >CL?CNI MO<D?NCPI
Jl<FC=I
 ;M HILG;M KO? JL?P??G >CL?CNIM MI=C;CM JI>?G L?J?L=ONCL
MI<L? ; IL>?G DOLd>C=; ?G A?L;F
 >;H>I ?HM?DI ; OG; ?RJ;HM_I
>CL?N; IO CH>CL?N; HI JF;HI >I >CL?CNI IL>CH[LCI �?@C=[=C; >CL?N; IO
CH>CL?N;�MI<L?�;M�L?F;`k?M�JLCP;>;M��
/?MM;FN?�M? ;CH>; KO? HIM >CL?CNIM MI=C;CM H_I M? C>?HNC@C=;G
;J?H;M JL?N?HMk?M >? =;L[N?L JIMCNCPI �>CL?CNI MO<D?NCPI ; OG;
JL?MN;`_I ?MJ?=d@C=;�� +_I L;LI
 I >?P?L >? L?MNCNOCL ? JL?M?LP;L ?M�
N[ G;HC@?MNI H;M =B;G;>;M A;L;HNC;M CHMNCNO=CIH;CM �v. g., M?AOLC>�
;>? MI=C;F
 JL?PC>cH=C; MI=C;F�� %[ ?RCAcH=C; HINgLC; >? HILG;M >?
ILA;HCT;`_I ? JLI=?>CG?HNI ?G >CP?LMIM >CL?CNIM MI=C;CM �=@� ;LN�
���
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MN;HN?M >I =;N[FIAI >? >CL?CNIM MI=C;CM NL;>OT?G >?P?L?M >? JLI�
N?`_I �v. g., IHMNCNOC`_I #?>?L;F
 ;LN� �u
 5
 55
 55&&
 553&
553&&��
1.3. Direitos sociais na Constitui‹o de 1988
� IHMNCNOC`_I >? ���� =IHM;AL;
 >? @ILG; ?RJL?MM;
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=;N[FIAI >? >CL?CNIM MI=C;CM� "G J;LN?
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NL;>C`_I CH;OAOL;>; J?F; IHMNCNOC`_I >? ����
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P?T CH=FOCO IM >CL?CNIM MI=C;CM HI M?O N?RNI� 0I< @ILN? CH@FOcH=C;
894/2051
?OLIJ?C;
 ; ;LN; >? ���� NL;TC; OG =;JdNOFI ?MJ?=d@C=I CHNCNOF;>I
},L>?G ?=IHiGC=; ? MI=C;F~ �;LNM� ��������
 =IG ?MJ?=C;F
>?MN;KO? ;IM >CL?CNIM @OH>;G?HN;CM KO? L?A?G ;M L?F;`k?M
NL;<;FBCMN;M�
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iGC=; ? MI=C;F @IC M?AOC>; J?F;M ;LN;M M?AOCHN?M | IHMNCNOC`_I
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HIMMI =IHMNCNO=CIH;FCMGI
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=;JdNOFI�JLgJLCI
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;I >CL?CNI >? ;=?MMI \ DOMNC`; ? =LCIO G?=;HCMGIM ?MJ?=C;CM >?
=IHNLIF? >; IGCMM_I F?ACMF;NCP; �;`_I >CL?N; JIL IGCMM_I ?
G;H>;>I >? CHDOH`_I�
 >?MNCH;>IM ; =IFG;N;L ?P?HNO;CM F;=OH;M H;
L?;FCT;`_I >? >CL?CNIM
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Jl<FC=;M�>?MNCH;>;M�;�;N?H>?L�\M�>?N?LGCH;`k?M�=IHMNCNO=CIH;CM�
+IM N?LGIM >; ;LN; IHMNCNO=CIH;F
 M_I >CL?CNIM MI=C;CM ;
?>O=;`_I
 ; M;l>?
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 ; GIL;>C;
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M?AOL;H`;
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� CHNLI>O`_I >; ;FCG?HN;`_I ;I LIF >IM >CL?CNIM MI=C;CM @IC
@?CN; J?F; "G?H>; IHMNCNO=CIH;F H� ��
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J;HB; FC>?L;>; J?FI IHM?FBI +;=CIH;F >? 0?AOL;H`; �FCG?HN;L ?
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>?FC<?L;`_I�?HPIFP;�IM�M?OM�CHN?L?MM?M��;LN������
1.3.2. O direito ˆ saœde na Constitui‹o Federal de 1988
900/2051
� IHMNCNOC`_I >? ���� a ; JLCG?CL; ;LN; <L;MCF?CL; ; =IH�
M;AL;L I >CL?CNI @OH>;G?HN;F \ M;l>?� 1?RNIM =IHMNCNO=CIH;CM ;H�
N?LCIL?M JIMMOd;G ;J?H;M >CMJIMC`k?M ?MJ;LM;M MI<L? ; KO?MN_I
=IGI ; IHMNCNOC`_I >? ����
 KO? @;TC; L?@?LcH=C; \ A;L;HNC; >?
}MI=ILLIM�Jl<FC=IM~��;LN�����
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�M >?G;H>;M KO? <OM=;G ; ?@?NCP;`_I >? JL?MN;`k?M >?
M;l>? >?P?G
 JILN;HNI
 M?L L?MIFPC>;M ; J;LNCL >; ;H[FCM? >? HIMMI
=IHN?RNI�=IHMNCNO=CIH;F�?�>?�MO;M�J?=OFC;LC>;>?M�
+?MM? M?HNC>I
 ;HN? ; CGJL?N?LdP?F H?=?MMC>;>? >? JIH>?L�
;`k?M
 M_I ;M =CL=OHMN]H=C;M ?MJ?=d@C=;M >? =;>; =;MI KO? M?L_I >?�
=CMCP;M J;L; ; MIFO`_I >; =IHNLIPaLMC;� -;L; N;HNI
 B[ KO? M? J;LNCL
>? NI>; @ILG;
 >I N?RNI =IHMNCNO=CIH;F ? >? =IGI ?F? =IHM;AL; I
>CL?CNI�@OH>;G?HN;F�\�M;l>?�
1.3.2.1. O direito ˆ saœde Ñ ‰mbito de prote‹o
, >CL?CNI \ M;l>? ?MN[ JL?PCMNI HI ;LN� ��� >; IHMNCNOC`_I
#?>?L;F =IGI ��� }>CL?CNI >? NI>IM~ ? ��� }>?P?L >I "MN;>I~
 ���
A;L;HNC>I G?>C;HN? }JIFdNC=;M MI=C;CM ? ?=IHiGC=;M ��� KO? PCM?G
\ L?>O`_I >I LCM=I >? >I?H`;M ? >? IONLIM ;AL;PIM~
 ��� L?AC>I
J?FI JLCH=dJCI >I };=?MMI OHCP?LM;F ? CAO;FCN[LCI~ ��� }\M ;`k?M ?
M?LPC`IM�J;L;�;�MO;�JLIGI`_I
�JLIN?`_I�?�L?=OJ?L;`_I~�
"R;GCH?G�M?�=;>;�OG�>?MM?M�?F?G?HNIM�
(1) direito de todos:
W JIMMdP?F C>?HNC@C=;L H; L?>;`_I >I ;LNCAI =IHMNCNO=CIH;F
N;HNI OG >CL?CNI CH>CPC>O;F KO;HNI OG >CL?CNI=IF?NCPI >? JLIN?`_I
\ M;l>?� !CT?L KO? ; HILG; >I ;LN� ���
 JIL NL;N;L >? OG >CL?CNI
MI=C;F
 =IHMO<MN;H=C;�M? N_I MIG?HN? ?G HILG; JLIAL;G[NC=;
 CH�
=;J;T >? JLI>OTCL ?@?CNIM
 ;J?H;M CH>C=;H>I >CL?NLCT?M ; M?L?G I<�
M?LP;>;M J?FI JI>?L Jl<FC=I
 MCAHC@C=;LC; H?A;L ; @IL`; HILG;NCP;
>;� IHMNCNOC`_I�
� >CG?HM_I CH>CPC>O;F >I >CL?CNI \ M;l>? @IC >?MN;=;>; J?FI
*CHCMNLI ?FMI >? *?FFI
 >I 0OJL?GI 1LC<OH;F #?>?L;F
 L?F;NIL >I
�A/�/" H� ���������
/0
 ;I L?=IHB?=?L I >CL?CNI \ M;l>? =IGI
OG >CL?CNI Jl<FC=I MO<D?NCPI ;MM?AOL;>I \ A?H?L;FC>;>? >;M J?MM�
I;M
 KO? =IH>OT I CH>CPd>OI ? I "MN;>I ; OG; L?F;`_I DOLd>C=;
I<LCA;=CIH;F� /?MM;FNIO I *CHCMNLI KO? }; CHN?LJL?N;`_I >; HILG;
JLIAL;G[NC=; H_I JI>? NL;HM@ILG[�F; ?G JLIG?MM; =IHMNCNO=CIH;F
901/2051
CH=IHM?KO?HN?~
 CGJIH>I ;IM ?HN?M @?>?L;>IM OG >?P?L >?
JL?MN;`_I JIMCNCP;� IH=FOCO KO? }; ?MM?H=C;FC>;>? >I >CL?CNI \
M;l>? @?T =IG KO? I F?ACMF;>IL =IHMNCNOCHN? KO;FC@C=;MM? =IGI
JL?MN;`k?M >? L?F?P]H=C; Jl<FC=; ;M ;`k?M ? M?LPC`IM >? M;l>? � #
;LN� ����~
 F?ACNCG;H>I ; ;NO;`_I >I -I>?L 'O>C=C[LCI H;M
BCJgN?M?M ?G KO? ; �>GCHCMNL;`_I -l<FC=; >?M=OGJL; I G;H>;�
G?HNI�=IHMNCNO=CIH;F�?G�;JL?`I���
+_I I<MN;HN?
 ?MM? >CL?CNI MO<D?NCPI Jl<FC=I a ;MM?AOL;>I
G?>C;HN? JIFdNC=;M MI=C;CM ? ?=IHiGC=;M� ,O M?D;
 H_I B[ OG
>CL?CNI ;<MIFONI ; NI>I ? KO;FKO?L JLI=?>CG?HNI H?=?MM[LCI J;L; ;
JLIN?`_I
 JLIGI`_I ? L?=OJ?L;`_I >; M;l>?
 CH>?J?H>?HN?G?HN?
>; ?RCMNcH=C; >? OG; JIFdNC=; Jl<FC=; KO? I =IH=L?NCT?� %[ OG
>CL?CNI Jl<FC=I MO<D?NCPI ; JIFdNC=;M Jl<FC=;M KO? JLIGIP;G
 JLI�
N?D;G�?�L?=OJ?L?G�;�M;l>?�
(2) dever do Estado:
, >CMJIMCNCPI =IHMNCNO=CIH;F >?CR; =F;LI KO?
 J;L; ;FaG >I
>CL?CNI @OH>;G?HN;F \ M;l>?
 B[ I >?P?L @OH>;G?HN;F >? JL?MN;`_I
>? M;l>? JIL J;LN? >I "MN;>I �2HC_I
 "MN;>IM
 !CMNLCNI #?>?L;F ?
*OHC=dJCIM��
, >?P?L >? >?M?HPIFP?L JIFdNC=;M Jl<FC=;M KO? PCM?G \ L?�
>O`_I >? >I?H`;M
 \ JLIGI`_I
 \ JLIN?`_I ? \ L?=OJ?L;`_I >;
M;l>? ?MN[ ?RJL?MMI HI ;LN� ���
 #� "MM; a OG; ;NLC<OC`_I
=IGOG >IM ?HN?M >; @?>?L;`_I
 =IHMI;HN? ;LN� ��
 &&
 >;
 IHMNCNOC`_I�
(3) garantido mediante pol’ticas sociais e econ™micas:
� A;L;HNC; G?>C;HN? JIFdNC=;M MI=C;CM ? ?=IHiGC=;M L?MM;FP;
DOMN;G?HN?
 ; H?=?MMC>;>? >? @ILGOF;`_I >? JIFdNC=;M Jl<FC=;M KO?
=IH=L?NCT?G I >CL?CNI \ M;l>? JIL G?CI >? ?M=IFB;M ;FI=;NCP;M� W
CH=IHN?MN[P?F KO?
 ;FaG >; H?=?MMC>;>? >? M? >CMNLC<OCL L?=OLMIM
H;NOL;FG?HN? ?M=;MMIM JIL G?CI >? =LCNaLCIM >CMNLC<ONCPIM
 ; JLg�
JLC; ?PIFO`_I >; G?>C=CH; CGJk? OG PCaM JLIAL;G[NC=I ;I >CL?CNI
\ M;l>?
 JICM M?GJL? B;P?L[ OG; HIP; >?M=I<?LN;
 OG HIPI ?R�
;G?
 OG HIPI JLIAHgMNC=I IO JLI=?>CG?HNI =CLlLAC=I
 OG; HIP;
>I?H`;�IO�;�PIFN;�>?�OG;�>I?H`;�MOJIMN;G?HN?�?LL;>C=;>;�
(4) pol’ticas que visem ˆ redu‹o do risco de doena e de
outros agravos:
902/2051
1;CM JIFdNC=;M PCM;G \ L?>O`_I >I LCM=I >? >I?H`; ? IONLIM
;AL;PIM
 >? @ILG; ; ?PC>?H=C;L MO; >CG?HM_I JL?P?HNCP;� �M ;`k?M
JL?P?HNCP;M H; [L?; >; M;l>? @IL;G
 CH=FOMCP?
 CH>C=;>;M =IGI
JLCILCN[LC;M�J?FI�;LN�����
�&&
�>;� IHMNCNOC`_I�
, ]G<CNI >? ;<L;HAcH=C; >?MM;M JIFdNC=;M Jl<FC=;M a
<;MN;HN? ;GJFI� -?MKOCM;M >; ,LA;HCT;`_I *OH>C;F >; 0;l>? CH�
>C=;G
 JIL ?R?GJFI
 OG; >CL?N; L?F;`_I ?HNL? M;H?;G?HNI <[MC=I ?
;=?MMI \ [AO; JIN[P?F ? M;l>? Jl<FC=;� -IFdNC=;M HI M?HNC>I >?
G?FBIL;LC;M H; L?>? >? ?MAINIM L?>OTCLC;G =IHMC>?L;P?FG?HN? ;
KO;HNC>;>? >? >I?H`;M ?
 =IHM?KO?HN?G?HN?
 IM >CMJcH>CIM =IG
M;l>?�HI��L;MCF���
(5) pol’ticas que visem ao acesso universal e igualit‡rio:
, =IHMNCNOCHN? ?MN;<?F?=?O OG MCMN?G; OHCP?LM;F >? ;=?MMI
;IM M?LPC`IM Jl<FC=IM >? M;l>?
 I KO? L?@IL`; ; L?MJIHM;<CFC>;>?
MIFC>[LC; >IM ?HN?M >; @?>?L;`_I
 A;L;HNCH>I
 CH=FOMCP?
 ;
Òigualdade da assistncia ˆ saœde, sem preconceitos ou privilŽ-
gios de qualquer espŽcieÓ �;LN���u
�&3
�>;�)?C�H�������
������
.O?MN_I KO? JI>? M?L CH=FOd>; HI LIF >;M JIFdNC=;M J;L; OG
;=?MMI OHCP?LM;F ;I MCMN?G; >? M;l>? a ; KO?<L; >? J;N?HN? >?
G?>C=;G?HNIM� +I �L;MCF
 ?MN; @IC ONCFCT;>; =IGI @ILG; >? =IH�
=L?NCT;`_I >? JIFdNC=; Jl<FC=;
 >;H>I�M? G;CIL ?@?NCPC>;>? ;I
>CL?CNI�\�M;l>?�
*?FBIL ?R?GJFI a ; KO?<L; >? J;N?HN? >? G?>C=;G?HNIM
J;L; I NL;N;G?HNI >; �&!0 ? I -LIAL;G; +;=CIH;F >? !I?H`;M
0?RO;FG?HN? 1L;HMGCMMdP?CM� �HN?M >? MO; I=ILLcH=C;
 I >?@?LC�
G?HNI >? J?>C>IM J;L; ; I<N?H`_I >I }=IKO?N?F~ J;L; I NL;N;�
G?HNI >; �&!0 ?L; ?RNL?G;G?HN? =IGOG HI 0OJL?GI 1LC<OH;F
#?>?L;F
�?�IM�=OMNIM�=IG�MO;�=IGJL;
�?F?P;>IM�
(6) a›es e servios para promo‹o, prote‹o e recuper-
a‹o da saœde:
, ?MNO>I >I >CL?CNI \ M;l>? HI �L;MCF F?P; ; =IH=FOCL KO? IM
JLI<F?G;M >? ?@C=[=C; MI=C;F >?MM? >CL?CNI @OH>;G?HN;F >?P?G�M?
GOCNI G;CM ; KO?MNk?M FCA;>;M \ CGJF?G?HN;`_I ? G;HON?H`_I >;M
JIFdNC=;M Jl<FC=;M >? M;l>? D[ ?RCMN?HN?M | I KO? CGJFC=; N;G<aG
; =IGJIMC`_I >IM IL`;G?HNIM >IM ?HN?M >; @?>?L;`_I | >I KO? \
@;FN; >? F?ACMF;`_I ?MJ?=d@C=;� "G IONLIM N?LGIM
 I JLI<F?G; H_I a
903/2051
>? CH?RCMNcH=C;
 G;M >? ?R?=O`_I �;>GCHCMNL;NCP;� >;M JIFdNC=;M
Jl<FC=;M�J?FIM�?HN?M�@?>?L;>IM�
+OG; PCM_I A?L;F
 I >CL?CNI \ M;l>? B[ >? M? ?@?NCP;L G?>C�
;HN? ;`k?M ?MJ?=d@C=;M �>CG?HM_I CH>CPC>O;F� ? G?>C;HN? ;GJF;M
JIFdNC=;M Jl<FC=;M KO? PCM?G \ L?>O`_I >I LCM=I >? >I?H`; ? >?
IONLIM ;AL;PIM �>CG?HM_I =IF?NCP;�� +?MM;M J?LMJ?=NCP;M
 ;M JL?�
N?HMk?M @ILGOF;>;M ? @ILGOF[P?CM N;HNI JI>?L_I >CT?L L?MJ?CNI ;
;NIM =IH=L?NIM =IGI ; JIFdNC=;M ? ;`k?M ;>GCHCMNL;NCP;M KO? =IH�
NLC<O;G J;L; ; G?FBILC; >I MCMN?G; >? M;l>?
 CH=FOd>;M ;KOC ;M
HILG;M�>?�ILA;HCT;`_I�?�JLI=?>CG?HNI�
1.3.2.2. O Sistema ònico de Saœde Ñ considera›es
gerais
� IHMNCNOC`_I #?>?L;F BIOP? JIL <?G ?MN;<?F?=?L I GI>?�
FI <[MC=I >? ILA;HCT;`_I ? JLI=?>CG?HNI J;L; I >CL?CNI <[MC=I \
M;l>?�
+IM N?LGIM >I N?RNI =IHMNCNO=CIH;F
 ;M ;`k?M ? M?LPC`IM
Jl<FC=IM >? M;l>? CHN?AL;G OG; L?>? L?ACIH;FCT;>; ? BC?L;LKOCT�
;>; ? =IHMNCNO?G OG MCMN?G; lHC=I
 ILA;HCT;>I >? @ILG; >?M=?HN�
L;FCT;>;
 =IG >CL?`_I ?G =;>; ?M@?L; >? AIP?LHI
 PIFN;>I ;I
;N?H>CG?HNI CHN?AL;F
 =IG JLCILC>;>? J;L; ;NCPC>;>?M JL?P?HNCP;M
M?G JL?DOdTI >IM M?LPC`IM ?MM?H=C;CM
 ;MM?AOL;H>I�M? ; J;LNC�
=CJ;`_I�>;�=IGOHC>;>?��;LN�������
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;NLC<OC`k?M��;LN�������
& | =IHNLIF;L ? @CM=;FCT;L JLI=?>CG?HNIM
 JLI>ONIM ? MO<MN]H=C;M >?
CHN?L?MM? J;L; ; M;l>? ? J;LNC=CJ;L >; JLI>O`_I >? G?>C=;G?HNIM
?KOCJ;G?HNIM
 CGOHI<CIFgAC=IM
 B?GI>?LCP;>IM ? IONLIM CHMOGIM�
&& | ?R?=ON;L ;M ;`k?M >? PCACF]H=C; M;HCN[LC; ? ?JC>?GCIFgAC=;
<?G =IGI ;M >? M;l>? >I NL;<;FB;>IL�
&&& | IL>?H;L ; @ILG;`_I >? L?=OLMIM BOG;HIM H; [L?; >? M;l>?�
&3 | J;LNC=CJ;L >; @ILGOF;`_I >; JIFdNC=; ? >; ?R?=O`_I >;M ;`k?M
>? M;H?;G?HNI <[MC=I�
3 | CH=L?G?HN;L ?G MO; [L?; >? ;NO;`_I I >?M?HPIFPCG?HNI
=C?HNd@C=I ? N?=HIFgAC=I�
904/2051
3& | @CM=;FCT;L ? CHMJ?=CIH;L ;FCG?HNIM
 =IGJL??H>C>I I =IHNLIF?
>? M?O N?IL HONLC=CIH;F
 <?G =IGI <?<C>;M ? [AO;M J;L; =IHMOGI
BOG;HI�
3&& | J;LNC=CJ;L >I =IHNLIF? ? @CM=;FCT;`_I >; JLI>O`_I
 NL;HM�
JILN?
 AO;L>; ? ONCFCT;`_I >? MO<MN]H=C;M ? JLI>ONIM JMC=I;NCPIM
NgRC=IM ? L;>CI;NCPIM�
3&&& | =IF;<IL;L H; JLIN?`_I >I G?CI ;G<C?HN?
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>C>I�I�>I�NL;<;FBI�
3c�M?
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 KO?
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MCMN?G; lHC=I ? CHN?AL;>I >? M;l>?
 I =IHMNCNOCHN? >?@CHCO
 >?
@ILG; ;GJF;
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�� ? �����
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�I =LC;L I 020
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NL;>C`_I ;Na ?HN_I ?RCMN?HN? ? ;>INIO OG; L?>? L?ACIH;FCT;>; ?
BC?L;LKOCT;>;
 M?AOH>I I =LCNaLCI >; MO<MC>C;LC?>;>?
 =IGI @ILG;
>? G?FBIL =IH=L?NCT;L ?MM? >CL?CNI MI=C;F� 0O; =IH=?J`_I >?=ILL?O
?G J;LN? >; ?PIFO`_I >I MCMN?G; KO? ;HN?M ?L; CHMNCNOd>I ?G HdP?F
IL>CH[LCI
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-?FI =;L[N?L L?ACIH;FCT;>I >I 020
 ; =IGJ?NcH=C; J;L;
=OC>;L >; M;l>? @IC >?@CHC>; =IGI =IGOG>IM ?HN?M >; @?>?L;`_I�
, ;LN� ��
 &&
 >; IHMNCNOC`_I
 JL?Pc KO? 2HC_I
 "MN;>IM
 !CMNLCNI
#?>?L;F ? *OHC=dJCIM M_I L?MJIHM[P?CM MIFC>[LCIM J?F; M;l>? DOHNI
;I CH>CPd>OI ? \ =IF?NCPC>;>?� -;L; MO; ?@?NCP; =IH=L?NCT;`_I
 ;
@ILG; >? M?O @CH;H=C;G?HNI J;MM; ; M?L KO?MN_I PCN;F
 ?MJ?=C;F�
G?HN?�;IM�*OHC=dJCIM�
a. Financiamento
2G >IM JIHNIM <;MCF;L?M >I 020 a MO; >?M=?HNL;FCT;`_I
 JIL
?HN?H>?L�M? KO?
 =IG ?MM;
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OG J;dM G;L=;>I J?F; B?N?LIA?H?C>;>?
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+?MM? ;MJ?=NI
 ; CGJILN]H=C; >; GOHC=CJ;FCT;`_I >I @CH;H�
=C;G?HNI ? OG; =IHM?KO?HN? >CGCHOC`_I =?HNL;FCT;>IL; NILH;G�M?
L?F?P;HN?M�
, @CH;H=C;G?HNI >I 020 a JL?PCMNI HI p �u >I ;LN� ��� >;
 IHMNCNOC`_I #?>?L;F
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905/2051
G?CI >? L?=OLMIM >I IL`;G?HNI >; M?AOLC>;>? MI=C;F
 >; 2HC_I
>IM "MN;>IM
 >I !CMNLCNI #?>?L;F ? >IM *OHC=dJCIM
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IONL;M @IHN?M��� , ;LN� ��
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;JLIP;>; ; F?C >? >CL?NLCT?M IL`;G?HN[LC;M
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GdHCGI
 >I IL`;G?HNI >; M?AOLC>;>? MI=C;F
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� "G?H>; IHMNCNO=CIH;F H� ��
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;I ;MMOHNI
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>;M ;`k?M ? M?LPC`IM Jl<FC=IM >? M;l>?� �FN?LIO ; L?>;`_I >I ;LN�
��
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 e
 J;MM;H>I ; M?L JIMMdP?F ; CHN?LP?H`_I @?>?L;F HIM "MN;�
>IM ? HI !CMNLCNI #?>?L;F J;L; ;MM?AOL;L ; };JFC=;`_I >I GdHCGI
?RCAC>I >; L?=?CN; L?MOFN;HN? >? CGJIMNIM ?MN;>O;CM
 =IGJL??H>C>;
; JLIP?HC?HN? >? NL;HM@?LcH=C;M~ ����� H;M ;`k?M ? M?LPC`IM Jl<FC=IM
>? M;l>?~� 1;F >CMJIMCNCPI ?KOCJ;LIO ;M [L?;M >? M;l>? ? ?>O=;`_I
HI�KO?�M?�L?@?L?�\�PCH=OF;`_I�>I�@CH;H=C;G?HNI�Jl<FC=I�
!CMJIMC`_I ;H[FIA; @IC CHM?LC>; H; IHMNCNOC`_I MI<L? ;
JIMMC<CFC>;>? >? CHN?LP?H`_I >IM "MN;>IM HIM M?OM *OHC=dJCIM ?
>; 2HC_I HIM *OHC=dJCIM FI=;FCT;>IM ?G 1?LLCNgLCI #?>?L;F �;LN�
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