Current Issue
In Latin America, and particularly in Ecuador, health systems pursue development models decontextualized from their history and trajectories; the “American way of life” is a fetish in civilization and culture. This translates into development models of urban and rural territories with a profound influence on the health-disease phenomenon (cities with densely populated centers, so-called “progress” diseases, epidemiological transition). A broad base of the population pyramid cries out for “health,” but the meaning of this concept has become infused with ideology. At the same time, rural areas are experiencing the same transition, amidst the garbage generated in the city, with the dream of “going out to the city one day.”