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This article is published in Open Access under the Creative Commons Attribution license, which allows use, distribution, and reproduction in any medium, without restrictions, as long as the original work is correctly cited. Participants in the 4th Brazilian Congress on Health Policy, Planning, and Administration, meeting on a virtual platform on March 22-26, 2021, saluted the future in the lectures, debates, roundtables, and oral presentations as an expression of the right of all to health and life. Now more than ever, the Brazilian Unified National Health System (SUS) needs to be defended as a source of pride and beacon of hope for the Brazilian people. In the opening session, Jurema Werneck called for social and political activism with her lecture on Inequalities and the Pandemic: What Democracy is Necessary for a truly inclusive project? Her provocative question set the tone for what proved to be a vivid, combative, and heated congress, belying our fearful expectations concerning what might have been a cold, remote virtual format. It was difficult to make the decision to hold an entirely virtual congress, the first of its kind organized by the Brazilian Association of Collective Health (Abrasco). The congress’s design was intensely participatory 1,2. For nearly two years, a group of 80 researchers from the area of health policy, planning, and administration, representing the entire country, served as the scientific committee, which grouped the congress activities in 10 thematic areas. The organization of the thematic areas aimed at an in-depth analysis to allow identifying new strategies and approaches in planning and administration for defending the Brazilian population’s right to health 3. The scientific committee intentionally assumed that the backbone for the congress would be the coordinated synchronous and asynchronous communications, in which the various social actors from the respective areas presented their research production. This dynamic facilitated the dialogue with new researchers joining the field and creating a new critical mass in the health sector. Among the thematic areas, Health Planning, Administration, and Assessment featured the most papers (197), and Federative Relations and Health Regionalization and Science, Technology, Innovation Policy received the least, with 36 abstracts each. Hospital Policy, Administration, and Patient Care and Healthcare Systems and Networks received 57 and 48 abstracts, respectively, to cite just two other examples of the field’s vast but unequally distributed research production. This may merit a more detailed study of the relations between stimulus for The Brazilian Unified National Health System and the civilizational project: scenarios, alternatives, and proposals

O Sistema Único de Saúde e o projeto civilizatório: cenários, alternativas e propostas