Four points relating to the iniquities of the health services are brou
ght out. In the first, the economic crisis the region has been going t
hrough during recent decades, is discussed and the contention that the
tendency to an overall improvement of the living conditions has not b
een deeply affected by this crisis is questioned. In the second the ch
aracteristics of the Latin-American process of development, marked by
the deenpeing of iniquities is examined. In the third an analysis of t
he pattern of social protection in the region is presented and in the
last two polar models for the reformation of this pattern are discusse
d.