Today, at the heart of the health debate surrounding Covid 19, it is difficult to ignore the major dysfunctions of the political-scientific choices in health care and the increasingly pervasive bureaucratization for all staff and patients of these choices and the deleterious consequences they generate. Vincent Marneffe, a neurosurgeon at the Saint-Pierre Clinic in Ottignies, is a privileged observer and actor in the evolution of this medicine in hospitals.

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