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ABSTRACT Objective: To discuss the political and structural conditions for establishing the Unified Health System (UHS – Sistema Único de Saúde, SUS) in coping with the SARS-CoV-2 pandemic. Methods: Theoretical-reflection study. Results: At the first moment named "The global and the local in facing the SARS-CoV-2 pandemic" is presented the health crisis that took place worldwide and the government actions to combat COVID-19. A second moment named "Between dismantling actions and resistance, the UHS is the best way to face the SARS-CoV-2 pandemic", reflects on the neoliberal attacks on the health system and how it resists, remaining the main pandemic response strategy. Conclusion: The strengthening of democracy and the defense of the UHS are the way out of the crisis. It is believed that this reflection generates - in everyone who deals with caretaking - the political action, the ethical attitude, the desire for valorization and the spirit of struggle in defense of the UHS and human life.

Estudo qualitativo, de caráter exploratório, envolvendo 10 profissionais do sexo feminino, realizado em Pau dos Ferros/RN. Aplicou-se entrevista semiestruturada. Buscou-se conhecer a prática sexual, analisar a vulnerabilidade e avaliar as necessidades em saúde das profissionais do sexo. A partir da análise de conteúdo, categoria temática, percebe-se a atividade como profissão, já que as entrevistadas atuam no ramo da prostituição pela renda gerada. Foi avaliado que a aceitação da família é um obstáculo e que as visitas à unidade de saúde se resumem a consultas ou à coleta de Papanicolau. É importante que se programem ações que promovam a melhoria do conhecimento em saúde, os direitos e deveres em saúde e cidadania, proporcionando uma melhora na assistência prestada a essa categoria profissional.

ABSTRACT Objective: to discuss, taking for reference the crisis in Brazil and its impact on public health policies, the insertion of Brazilian nursing in that context and its ways of practicing the profession, based on the study about the politicality of care. Method: the reflection is divided into two topics, the first is about public policies, the Brazilian Unified Health System and the deconstruction of the right to health with neoliberal offensive; and the second is about the nursing political action in the fight for the right to health and for democracy. Final considerations: we emphasize that nursing must assume its sociopolitical role to contribute to the construction of a better and fairer Brazil, saying no to neoliberal reforms, as well as fighting for rights already acquired and for the resumption of the democratic stability in the country.