Medicine never ceases to amaze me. In addition to their technological and scientific advances, it is the people themselves who suffer from health problems and the adventures of those who take care of them who teach me new every week. 
The university told us that social determinants of health are much more important than health systems themselves in conditioning health or disease. As a result of that the United Kingdom life expectancy has begun to decline following what happens in the United States where African Americans, American Indians and Alaska Natives clearly live less and are in poorer health.  
One of the causes is the "shit-life" syndrome suffered by everyone who lives below the poverty line or whose social and economic circumstances are very adverse. In the face of this, nothing can be done by the powerful hospital and all its science. These patients come to the sanitary system for help and are sent away with pills and little else, nothing concrete to substantially improve their lives.  In Europe, too, there are those who are excluded. In addition to homeless people, or those with precarious housing, there are many people who suffer from addictions with significant social repercussions and a flood of immigrants who join the queue of the poor. Add to this the poverty and ageing of large areas of the rural area, which is gradually being depopulated and confines many older people to life situations that border on abandonment, in addition...