Doctors versus patients?

About the doctor-patient profile in El Salvador

Abstract

The aim is to provide a serious input that establishes a frame of reference for an integral approach to the medical problem. Thus, by means of a critical hypothetical operative inference, it can be affirmed: historically, the bicentennial Salvadoran State, in its verifiable attenuation as a factual power, given a collusion with the dominant economic elites in each of their respective stages, not only has it not been enough to condition an aggressive medical individualism; but, that same state-market confabulation has allowed, either by omission or commission, the germination of a perfidious confrontation between patients and physicians. Therefore, it is developed from four premises: a state medical system that conditions individualism for physicians; the physician as an individualistic employee; the patient, whose health has been abandoned by the state; and the physician-patient confrontation. These approaches lead to a simple but complex proposal, the massive recruitment of medical resources for the public health system.