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What we know today as Health Services is a fiction, perhaps shaped involuntarily, but with deep health repercussions, more negative than positive. About 24 centuries ago, Asclepius god of medicine and Hygeia goddess of hygiene and health, generated a dichotomy between disease and health that remains until today. The confusing substitution of Health Services with Medical Services began by the end of the XIX century. But it was in 1948 when the so called English National Health Service became a landmark in the world and its model was adopted by many countries, having distorted the true meaning of Health Services. The consequences of this fiction have been ominous. It is necessary to call things by its name not to deceive society and to correct the serious imbalance between Medical Services and Health Services. Hygeia and Asclepius must become a brotherhood.

Oscar Echeverry, Banco Mundial

Senior Public Health Specialist (r), Banco Mundial
Echeverry, O. (2012). The fiction of health services. Colombia Medica, 43(2), 185–188.

Graves R. Greek Myths. 2nd ed. New York: Penguin books; 1992

Social Insurance and Allied Services. Report by Sir William Be¬veridge. Published by His Majesty’s Stationery Office; 1942. p.11

“The NHS in England - About the NHS - NHS core principles”. 2009-03-23.

Forsyth G. Doctors and the State Medicine. A Study of the British health Service. New York: J.B. Lippincott Co.; 1966.p.15.

Abbott CC. “Don’t be doped: An exposure of state medical tyran¬ny”. British Library of Political & Economic Sciences. Pamphlet Collection NºP184780; 1945. p.3.

Ehrenreich B, Ehrenreich J. The American health empire: Power, profits and politics. New York. Vintage books; 1971

Bulger R. Technology, bureaucracy, and healing in America. Iowa City. University of Iowa Press; 1988. p. 63-93.

Lalonde M. A New Perspective on the Health of Canadians. A working document. Ottawa. Canada; April, 1974.

Dever A. Community Health Analysis. Global awareness at the local level. 2nd ed. New York: Aspen Publishers; 1991. p.37.

Iestra JA, Kromhout D, Van der Schouw YT, Grobbee DE, Bos¬huizen HC, van Staveren WA. Effect Size Estimates of Lifestyle and Dietary Changes on All-Cause Mortality in Coronary Artery Di¬sease Patients : A Systematic Review. Circulation. 2005; 112:924-934

Nechuta SJ, Shu XO, Li HL, Yang G, Xiang YB, Cai H, et al. Combined impact of lifestyle-related factors on total and cause-specific mortality among Chinese women: prospective cohort stu¬dy. PLoS Med. 2010; Sep 14;7(9). pii: e1000339.

Deaton A. What does the empirical evidence tell us about the injustice of health inequalities?

New Jersey: Center for Health and Wellbeing, Princeton Univer¬sity; January, 2011.

Whiteside N. Private Provision and Public Welfare: Health In¬surance between the Wars. En Gladstone D. (Ed): Before Beverid¬ge: Welfare before the Welfare State. Civitas. Choice in Welfare No. 47. London: The Cromwell Press; 1999. p.34.

Graham C. Happiness and Health: Lessons—and Questions—for Public Policy. Health Affairs. 2008; 173: 72-86.

McKewon T. The role of medicine. Dream, mirage or nemesis? New Jersey: Princeton University Press; 1979

Ministerio de la Protección Social: Recursos para la salud 2009. Bogotá: Ministerio de la Protección Social; 2010.


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Received 2012-06-22
Accepted 2012-06-25
Published 2012-06-25