[braza]

Further context: In Brazil since we have universal health care provided by the government, generally speaking non outsourced or contractors becomes public servants.

The issue is: Public service in Brazil is expensive and is virtually impossible to fire anyone. On top of that the cost of public service has second order effects in the public balance sheet for the municipalities plus it has a huge burden in the public retirement system.

Not saying that is right or wrong, but this is very common in the Brazilian heath system.