This chapter examines the origins and impact of litigation for health and education rights in Brazil. The first section examines the demand- and supply-side factors that are related to the decision to legalize demands. The second section analyzes the reasons for judicial support, or denial, of these claims. A third section studies the bureaucratic and political response to court-ordered remedies for violations of constitutional rights to health care and education. Finally, a conclusion summarizes the discussion and presents four models of litigation for health and education rights in Brazil.

The overall conclusion from the information presented is that Brazil has experienced exponential growth in the rate of litigation over health rights, with a much more modest increase in education rights litigation. Most of the demands are individual demands, for specific health-care-related goods and services and are concentrated in the more developed states, such as Rio de Janeiro and Rio Grande do Sul. The courts have been very open to these individual claims and much less willing to accept collective claims.