ABSTRACT
The middle of the 20th century marks the beginning of a period of reappearance of social issues in the medical context of capitalist countries. Community medicine reflects, in its sophisticated methods of penetration and in the fetishism of community self-determination or participation, the capacity to manipulate and legitimize. The inclusion of medical services as part of the process of building state power was a political necessity in these countries in the 18th century and the first half of the 19th century. The A. Flexner Report started a movement toward the institutionalization of scientism in medicine in the United States. Community medicine is one of the few solutions that capitalism can propose for the problems of public health. “Modern community medicine” is not a replica of 18th century “medical police.” It is a new form of police work, more subtle and refined.
