Health
Capoeira Offers New Hope to Parkinson’s Patients in Rio de Janeiro
In the heart of downtown Rio, an 80-year-old retired teacher is reclaiming her balance, both physically and emotionally, through a centuries-old Afro-Brazilian art form. Nilma Teles de Freitas, diagnosed with Parkinson’s disease over a decade ago, used to fall frequently. That changed when she joined a special capoeira class tailored for people with the neurodegenerative illness.
“Capoeira gives me the freedom to work on my body—what I can do, what I can’t do—so I can have balance and a more comfortable life,” she said, smiling during a recent session.
Capoeira, a unique blend of martial art and dance, originated in Brazil during the transatlantic slave trade, developed by enslaved Africans as both a form of resistance and cultural preservation. It fuses physical movement, rhythm, spirituality, and music, making it not just a practice but a communal celebration. In 2014, UNESCO recognized capoeira as an Intangible Cultural Heritage of Humanity.
The therapeutic program, called “Parkinson na Ginga” (“Parkinson’s in the Swing”), was launched in 2018 by physical therapist Rosimeire Peixoto. A capoeira enthusiast herself for over a decade, Peixoto saw potential in the art form to help patients combat the challenges of Parkinson’s—especially symptoms like balance loss, rigidity, and slowness of movement.
“I read an article about how alternating hand use with a cellphone stimulates both hemispheres of the brain,” Peixoto explained. “As a therapist, I was looking for exercises that could truly motivate my patients—and capoeira brings that.”
Held twice a week at the Progress Foundry, a cultural center near Rio’s historic aqueduct, Peixoto’s classes have become more than therapy sessions—they’re a social lifeline. With music and movement, the group practices dodges, swings, and rhythmic steps. The energy of the roda, or capoeira circle, is infectious.
“There’s so much happening—they feel the vibrations, the energy, they listen to the music, and they’re tuned into their partner,” Peixoto said. “It demands awareness, agility, and connection.”
Participants say the benefits go beyond physical improvement. Antônio de Azevedo, who could barely stand before joining, now walks with confidence. “It’s the best thing that’s ever happened to me,” he said, surrounded by classmates, all living with Parkinson’s.
At the end of each class, Peixoto often leads a samba or shares cake with her students, reinforcing the spirit of community. For Teles de Freitas, it’s this connection that truly heals. “We are there for one another,” she said. “Today I’m smiling. I’m managing to live. To interact. To be happy.”
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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