The Jair Bolsonaro (PL) authorities despatched the 2023 funds proposal to Congress, which supplied for a modest cut of 58% in DataSUS (the informatics division of the Unified Health System), elevating fears concerning the vulnerability of data managed by the physique. .
The division is accountable for creating and working the SUS system in queues for consultations and procedures, illness notifications, amongst different providers. Additionally, it handles the delicate data of tens of millions of healthcare customers.
According to the proposal despatched to Congress, the group may have BRL 140.2 million accessible for subsequent 12 months, whereas the proposed quantity for 2022 was BRL 330 million (in present values).
DataSUS was most popular through the pandemic for managing Covid vaccine certification purposes, akin to ConectSUS.
The division has come underneath fireplace for leaking authorities data and hacking into the well being ministry’s system. Advance numbers for Covid got here with out updating after the late 2021 assault on the data in the folder.
Sanitary physician and researcher Gilliet Coelho, who was director of DataSUS in 2015, says the cuts will enhance the vulnerability of the service that serves many of the nation to failure and invasion. “Most municipalities shouldn’t have the assets to rent know-how options and depend on the Ministry of Health,” he mentioned.
The quantity reserved for DataSUS reached R$ 512 million in 2019, the primary 12 months of Bolsonaro’s authorities, however has since declined.
An aide to Minister Marcelo Quiroga says the cuts may disrupt recruitment to make sure “safety and availability” of the system.
In a observe, the Ministry of Health declared that it was “conscious of the budgetary necessities and can search the mandatory changes, in dialogue with the National Congress”. The folder didn’t say which providers could also be affected by the data cuts.
Coelho recollects that the division offers with delicate data, akin to lists of individuals with sure ailments. “This data must be protected very nicely,” he mentioned.
“If there isn’t any funding, these techniques turn out to be out of date. If the system is gradual, the physician will desire to make use of paper,” Coelho mentioned.
For researchers, the cut exhibits the federal government’s lack of curiosity in making the division a protagonist in the talk on digital well being technique.
Rafael Zanatta, director of the Brazilian Research Association for Data Privacy, says Saude is proposing to cut the Datasus funds at a time when cybersecurity spending at giant firms “solely will increase”.
Zanatta says the latest leak of SUS data exhibits underinvestment and an absence of standard data safety.
Marcelo Fornazin, researcher at Fiocruz and member of Abrasco (Brazilian Association of Collective Health), highlights that Datasus doesn’t have its personal profession and that the agency has expanded the outsourcing of providers.
Experts additionally level out that the well being proposal to create “Open Health”, a course of impressed by “Open Banking” of sharing buyer data between well being operators, has been cut.
“I’m involved concerning the sort of advantages that may be gained from the supply of delicate data from the Brazilian inhabitants to the non-public sector, much more so in this situation of the weakening of Datasus and SUS in common,” says Raquel Rachid, a researcher. on USP and Lapin (Public Policy and Internet Laboratory).
In a observe, CONAS (National Council of Health Secretaries) demanded that strengthening the governance of knowledge techniques and data safety applied sciences is a precedence.
“Furthermore, progressive reductions in federal funding have resulted in the weakening of the general public well being system, which is severe and must be urgently repaired,” the council mentioned.
Bolsonaro despatched a funds proposal for 2023 with a forecast of a 42% cut in the well being ministry’s discretionary funds, which have been used for supplies, gear purchases and investments.
If the cuts are confirmed, applications akin to Popular Pharmacy and Doctors for Brazil will lose greater than half of their funds. Pressed by the electoral dispute, Bolsonaro says he’ll restore the well being funds, with out pointing to an answer.