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This document outlines actual profile of the health situation in Colombia today following two main tendencies: the relationship between health and living conditions and, its expression in social sanitary inequities. For this will analyze three aspects: the mortality; the disease and the vulnerability ‐understood as the risk of getting sick and as the deterioration of the quality and living conditions, with the ensuing loss or decrease of wellbeing‐; some indicators of the rendering of health services system. The results indicate that the main health problems of the country are the violent deaths, responsible for the highest early mortality, the persistence of inequities in the health status, and in the access to health services and to the vulnerability of children, women, young ones ‐specially the poorest‐ and of the population in the rural areas. It also suggests that the onset of Statute 100/93, not only has it deepened the inequalities, but it has generated new unfair and regressive disparities. It proposes to advance over a fundamentally political task the collective construction of health as a matter of public interest, condition necessary for the re-foundation of the health system, in an inclusive and equitable perspective.
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