Comparison Between the Healthcare System of the United States and the Brazilian Unified Healthcare System (SUS): A Narrative Bibliographical Review

Georgenan Monteiro Silva dos Santos
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Georgenan Monteiro Silva dos Santos: Master of Science in Healthcare Management – Must University

International Journal of Research and Scientific Innovation, 2025, vol. 12, issue 7, 1667-1675

Abstract: Access to healthcare is a basic and inalienable right, linked to the guarantee of life and the provision of the best available resources by healthcare systems. Brazil and the United States offer healthcare through different models: the North American system is primarily private, with public coverage limited to specific groups, while Brazil has a universal public system with guaranteed access to all through the Unified Health System (SUS). This study aims to compare the two healthcare systems, emphasizing their structural particularities, financing methods, organizational principles, and results regarding access, equity, and performance. The research was conducted through a narrative literature review, using electronic databases for the survey. The results suggest that Brazil has a healthcare system based on universality, comprehensiveness, and equity, despite the challenges faced due to underfunding. Conversely, the US system, despite offering high per capita investments, faces significant inequalities in access and presents varied health outcomes.

Date: 2025
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