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O desfianciamento do Sistema Único de Saúde e o envelhecimento da população impulsionaram o crescimento do setor de Saúde Suplementar no Brasil que, atualmente, alcança 50 milhões de pessoas, cerca de 25% da população brasileira. Entre fevereiro e setembro de 2022, o país testemunhou um embate em torno de um aspecto da regulamentação do setor: a judicialização da cobertura dos planos de saúde, o chamado "rol da ANS", a Agência Nacional de Saúde Suplementar. Esse artigo analisa a atuação da ANS e conclui que houve parcialidade a favor do setor privado, desrespeito às obrigações de impessoalidade e independência. Diante da dinâmica demográfica, à luz desse episódio, sugere-se uma revisão normativa e questionamentos do modelo de Estado regulador para se atender às demandas de saúde, sobretudo, da população idosa.

The modern Western democracies face two major challenges: the pension systems and the financing of political campaigns. Almost all contemporary political and economic struggles revolve around these two issues. The first one is treated at length by the sociological and economic literature. The second, however, still lacks analysis because it contains an element that hinders its clarity: human relations. In other words, the relationship between politicians and business people, among bureaucrats and those who are dependent on the state or regulatory decisions. In this field, of course, not always impersonal decisions prevail [1]. Networks and Institutions in Europe's Emerging Markets is a contribution to expand the research on the topic and add a unique perspective. Roger Schoenman revisits both paradigmatic success stories and frequently cited laggards of political and economic reform in post-communist Europe between 1989 and 2005 by focusing on the neglected role of networks between firms and political parties. The author seeks to understand how the configuration of networks determined the institutional trajectories of post-socialist states.

Le Brésil a été l'un des trois pays les plus touchés par la pandémie de Covid-19 en nombre absolu et proportionnel de décès. Face à un processus de vieillissement accéléré de la population, 75,1 % des décès concernaient des personnes âgées. Cet article traite de l'impact de la position négative du président Jair Bolsonaro sur la situation de vulnérabilité du pays et, surtout, envers la population âgée. Sans protection de l'État, les personnes âgées n'ont pu compter que sur l'action de la société civile pour atténuer les effets de la pandémie.

Resumo Este texto discute a questão urbana em sua relação com o envelhecimento populacional. De forma resumida, evidencia-se o efeito do capital financeiro, nos séculos XX e XXI, sobre o espaço urbano, o trabalho e a seguridade social. Defende-se que a perda do direito à cidade é o último estágio do desmonte do Estado de Bem-Estar Social. Com o avanço do capital imobiliário, amplia-se a segregação dos moradores, e os mais pobres se alojam em condições precárias nas cidades, onde vivem 84% dos idosos brasileiros. Esse processo contribui, assim, para a construção de um discurso paradoxal sobre a velhice, sobretudo, no que diz respeito ao direito ao trabalho e à postergação da aposentadoria diante da maior longevidade. Produz-se hipótese a ser explorada em pesquisa posterior sobre o papel do ambiente construído na decisão de aposentadoria.

This Research Topic focuses on both strengths and weaknesses of social innovation, technological innovation, and health innovation that are increasingly recognized as crucial concepts related to the formulation of responses to the social, health, and environmental challenges. Goals of this Research Topic: (1) to identify and share the best recent practices and innovations related to social, environmental and health policies; (2) to debate on relevant governance modes, management tools as well as evaluation and impact assessment techniques; (3) to discuss dilemmas in the fields of management, financing, designing, implementing, testing, and maintaining the sustainability of innovative models of delivering social, health and care services; and (4) to recognize and analyze social, technological and health innovation that has emerged or has been scaled-up to respond to crisis situations, for example, a pandemic of the COVID-19 coronavirus disease.

Social entrepreneurship is usually understood as an economic activity which focuses at social values, goals, and investments that generates surpluses for social entrepreneurs as individuals, groups, and startups who are working for the benefit of communities, instead of strictly focusing mainly at the financial profit, economic values, and the benefit generated for shareholders or owners. Social entrepreneurship combines the production of goods, services, and knowledge in order to achieve both social and economic goals and allow for solidarity building. From a broader perspective, entities that are focused on social entrepreneurship are identified as parts of the social and solidarity economy. These are, for example, social enterprises, cooperatives, mutual organizations, self-help groups, charities, unions, fair trade companies, community enterprises, and time banks. Social innovation is a key element of social entrepreneurship. Social innovation is usually understood as new strategies, concepts, products, services, and organizational forms that allow for the satisfaction of needs. Such innovations are created in particular in the contact areas of various sectors of the social system. For example, these are spaces between the public sector, the private sector, and civil society. These innovations not only allow the solving of problems but also extend possibilities for public action.