The historical and social evolution of the federative form of the Brazilian government goes through constant transmutations due to the simple fact of evolution as a society. In this study,there is an analysis that covers the importance of federative cooperation in the implementation of public policies, highlighting health as a collaborative and fundamental approach to facing complex challenges that a country faces with the purpose of guaranteeing fundamental and social rights Keywords: Federative form; Cooperative federalism; Public policy; Health; Social rights.