{"id":616,"date":"2022-05-23T11:14:38","date_gmt":"2022-05-23T14:14:38","guid":{"rendered":"https:\/\/carlosp.com.br\/vr\/?p=616"},"modified":"2023-07-04T11:17:28","modified_gmt":"2023-07-04T14:17:28","slug":"a-desvalorizacao-dos-honorarios-medicos","status":"publish","type":"post","link":"https:\/\/carlosp.com.br\/vr\/a-desvalorizacao-dos-honorarios-medicos\/","title":{"rendered":"A DESVALORIZA\u00c7\u00c3O DOS HONOR\u00c1RIOS M\u00c9DICOS"},"content":{"rendered":"<p>\u00c9 not\u00f3rio que os honor\u00e1rios m\u00e9dicos sofreram uma substancial desvaloriza\u00e7\u00e3o ao longo dos \u00faltimos 40 anos e est\u00e3o longe do patamar m\u00ednimo inicialmente idealizado pelas comiss\u00f5es que o discutiram nas \u00faltimas d\u00e9cadas.<\/p>\n<p>Prova disso \u00e9 a baixa remunera\u00e7\u00e3o obtida em uma consulta m\u00e9dica, que chega a pagar ao profissional, dependendo da operadora, em patamares pr\u00f3ximos de R$30,00 (trinta reais). Por certo n\u00e3o objetivamos aqui a an\u00e1lise dos valores pagos pelo Sistema P\u00fablico de Sa\u00fade \u2013 SUS.<\/p>\n<p>Se considerarmos o IGPM, o INPC e o IPCA como indexadores da moeda ao longo dos anos, perceberemos que a falta de reajuste consumiu mais de 90% (noventa por cento) de toda a remunera\u00e7\u00e3o que o profissional da \u00e1rea m\u00e9dica deveria perceber por seu trabalho. Esses valores foram simplesmente drenados para outros atores atuantes na sa\u00fade suplementar.<\/p>\n<p>A grande causa dessa defasagem pode ser explicada por duas situa\u00e7\u00f5es distintas. A primeira, pela dificuldade que o m\u00e9dico tem de defender seus interesses, de maneira isolada. Soma-se a essa primeira situa\u00e7\u00e3o o fato de que o poder de monops\u00f4nio\u00b9 das operadoras imp\u00f5e, de maneira unilateral e abusiva, a remunera\u00e7\u00e3o que ir\u00e3o pagar, inclusive praticando reajustes negativos, n\u00e3o obstante a veda\u00e7\u00e3o legal do art. 5\u00ba, VIII da\u00a0<a href=\"https:\/\/www.legisweb.com.br\/legislacao\/?id=429858\" target=\"_blank\" rel=\"noopener\"><u>RN ANS 503\/2022<\/u><\/a>.<\/p>\n<p>Outro fator agravante \u00e9 a aus\u00eancia de um trabalho especializado, legal e \u00e9tico, focado na discuss\u00e3o e na defesa das prerrogativas profissionais e nos interesses econ\u00f4micos da classe, aliados \u00e0s regras legislativas e aos preceitos deontol\u00f3gicos do\u00a0<a href=\"https:\/\/portal.cfm.org.br\/\" target=\"_blank\" rel=\"noopener\">Conselho Federal de Medicina<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p>Alguns diplomas legais, tais como as revogadas\u00a0<a href=\"https:\/\/app.sogi.com.br\/Manager\/texto\/arquivo\/exibir\/arquivo?eyJ0eXAiOiJKV1QiLCJhbGciOiJIUzI1NiJ9AFFIjAvMjM4NTkvU0dfUmVxdWlzaXRvX0xlZ2FsX1RleHRvLzAvMC9SRVNPTFXDh8ODTyBOT1JNQVRJVkEgQU5TIE7CuiA0MiwgREUgMDQtMDctMjAwMy5kb2MvMC8wIgAFFc_ZVr6fuRKL9CPM8ZfW8h9U3SIz49TSr1ikBmPy1q1I#:~:text=Estabelece%20os%20requisitos%20para%20a,o%20inciso%20II%20do%20art.\" target=\"_blank\" rel=\"noopener\"><u>Resolu\u00e7\u00f5es Normativas ANS n\u00ba 42\/2003<\/u><\/a>\u00a0e\u00a0<a href=\"https:\/\/bvsms.saude.gov.br\/bvs\/saudelegis\/ans\/2004\/res0071_17_03_2004.html#:~:text=Estabelece%20os%20requisitos%20dos%20instrumentos,que%20prestam%20servi%C3%A7os%20em%20consult%C3%B3rios.\" target=\"_blank\" rel=\"noopener\"><u>71\/2004<\/u><\/a>\u00a0e\u00a0<a href=\"https:\/\/bvsms.saude.gov.br\/bvs\/saudelegis\/dides\/2012\/in0049_17_05_2012.html#:~:text=Regulamenta%20o%20crit%C3%A9rio%20de%20reajuste,17%20de%20mar%C3%A7o%20de%202004.\" target=\"_blank\" rel=\"noopener\"><u>Instru\u00e7\u00e3o Normativa ANS n\u00ba 49\/2012<\/u><\/a>, assim como a\u00a0<a href=\"https:\/\/sistemas.cfm.org.br\/normas\/arquivos\/resolucoes\/BR\/2002\/1642_2002.pdf\" target=\"_blank\" rel=\"noopener\"><u>Resolu\u00e7\u00e3o CFM 1.642\/2002<\/u><\/a>, sempre apontaram expressamente que os contratos m\u00e9dicos com as empresas e entidades tomadoras de servi\u00e7os no sistema privado deveriam sofrer reajustes anuais e respeitar as regras da teoria geral dos contratos. Equival\u00eancia entre presta\u00e7\u00e3o e contrapresta\u00e7\u00e3o e distribui\u00e7\u00e3o equitativa de \u00f4nus e riscos s\u00e3o princ\u00edpios b\u00e1sicos que deveriam pautar a atividade contratual aplicada na sa\u00fade.<\/p>\n<p>Acrescente-se o fato de que com a entrada em vigor da\u00a0<a href=\"http:\/\/www.planalto.gov.br\/ccivil_03\/_ato2011-2014\/2014\/lei\/l13003.htm\" target=\"_blank\" rel=\"noopener\"><u>Lei 13.003\/2014<\/u><\/a>, os planos e as cooperativas n\u00e3o teriam mais qualquer justificativa para n\u00e3o aplicar os reajustes anuais nos honor\u00e1rios m\u00e9dicos. Ledo engano.<\/p>\n<p>O resultado imediato dessa equa\u00e7\u00e3o \u00e9 um d\u00e9ficit hist\u00f3rico nos valores praticados, considerando a aus\u00eancia sistem\u00e1tica de reajustes e a falta de atualiza\u00e7\u00e3o dos valores dos honor\u00e1rios m\u00e9dicos n\u00e3o aplicados ano a ano.<\/p>\n<hr id=\"[object Object]\" \/>\n<p><b>Leia tamb\u00e9m:<\/b><\/p>\n<ul>\n<li><a href=\"http:\/\/valerioribeiro.adv.br\/blog\/artigos\/junta-medica-ou-odontologica-e-abuso-de-direito\/\" target=\"_blank\" rel=\"noopener\"><u>Junta m\u00e9dica ou odontol\u00f3gica e abuso do direito<\/u><\/a><\/li>\n<li><a href=\"http:\/\/valerioribeiro.adv.br\/blog\/artigos\/erro-medico-prevenir-e-o-melhor-remedio\/\" target=\"_blank\" rel=\"noopener\"><u>Erro m\u00e9dico: prevenir \u00e9 o melhor rem\u00e9dio<\/u><\/a><\/li>\n<\/ul>\n<hr id=\"[object Object]\" \/>\n<p>O quadro abaixo demonstra como os valores praticados na medicina oftalmol\u00f3gica simplesmente n\u00e3o contemplam mais uma remunera\u00e7\u00e3o m\u00ednima e a defasagem dos pre\u00e7os, considerando a corre\u00e7\u00e3o pelo IGPM.<\/p>\n<p>O c\u00e1lculo abaixo parte do CH (coeficiente de honor\u00e1rios) valendo R$0,51 (cinquenta e um centavos) em maio de 1996, conforme estudo apontado pela Associa\u00e7\u00e3o M\u00e9dica Brasileira naquele ano.<\/p>\n<p>Baseado no valor primitivo do CH de R$0,51 (cinquenta e um centavos) em 1996, apenas atualizamos seu pre\u00e7o para maio de 2022, pelo IGPM, de acordo com a\u00a0<a href=\"https:\/\/www.bcb.gov.br\/acessoinformacao\/calculadoradocidadao\" target=\"_blank\" rel=\"noopener\"><u>Calculadora do Cidad\u00e3o<\/u><\/a>\u00a0(BACEN), obtendo o seguinte resultado.<\/p>\n<div><\/div>\n<div>\n<div>1 CH = R$0,51 \u2013 05\/1996<\/div>\n<div>1 CH = R$4,69 \u2013 05\/2022 (IGPM)<\/div>\n<div><\/div>\n<div>Se quisermos considerar o valor do CH atualizado pelo INPC, ap\u00f3s a atualiza\u00e7\u00e3o para maio de 2022, obteremos o seguinte resultado:<\/div>\n<div><\/div>\n<div>1 CH = R$0,51 \u2013 05\/1996<\/div>\n<div>1 CH = R$2,60 \u2013 05\/2022 (INPC)<\/div>\n<div><\/div>\n<div>Se quisermos considerar o valor do CH atualizado pelo IPCA, ap\u00f3s a atualiza\u00e7\u00e3o para maio de 2022, obteremos o seguinte resultado:<\/div>\n<div><\/div>\n<div>1 CH = R$0,51 \u2013 05\/1996<\/div>\n<div>1 CH = R$2,60 \u2013 05\/2022 (IPCA)<\/div>\n<div><\/div>\n<div>Considerando aqui, para efeito de compara\u00e7\u00e3o do d\u00e9ficit de pre\u00e7o, basta verificar quanto as operadoras est\u00e3o remunerando um procedimento e quanto ele de fato deveria estar valendo, se tivesse sido reajustado ao longo dos anos pelo \u00cdndice Geral de Pre\u00e7os \u2013 Mercado (IGPM), sen\u00e3o vejamos:<\/div>\n<div><\/div>\n<div>\n<div><b><u>Cod. TUSS<\/u>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>Coef.Honor.<\/u>\u00a0<u>Val. Atualizado<\/u><\/b><\/div>\n<div><\/div>\n<div>10101012 Consulta\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>\u00a0<\/u><u>CH \u2013 100\u00a0R$469,00<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<\/div>\n<div><b>30301009 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 P\u00c1LPEBRAS<\/b><\/div>\n<div>30301017 Abscesso de p\u00e1lpebra \u2013 drenagem\u00a0<u>CH \u2013 80\u00a0R$375,20<\/u><\/div>\n<div>\n<div>30301025 Bi\u00f3psia de p\u00e1lpebra\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>\u00a0<\/u><u>CH \u2013 150\u00a0R$703,50<\/u><\/div>\n<div>30301033 Blefarorrafia\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 320\u00a0R$1.500,80<\/u><\/div>\n<div>30301041 Cal\u00e1zio \u2013 ex\u00e9rese\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 120\u00a0R$562,8<\/u><\/div>\n<div>30301050 Cantoplastia lateral \u2013 p\u00e1lpebra\u00a0<u>CH \u2013 290,4\u00a0R$1.361,97<\/u><\/div>\n<div>30301068 Cantoplastia medial \u2013 p\u00e1lpebra\u00a0<u>CH \u2013 290,4\u00a0R$1.361,97<\/u><\/div>\n<div>30301076 Coloboma \u2013 com pl\u00e1stica \u2013 ex\u00e9rese\u00a0<u>CH \u2013 550\u00a0R$2.579,50<\/u><\/div>\n<div>30301084 Corre\u00e7\u00e3o cir\u00fargica de ectr\u00f3pio ou entr\u00f3pio\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30301092 Corre\u00e7\u00e3o de bolsas palpebrais \u2013 unilateral\u00a0<u>CH \u2013 700\u00a0R$3.283,00<\/u><\/div>\n<div>30301106 Dermatocalaze ou blefarocalaze &#8211; unilateral \u2013 ex\u00e9rese\u00a0<u>CH \u2013 468,75\u00a0R$2.198,43<\/u><\/div>\n<div>30301114 Epicanto \u2013 corre\u00e7\u00e3o cir\u00fargica \u2013 unilateral\u00a0<u>CH \u2013 400\u00a0R$2.198,43<\/u><\/div>\n<div>30301122 Epila\u00e7\u00e3o \u2013 p\u00e1lpebras\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 80\u00a0R$375,20<\/u><\/div>\n<div>30301130 Epila\u00e7\u00e3o de c\u00edlios (diatermo-coagula\u00e7\u00e3o)\u00a0<u>CH \u2013 150\u00a0R$703,50<\/u><\/div>\n<div>30301149 Fissura palpebral \u2013 corre\u00e7\u00e3o cir\u00fargica\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30301157 Lagoftalmo \u2013 corre\u00e7\u00e3o cir\u00fargica\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 550\u00a0R$2.579,50<\/u><\/div>\n<div>30301165 P\u00e1lpebra \u2013 reconstru\u00e7\u00e3o parcial (com ou sem ressec\u00e7\u00e3o de tumor)\u00a0<u>CH \u2013 550\u00a0R$2.579,50<\/u><\/div>\n<div>30301173 P\u00e1lpebra \u2013 reconst. total (com ou sem ressec. de tumor) \u2013 por est\u00e1gio\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div>30301181 Ptose palpebral \u2013 corre\u00e7\u00e3o cir\u00fargica \u2013 unilateral\u00a0<u>CH \u2013 450\u00a0R$2.110,50<\/u><\/div>\n<div>30301190 Ressec\u00e7\u00e3o de tumores palpebrais\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 600\u00a0R$2.814,00<\/u><\/div>\n<div>30301203 Retra\u00e7\u00e3o palpebral \u2013 corre\u00e7\u00e3o cir\u00fargica\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>30301211 Simbl\u00e9faro com ou sem enxerto \u2013 corre\u00e7\u00e3o cir\u00fargica\u00a0<u>CH \u2013 400\u00a0R$1.876,50<\/u><\/div>\n<div>30301220 Superc\u00edlio \u2013 reconstru\u00e7\u00e3o total\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div>30301238 Sutura de p\u00e1lpebra\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 180\u00a0R$844,20<\/u><\/div>\n<div>30301246 Tarsorrafia \u2013 p\u00e1lpebra\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 120\u00a0R$562,80<\/u><\/div>\n<div>30301254 Telecanto \u2013 corre\u00e7\u00e3o cir\u00fargica \u2013 unilateral \u2013 p\u00e1lpebra\u00a0<u>CH \u2013 750\u00a0R$3.517,50<\/u><\/div>\n<div>30301262 Triqu\u00edase com ou sem enxerto \u2013 tratamento cir\u00fa. les\u00e3o em p\u00e1lpebra\u00a0<u>CH \u2013 150\u00a0R$703,50<\/u><\/div>\n<div>30301270 Xantelasma palpebral \u2013 ex\u00e9rese \u2013 unilateral\u00a0<u>CH \u2013 300\u00a0R$1.407,00<\/u><\/div>\n<div>\n<div>\n<hr id=\"[object Object]\" \/>\n<\/div>\n<div><b>30302005 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 CAVIDADE ORBIT\u00c1RIA<\/b><\/div>\n<div>30302013 Corre\u00e7\u00e3o da enoftalmia\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 850\u00a0R$3.986,50<\/u><\/div>\n<div>30302021 Descompress\u00e3o de \u00f3rbita ou nervo \u00f3tico \u2013 cavidade orbit\u00e1ria ocular\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div>30302030 Exentera\u00e7\u00e3o com osteotomia \u2013 cavidade orbit\u00e1ria ocular\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 1300\u00a0R$6.097,00<\/u><\/div>\n<div>30302048 Exentera\u00e7\u00e3o de \u00f3rbita \u2013 cavidade orbit\u00e1ria ocular\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 1300\u00a0R$6.097,00<\/u><\/div>\n<div>30302056 Ex\u00e9rese de tumor com abordagem craniofacial oncol\u00f3gica (tempo facial)<\/div>\n<div>p\u00e1lpebra, cavidade orbit\u00e1ria e olhos\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 1150\u00a0R$5.393,50<\/u><\/div>\n<div>30302064 Fratura de \u00f3rbita \u2013 redu\u00e7\u00e3o cir\u00fargica \u2013 cavidade orbit\u00e1ria ocular\u00a0<u>CH \u2013 700\u00a0R$3.283,00<\/u><\/div>\n<div>30302072 Fratura de \u00f3rbita \u2013 redu\u00e7\u00e3o cir\u00far. e enxer. \u00f3sseo \u2013 cavid. Orbit. ocular\u00a0<u>CH \u2013 900\u00a0R$4.221,00<\/u><\/div>\n<div>30302080 Implante secund\u00e1rio de \u00f3rbita \u2013 cavidade orbit\u00e1ria ocular\u00a0<u>CH \u2013 1000\u00a0R$4.690,00<\/u><\/div>\n<div>30302099 Microcirurgia para tumores orbit\u00e1rios \u2013 cavidade orbit\u00e1ria ocular\u00a0<u>CH \u2013 2500\u00a0R$11.725,00<\/u><\/div>\n<div>30302102 Reconstitui\u00e7\u00e3o de paredes orbit\u00e1rias \u2013 cavidade orbit\u00e1ria ocular\u00a0<u>CH \u2013 1500\u00a0R$7.035,00<\/u><\/div>\n<div>30302110 Reconstru\u00e7\u00e3o parcial de cavidade orbital \u2013 por est\u00e1gio\u00a0\u2013 cavidade orbit\u00e1ria ocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 550\u00a0R$2.579,50<\/u><\/div>\n<div>30302129 Reconstru\u00e7\u00e3o total da cavidade orbital \u2013 por est\u00e1gio \u2013\u00a0cavidade orbit\u00e1ria ocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 950\u00a0R$4.455,50<\/u><\/div>\n<div>30302137 Tumor de \u00f3rbita \u2013 ex\u00e9rese \u2013 cavidade orbit\u00e1ria ocular\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div><\/div>\n<hr id=\"[object Object]\" \/>\n<div><b>30303001 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 CONJUNTIVA<\/b><\/div>\n<div>30303010 Autotransplante conjuntival\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>30303028 Bi\u00f3psia de conjuntiva \u2013 ocular\u00a0<u>CH \u2013 80\u00a0R$375,20<\/u><\/div>\n<div>30303036 Enxerto de membrana amni\u00f3tica \u2013 conjuntiva ocular\u00a0<u>CH \u2013 350\u00a0R$1.641,5<\/u><\/div>\n<div>30303044 Infiltra\u00e7\u00e3o subconjuntival \u2013 ocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 50\u00a0R$234,50<\/u><\/div>\n<div>30303052 Pl\u00e1stica de conjuntiva \u2013 ocular\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30303060 Pter\u00edgio \u2013 ex\u00e9rese\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30303079 Reconstitui\u00e7\u00e3o de fundo de saco \u2013 conjuntiva ocular\u00a0<u>CH \u2013 950\u00a0R$4.455,50<\/u><\/div>\n<div>30303087 Sutura de conjuntiva \u2013 ocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 150\u00a0R$703,50<\/u><\/div>\n<div>30303095 Transplante de limbo \u2013 conjuntiva ocular\u00a0<u>CH \u2013 810\u00a0R$3.798,90<\/u><\/div>\n<div>30303109 Tumor de conjuntiva \u2013 ex\u00e9rese \u2013 conjuntiva ocular\u00a0<u>CH \u2013 350\u00a0R$1.641,50<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<\/div>\n<div><b>30304008 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 CORNEA<\/b><\/div>\n<div>30304016 Cauteriza\u00e7\u00e3o de c\u00f3rnea\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 80\u00a0R$375,20<\/u><\/div>\n<div>30304024 Ceratectomia superficial \u2013 monocular\u00a0<u>CH \u2013 244,44\u00a0R$1.146,42<\/u><\/div>\n<div>30304032 Corpo estranho da c\u00f3rnea \u2013 retirada\u00a0<u>CH \u2013 80\u00a0R$375,20<\/u><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<div>30304105 Delamina\u00e7\u00e3o corneana com fotoabla\u00e7\u00e3o estromal \u2013 LASIK\u00a0\u00a0\u00a0<u>\u00a0CH \u2013 1781,82\u00a0R$8.356,73<\/u><\/div>\n<div>30304091 Fotoabla\u00e7\u00e3o de superf\u00edcie convencional \u2013 PRK \u2013 c\u00f3rnea\u00a0<u>CH \u2013 927\u00a0R$4.347,63<\/u><\/div>\n<div>30304083 Implante de anel intra-estromal \u2013 c\u00f3rnea\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 1610\u00a0R$7.550,90<\/u><\/div>\n<div>30304040 PTK ceratectomia fototerap\u00eautica \u2013 monocular \u2013 c\u00f3rnea\u00a0<u>CH \u2013 800\u00a0R$3.752,00<\/u><\/div>\n<div>30304059 Recobrimento conjuntival \u2013 c\u00f3rnea\u00a0<u>CH \u2013 350\u00a0R$1.641,50<\/u><\/div>\n<div>30304067 Sutura de c\u00f3rnea (com ou sem h\u00e9rnia de \u00edris)\u00a0<u>CH \u2013 700\u00a0R$3.283,00<\/u><\/div>\n<div>30304075 Tarsoconjuntivoceratoplastia\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 950\u00a0R$4.455,50<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><b>30305004 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 C\u00c2MARCHA ANTERIOR<\/b><\/div>\n<div>30305012 Paracentese da c\u00e2mara anterior \u2013 ocular\u00a0<u>CH \u2013 250\u00a0R$1.172,50<\/u><\/div>\n<div>30305020 Reconstru\u00e7\u00e3o da c\u00e2mara anterior \u2013 ocular\u00a0<u>CH \u2013 781,25\u00a0R$3.664,06<\/u><\/div>\n<div>30305039 Remo\u00e7\u00e3o de hifema \u2013 c\u00e2mara anterior ocular\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30305047 Retirada de corpo estranho da c\u00e2mara anterior \u2013 ocular\u00a0<u>CH \u2013 650\u00a0R$3.048,50<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><b>30306000 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 CRISTALINO<\/b><\/div>\n<div>30306019 Capsulotomia YAG ou cir\u00fargica\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 700\u00a0R$3.283,00<\/u><\/div>\n<div>30306027 Facectomia com lente intra-ocular com facoemulsifica\u00e7\u00e3o\u00a0<u>CH \u2013 1500\u00a0R$7.035,00<\/u><\/div>\n<div>30306035 Facectomia com lente intra-ocular sem facoemulsifica\u00e7\u00e3o\u00a0<u>CH \u2013 1500\u00a0R$7.035,00<\/u><\/div>\n<div>30306043 Facectomia sem implante\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 900\u00a0R$4.221,00<\/u><\/div>\n<div>30306051 Fixa\u00e7\u00e3o iriana de lente intra-ocular\u00a0<u>CH \u2013 650\u00a0R$3.048,50<\/u><\/div>\n<div>30306060 Implante secund\u00e1rio \/ explante \/ fixa\u00e7\u00e3o escleral ou iriana\u00a0<u>CH \u2013 850\u00a0R$3.986,50<\/u><\/div>\n<div>30306078 Remo\u00e7\u00e3o de pigmentos da lente intra-ocular com yag-laser\u00a0<u>CH \u2013 436\u00a0R$2.044,84<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><b>30307007 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 CORPO V\u00cdTREO<\/b><\/div>\n<div>30307015 Bi\u00f3psia de tumor via pars plana\u00a0<u>CH \u2013 650\u00a0R$3.048,50<\/u><\/div>\n<div>30307023 Bi\u00f3psia de v\u00edtreo via pars plana\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30307031 Endolaser\/Endodiatermia \u2013 corpo v\u00edtreo\u00a0<u>CH \u2013 625\u00a0R$2.931,25<\/u><\/div>\n<div>30307040 Implante de silicone intrav\u00edtreo\u00a0<u>CH \u2013 1000\u00a0R$4.690,00<\/u><\/div>\n<div>30307058 Infus\u00e3o de perfluocarbono \u2013 corpo v\u00edtreo\u00a0<u>CH \u2013 526,32\u00a0R$2.468,44<\/u><\/div>\n<div>30307066 Membranectomia EPI ou sub-retiniana\u00a0<u>CH \u2013 666,67\u00a0R$3.126,98<\/u><\/div>\n<div>30307074 Retirada de corpo estranho \u2013 corpo v\u00edtreo\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div>30307082 Retirada de \u00f3leo de silicone via pars plana\u00a0<u>CH \u2013 950\u00a0R$4.455,50<\/u><\/div>\n<div>30307090 Troca fluido gasosa \u2013 corpo v\u00edtreo\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 526,32\u00a0R$2.468,44<\/u><\/div>\n<div>30307104 Vitrectomia a c\u00e9u aberto \u2013 ceratopr\u00f3tese\u00a0<u>CH \u2013 1850\u00a0R$8.676,50<\/u><\/div>\n<div>30307112 Vitrectomia anterior\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 700\u00a0R$3.283,00<\/u><\/div>\n<div>30307120 Vitrectomia vias pars plana\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 1450\u00a0R$6.800,50<\/u><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><b>30308003 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 ESCLERA<\/b><\/div>\n<div>30308011 Bi\u00f3psia de esclera\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 170\u00a0R$797,30<\/u><\/div>\n<div>30308020 Enxerto de esclera (qualquer t\u00e9cnica)\u00a0<u>CH \u2013 1047,2\u00a0R$4.911,36<\/u><\/div>\n<div>30308046 Ex\u00e9rese de tumor de esclera\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 600\u00a0R$2.814,00<\/u><\/div>\n<div>30308038 Sutura de esclera\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div><\/div>\n<hr id=\"[object Object]\" \/>\n<div><b>30309000 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 BULBO OCULAR<\/b><\/div>\n<div>30309018 Enuclea\u00e7\u00e3o ou eviscera\u00e7\u00e3o com ou sem implante \u2013 bulbo ocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 800\u00a0R$3.752,00<\/u><\/div>\n<div>30309026 Inje\u00e7\u00e3o retrobulbar \u2013 ocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 80\u00a0R$375,20<\/u><\/div>\n<div>30309034 Reconstitui\u00e7\u00e3o de globo ocular com les\u00e3o de estruturas intra-oculares\u00a0\u00a0\u00a0<u>CH \u2013 1200\u00a0R$5.628,00<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><b>30310008 PROCED. CIR\u00daR. E INVASIVOS (OLHOS) \u2013 \u00cdRIS E CORPO CILIAR<\/b><\/div>\n<div>30310016 Bi\u00f3psia de \u00edris e corpo ciliar\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30310024 Cicloterapia \u2013 qualquer t\u00e9cnica \u2013 em iris e corpo ciliar\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30310032 Cirurgias fistulizantes antiglaucomatosas\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div>30310040 Cirurgias fistulizantes com implantes valvulares \u2013 iris e corpo ciliar\u00a0<u>CH \u2013 1350\u00a0R$6.331,50<\/u><\/div>\n<div>30310059 Drenagem de descolamento de cor\u00f3ide \u2013 iris e corpo ciliar\u00a0<u>CH \u2013 950\u00a0R$4.455,50<\/u><\/div>\n<div>30310067 Fototrabeculoplastia (laser) \u2013 iris e corpo ciliar\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>30310075 Goniotomia ou trabeculotomia\u00a0<u>CH \u2013 1350\u00a0R$6.331,50<\/u><\/div>\n<div>30310083 Iridectomia (laser ou cir\u00fargica)\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>30310091 Iridociclectomia\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 1500\u00a0R$7.035,00<\/u><\/div>\n<div>30310105 Sinequiotomia (cir\u00fargica) \u2013 iris e corpo ciliar\u00a0<u>CH \u2013 650\u00a0R$3.048,50<\/u><\/div>\n<div>30310113 Sinequiotomia (laser) \u2013 iris e corpo ciliar\u00a0<u>CH \u2013 700\u00a0R$3.283,00<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><b>30311004 PROCEDIMENTOS CIR\u00daRGICOS E INVASIVOS (OLHOS) \u2013 M\u00daSCULOS<\/b><\/div>\n<div>30311012 Bi\u00f3psia de m\u00fasculos \u2013 oculares\u00a0<u>CH \u2013 250\u00a0R$1.172,50<\/u><\/div>\n<div>30311020 Cirurgia com sutura ajust\u00e1vel \u2013a m\u00fasculos oculares\u00a0<u>CH \u2013 650\u00a0R$3.048,50<\/u><\/div>\n<div>30311039 Estrabismo ciclo vertical\/transposi\u00e7\u00e3o \u2013 monocular ratamento cir\u00fargico\u00a0<u>CH \u2013 1000\u00a0R$4.690,00<\/u><\/div>\n<div>30311047 Estrabismo horizontal \u2013 monocular \u2013 tratamento cir\u00fargico\u00a0<u>CH \u2013 1000\u00a0R$4.690,00<\/u><\/div>\n<div>30311055 Inje\u00e7\u00e3o de toxina botul\u00ednica \u2013 monocular \u2013 m\u00fasculos oculares\u00a0<u>CH \u2013 273\u00a0R$1.280,37<\/u><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<\/div>\n<div><b>30312000 PROCEDIMENTOS CIR\u00daRGICOS E INVASIVOS (OLHOS) \u2013 RETINA<\/b><\/div>\n<div>30312019 Aplica\u00e7\u00e3o de placa radiativa episcleral \u2013 em retina\u00a0<u>CH \u2013 750\u00a0R$3.517,50<\/u><\/div>\n<div>30312027 Bi\u00f3psia de retina\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 850\u00a0R$3.986,50<\/u><\/div>\n<div>30312035 Ex\u00e9rese de tumor de cor\u00f3ide e\/ou corpo ciliar\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div>30312043 Fotocoagula\u00e7\u00e3o (laser) \u2013 por sess\u00e3o \u2013 monocular \u2013 les\u00f5es de retina\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>30312051 Infus\u00e3o de g\u00e1s expansor \u2013 ocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 360\u00a0R$1.688,40<\/u><\/div>\n<div>30312060 Pancrioterapia perif\u00e9rica \u2013 em retina\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>30312078 Remo\u00e7\u00e3o de implante episcleral \u2013 em retina\u00a0<u>CH \u2013 250\u00a0R$1.172,50<\/u><\/div>\n<div>30312086 Retinopexia com introflex\u00e3o escleral\u00a0<u>CH \u2013 1500\u00a0R$7.035,00<\/u><\/div>\n<div>30312094 Retinopexia pneum\u00e1tica\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 600\u00a0R$2.814,00<\/u><\/div>\n<div>30312108 Retinopexia profil\u00e1tica (criopexia)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><b>30313007 PROCEDIMENTOS CIR\u00daRGICOS E INVASIVOS (OLHOS) \u2013 VIAS LACRIMAIS<\/b><\/div>\n<div>30313015 Cirurgia da gl\u00e2ndula lacrimal\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 850\u00a0R$3.986,50<\/u><\/div>\n<div>30313023 Dacriocistectomia \u2013 unilateral\u00a0<u>CH \u2013 400\u00a0R$1.876,00<\/u><\/div>\n<div>30313031 Dacriocistorrinostomia com ou sem intuba\u00e7\u00e3o \u2013 unilateral\u00a0<u>CH \u2013 1000\u00a0R$4.690,00<\/u><\/div>\n<div>30313040 Fechamento dos pontos lacrimais\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 100\u00a0R$469,00<\/u><\/div>\n<div>30313074 Reconstitui\u00e7\u00e3o de pontos lacrimais\u00a0<u>CH \u2013 300\u00a0R$1.407,00<\/u><\/div>\n<div>30313058 Reconstitui\u00e7\u00e3o de vias lacrimais com silicone ou outro material\u00a0<u>CH \u2013 1100\u00a0R$5.159,00<\/u><\/div>\n<div>30313066 Sondagem das vias lacrimais \u2013 com ou sem lavagem\u00a0<u>CH \u2013 100\u00a0R$469,00<\/u><\/div>\n<div>41301307 Acuidade visual \u2013 monocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 50<\/u>\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>\u00a0<\/u><u>R$234,50<\/u><\/div>\n<div>41301013 Angiofluoresceinografia \u2013 monocluar\u00a0\u00a0<u>CH \u2013 200\u00a0R$938,00<\/u><\/div>\n<div>41501012 Biometria Ultras\u00f4nica \u2013 monocular\u00a0<u>CH \u2013 200\u00a0R$938,00<\/u><\/div>\n<div>40103137 Campimetria computadorizada \u2013 monocular\u00a0<u>CH \u2013 80\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0R$375,20<\/u><\/div>\n<div>30306019 Capsulotomia yag laser \u2013 monocular\u00a0<u>CH \u2013 700\u00a0R$3.283,00<\/u><\/div>\n<div>30304032 Corpo estranho da c\u00f3rnea \u2013 retirada\u00a0<u>CH \u2013 80 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0R$375,20<\/u><\/div>\n<div>20104103 Curativos em geral, sem anistia, exceto queimados\u00a0<u>CH \u2013 70\u00a0R$321,30<\/u><\/div>\n<div>41301129 Curva tensional di\u00e1ria \u2013 binocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 150\u00a0R$703,50<\/u><\/div>\n<div>41301153 Est\u00e9reo-foto de papila \u2013 monocular\u00a0<u>CH \u2013 63,16\u00a0R$296,22<\/u><\/div>\n<div>30312043 Fotocoagula\u00e7\u00e3o (laser) por sess\u00e3o \u2013 monocular\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>30310067 Fototrabeculoplastia (laser) \u2013 monocular\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>41301439 Fundoscopia sob midr\u00edase \u2013 binocular\u00a0<u>CH \u2013 30\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0R$140,70<\/u><\/div>\n<div>41301242 Gonioscopia \u2013 binocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 80 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0R$375,20<\/u><\/div>\n<div>30310083 Iridectomia (laser) \u2013 monocular\u00a0<u>CH \u2013 500\u00a0R$2.345,00<\/u><\/div>\n<div>41301250 Mapeamento de Retina \u2013 monocular\u00a0<u>CH \u2013 80 \u00a0\u00a0\u00a0\u00a0\u00a0R$375,20<\/u><\/div>\n<div>41301269 Microscopia especular de c\u00f3rnea \u2013 monocular\u00a0<u>CH \u2013 350\u00a0R$1.641,50<\/u><\/div>\n<div>41501128 Paquimetria ultras\u00f4nica \u2013 monocular\u00a0<u>CH \u2013 150\u00a0R$703,50<\/u><\/div>\n<div>41301315 Retinografia \u2013 monocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 60\u00a0R$281,40<\/u><\/div>\n<div>41301200 Exame de motilidade ocular (Teste ort\u00f3ptico) \u2013 binocular\u00a0<u>CH \u2013 40\u00a0R$187,60<\/u><\/div>\n<div>41301088 Ceratoscopia computadorizada \u2013 monocular\u00a0<u>CH \u2013 250\u00a0R$1.172,50<\/u><\/div>\n<div>41301323 Tonometria \u2013 binocular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<u>CH \u2013 25\u00a0R$117,25<\/u><\/div>\n<div>40901530 Ultra-sonografia dagn\u00f3stica \u2013 monocular\u00a0<u>CH \u2013 150\u00a0R$703,50<\/u><\/div>\n<div>41501144 Tomografia de coer\u00eancia \u00f3ptica \u2013 monocular\u00a0<u>CH \u2013 468,75\u00a0R$2.198,43<\/u><\/div>\n<div>20101198 Teste de adapta\u00e7\u00e3o de lentes de contato \u2013 binocular\u00a0<u>CH \u2013 50\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0R$234,50<\/u><\/div>\n<\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<\/div>\n<div>Para buscar o valor atualizado de um procedimento de acordo com os outros \u00edndices apontados acima, basta multiplicar o valor em CH do procedimento pelo valor atualizado do \u00edndice (INPC ou IPCA). A partir da\u00ed \u00e9 poss\u00edvel perceber o quanto da remunera\u00e7\u00e3o m\u00e9dica foi drenado ao longo dos anos, considerando cada um dos \u00edndices oficiais de atualiza\u00e7\u00e3o monet\u00e1ria. Essa remunera\u00e7\u00e3o simplesmente deixou de ser repassada aos prestadores de servi\u00e7os. Sem m\u00e9dico n\u00e3o h\u00e1 sa\u00fade suplementar.<\/div>\n<div><\/div>\n<div><\/div>\n<div>\n<hr id=\"[object Object]\" \/>\n<div><i>\u00b9\u00a0 \u00c9 a estrutura de mercado em que um comprador controla substancialmente o mercado em que atua, sendo o principal demandante de um determinado bem ou servi\u00e7o. Com isso, esse comprador possui poder de mercado e pode influenciar no pre\u00e7o da mercadoria que ser\u00e1 praticado nesse neg\u00f3cio em seu benef\u00edcio.<\/i><\/div>\n<\/div>\n<div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u00c9 not\u00f3rio que os honor\u00e1rios m\u00e9dicos sofreram uma substancial desvaloriza\u00e7\u00e3o ao longo dos \u00faltimos 40 anos e est\u00e3o longe do patamar m\u00ednimo inicialmente idealizado pelas comiss\u00f5es que o discutiram nas \u00faltimas d\u00e9cadas.<\/p>\n","protected":false},"author":1,"featured_media":618,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-616","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-publicacoes"],"acf":[],"_links":{"self":[{"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/posts\/616","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/comments?post=616"}],"version-history":[{"count":2,"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/posts\/616\/revisions"}],"predecessor-version":[{"id":620,"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/posts\/616\/revisions\/620"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/media\/618"}],"wp:attachment":[{"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/media?parent=616"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/categories?post=616"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/carlosp.com.br\/vr\/wp-json\/wp\/v2\/tags?post=616"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}