[The Care as a minimum necessary change to transform the healthcare system].

Introduction: This article assumes a critical reflection as a personal suggestion to include the dimension of care in healthcare system. The discussion is contextualized in the epidemiological transitions of the 21st Century framework, chronicity, longevity and increasing dependence.

Methods: An experimental metaphor for manipulating the genome constituting healthcare systems, based on principles of universality, accessibility, solidarity, ethics, efficacy and efficiency, is held to achieve the minimum necessary change to transform them in favour of humanization, empathy and compassion. Concepts of care and self-care are explored, as an attitude in relation to oneself, with others and with the world, undervalued dimensions of care, usually neglected or invisible.

Results: Ten reasons are proposed to include the ethical, moral and pedagogical model of palliative care approach in a transversal way for the whole system and stages of life, as well as the leadership to carry it out.

Conclusion: this transformative healthcare system model is offered, as other face of carelessness, dehumanization and anomie, both, to users and healthcare professionals.