Este artigo reflete sobre o acolhimento e a produção de cuidado destinados à população em situação de rua numa perspectiva socioantropológica, a partir de uma observação participante realizada junto a uma equipe de Consultório na Rua. Observou-se que essa população, historicamente visibilizada como marginal, dificilmente consegue acessar os serviços de saúde, tornando-se invisível ao próprio Sistema Único de Saúde. Embora a Política Nacional para a População em Situação de Rua pretenda assegurar acesso à saúde, o cuidado, no entanto, nem sempre é garantido porque serviços e profissionais de saúde têm pouca experiência para acolher pessoas em situação de rua e atender as suas necessidades. Conclui-se que o desafio é hipervisibilizar as linhas de cuidado para situações impostas pela vida na rua e a construção de vínculo terapêutico desconstrutor da prática estigmatizante.
Social medicalization transforms people's habits, discourages them from fi nding their own solutions to certain health problems and places an excess demand on the Unifi ed Health System. With regard to healthcare provision, an alternative to social medicalization is the pluralization of treatment provided by health institutions namely through the recognition and provision of alternative and complementary practices and medicines. The objective of the article was to analyze the potentials and diffi culties of alternative and complementary practices and medicines based on clinical and institutional experiences and on the specialist literature. The research concludes that the potential of such a strategy to "demedicalize" is limited and should be included in the remit of the Unifi ed Health System. The article highlights that the Biosciences retain a political and epistemiological hegemony over medicine and that the area of healthcare is dominated by market principles, whereby there is a trend towards the transformation of any kind of knowledge or structured practice related to health-illness processes into goods or procedures to be consumed, and this only reinforces heteronomy and medicalization.
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