THE STATE, PUBLIC HEALTH, AND THE THIRD SECTOR: A CASE STUDY ON CASA HUNTER

Abstract

This research analyzes the structural crisis of Brazilian Public Health, exacerbated by the underfunding of the SUS (Unified Health System) and administrative rigidity, proposing the paradigm of the "Necessary State" as a collaborative governance solution. This analysis is justified by the urgency in overcoming the "diagnostic odyssey," especially in the field of rare diseases, guaranteeing the effectiveness of the constitutional right to health. Methodologically, a qualitative and exploratory approach is adopted, based on a robust multidisciplinary bibliographic review and the case study of Casa Hunter. The investigation demonstrates that the entity transcends traditional welfare, acting as a Think Tank for innovation, production of census data, and legislative advocacy. The results prove that the performance of the Third Sector offers superior economic efficiency to direct state execution, in addition to administrative agility and humanization, vital pillars for the sustainability of the system. It is concluded that the complementarity between State, Market, and Civil Society is not optional, but imperative for the construction of a hybrid SUS. The strategic alliance between sectors consolidates national sovereignty in health, materializing the constitutional promise of comprehensiveness and equity for vulnerable populations.