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The hypothesis is advanced that public health policies played a central role during the forging and enhancement of the Brazilian state's capacity to intervene across the national territory and integrate it, independent of any evaluation of the effect that such efforts might have on the population's health. The adopted theoretical approach highlights policy as a central analytical dimension. In relating public health to the forging of public power and, in a more instrumental fashion, to the emergence of bureaucratic state agencies, the article calls attention to (1) the historical nature of the collectivization of a good 9in this case health), which requires the creation of increasingly public, mandatory, and national dispositions, and (2) the nature and specifity of the power of the state.
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