Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPVIANA, Ana Luiza d'AvilaSILVA, Hudson Pacifico da2018-09-132018-09-132018CIENCIA & SAUDE COLETIVA, v.23, n.7, p.2107-2117, 20181413-8123https://observatorio.fm.usp.br/handle/OPI/28222There is inherent tension between the idea of health as a social right and of health as a private good. From the latter perspective, healthcare provision is brought closer to the logic of ownership, where access depends on ability to pay. The prioritization of markets (over governments), economic incentives (over social or cultural norms), and entrepreneurship (over collective or community action), one of the hallmarks of neoliberalism, constitutes a project to dismantle the welfare state, defined as a set of policy mechanisms designed to meet collective needs. This article examines the above process and its consequences for social protection and health by reflecting upon two phenomena that threaten the principle of health as a social right: neoliberal ideas and policies; and financial capitalism. We argue that the common good must be defended or insulated from the negative effects of financial capitalism and from the erosion and fragmentation of public institutions and social protection systems caused by neoliberalism.engopenAccessCapitalismCommodificationPublic policyPublic healtharticleCopyright ABRASCO10.1590/1413-81232018237.07582018Public, Environmental & Occupational Health1678-4561