Exhaustion More Condition_symptoms.

Happy holidays to all!

Have a nice Christmas and a Happy New Year ..



Díos les dé toda su bendición para ustedes y su familia.



Y gracias por acompañarme y permitirme acompañarlos en este año que ya termina.



Seguiremos juntos..como hoy, como hasta ahora, y mucho más en este nuevo año que se aproxima.



FELICES FIESTAS PARA TODOS!!!

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love slips away. Nostalgia

Se nos vá el amor ..

como arena entre las manos.

Está partiendo y lo dejamos ir,

lo vemos, lo sentimos..

está lejos... cada vez más..

y lo dejamos partir

We are not retaining ..

not even say goodbye.

know that is forever,

not coming back,

no return of the site that goes ..

And

stayed immobile as if he did not make sense.

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THE BASIS OF KNOWLEDGE IN THE FIELD OF HEALTH CARE FOR THE CURE AND ...

Author: Sonia Olaya
Dreher
The presentation of the vision of the essential knowledge and its indisputable importance stable in times of crisis questionings and existing foundations, aims to evoke the realm of inalienable human-ble, to guide thinking that allows us to demand a full investigation to overcome the difficulty and limit of disciplinary knowledge, in our case that of health.

In search of the essential question will depart from the foundation, in general, hence to review the extent of knowledge on Health, for his understanding of humanity, expressed in the interpretation of the cure and care man in order to enter demarcation car to a domain that will allow us so true and essential of the offending before us today.

the sake of critical discourse begin to clear the term basis. Found is to place the foundations that allow build and sustain the volume and weight of a work. The foundation is the hidden base, not evident, which provides stability, security, strength and duration to build or edi-fying. We can also create, invent, build, build without fundamental or cough, and this mismatch can even run until the crisis occurs. The crisis is a crisis, because it demonstrates the absence of functional quality of the fundamentals that build a structure.

Conceptually the foundation is also the basis first so-ber which supports the order, the principle which gives rise to express an intellectual representation, by which we determine an object, or the Totality of a domain of objects. A domain can be the nature, life, man, health, medicine, art, etc., and constitute and demarcate the terrain of science research.

From the logic of the foundation prospects may be interpreted the state as necessary reason of being of something, that explains and justifies, and as a principle of connection, contingent, sufficient but not necessary, does not seek to explain the essence but only the succession of thing. In both cases we are trying to define the central issue governing objective knowl-edge, within the limits of the reductions needed to pen-cessing representative, based on the observation of nature from the perspective of dominance and control, and the result of understanding the whole inter-preta, as an isolated mechanical system, consisting of peanut-pulables parts that can be experienced in the best from the child's trust, that what can be routed the same way re-composing.

Science arrogant live the illusion of power that later became the art technology, provided the series, supposedly, the impli-cations that it generates, and responsibility for the consequences-leads with the adoption demonstrable assumptions, which may reveal invasive solids. Science presupposes and addresses the whole from its work, and aims to prove it in parts. But what if what is failing is the same approach-that is, what serves as the description is true, if the interpretation is not valid? ...

Faced with the exhaustion of the trend typical of modernity, there is a critical perspective within the science itself, insisting on the need-ing to have the knowledge today, to rethink the vision nist mechanical reductions in considering a whole, including the change, chance, and chaos, which shall include the unpredictability of nature, and uncertainty scientific descriptions. From this new point of view the scientific world is reviewing the deterministic claim objectivity, and causality, to advocate for a new holistic consciousness that accepts and assumes the boundary of thought to comprehend the truths of the universe.

The question that appears at this point is whether all of the new proposal comes from a true reflection aware of the loss which science has reached, and that would necessarily entail the humility of a pau-sa meditation on the path and the ravages. Or if it is just another way of persisting in the arrogance of the will to power, with the obstacle of unpredictability, develops a hidden defiance, what else to give up power to manipulate the parties, decided to undertake the illusion of playing extreme creation.

transform the illusion of nature in an unprecedented extent and cynical mind, that in the midst of insanity, fear itself panic flight-to persisting uncertainty, decides: address the interrelationships of multiple systems The interconnectedness of life forms, cell, organism, ecosystem, justifying the idea of \u200b\u200bpower, not to restore its unity shattered and unhinged, but lies "Lizar the same attitude to the extreme. Of transforming the nature not the intent to meet the given, but from challenging recognition of the constraints and dependencies, which authorizes explorations of her extra-wandering, where no one can now ask again, what find-strate, and who will find what .

The ideas of the new awareness of the unpredictability assume the danger of reaching a deal with situations and activities in-suspected, and in-audited. The conscience of humanity disappears, risky to wander in the worlds of the unconscious, playing desperately need a change not only attitudes, but the very constitution of human nature.

Seeking a way that rather than re-write the unit from the very foundations of linear thinking that caused the fracture, there is a need to revise radically the same reasoning this way of understanding the world, in order to re-establish the possibility of total knowledge and authentic, appropriate and serves the na human essence.

essential understanding of the reasoning below approximately maremos not related to any of the moments-mentioned objective, oblivious to the essence and the difficulty is not definable human being primordial nucleus of thought that emerges and is sustained of the deadly seriousness of the prevailing crisis, globalized today.

The time has lost hope in the self-proclaimed science modern as guarantor for a happy life, consoling himself with gimmicky effects of aesthetics. The former power supply problem, has become a question of ability to master alarm clock-das forces through technology. All techniques: communication, food-ence, military, medical, artistic, now move quickly and in unpredictable direc-tions, which do not allow not even talk about progress. Man's existence is being undermined by the operator, choke-do the will and the power of man's decision, leaving it clear that they were not made by an awareness of the human, and not in degree of freedom and dignity accompany man. The human reduced to living substance, became liable to be broken, altered, re-design, to the point of not being able to take in-depth and seriousness, the thought of the fate of being misleading. Stunned by the audacity of scientific research, we get used to the images have absurd, disjointed, forget the disgrace that is weakening the power of human remain, the power to be calm to reflect the engen-dro broken egg of the snake .

understanding of man and the world as objects, and nature as a mere source of supply, has revealed a wicked background expectation, which was imposed as the required parameter think, is the core of power that now enslave the peoples of the earth.

"No individual, no human group, no im-portant committee of statisticians, researchers and technicians, no conference of per-sonal economic policies and the industry is able to slow or redirect the course of history of the atomic age . No organization exclusively human in a position to seize control of the Epo-ca.

Man of the atomic age will be delivered, unarmed and unprotected, the overwhelming preponderance of the technique. That will happen if the modern man surrenders to put into play in the decisive game, thought against merely reflective thinking calculator. But if the thought-vo awakens reflection, meditation must be in their work constantly and at the slightest reason, that is also here and now, just ... "today, and purpose of the foundation of knowledge in the field of health .

knowledge since before the end of the calculator thought, is exhausted by the urge to take place at the time of the I-Todic planning agendas, and all other obligations of martial regimes, business and institutional , in which you need to partner to survive, man dissociated. The knowledge to outside human essence expresses the depth of its tragedy, in the growing anxiety of the isolated man, indifferent sheer number of social re-cords, running, exhausted through virtual and unsuccessful efforts individualistic self-esteem, self-esteem, and self- acquittal.
Faced with this sad and desperate view, shows the need for a thought-reflective treatment, which replace the question of the essence, that possibility lite search and find a basis where their move back to the one we north that can guide the know: human unity. A thought that can stand the greatest risk of hosting the difference invalidated, he understands not as an aggregate, or as tolerance, but as the possibility of transcendental extended, based on the confidence of the strength that gives a real structure, one that resists the remise of the times of crisis. Not since the obstinacy fundamentalist, but as dis-position to the core, which corresponds to the need of the moment, is the fruit and seed of a vision that is at the height of the human essence li-Berar.

far the outset of our discourse the need and justification of knowledge based, giving rise to situate the specificity of the merits of the vital area of \u200b\u200bhealth.

reported undisputed northern essential knowledge as cure protection and exclusive the specificity of man, and as such necessary and primarily applicable to the field of health, the first step we take in this direction: the determination of man as a living among other creatures, but as the only living thing that has the decision to be or not be himself, which includes and transcends his own being himself, only because of the possibility of being with other similar beings. And hence, the possibility of knowing his own essence, their work, not vital, but existential, free, and only from there, the possibility of knowing and caring the essence of other beings.

Understanding the specific fundamental constitution the human species as a landmark should be taken: if you really save us is essentially completely veiled today by a knowledge-to based on relativity and gravity own systems of the natural world, of which Man participates, as a living, but not in the fundamental-determination of the species.

human essential thing then is the gateway to the world of essence, from the intimacy of a man committed to his being them-mo with the other. Not from a subjective erudition, the product of a true and relative concept, but as clearly able to order on each end, the superiority of the essential, and the subordination of everything not essential to it. As such essentials admits no preconceptions, no concepts, it is not accessible from the only mental discourse necessarily dissociated. The essence of human existence is not linear, therefore it is not understandable from a logical subject to deductions and inductions. In the presence of a man who was ber blend: the story of the evolution of humanity, of an era, a generation of a people, a clan, a family, but most of the decisions of a individual struggling or failing at the task of being oneself with others. Back flat existential understanding of the volume of a human being, is illusory and pretentious. The unity of man is not a summation of all the above aspects, but the conjugation or abandonment of them at all times. The human essence is existential daily volume being with another.

health or lack thereof, the disease can not be objectified, because the man who has or have, respectively, can not be de-valued as an object, even for the sake of knowledge. Asked about the essentials of health, reflect on whether what we are looking for-do is a theoretical answer on a point of view, you can give us the best scholarship, or if instead we move an essen-tial commitment . Speculating about health is not the property have experienced dra-ma intimate that the disease is established.

The essence of the question of health, requires to be located within it, it is not possible to ask seriously regardless of our own being sick, troubled, dying, away from the primal unity with the other, known as indissoluble as capacity expanded encompassing a non-self from its own difficulties , overcoming the temptation generated by fear, justified in the complicity of discomfort.

Cure is not a specialty of a discipline, but the privilege of the man walking in the consciousness of its own essence disturbed, am-pliándose in the understanding of others.

Medicine as a man to heal the human essence, as art can heal the body, mood and mind, as a service only responsible care disease. Since the essential

man has the ability to heal itself in the other, and the other in itself, each other. Differentiated condition mediated intimate emotional situation based on the time, the maximum po-demos only care. The man essentially cure the other, and care for the world. Care is to serve the world without being involved in human essential similarity, as if the other was a being among beings, without the consciousness that gives human specificity.
The cure is the unique ability to human and as such momentous and sealed for carrying out the possibility of himself with the other. The cure is the way of man's being opened by the provisions mood to be oneself, with others.

Essentially the moment called pedagogical expertise becomes: ca-pacity to understand the magnitude of the human, may be extended to give informed without being invalidated, sighting the inhuman.

The human is the humanity latent, yet vibrant, living presence, ca-en-ergy, manifested in open meeting of similars, and enhanced in the difficult confrontation of those who may or may not become so. The world of nature held in the mystery of relativity and indifference, are not decisive in the treatment of human essence. Humanly so we called to overcome the confusion of indifference, through the clarity of a decision based solely on the hierarchy of human unity, understanding this is the start of expertise.

Being with another is not a good intention, not a moral duty, not a consciousness of individuality, respect, care and look after the other, not a building or an agreement where there was coexistence and their rights. None of this is being with the other.

Being-with others is the foundation of individuality and human freedom, of their intentions and their minds, of true community necessarily conscious, not only social. Being with the other is to feel the other, is the foundation of peace, of power a day rest in peace. BIBLIOGRAPHY



Castoriades, C. Ontology Creation. Bogotá. Ed Trial & Error. 1 st Ed 1997.
Heidegger. M. Serenity. Barcelona. Edits Serbal.4 ° Ed 2002.
Hoquenhem, G. Y Sherer, R. The atomic soul. Barcelona. Gedisa Ed. 1 st Ed 1987. Free University

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November 30, 2007

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.

Many are the times when I feel nostalgia ... Nostalgia

that time,

of those places,

of those moments ..

Of that love ..



Sometimes I think back to the place, and I have

fear. I know everything

will be different ...



I know that people find,

to places,

to the corners,

to flowering trees to verdedas

worn by time.

to everything I have in my mind.



But ... will be different ...

because even if I sit on the bench, and look

the balcony ..

we can no longer find you and me.

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is in my dreams. Sorry

is in my dreams when you're with.

There are one, we're together, we have a common life

we are happy ..

to future projects would be underway.

is in my dreams when everything goes,

as if time had stood still in an instant,

deleting everything bad that happened.

There is no pain or

goodbyes no one was there. There

we are still the one to the other

as we promised them.

But morning comes .. and it all changed.

The empty bed I say I'm one

all evaporated. For

I love that night, I fall asleep waiting

...

these .. my dreams ..

those, in which you and I are happy.

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y. .. goodbye.

blindly believed in his love.
never thought it could be unfaithful,
could never think of that would tell you the unfair.

The world fell on you, but imagine
revenge
imagine not despair, the pain was so

that allowed you to do so.

Time passed and nothing was the same.
It collapsed the castle, which was
cards maybe. Following his side
,
Quisite love,
wanted everything to look normal. Y.

.'d Turned another man in your life .. Someone discovered
sadness in your eyes, lie
your perfect life,
and pain in your heart.

came without who seek Him,
until you refuse to see it. Did not want to betray

did not want to betray you.

But the time came .. ..
and other arms hugged you, kissed your lips

other went the other and not out of spite.

That's life,
and today it is said .....
could not believe it ... I seek not
adventures
did not want revenge,
was not out of spite,
but ...
another might awaken your quiet heart.

that produces more pain is
if deception is not for pleasure,
if that's what adds a feeling.
When the body's need we add,
of the mind and heart.

And today it's you, that in addition to apologize ..
you are saying .. BYE.

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Happy day to all of Latin

is a pleasure to greet the American continent in a day of discovery, today October 12 , 515 years ago.

I'm proud to be part of a continent rich in history very divergent from each other. With many people very good and valuable for the world which each day brings more on the progress of humanity. It is thus pay tribute to who discovered this wonderful country and for better or worse perhaps for some, whatever we are heirs to a race itself, which had not been stepped on by this man Christopher Columbus, America today would not be America.

This week feels proud to be part of the great American continent.

Here's something more to know the Discovery of America * :

discovery of the Americas The term is commonly used to refer to the arrival in America of a group of English who, representing the Catholic Monarchs of Castilla and Aragón , departed from the port of Palos de la Frontera , led by Christopher Columbus , and arrived Monday October 12 1492 of an island in the Caribbean called Guanahani . This is one of the highlights of world history because it marked the encounter of two worlds that humans had evolved independently, and none knew the other's existence.
Christopher Columbus thought he had reached Asia , called by Europeans Indies and died without knowing he had come to an unknown continent by Europeans.
At the time of exploration one of the most momentous for mankind was the discovery of the Americas . The voyages of the Portuguese in India following African coast meant a stimulus to those who believed the path to the west as the shortest way to reach Asia . Columbus was in favor of this hypothesis. Supported by the English monarchy organized a journey of exploration that led to the discovery of America in 1492.

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THE MEANING OF LIFE COMES



HECTOR ABAD GOMEZ

In Medical School learn much about the lives of parasites, bacteria and fungi and very little about the life of men, subjects who have dedicated ourselves to save without asking why or what for. We assume that all Human life is valuable and we believe contribute to overall human welfare, saving as many lives as we can and prevent any deaths preventable. What have we achieved this? Increasing the amount of life, without questioning their quality. It is time for doctors to let the old di-dichotomy that is the belief that life is always good and death is bad and replace it by a more scientific and thorough analysis of the human life-death problem, so we have more clear our task. We must keep believing that our mission is to save lives, but must integrate into a broader picture of our world and look at the problem from a broader perspective and social.

What is the meaning of human life on earth?: What are we living? Here are two basic questions we need to know answer before going live and work, unconsciously or blindly, as agents of human life for themselves as defenders of life itself.

Does life have a value in itself and depends on the value of the kind of life that he lived? Should we be agents of life, any kind of life, or just a kind of life they consider ideal? What would this kind of life? Here is another fundamental question.

Say, once and for all, we believe every human being alive as maximum value on the face of the earth. The preservation of his life, but not a life either, but the best life possible for him, is the most important company to which a company should pursue. This means that every society must assure all individuals health, food, dignity, decorum, in a word, physical, mental and social. Every human being from the moment of conception, must be sacred to the doctor. This traditional notion conservation must keep them, if you do not want to miss the dangerous byways of crime. What we need to reconsider is if all life is worth living or not. This is a decision, obviously, that every human being should do. And although discrimination are made, this is more the kind of society where the other doctor, who to his own choice or will. In a capitalist society, for example, health is a commodity to be bought by money and those without, have to be content with second order attention or no attention to their health. In a society of socialist health, like all other assets are distributed more equitably.

The cost of the material elements which make up a human being is valued at about $ 14. However, when a man dies, the loss is much greater. The spiritual value of the loss that it seems almost not measurable. What potentialities are lost in the death of a child or young person? Or a person matures in their full physical and mental activity? "They are worth the same for everyone?

Theoretically, all human beings are equal, but in practice this is not true. This is a fact that must be accepted without discussion. The important point here is how to reduce these inequalities as possible biological, social and natural, if it is true that in fact occur, many are the result of social conditions can be changed. When education and health, for example, is provided in equal measure, quantity, quality and intensity, ALL PERSONS, without any distinction, what is doing is trying to overcome the natural biological differences, which are often reflected in the social field, giving rise to human-extreme inequalities between genius and idiot, for example, which can be alleviated and reduced, providing all the same basic circumstances environmental, cultural and social. This would make it less hard and help decrease at least in part, this state of social inequality today has and continues to occur in the vast majority of human societies. Is there a remedy for this? Clearly yes. We have already said. A human society that aspires to be just has to provide equal opportunities environment physical, cultural and social to each and every one of its components. Otherwise, you are creating artificial inequalities. They are very different physical environments, cultural and social birth, for example, children of the rich and poor children in Colombia. The first born in clean houses, with good facilities, a library, recreation and music. The second born in slums, or in houses without toilets served in neighborhoods without games or schools, or medical services. One van to luxury private offices, others crowded the health centers. The first excellent schools. The latter schools miserable. "They are being so, then the same opportunities? Quite the contrary. From the moment of birth are being placed on unequal and unfair. Even before birth, in relation to the food they eat their mothers, and begin their life in the womb at a disadvantage. In the Hospital of San Vicente have weighed and measured groups of children born in Hall of Pensioners (families who can afford their services) and the Pavilion called Charity (families who can pay little or nothing for these services) and we found that the average height and weight at birth is much higher (estad1sticamente significant) among children than among children pensioner charity. Which means that from birth are born unequal. And not because of biological factors but by social factors (living conditions, unemployment, hunger) in the families of the poor, other than the living conditions of the rich families. These are irrefutable and obvious truths that nobody can deny. Why do we insist then, denying these realities ¬ to retain such a situation? Because selfishness and indifference are characteristic of the blind to the evidence and satisfied with their good and bad conditions that deny others. Do not want to see what is in sight, so keep your situaci6n of privilege, in all fields. This is the situation in Colombia at this time to January 1973 - and all figures and measurements ¬ social calls two social indicators reveal so clearly. What to do in this situation? Who does their part to act? It is ob ¬ saw that they should act are adversely affected by it. But almost always, they, in the midst of their needs, anxieties and tragedies are not aware of this situation objectively, not internalized, not make subjective. Paradoxically

, but this has been historically well-are some of life has placed on acceptable terms, which have had to awaken the oppressed and exploited to react and work to change the conditions of injustice that adversely affected. This have produced significant changes in the lives of people in many countries and we are certainly living a historical period in which all of them are groups of people, ethically superior "who do not accept as a matter of course that these situations of inequality and endure injustice. Their struggle against "established" is a hard and dangerous fight. Must face the anger and frustration of the most politically and economically powerful. Must face consequences, even against their peace and their equal opportunities, in contrast to reach the so-called "success" in mainstream society. But there is an inner force that impels them to work for those who need your help. For many, that force becomes the reason for living. That struggle gives meaning to your life. Is justified if the world is to live a little better when you die as a result of their hard work. Living simply is a legitimate ambition to enjoy animal. But for humans, for the Homo Sapiens, is satisfied with little. To distinguish from other animals, to justify our time on earth, we must aspire to higher goals alone to enjoy life. Goal setting and characterizes distinguished from other men. And here the most important thing is not to achieve those goals, but to fight for them. All we can be heroes of the story. Humanity as a whole is the true protagonist and maker history. As cells that are universal body of this great man are yet aware that each of us can do something to improve the world we live and where they will live after us. We work for the present and the future, and this will bring us greater joy than the simple enjoyment of the property. Know that we are helping to make a better world, should be the highest human aspirations. Each doing its part to create better. In a process to Hamo sapiens that was followed recently in an American city, he was convicted of the crap he has done until now, even sometimes with the best of intentions: environmental pollution, explosion demográfica, las guerras, el fanatismo y el odio, todo dentro de una civilización individualista y materialista, han sido el resultado hasta hoy de las actividades del hombre sobre la faz del mundo. Pero estamos reconociendo que nos hemos equivocado y que andamos por un camino que nos conducirá al desastre, es decir, hacia el deterioro de la calidad de la vida humana, hacia mayores sufrimientos y desesperanzas. La lucha por una vida mejor para todo el mundo apenas empieza en la todavía corta historia de la humanidad. Antes las preocupaciones eran otras. Se reducían a preocupaciones egoístas, de familia, de clan o de parroquia. Si mucho, a preocupaciones nacionales. En este momento, en la era de las comunicaciones y del intercambio mundial, the concerns of the best men around the world become increasingly global. It ecumenize and catolizan. This is the great hope for humanity in the present and future. Groups of men ever growing, universities and schools of the land, technical organizations and United Nations humanitarian and philanthropic organizations, persons engaged in the cultivation of the intellect and the ideas of peace and justice, in the workshops and camps, associations and unions, are feeling they can help the welfare of all human beings regardless of race, religion or nationality. These people feel they have a mission that must be met. They know the world will never utopia. They know they can never stop working for even closer, a little more than now, the fulfillment of higher ideals. But they pass the torch and the flag to succeeding generations in the hope that more are greater equality, justice, freedom, love between men. That, again, gives meaning to their lives.

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WHERE DOES VIOLENCE? ...



Héctor Abad Gómez *

violence, like every human phenomenon, born of our animal selves. It is in our minds - made up of all that has influenced her, gender and environment from birth - where the decision arises from any action violent.

If we clear this basic principle, we can analyze violence, not only through our history, but throughout human history. As we know, the violence erupted with the great transformation that about ten thousand years occurred in all regions of our planet, now called the Agricultural Revolution. We start killing the possession of the land. And we keep killing the same thing. Of course, more and more often in disguised form, tribalism, religion, ideology, economic dominance. And always behind it, the lust for power of any human group. Consider the history of our country. The indigenous groups fighting for their territory until the English arrived with the cross and the sword, horses and muskets and seized it by force and the Creoles, with Bolívar at the head, also threw the English force and we become in five nations. That if we are not careful, we start to fight and kill for oil and coal for the Yankees. They provide us, vendiéndonoslas course, the weapons we want.

would be much more efficient way of violence, which is just now, national and international to return. Much better deal yet.

While other major tragedy that is not present, follow analyzing which so far has lived and continues to suffer the Colombian nation.

After the war of independence, civil wars and then killing the banana to eat bananas cheaper citizens of industrialized countries.

And in 1930, political change, the struggle for dominance of the landowners in the Santanderes and in 1948, a President, assisted by some pulpits, in Boyacá, Tolima, Antioquia and Valle preached that killing as before Moors ("not a sin to kill liberals"). And today, the anticommunist crusade led by the Pentagon and the CIA, to "save Western civilization."

All this, complicated by the dollars that are beyond U.S. banks to buy cocaine here. And there is so much poverty in Medellin, you can hire for two thousand dollars to a hitman to kill anyone.

These are the details. In the background is education, we have received through recent human history. I say "recent," because during the first ninety thousand years of "Homo Sapiens", before the Agricultural Revolution, the ten million people who existed on earth, did not need "education" and felt they were equal and had everything they wanted was primitive common wealth that some anthropologists speak.

Now, with five billion people who populate this planet is another story. We live in a violent time.

This violence is born of the feeling of inequality. We could not have violence, if all the wealth-including science, technology and the moral--those great human creations, they were better spread on the ground.

This is the great challenge before us today, not only to us but to all humanity.

If, for example, the great powers left to Colombia, or much better, united Latin America, seek their own outputs, we would be much better. But this dream is now a non-violent exercise, before any great accomplishment. The realization that humanity may make a sound mind, that one day, during the next ten thousand years will our descendants, whether now or later we are not self-destruct.




* Last column Héctor Abad Gómez, written the day of his death and posthumously published as editorial in El Mundo, August 26, 1987.

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Lest we forget ... WHAT WE'VE BEEN ... BLOOD OF HOPE

COLOMBIAN RED IN POLICY RESEARCH AND HEALTH SYSTEMS

For Node Coordinators and Coordinators

Yours sincerely
the Network
Next August 25 marks the 20th anniversary of the assassination of Héctor Abad Gómez, medical and humanely killed for their commitment to public health, social justice and human rights. Dr. Hector Abad, founder of the department of preventive medicine at the University of Antioquia was one of the leading advocates for public health in our country, an activity that he was indistinguishable from the ethical and political commitment to the poor and defense human rights.

From General Secretariat will make a very cordial invitation to commemorate this anniversary in the different nodes and groups work, with activities that enable new generations understand, analyze and assess the life and work of Héctor Abad Gómez, a man of integrity and a committed teacher to death with the dignity of life, whose insight and generosity persists in the heart of public health.

In this regard, and hope that this helps, I attach a sketch prepared by the Library of the National School of Public Health and two articles of teachers and Enrique Esperanza Echeverri Yepes. The photo is a restoration politely ceded by Professor Fabio Rodríguez León. A hug




ARIAS RUBEN DARIO GOMEZ
Executive Secretary


HECTOR ABAD GOMEZ (1921-1987)

MD, professor and dean of the Faculty of Medicine of the University of Antioquia, which was characterized by a twist to the concept of traditional medicine, as he considered as a social practice such as disease prevention. Founder, in 1963, the National School of Public Health at the University which bears his name. Was noted for creating the compulsory rural service, rural health promoters, mass vaccination campaigns. Advisory
health ministers of Indonesia and the Philippines, worked in community health projects of the World Health Organization. Secretary of Public Health and Health Antioquia, Education and Welfare of Medellin. He was also manager of the Social Security (1975) and counselor of the Embassy of Colombia in Mexico (1977-1979).

Member of the Assembly of Antioquia for the Liberal Revolutionary Movement (1960-1961) and between 1980 and 1987 is linked to the National Steering Committee for the Defence of Human Rights and was appointed Chairman of the Executive Committee of Antioquia. It is part of the Credentials Committee of the agreements between the Government and guerrilla organizations.
Gunmen killed him when he attended the funeral of Professor Luis Felipe Velez, master ADIDA, together with Professor Leonardo Betancur of UdeA.
In his works leaves a legacy of respect for human rights and tolerance. SOCIAL PARTICIPATION



• "Mayos" group of bright students who would become pioneers in their respective specialties Antioquia: Ernesto Bustamante in Neurology, Oscar Duque in Pathology, Hematology Alberto Echavarria, Gustavo Fernandez and Gabriel Glottman Clarita Llano.
• "U-235" newspaper he founded in 1945 with a group of friends: Manuel Mejia Vallejo, Alberto Aguirre, Carlos Castro Saavedra, Oscar Hernandez, Belisario Betancur, Hernando Agudelo Villa, Rodrigo Arenas Betancur, Carlos Jiménez Gómez.
• National Committee for the Defence of Human Rights (1980-1987)
• Candidate for mayor of Medellin in 1987 by an Independent Movement. Facts



• It ruled against the individualistic medical training.
• Promoted the study did not rote.
• He defended the university as a space for science and enjoyment of knowledge.
• Fought for economic resources from being diverted to the war and military spending, and invest in clean water for the vast majority.

Some of his thoughts

"The physician who knows only medicine, or medicine knows "
" A fanatic is one that admits no explanation, or hear other reasons. It is the mind is closed to dialogue and not emotionally support the possibility of being wrong. This attitude, though apparently strong, intimate rather reveals a hidden insecurity and fear of not being right. "
(Tolerance Manual, page 25)

WORKS

Some considerations on public health in the department of Antioquia (1947).
Notions of public health (1969).
Past, present and future of public health (1969).
Worldview (1970).
Poliatría Manual: The process of Colombia's problems (1971).
Letters from Asia (1973).
characterization of scientific development in Colombia and its relationship to Public Health (1986).
teacher-student relationship in the Faculty of Medicine of the University of Antioquia (1986).
A health program for Colombia (1986). Theory
public health practice (1987).
Curriculum vitae: Héctor Abad Gómez (1987).
tolerance Manual (1988)

PERSONAL COLLECTION SHEET FILES
personal files correspond to important characters in the regional and national history that made valuable contributions to social, economic, political and cultural life of Colombian society.
Its importance as a primary source lies in the content and variety of documentary support, they are unique in recording information. Thus, the file of Dr. Héctor Abad Gómez find letters, writings, projects, press clippings, brochures, newsletters, with information ranging from 1940 to 1987.
They are located at the Central Library of the University of Antioquia, Block 8, fourth floor, is part of the Documentary Heritage Collection.
Hours Monday through Friday from 7 am to 8:45 pm, Saturdays from 8 am to 4 pm and Sunday 9 am to 1 pm. PERSONAL FILE

HECTOR ABAD GOMEZ

This file was given on 17 December 2004 by his wife and children, as agent by this donation and who signed it was his son Hector Abad Faciolince Within this file we find the documentary series: Correspondence sent and received
ranging from 1946-1987
• Writings of this character
1941-1987 1954-1986 • Resumes • Diplomas and mentions

1947-1983 • 1944-1987 Faculty of Medicine
• National School Public Health 1-62-1987
• University of Antioquia from 1966 to 1985 (This series is the correspondence sent and received, circulars, newsletters and projects with such entity)
• Associations 1951-1987 (information with other associations related to the topic of Public Health)
• World Health Organization 1957-1959
• Future for Children 1961-1987
• Liberal Party 1959 -1987
• Radio Program Thinking aloud
1983-1987 • National Steering Committee for the Defense of Human Rights - Section Antioquia
• Abad Project (publication of a book on the life and work Héctor Abad Gómez
• Newsletters, leaflets, brochures and magazines
1966-1986 • 1963-1989 Clippings

SERVICES HERITAGE HALL

• Internal consultation documents
• Check online catalogs in the database Library System (admission process is in the system of consultation in the library.
• Check inventory and indices printed in the consulting room
• Guided tours of the archives by appointment.

REQUIREMENTS FOR CONSULTATION

• Submit updated identity, different from the identity card, identity card or military card.
• abide by the rules of procedure of the Heritage Collections.

also send them a semblance made by Dr. Carlos Gaviria Diaz can be downloaded from http://www.semana.com/wf_InfoArticulo.aspx?IdArt=98384

I hope this information will serve for the moment,


Greetings Maria Victoria Alvarez R Librarian

National School of Public Health

University of Antioquia Medellín, Colombia Tel 2106870

hope

Printable Map Of Smithsonian

Blood In memoriam Héctor Abad Gómez *

text written by Professor Maria Esperanza Lopez Echeverry occasion commemorating the fifteenth anniversary of the assassination of Dr. Héctor Abad Gómez.

The historical record makes the identity of peoples, and of course use the past to make it serve the present. This does not mean that all are legitimate uses of the past, it is read in its exemplary, and the lesson to be learned must be legitimate in itself not come from a memory that is dear to us or that it favors certain interests, but because it serves au na cause. Tzvetan Todorov

Today I would like to refer to the legacy of public health thinking Héctor Abad Gómez with a twofold purpose: first, a tribute single, more emotional than academic, for a man who made his life a relentless activism for the health for all, but especially for the destitute and, secondly, as a shared experience with the student group managers of this initiative.

In a work so vast and vital experience as rich and complex, and the knowledge which I have just emerging, pointed out three elements: the validity of his thinking in public health, tolerance and political dimension of public health .

1. Public health thinking

For Hector Abad public health was an indispensable component of welfare, why pursue educational and public-forth action in numerous writings, in texts such as the theory and practice of public health, and his opinion columns in newspapers and magazines, were directed to spread their students and report to the public that understanding socio-political realities of health , to make visible the relationship between social inequalities and inequities in health. This meant to transcend the technical concepts for living and teaching public health and "social ethics", a space of struggle for quality and living conditions for everyone, but especially for the poor.

find in this thought several items that remain relevant.
First, the choice of a public health is not neutral, that is, it does everything that today the majority of citizens, our faculty and much of the state institutions we have left out: taking the side of the dispossessed, object, and creates public complaint about social and health inequalities are morally unacceptable, and challenges and questions the state policies that favor only the interests of a privileged few.

Secondly, the finding that it is possible to move from theory to action, or rather, in practice, a practice that is under construction, capable of being transformed by reflection, and make public health education at one of the ways to deploy this project to life. No doubt the founding of the National School of Public Health, working in the department of preventive medicine at the Faculty of Medicine, University of Antioquia, the foundation and participation in various academic journals and the implementation of visionary initiatives such as rural health promoters and the struggle for health
from human rights, account for this practice is not without its vicissitudes and unfinished projects, but that leaves a lesson the possibility of teaching by example.

Thirdly, the claim of humanism, along with science, technology and efficiency, and not as residual or supplementary notion of public health, updates the inquiry by the type of health aide training and today we want our students to aspire to be, precisely now market and profitability moving to solidarity, equity and universality as the guiding principles of the public and the planning and delivery of health services, while education and public health practice in the best , are silenced or quickly adapt to the new economic rationality.

Last read in its exemplary and historical memory that can help always problematic construction of identity. The sense of permanence of public health thinking Héctor Abad Gómez learned is that transcend the particular to the universal: the principle of justice, the ethical dimension to the practice, tracing a possible horizon, ethical and health policy public. It is from this universal sense that there is the question of the power project and that we want to build.

today What is our identity?

the socio-political and domestic and global business have changed. Colombia today
back a decade in social development. In health, spending
proportionally higher, about 50% of the population is not covered by health insurance, the old social and health inequalities have increased, re-emerging diseases and epidemics and controlled, and quickly lost strength in health governance that the country took decades to build.
While this reality is also made of a social debt accumulated
beyond the health field, it is another question: what is our responsibility as faculty and a public health specialists in the production and maintenance of our current reality in health? Do we want to change that reality? How and where? I think back to Hector Abad and reread it would provide some cues necessary but not sufficient "to respond calmly, honestly and publicly to these questions and to eventually guide the change.

2.

tolerance means the recognition of otherness, living in the midst of diversity and the exercise
plurality. Perhaps "the mesoísmo" stamped and signed by Dr. Abad, intended to express such a philosophical position and the political attitude which is strongly taking sides, but also strongly rejected the fanaticism of the extreme positions, whatever its ideological foundation , academic or political, rescuing the complexity of knowledge and human nature and the diversity and richness of social life and the civilian political action.

Perhaps my interpretation is inaccurate. In my reading
still incomplete and preliminary work by Héctor Abad found not elaborate the concept, but in any case, this vision of tolerance granted the right to be and think differently, to validate another position, which is to take from the ends, playing at the same time vital resource. In this perspective

key meeting to tread a path which we still have a lot, which is to make knowledge, academia and practice public health teaching in an area as diverse as life itself: recovering libertarian and universal essence of the university, the possibility of dissent and the right to exercise the opposition and guarantee real democracy. Without it we can not assert themselves, or direct teaching health professionals towards the formation of autonomous, with its own criteria and a sense of citizenship.

3. The political dimension of public health

Hannah Arendt incorporates and updates the policy significance for the Greeks: what is the supreme political groups, belong to the world of the polis, of the issues, unlike the oikos, as private- interest to everyone, hence the public should be transparent, because that is what is done with regard to others. Is that real and symbolic space where the collective interest is built, the arena where they play the checks and balances, where conflict and non-violent opposition are legitimate, necessary and visible.

A policy perspective that public health has gambled the life and works of Hector Abad, reporting and combating social inequalities in health are a constant in his writings and his own life experience. Looking raided transform public administration and ran for mayor of Medellin. With their advice to national health agencies and international, he wanted to influence the content and scope of public policy, social and health services. He believed in what he did in his life: in public health as a knowledge and practice primarily essential and politicians whose goal was "the
possible utopia" of a healthy, horizon that exceeds the narrow scope of the institutions and health sector organization. Not in vain his life was cut short in front of the Human Rights Committee of Antioquia.
This political commitment today takes us straight to the options that we want to play as faculty and a public health specialists in the public space, that whatever the truth, it must be told. A sound mean in the first instance, to recognize and systematically tell students, teachers, government-no matter what and know-, social organizations and the public that today Colombia is a country with more than 60 % of population below the poverty line and 20% in extreme poverty, that 60% of the economically active population works in the informal market, that national and international health is settled quickly and uncritically to profitability economy as a guiding principle of his
task that today the equity and democracy are discourses-not-practice
Manichaean and empty of content, and now public health
reckless and shameful keep silent while public hospitals are closed, the only ones who could assist the poor, and deepened as a moral affront huge inequities in the situation health and access to health services.

The formation of a critical conscience in society, students
sensitive to suffering and injustice (generated largely by their own states and governments
) and civic ethics, civil ethos is responsible and proactive task delegated
and permanent, but not exclusively of the University. Maybe that would be a beginning to recover, says Boaventura de Souza Santos, the ability and right to indignation-nascent but valuable germ-citizens, the same indignation that is evident in many writings of Hector Abad, in the hope someday turn into political action.

why students and teachers vibrating sensitive to public health can not give up politics in the broadest sense of the word humanist. Carlos Gaviria Diaz, by the way, friend and co-Abad Gómez in the struggle for human rights, said in a recent interview that politics is not high because there is also played the vital sense of the personal. And this concern has been mobilizing students to take shape this event in memory of Hector Abad, must be cared for with faith, with determination, with the power and passion of youth, as caring for a fragile bud sprouting, to Flower and fruit: "Heart of student / have to take care of life / we must take care of that outbreak to rescue the two, flowers and fruits" .* * Excerpt from the song Heart of student of Brazilian popular music, composed by Milton Nascimento.


The conviction and political action are also made of persistence, especially when is chosen to distance themselves against the established power. Hector Abad, a man breaks, he argued, paradoxically, in a spirit conservative, "working within the system", "no organization dedicated to changing society." We may or may not share this view, but he always remained, and beyond the difficulties, misunderstandings, failures, intolerance and their own unfinished projects, his vocation was vital for public health. "How many times their offspring were torn from the road, how many times
its fate was twisted to the pain, but returned with their hope, their dawn every day." * Perhaps

passion for public health can not be taught, but the legacy of a lifetime: the best tribute to Hector Abad would transcend the discourse and the exaltation and content to the teaching and practice of public health . As a step in that direction, I propose to the Faculty and the University, build and promote a lecture about the thought of this great man of public health.

Medellin, August 22, 2002 Heart of student


Brazilian music, Milton Nascimento and Warner Tiso)

I want to talk about a thing, as blood
hope you breathe
our chest,
and rocks like the sea:
always sleeps beside us, caressing our hands
,
is the passion of freedom,
young as this love. How many times

shoot was cut off the road?
How many times your destination
was twisted until the pain? More
turned their hope, their dawn
every day, and there
take care of that outbreak, oh,
to save two: flower and fruit. Heart
student
must take care of life,
must take care of this world, and understand
friends.
The happiness and many dreams
that illuminate the road,
green plant y sentimiento,
hojas, corazón, juventud y fe.

1 Publicado en la Rev. Fac. Nac. Salud Pública 2002; 20(2): 137-141
* Ibid.

Lumbar Vertebrae More Condition_symptoms

HECTOR ABAD GOMEZ

Revista Universidad de Antioquia, (Medellín-Colombia) 262 (Oct.-Dec 2000): 105-110.

AUTOR: ENRIQUE YEPES

Nuestro país ha estado fuera de sí durante décadas, en el desbordado asesinato entre sus ciudadanos. Quizás desde la exterioridad crítica con que se construye el sujeto que enuncia el Manual de tolerancia (Medellín: Universidad de Antioquia, 1990) de Héctor Abad Gómez, puedan proponerse actitudes alternativas y vías hope. But before beginning the analysis of text, I start by quoting two passages that help reconstruct in memory the figure of the founder of the National School of Public Health Republic, a unit of the University of Antioquia, which now bears his name. The first is the brief story that appeared in the section "General" of the newspaper El Colombiano, 26 August 1987, accompanied by ads for real estate, how to lose weight and live broadcasting of the soccer cup " Libertadores de America ":

At about half past five pm on Friday, ten hours after he was assassinated the president of the Association of Antioquia, Luis Felipe Velez Herrera, at the same site, were killed by machine-gun shots physicians Héctor Abad Gómez, president of the Committee on Human Rights and Liberal candidate for mayor of Medellin, and Leonardo Betancur Taborda, Professor at the Faculty of Medicine University of Antioquia (11A).

More than a decade after the murders still baffle us, who called angry and supportive crowds to accompany the funeral. But it is also worth noting the value of acquiring vital synthesis of the circumstances of the death of Abad Gómez. Takes place at the headquarters of an association of educators, worthy setting for a man who discussed copiously the meaning and political value of what he called "free education" as an antidote to violence and misery, a man who devoted his last decades to teaching and urging his students with the greeting: "What has been thought you today? " (Handbook 134). In addition, facing death together with another teacher and activist, as a testimony to his willingness to work in teams and collective action.

The second quotation comes from the "Notes to a biography published by his son and writer Héctor Abad Faciolince in the Sunday Magazine of 29 November 1987, the newspaper El Espectador dedicated to the memory of Abad Gómez, adding to the series tributes following his death. Here's the quote:

Although he never had more than sixty-five, when asked about his age, Hector Abad used to reply that I was getting the two hundred years. He explained that he was born in a remote town, Jericho [Antioquia], according to the schedule in 1921, but only in the early nineteenth century as the historical and cultural situation of his people (15).

With the simplicity of this image chronological Abad realizes his participation as Néstor García Canclini called "multitemporal heterogeneity" of Latin America (Hybrid Cultures. Mexico: Grijalbo, 1990: 15). It is this overlapping of economic and cultural models to other regions identified as successive periods in our countries are experienced as simultaneous. For example, horse-drawn carriages which cohere have a cell phone. We have areas where life is more like the European eighteenth century to the twenty-first century Medellin. It is perhaps in this confrontation between conflicting models where one of the sources of violence and repression that hit us itch.

The purpose of this paper is naturally more modest lift from the previous hypothesis. What is proposed here is an outline of how to build what I Throughout the book Manual of tolerance posthumous collection of essays Abad Gómez left among his papers chronologically arranged in a sort of diary, and reiterates the author's obsessions. Rather than defend or discuss its contents, we analyze some of the procedures by which subjectivity is displayed affects the uncertainty, which welcomes and beyond the project of modernity, in the effort to imagine a pluralistic Colombian identity and self standing . It is an ego whose national affiliation, ideological, cultural, symbolic, is constantly displaced. In a self-reflective process that includes the Colombian events from an external criticism, this I question the institution of the great personalities in favor of the short story. Compiled by Abad

Faciolince, the book is organized into forty-nine sections of irregular length, from a paragraph to four or five pages-without other evidence of the Roman numeral that identifies them. The issues are the same that had appeared in his book "A world view" (Bogotá: Third World, 1971): the basis for a sensible living, education, present and future of Latin America, religion, bigotry, new ethical and ideological flexibility. In terms of textual space, to travel the Manual of tolerance has an effect similar to that of the spaces have been called postmodern. Thus Beatriz Sarlo described for example in Argentina, as constructions in which it is hard to miss because they lack a center, "are not made to find a point and, consequently, in their space without hierarchies, it is also difficult to know if one is lost "(Scenes from Postmodern Life. Buenos Aires: Ariel, 1994: 16). As the Tao Te Ching is a book that promotes the wandering, which can be opened at any page and read for a few minutes without having to follow an orderly sequence. Rather than expand on the concepts, offers perspectives and points of departure, relying on mobility and for the suggestion. In this sense, the organization of the book itself conducive to smooth defending its ideological content, "a truth with a small, contemporary practice, which aims to serve this time and in these circumstances to Colombia today, and that aspires to be, no way, no other dogma even other doctrine "(19).

What happens then with the self that sets forth these truths with a small and off-design this text open to casual reading? What about an I who holds the authority of the word to say: "I know I'm not sure? This collection of essays portrays a psychic structure based on one's tolerance limits, which I illustrated diverges from Western which could be characterized as the great conqueror, the paranoid coherence, the rider of power-as shown by the French philosopher Michel Foucault in his Archaeology of Knowledge, sexuality, discipline. It's impressive that I have read some psychoanalytic schools in New introductory lectures on Freud from the famous maximum: "Wo Es war, soll Ich werden," "Where It was, I have Advent" (1932. New Introductory Lectures on Psycho-Analysis. The Stan-dard Edition. Vol 32. Ed. and Trans. James Strachey. London: Hogarth, 1964, p. 80). This I colonize their own unruly unconscious (the id) and submits it to his conscious control, using the language to ensure transparent communication, the rule of reason. The Self Enlightenment is defined as the center, set your goals, and trace their routes with precision engineering.

The Handbook of tolerance, I speaker is slightly different. This lightness forward a radical break with the imperial Yo. So radical that no response is seen as diametrically opposed to such a person absolutism. Oppose it in an unrestricted would repeat his modus operandi is the production of an opponent that gives consistency to this I dominator has been conceived and idealized in the West, at least during the last hundred years. The subject that emerges from the Manual of tolerance, by contrast, embraces this I, marking its limits within the space between the arms closed. Noting its limits, not only dilutes their dictatorial pretensions, but recognizing its potential as an insert in a more open psychic structure. Disarms its exclusive claims to the humility of his inclusion in a horizon of uncertainty, and a web of diversity. The exercise of this vital subject and discourse coincides with reformulating the sociologist, psychoanalyst and philosopher Cornelius Castoriadis the Freudian maxim referred to above: "Wo ich bin, soll auch is auftauchen," "Where I am, too This is to emerge" (L'Institution Imaginaire of societé. Paris: Seuil, 1975, p. 143). That is, the unconscious precisely because there has been a conscious ego that excludes them. Recognize and grant the right to exist and express themselves as part of who I am, does not belong to me I have but to "the other in me" suggests a different meaning for the practice of autonomy and no empire controlled, but determined in her attitude of listening and negotiation. The addition of the adverb "also" indicates the possibility of simultaneous coexistence between dissimilar structures. It is inclusive and tolerant attitude which conveys the book Abad Gómez in statements like this: "under the circumstances, right, center or left can be right or be wrong "(130). Or when the speaker describes metaphorical richness internal geography," My feelings are like my heart left, my reason and my brain, heart, my hatred and resentment in my small gallbladder , right "(59). The reference to political parties is clear, as embodied in the body as you can imagine a speaker trained in medicine.

But one thing to avoid hasty conclusions. In the above quotation could come to think that we suggest here a subject devoid of convictions. Nothing could be further from an author who gave his life to defend his principles. Nothing could be further also a Voice essay, which states: "If we tolerate everything, we can not be consistent in anything and there was no way to keep a personality or a society without strong convictions about certain things. But one thing is ideological firmness and fanaticism else. Just as Tolerance is one thing and another amorphism ideological disintegrator individuals and societies "(22-23). This accuracy is even more relevant in recent decades, when the rule of the market seduces the so-called generation X "under the guise of globalization to provide uniformity instead of consumption and the perpetuation of economic inequality and minority privileges. The firmness of the more urgent approach in an era that trades in information and bombard the world views through the mass media. In this scenario proposes Abad Gómez the Socratic wisdom of "cone-CERN treat ourselves and others" (76).

What unfolds, therefore, that I deliberately contaminated with the other? First of all, start by establishing alliances, within an area identified group based on dialogue and the concept of power and not on others. The first paragraphs of the Handbook of tolerance define his audience: "Those who will read this and the chapters that follow are likely men and women of good will who want to know the ideas of another human being like them "(15). The allusion to the New Testament, the proverbial Christmas and Peace to men of good will" (Luke 2:14), establishes a complicity with the majority of Christian formation in Colombia.'s strategy becomes more explicit in subsequent pages: "So I can, calmly tell our people that do not need to renounce their traditions and religion with force to claim justice for so long has been denied" (44). The guess here adopting a prophetic pose, which later kept in the style of Martin Luther King's famous speech "I Dream": "I dream of a Medellin with its air and river clean again. I dream of a Colombia in which all children can play, laugh and sing, where all the youth to love. I dream of a Colombia in which all the old can dream "(100). Is the strategy of who takes over the floor to propose a desirable social models, the exercise of politics as a platform to influence the collective imagination and communitarian ideal.

But this prophetic voice, which would traditionally above the masses to guide them here strives to highlight its own limits. It declares, as shown above, at the same level of those to whom it is addressed. Amendment Biblical formula to include men and women, in a contemporary self-conscious gesture language ("men and women of good will"). Insists, from the first paragraph, in the healthy right to dissent: "grant to all those who are in basic disagreement with the ideas I will share the best of intentions" (15). Also emphasizes "the courage to admit you do not know, that certainly is not safe" (102). Do not hesitate to acknowledge their ignorance: "What we should do that once teacher without being wise, is humbly ask forgiveness of our disciples for the wrongs they did" (51). In self-criticism: "My dilettantism will be revealed in this compilation messy and almost chaotic" (134). To confess his shortcomings: "I know very little about the indigenous cultures" (88). And above all, respects diversity and assumes a benevolent collusion with any other human being: "I think we can agree on the following: any person, either way, which consciously or unconsciously are looking for their own happiness "(79). It is, therefore, that I tested a variety of poses and emphasizes its own limits. For this reason, their capacity for autonomous action becomes relative to the time you win potency. Becomes relative, knowing that your identity is a substitute crossing discourses and perspectives. Gains in power, it explores its scope, negotiate alliances, mobilizes resources and renewed in change.

repudiated explicitly named and rationally, the great adversary of this I is fanaticism, which often returns as a ghost to dilute one's consciousness. Linked to murderous violence, the sport as an opiate to numb the aspirations for change, political and religious dogmatism, emotional fanaticism, although he gives the credit of acting with the best intentions (16), is criticized in the name of "progress and [of] a way of being rational people "(86). Perhaps a stronger criticism is that our sense of nationhood associated with fanaticism:

Some organizations, sects, communities, religions, and some political parties and even entire nations are locked in their own "truth" and not support anything that comes from outside. One of these countries is Colombia, one of the communist parties, one of these religions is Catholicism. With small cracks, remove calls to these positions inevitably totalitarian, we are witnessing the struggle of institutions that resist change, which bring the same within the contradictions that make or to amend or perish (17).

Thus, I was stripped of his tone accomplice and placed between parentheses Franciscan humility or Buddhist angrily tear with resistance to change, put your finger where it hurts, and forecast with the fate of the totalitarian powers. If compared to the rule of scientific truth defended the right to dissent and the defense of tradition, against the dogmatic closure emphasizes the modern openness, progress and rationality. The result is the staging of an I phone, malleable, attentive to his "small crack" to dismantle its own absolutism. An ego that makes the contradictions more an opportunity than an obstacle, and is not afraid to reveal their aspirations, understood as a service and insight into the company of other thinking subjects.

And, at the same time, this voice does not miss a chance to avail not only in alliances, but in the adoption of languages \u200b\u200bthat have authority or prestige. The medical symbols, for example, appears to identify the speaker as someone who knows how to use the credit that has clinical discourse in modern life. This prose urges immunization against bigotry (109), and mental health. Also states that "trying to stop violence with violence is like trying to cure a disease with other disease" (68). This metaphoric universe, but increasingly risky at a time with growing anxiety that questions of medical practices, has the advantage of evoking the natural balance and equilibrium between civilized know that today is of interest general health.

also validates the right to speak with many references, from Lao Tzu to Freud, from Aristotle to the President Barco, from Fernando Gonzalez and Rodrigo Arenas Betancur to Walt Whitman, Bertolt Brecht and Youth. These appointments do not display erudition, but finding and opening. It is a form of copyright-lifted without arriving to find simple truths as basic debates and statements about respect, tolerance, the right to life.

Prophet, physician, educator, politician, search, rational, loving, wise, orientalist, traveler, this speaker is identified above all, pride and intriguing, with its mediocrity and even with their mediocrity, "If all we had been taught that we are inevitably the most mediocre, the life of human beings would be more peaceful and happy" (27). And later developed in several pages the need to praise "from ordinary beings" (111), that "there are no great scientists, neither the great artists, and senior politicians, heroes or saints. But what! What are really these that are the golden mediocrity will without their knowing, the great sages, [...] in the "golden mediocritas" that spoke Virgilio "(111-12).

This peculiar praise of mediocrity coexists with admiration for the genius and the desire for change, as well as with the proverbial faith in the perfectibility of human beings and their collective organization. Personal praise the common na avail itself involves enhancing the action of anyone, for action but not carried out major works, although not think big ideas are introduced, they take the floor but there are no big speeches . It means, in the Colombian context, encourage the historical intervention of the majority of good will intimidated by the prominent involvement of the violent and repressive. It is a gesture of admiration for the wisdom in the midst of criminal scandal that requires our attention public. And it is taking over from the mediocrity to go to complain, to search for the missing, to defend the right to live as ordinary person, uncertain, creative advocate for change and permanence. That ordinary person who, after all, exists only in the diversity innumerable calls the urgency of the dialogue.

Handbook tolerance is not a great work of genius. No ideological or a perfect body or a moving poetic force, and coherence irrefutable. In contrast, exercises the power of micro-strategies of these "small cracks inevitably calls to dismantle the totalitarian positions, and stages a subjectivity based on listening and the ability to assign, negotiate, mediate, to deploy a flexible firm. Dislocated subjectivity is difficult to locate, who knows bend and exit gracefully after slip through the cracks of language and common thought of what Julio Cortazar called "the Great Tradition." This subjectivity makes use of modern project of autonomy without getting bogged down in the privileges and exclusions that such a project statues. Their autonomy is a continuous process of search and self-criticism, as Castoriadis posed, aware that social, as a product of the collective imagination, can be modified by the movement of alternative images. It is, in short, a courageous subjectivity, humble and futuristic, which proposes the courage to embrace and transform Colombia in and outside of herself, just as I know is from outside, from inside its otherness. Well over two hundred years has in its background the I as shown, that draws from nineteenth-century tradition, he flirts with the ideal of progress, and welcomes the mediator role implies an age of globalization and yet to build tolerance.

conclude with a passage from the Manual of tolerance not only endorses the I have outlined here, always willing to let it die in the embrace of change, but also neutralizes the tragic power that was believed to exercise with his murder. One of the reasons murder for which so eagerly is because they think that death removes dissension and is the greatest evil that can bring. But the thought of Abad Gómez gained momentum with his murder and the death was not a punishment for him, as evidenced by this quote:

Montaigne said that philosophy was useful because it taught to die. To me, that this birth-death process we call life, I'm closer to the final stage of the first, the subject of death is becoming simpler, more natural and even say that-not as issue but as the reality-more desirable. And not because I'm disappointed about anything or anyone. Perhaps the opposite. Because I think I have lived fully, intensely enough (79).

Herpes Back And Chest

ON PRESENT AND FUTURE OF PUBLIC HEALTH.

FACULTY OF SOCIAL HEALTH AREA
, and Humanistic

COMMUNITY PUBLIC HEALTH LECTURE

PRESENT AND FUTURE OF PUBLIC HEALTH. A CRITICAL SOCIAL MEDICINE FROM
This paper takes up the one made by the author called The challenge of developing public health as opposed to private healthcare, presented at the Panel "Future of Public Health" under the Twenty-first Meeting Latin American Association of Schools of Public Health - ALAESP. Rio de Janeiro, August 20, 2006.


Mauricio Torres Tovar 2 Medical, Occupational Health specialist. General Coordinator of the Latin American Social Medicine (Alamo) and member of the National Movement for Health and Social Security of Colombia. Email: coordinadorgeneralalames@yahoo.es

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the future if we do not only survive this


Cornelius Castoriadis "(...) the counter-hegemony, able to effectively challenge the dominant hegemony, born of reality and daily experiences
Antonio Gramsci

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reflection on the present and future of public health is still a recurring theme. This is arguably symptomatic: when you ask so frequently about his future, has to do with a lack of clarity about its present, a matter that confirms what we have clearly recognized since the early 90's in the sense that there a public health crisis. In 1991

Carlyle Guerra in the framework of the consultative group meeting on development of the theory and practice of public health in the Americas in New Orleans raised referring to the health situation in the region: ... I think the explanation that covers over the fact that the poor or the general public through the domain of any information, whose dissemination are not responsible, has been able to develop survival strategies that allowed them to survive even under conditions of greater hardness and most marginalized. I mention this fact to come again on one of the highlights of the profound change that is necessary to introduce in practice, and because they say the theory of health, which is the importance of participation, decentralization, the democratization in the organization of sectoral actions and beyond the sector. It is logical that we have also review care models and practices that lead, I think we have been changing in the sense of going to the notion of health sector identified as an activity for increasingly concerned with international and cross. " 3Guerra de Macedo, Carlyle (1991). Framework. Consultative group meeting on development of the theory and practice of public health in the Americas. New Orleans, 21 to 24 October 2001.

Likewise, the exercise proposed by PAHO in the early 90 and reproduced in the text of the public health crisis expressly left the old public health techniques rooted in stale shook at the insult of inefficiency, the failure of his speech, to the disorganization of his defroster, with its lack of legitimacy, but at the time this crisis, opened the door to new possibilities. 4OPS (1992). The crisis of public health: exploring the debate. Scientific Publication No. 540. Washington DC.

And in 1993 within the framework of the Andean meeting on public health is clearly raised the fact that public health was at a crossroads and that the State's concern for the public's health began to disappear leaving little space for the gift detention, as proposed by some funding agencies at the time, while action curative and rehabilitative goods began to be attractive to the private sector. It was also said that neoliberalism there trying to disappear our object of investigation and action by public health and we disappear as potential subjects builders of our history, as was the option of continuing to exist as objects without history or ethics or disappear as subjects . Public Health 5Escuela-OPS (1993). Public Health. Science, policy and action. Proceedings of the I Andean meeting on development of the theory and practice in public health. Quito, September 1993.

I raised at these meetings and publications and ratified during the years later at other meetings (among them two American Conferences on Education in Public Health, Rio de Janeiro in 1994 and Mexico 1998) and other exercises of reflection between highlighting the OPS driven earlier this millennium with the initiative public health in the Americas, confirmed the status of public health crisis, problems in theoretical and conceptual issues, weaknesses in practice to meet the health needs of the population and the new situation in the context of reforms health clearly weakened the State's efforts and hand, deepened the crisis of public health action.

After 6 years of the new millennium could to dare to say that this situation is not resolved despite the efforts of multiple actors and the opportunities that have tried to see through the crisis. For this we could say that the public health situation is dramatic and we could not overcome the epistemological problems, or take a leap into the practices that enable effective responses to problems and public health needs, to which is added the threat of global hegemonic policies which have been weakening the state and its action on the villages, where public health has lost enormous ground.

Amidst this scenario by discuss the future course of public health is quite difficult, when the present is so fragile. In a sort of exegesis would say, as many others have said long ago that without changing epistemological public health that lead to theoretical, methodological and practice, coupled with a renewal of the State, and more importantly to a renewal of the action of organized society in their communities, the future of public health is, antinomy, the private healthcare is the responsibility of public health is an individual, private and market, where the issue of externalities will be addressed by the State decentralized but on a very limited field of action (probably vaccination, control of some epidemics and sanitation).

Helped by the voices and views of social medicine, I will look initially and very quick affairs in the history of public health to try to see the epistemological origins of this field of knowledge, secondly look at the challenges Current public health, and thirdly to outline some possible ways to overcome the crisis and to envision a future of public health other than that I mentioned.

HISTORICAL REFERENCE: DARE TO BROWSE OTHER BEARINGS

To look to the future we must necessarily see the past and in this case we want to see the past to recognize the basis upon which originated and developed the public health model.

The dominant from ancient Greece is the paradigm hygienist related to the moods and the miasma. The idea of \u200b\u200bpolluted air has its roots in classical antiquity, the words "on the air, waters and places" of Hippocrates speaks of "bad air" (hence the name malaria) to explain that the poor air quality produced diseases, like bad water and bad places. 6Quevedo, Emilio. José Celestino Mutis anta public hygiene: a prisoner peripheral oracle in a metropolitan paradigm contradictory. In: The humanism of Mutis, and be enforced. sf

Also, from the Middle Ages and the Renaissance, from the medieval conceptions of galenism humoralists is coming if that infectious diseases were caused by the miasma, mysterious matter unhealthy transmitting human to human or from animal to human. 7Ibíd.

In the eighteenth century several doctors raised the need to take into account social standpoint in dealing with the problems of medicine and hygiene. Johann Peter Frank highlighted in the former GDR who raised "hunger and disease are painted on the front of the whole working class "and proposed creating a system with a global health policy, and the work of Bernardino Ramazzini in Italy on diseases of workers, which earned him the title of father of occupational medicine.

In the nineteenth century, Thomas Sydenham proposes a theory of health based on their classification of disease into two types: acute and chronic diseases. The first caused by the miasma that attack parts of the body fluid and, second, following the scheme of life of human beings, ie the defect or excess of their daily habits. Consequently, hygiene is divided into two branches: public health, responsible the prophylaxis of acute and therefore the control of air and water to prevent the proliferation of the miasma, and personal hygiene, aimed at encouraging self-management people, avoiding excesses in their life patterns. This theory leads to establish permanent hygienic measures in relation to public health such as paving, drainage, sewage, ventilation of the spaces, to avoid overcrowding and disinfect. 8Ibíd. Sydenham

thus breaks the old paradigm, which showed their total inability to address the phenomenon of epidemics, opening two lines of work: clinical empiricism and epidemiological perspective, which will advance the further development of the anatomy, pathophysiology, microbiology and epidemiology, providing power to a new paradigm of modern medicine. 9Quevedo, and Emilio Cardenas, Hugo. Health-disease process. sf

It should be noted that in the construction process of thought there were other important developments, but failed to compete with the paradigm inaugurated by Sydenham, which was then deepened with developments such as those made by Edwin Chadwink in England in the century XIX who deepened the line of hygiene for addressing the epidemic and the subsequent developments in the twentieth century Leavell and Clark on the natural history of disease, levels prevention and the epidemiological triad.

These papers and theses proposed a social rather than hygienic look worth noting:

In the nineteenth century are the work of Solomon Neumann in ancient Germany, who argue that "the majority of diseases that disrupt the full enjoyment of life does not depend on natural conditions but also social conditions ", by Rudolph Virchow in Germany also old who was asked to study the typhus epidemic at that time lashed the region and argue that the epidemic had causes social and economic issues related to poverty and is required sanitary and social measures to prevent further outbreaks. Virchow's proposal consisted of a radical social reform, broadly understood "full and unrestricted democracy, education, freedom and prosperity" argument these that earned him the title of father of social medicine. 10Rosen George. Da Medical Police to Social Medicine. Rio de Janeiro: Editorial Graal, 1979.

Louisville's works in France who demonstrated with statistical data that the frequency of illness and mortality rates in Paris were related to the living conditions of the various social classes; William Farr in England who posed in an official statistical report that hunger was responsible for many deaths, further observed that the excess mortality among the miners was produced by their working conditions and nutritional status.

Already in the twentieth century highlights the contributions of Henry Sigerist who argue that medicine is the study and application of biology in a matrix that is both historical, social, political, economic and cultural development and gave an idea germ of understanding of health as a human right and duty of the State to argue that "the people have the right to health care and society has a responsibility to care for their members." Henrick Blum developments who argue that health is the result of a large number of environmental determinants, behavioral, heritage and health services.

In Latin America highlights the contributions of Juan Cesar Garcia of Argentina, in the analysis of human resource training in health, who argue that "the health-disease-care is the expression of a particular socio-economic and cultural training" and Brazil's Sergio Arouca who contributed in building the collective health thinking and had an outstanding political work in the defense of health, who argue that "the Brazilian health reform is not born of a simple management process, technocratic or bureaucratic. Born in the defense of values \u200b\u200bsuch as direct democracy, social control, universal rights, the humanization of care, with the view of the fact that citizens are not a customer, not a user, rather it is subject. Brazilian health reform is a civilizing project. "

This historical development can be noted that public health in the process of gestation had its epistemological basis in sanitation that articulated the advances in microbiology, epidemiology, pathophysiology and set the current field of public health as called Edmundo Granda Public Enfermología is more moving as the analysis of individual phenomena of the disease to the analysis of collective situations, without detachment of the phenomenon of the disease to pass to the life and common welfare. Edmundo 11Granda. Public Health and the Metaphors of Life. Journal of the National School of Public Health. 18 (2) :83-100, July-December 2001. Subject
historical
constitutes a key to transform the public health situation, because as you continue looking through the same lens as the paradigm / 12Según Thomas Kuhn, a scientific paradigm is a set of outputs that share two characteristics: first, defined for successive generations of scientists with a set of problems and legitimate methods, and on the other hand, are sufficiently incomplete to leave many problems to be solved by scientists redelimitado. So a paradigm is an accepted model (for normal science) that attempts to force nature to fit within pre-set by the accepted model. In Quevedo. Emilio. José Celestino Mutis anta public hygiene: an oracle peripheral prisoner in a metropolitan paradigm contradictory. Op cit. / The findings of fact by itself does not ensure the construction of new theories explaining reality; / 13Quevedo, Emilio. José Celestino Mutis anta public hygiene: an oracle peripheral prisoner in a metropolitan paradigm contradictory. Op cit. / Which confirms the point made by Kuhn "any part of the aim of normal science aims to provoke new kinds of phenomena, in fact, the phenomena that do not fit within the limits mentioned frequently not even see them. Nor do scientists normally tend to discover new theories and often are intolerant to other formulas. Normal scientific research is directed to the articulation of those phenomena and theories and provides the paradigm. " 14Kuhn, Thomas (1971). Structure of Scientific Revolutions. In: Quevedo, Emilio. José Celestino Mutis anta public hygiene: a prisoner in a peripheral oracle paradigm Metropolitan contradictory. Op cit.

In this sense, the story shows the clear need to change "what you see is that expand the scope of analysis and the" way of looking "ie use other analytical tools of an integral and universal. 15OPS (1992). The crisis of public health: exploring the debate. Op cit. Here

as there is a clear legacy of history, and we must understand that only if we dare to sail other routes that have been given to public health, we will overcome the crisis and crossroads. Suffice it then propose another possible course of navigation which we indicated Rudolph Virchow and Juan Cesar Garcia through thought and social medicine movement.

CURRENT CHALLENGES OF PUBLIC HEALTH CRISIS IN THE MIDDLE OF

The exercise developed by PAHO in the context of public health initiative in the Americas, was to define 11 core functions of public health and develop a self-assessment process in 41 countries in the region. This exercise showed all the features a performance profile low intermediate, with better performance in the role eleven referred to reducing the impact of emergencies and disasters, the second on public health surveillance and monitoring function on number one, health assessment and analysis. The worst performer was the new role that has to do with the quality of services, the role eight, human resources development and function of ten, on public health research. 16Feo, Oscar. Public health in the reform processes and essential functions of public health. Review National School of Public Health. Vol 22, Special Issue: Third International Congress of Public Health.

This exercise and many other evidences say that today has enormous public health challenges, but perhaps the biggest, has been proposed by Virchow and Garcia, is the convergence and coordination with the social sciences in a process of renewal of its subject, its approaches and methods, to secure a perspective that helps us better understand the health situation of our country and its transformation into a process of strengthening democratic and inclusive social alternatives. / Personal 17Comunicación Jairo Ernesto Luna, a member of Poplar core Colombia. / What reorient its claim construction field of knowledge for life and not for the disease, nor for the market, which requires use of theoretical tools, methodological / staff 18Comunicación Alejandrina Cabrera, coordinator of Mexico Poplar core /. and to think and act on health as a matter social and not just "mainstream" social science - one of them or all-to thinking about health. 19Testa, Mario (1992). Public Health: on the meaning and significance. In: PAHO (1992). The crisis of public health: exploring the debate. Op cit. Therefore

this great challenge to be taken should guide the production of knowledge (research), training (formal education) and political action technique century Public Health / Personal 20Comunicación Mario Hernandez, a member of the core ALAMES Colombia. / And a new ingredient referred to his relationship with social organizational processes, with emphasis on social movements in health, also contributing in the production of knowledge with them from the recognition of other than the scientific knowledge, training from the perspective of the rich tradition of popular education and action in building the public understanding that is not constructed solely from the sphere of the state.

In turn, another major challenge to public health through this in relation to major social policy changes driven by the so-called globalization, which have impacted on the configuration of nation states and which have substantially transformed the social policies and the role of Been there. In this context, there have been reforms of social security and health, which determined that the States delegated the responsibility for health to the individuals themselves and their families and have given a prominent role to private actors in providing these services , causing a huge fragmentation of health systems which have strengthened the personal care component to the disease and weakened the collective action component of promotion and prevention.

Now this same context of globalization puts many other challenges to public health product that generates and processes: the migration of both major segments of the population and human talent health, the possibility of very rapid transmission of epidemics, the new type of trade agreements between nations, changes in the world of work and new locales, among others.

This context then puts a huge public health challenge, which is to survive in scenarios ex weakening of the state with a worsening of health problems and socio-epidemiological polarization, due largely to the deepening of inequalities social health regression, given by the rebound of previously eradicated diseases and / or controlled, the aging population, the deterioration of mental health, the increase of various types of political and social violence, the further environmental degradation, increasing poverty and famine with it, increasing inequalities and social exclusion, the use of biotechnology in health issues, among other relevant issues . 21López, O, F Peña (2006). Health and society. Contributions of Latin American thought. In E de la Garza (coordinator), Latin American Treaty of sociology. Ed Anthropos, Barcelona. / Personal 22Comunicaciones and Esperanza Luz Stella Álvarez Echeverri associated kernel ALAMES Colombia.

With this background of challenges and clear recognition of the millennium that after so many adjustments and reforms the situation economic and social development of most countries seems to be worse, health conditions and services are very poor and most companies continue to express their inability to promote and protect their health as far as their historical circumstances require, / 23OPS . The Crisis of Public Health. Op cit. / There is a clear need for progress on the reconfiguration of the new public health to recognize and assess the gaps and previous successes and can leap epistemological reconceptualization enable them, set a new disciplinary field, that shifts the transmission of knowledge and a time to redefine their social practices. NADA

NEW, JUST DARE TO SAIL A DIFFERENT DIRECTION: CONTRIBUTE TO RESOLVE THE PROBLEMS OF LIFE, NOT THE MARKET

From the historical and the period of crisis has been going through the public health, many things have been raised some time ago, that is required to address health issues and not the disease, it is necessary a multidisciplinary, that action must be beyond the health services and to be cross-cutting, down a set essential functions to shift its focus, it is essential to the articulation with the social sciences, among other things. The truth is that progress in this direction, despite the alleged agreement, are scarce and of poor impact, which is evident in both the biomedical model is still present in the training and practice and even worse, has been strengthened by the neoliberal health perspective, it becomes a private good for individual consumption to health.

Here it is worth saying, in a reflection autocratic, since I represent a sector of critical thought and action of public health, despite the radical analysis and innovative theoretical and methodological proposals from the current field of medicine social development in Latin America, this has failed to significantly impact the public health field. Edmundo 24Granda (2004). Public Health Quo Vadis? Paper presented at the Second Civil Society Forum on Health. Lima, 9-11 August 2004.

What then is the way to the future of Public Health not Private Health? Certainly we must navigate by way of a new public health, picking the offers theoretical and methodological approaches we have, the many experiences of progress and setbacks. That is, public health has a future in so far as to renew, that would otherwise perish because their essence is even subordinate under his own approval as happened when he had no ethical qualms about joining the 90 reforms have been harmful to the life of the public health.

As a sort of navigation log to start this new course, among many other things are required:

• To set up new counter-public health (to use Gramsci's quote) that is able to effectively challenge the hegemonic public health it is necessary parirla from reality and daily life experiences, which demands a different contact with reality, with people, their needs and there should emerge new ways of knowing and acting in the field of practices public health.

• Reassemble the epistemological field and public health action, passing through to support it: 25Ibíd.
o Emphasis on health, life, welfare, without neglecting the disease, but overcoming the issue of product profitability of curative care;
or methods that integrate various forms of understanding and capable of accounting structures and social action and structures;
or promote social practices that integrate various stakeholders and authorities from the State, to individuals, their groups to social movements.

• Recognize that the actors are not only public health professionals have to do with her experiences there, which as in the case of southern Mexico and Guatemala have allowed health promoters to form a combination of traditional knowledge and scientific knowledge, they have had very positive impacts on the health of their communities. / 26Albizu, José Luís (2005). Effect Guatemala. A trip to the promoters and promoters of health throughout life. Guatemala City. / This in turn requires that off-the spotlights and training scenarios, leaving the university the exclusive domain of professionals and technicians, to move to a formal no where what matters is not the title if not the knowledge and skills to contribute effectively to improving community health.
Now this implies, in turn, accepting that ensure the right to health requires social actors and the military forces and the concrete, the new public health contribution to training in the preparation of technical cadres political unions, political parties, social movements, etc. / Personal 27Comunicación Mario Rovere, a member of the Advisory Council ALAMES. / Is required to educate, train many and many in all areas, from the places where life takes place every day, but it is also defining work processes, learning spaces, from the perspective of human rights from the perspective of promoting quality of life. We can not keep thinking and teaching from the disease, from risk we have to teach from and for life. Mary Urbanski personal 28Comunicación counselor ALAMES Advisory Council.

• Recognize that communities also have the capacity to build the public and against a backdrop of weakening of the state community in its legitimate autonomy condition can advance organizational forms reached with public health issues and from this new position to reinvent and redefine the state. This then implies that the new public health contribution to building the public sphere beyond the state, even more so today is in sharp weakening.

• Required field transformations staff training as expressed Edmundo Granda "The training of adequate sanitation for public enfermología was associated with an image of the public health policy and technical controller, while at present, claims, an individual performer - mediator, ie interpreter of the ways individual and social actors in their daily lives, build their knowledge, develop actions related to health promotion and care for their illness, and strategic mediating powers scientific, political and economic support raising levels of health and life. " Edmundo Granda 29 (2004). Public Health Quo Vadis? Op cit.

• Evaluate the alternatives that have been occurring over time and the product of the context and power relations in the international arena have not been developed in particular I refer to proposals for APS, the prospect of social determinants of health and the prospect of the right to health.

• Recognise explicitly and without shame that health is a matter of policy and therefore the new Public Health has to necessarily establish a projection and different relationship with the policies, structures and institutions in the field to achieve larger doses of democracy, efficiency and equity. / 30Ibíd. / The political is the vindication of the public and public health, public health as well indivisible, non-tradable and therefore universal, beyond the state and health as a fundamental human right. 31 Personal communication from Saul Franco, a member of the Advisory Council ALAMES.

• The new public health should guide health systems, which means that public health is the guiding health policies, including those related to the organization of care of diseases and forms of financing. This implies a frank confrontation with the false separation between private goods and public goods in health, as claimed by neoclassical economists and therefore the insurance should not be a separate field of public health, is just one way of organizing the financing of health services and must give the full discussion of whether remain an individual matter or a real social and fair mechanism for funding to achieve universality. 32 Personal communication from Mario Hernandez Colombia ALAMES member.

• Exit the crossroads of the monitoring and regulation to advance a vision articulated its action around the creation of conditions to improve quality of life and not only prevent disease, ie enroll in a promotional approach of quality of life. 33 De Negri, Armando (2004). Adoção of promotional strategy uma da qualidade e saúde life: das transetorialidade policy. In: Girotti Sperandio, AM O Process construção da rede potentially saudáveis \u200b\u200bmunicipalities. Campinas-São Paulo: IPES, Unicamp, PAHO / WHO.

• Strengthen the practice of participation of people from a perspective of citizenship, where people are positioned as the holder of the right to health, and not as a consumer user of health services that only calls for a contract with the service provider .

• Being consistent with this blog navigation pregratos should strengthen health and public health graduate from the training include a focus on rights, social determinants of health and equity.

• The future of the new public health should be seen also from the areas of regional integration. Given this movement now runs our continent can not but stop a bit to appreciate it for its potential to add stress, meet, met, to think our problems together and dare to think joint responses. 34 Personal communication from Mary Urbanski.

• The future of this new public health depends on the one hand, and belonging the agendas of society, especially the excluded and secondly, that the State assume the challenge of collective health as an ethical commitment to ensure response to health and social needs and for overcoming the profound health inequalities existing.

Here are some elements of this blog that is necessary to discuss, adjust, expand consensus about it. But certainly it is, that to assume this new blog must start from recognizing that we have been sailing for our course and that it is possible to sail clear that respond to the great needs and public health situations which today crosses the world and our country in particular.