For a responsible, and detached, professional work in times of crisis. A very technical update: remembering "Essay on lucidity and blindness of J. Saramago

Abstract

The leading question of this paper is whether it makes any sense, is credible or feasible to adopt aims of sensibleness and rationalization in the health care system (so strictly connected to the social and economical sector) while the criteria used by the social, economical and cultural contexts (nationally and internationally) are based on the denial of evidences, on misinterpretation of data. Some arbitrary and difficult to justify decisions are glossed over with labels of rigour and planning. Four scenarios (the role of the evidences; the global health, the mental health and the role of citizens-leading or passive role) allow to propose some provocative reflections, backed up by the most recent articles published on the most important international medical journals.