The immanent resistance and the state reality: Notes on the implementation of a public health policy and the processes of subjection, subjectification and resistance

The goal of this paper is to describe the processes by which political subjection and subjectification of a population considered in the margins of State regulation are possible. The analysis will focus on information collected from my field research, conducted in Vila das Missões, a town with 6,000 inhabitants located in the Encosta da Serra area, state of Rio Grande do Sul (RS), Brazil, which has the hunsrik as their main language. The way of entry is the description of the care provided by the doctor (Fernando) from a Family Health Unit, as well as house calls made ​​by the Health Community Agents (HCA) of the same unit. Both are part of a public health policy called Family Healthy Strategy (FHS). My analysis of the processes that enable access and management of this population is based on two axes: the axis of subjectification, evident in the care of Fernando and his anamnesis that seeks to situate the subject in their family relationships and; the axis of the subjection, evident in the work of the HCA routine check. Thus, my proposal is that, unlike what was said about the FHS mediation between the State and the population, that only focus on the figure of the HCA, in Vila das Missões the work of subjectification which is implemented by Fernando therapy is strained by the HCA, which despite circulating a subjection mechanism by the routine check, conduct their calls in hunsrik and redirect the FHS practice  of subjectification, putting into circulation elements of a medical discourse that is not specific to the FHS as a public policy, much less the population, but characteristic of a political process that separates subjection and subjectification, and, moreover, makes these processes conflict and mark a resistance to the practice of government from this same practice.