The research evaluates the coalition strategies between health unions and social movements in the city of São Paulo. Both had already been using coalition campaigns even before the pandemic and, with the advent of the pandemic, sought to mobilize social commotion and were successful at the local level, despite important defeats at the municipal level. The analyzed campaigns have different degrees of “depth” and results, but among their main actions are: carrying out small protests and “lightning acts”; the combination of communication through social networks with the quest to attract the attention of press vehicles; the support of parliamentarians and other social movements in the neighborhoods; and appeals to the Public Ministry and the Municipal Court of Auditors