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Se presenta la reseña crítica del artículo de Venkatapuram, Bell y Marmot, titulado: “El derecho a las suturas: epidemiología social, derechos humanos y justicia social”, el cual presenta los planteamientos de la Comisión de Determinantes Sociales de la Salud-CDSS, acerca de las relaciones causales entre las condiciones de vida y los resultados en salud, apelando a la justicia social y a la consideración de tales determinantes como parte de los derechos humanos. Se aportan elementos para su análisis crítico respecto de la apuesta por la causalidad y acerca de su concepción sobre justicia social y los determinantes de la enfermedad como violación a los derechos humanos. Se señalan puntos para el debate y se concluye con una invitación a tomar parte en el mismo. It presents a critical review of the article Venkatapuram, Bell and Marmot, entitled: “The right to sutures: social epidemiology, human rights and social justice,” which presents the proposals of the Commission on Social Determinants of Health-CDSS, about causal relationships between living conditions and health outcomes, appealing to social justice and consideration of such determinants as part of human rights. Provides elements for critical analysis of causality and committed about their conception of social justice and determinants of disease as a human rights violation. Points are identified for discussion and concludes with an invitation to take part in it

El debate entre determinantes sociales de la salud o determinación social de la salud, promovido por la medicina social latinoamericana a raíz de la propuesta presentada por la Comisión sobre los Determinantes Sociales de la Salud de la oms, pasa por analizar la tensión entre determinismo e indeterminismo y sus repercusiones para concebir la causalidad desde un punto de vista histórico y epistemológico. Este artículo presenta algunas tendencias sobre la visión cosmológica y epistemológica en la historia del pensamiento occidental que han marcado dicho debate, analizando las tensiones entre posiciones monista/pluralista por un lado y determinista/ indeterminista por el otro, y sus repercusiones sobre la forma de concebir al sujeto y su relación con la naturaleza, así como el papel de la libertad humana, la causalidad y el azar. En las conclusiones se propone una puerta de salida a las tensiones y conflictos analizados desde la dialéctica que permita superar la cosmovisión causal de la realidad, en la cual se dé espacio para la acción del sujeto como agente. The debate between social “determinants” or “determination” of health, fostered by the Latin American Social Medicine movement after the proposal of the WHO Commission on Social Determinants of Health, involves analyzing the tension between determinism and indeterminism as well as its implications for conceiving causality from a historical and epistemological point of view. This paper presents some trends regarding the cosmological and epistemological view in the Western history of thought that have marked this debate. At the same time, it analyzes the tensions between monist / pluralist positions on the one hand, and deterministic / indeterministic on the other. Similarly, it analyzes their impact on the perception of subjects, the subject / nature relationship, and the role of human freedom, causality and randomness. The conclusions discuss a way out of the tensions and conflicts analyzed from a dialectic point of view to overcome a causal cosmologic view of reality in which there is room for the action of the subject as an agent

The debate between social "determinants" or "determination" of health, fostered by the Latin American Social Medicine movement after the proposal of the WHO Commission on Social Determinants of Health, involves analyzing the tension between determinism and indeterminism as well as its implications for conceiving causality from a historical and epistemological point of view. This paper presents some trends regarding the cosmological and epistemological view in the Western history of thought that have marked this debate. At the same time, it analyzes the tensions between monist / pluralist positions on the one hand, and deterministic / indeterministic on the other. Similarly, it analyzes their impact on the perception of subjects, the subject / nature relationship, and the role of human freedom, causality and randomness. The conclusions discuss a way out of the tensions and conflicts analyzed from a dialectic point of view to overcome a causal cosmologic view of reality in which there is room for the action of the subject as an agent. [ABSTRACT FROM AUTHOR]

It presents a critical review of the article Venkatapuram, Bell and Marmot, entitled: "The right to sutures: social epidemiology, human rights and social justice," which presents the proposals of the Commission on Social Determinants of Health-CDSS, about causal relationships between living conditions and health outcomes, appealing to social justice and consideration of such determinants as part of human rights. Provides elements for critical analysis of causality and committed about their conception of social justice and determinants of disease as a human rights violation. Points are identified for discussion and concludes with an invitation to take part in it. [ABSTRACT FROM AUTHOR]