Abstract
The incidence of liberal theory, its ideological application to property and individual liberty, generates a transversal effect on the life quality and health of the Colombian population, which configures the context in which social justice in health and its approach from the principle of equality of opportunities would be determined by the dynamics of the social protection system reforms and work relations and labor flexibilization. This work is a reflection on these issues, made from a systematic review of the literature published in indexed journals, with assessment of the quality of the evidence, and of literature not published in journals. Health is considered as a constituent part of development, which is why categories such as the employment contract with disadvantages have led to a greater social exclusion and vulnerability in health and, therefore, to a high concentration of wealth and power, which increases the bad health of the population. Making visible the effects of distribution and relationship between these primary goods contributes to the generation of human capital for further development and welfare, and this improves the panorama of justice and equity in health.