Jaime Breilh2026-03-222026-03-22202310.1080/17441692.2023.2193830https://doi.org/10.1080/17441692.2023.2193830https://andeanlibrary.org/handle/123456789/43812Citaciones: 30The hyper-neoliberal era has seen the collapse of the ethos of life and the formation of a civilisation of extreme greed. In this global context, the pre-eminence of a technologically endowed but epistemologically and ethically misguided form of science has contributed to forms of 'scientific illiteracy' and strategies of planned ignorance that nourish a neo-conservative form of governance. The challenge of transforming the paradigm of bioethics and the right to health beyond the biomedical horizon is an urgent priority. Building on the strengths of a social determination approach and a meta-critical methodology and rooted in critical epidemiology, this essay proposes powerful tools for a radical shift in thought and action linked to rights and ethics. Together, medicine, public health, and collective health provide a path forward to reform ethics and advance the rights of humans and nature.enBioethicsEnvironmental ethicsContext (archaeology)Political scienceSociologyRight to healthHuman rightsLaw and economicsarticle