The productive restructuration of public hospitals in Latin America pretends to make changes in the ways in which attention and care occurs. Current productive restructuration is ideologically ensured by the displacement of the hegemonic discourses in the sector, from Normative Planning to the discourses of neoliberal modernization. In this article, the methodology was qualitative, through Critical Discourse Analysis. The analysis approached to the main features of both hegemonic paradigms, the relationship between its core technologies with economic, social and cultural contexts in which they emerged and how it relates to power devices.
Health care reform; Social change; Capitalism; Social control, Informal