Abstract
The health system in Colombia is going through a structural crisis based on the monitoring of operational inefficiency and profit maximization by health care providers. Law 100 based operating system from the premise of health as a basic right of citizens, complemented by the principles of equity, solidarity, quality and universal coverage. Despite good intentions (at the time of its design), the reality is that some of the challenges and the goals set by Law 100 of the SHSS have not been able to realize. Although the health service coverage is close to its universality, other features, such as quality of service, is determined by the economic situation of the user. Besides the above, there is evidence that public resources for health have suffered abuse, bringing this situation to the lack of ability of regulators to conduct effective surveillance on actors involved in the health system in Colombia.
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