The changes seen in the Colombian health sector have been influenced by the neoliberal economy and the astonishing biomedical breakthroughs that have been forced by different economic interests both in public and private institutions to attend to client in the framework of the new Social Security law. This law is based on the principales of efficiency, universality and solidarity. However, health care practices have been negatively affected by obstacles against the ethical logic of altruism in the noble tradition of rendering health services.