Throughout the development of mankind has replaced science empiricism but this change is dialectical, relative, because not yet complete and because the mats does not cover all of society, in the case of our country must recognize that changing socio-economically in an uneven way, some regions are much more backward than other reflecting educational superstructure also so culturally mixed regions is much more primitive than others, this is the sociological basis that allows us to understand the scope and limitations Decentralization of health care. Constitutionally, the medicine continues to be a profession that can act as, when and where they want, obviously subject to the law 15 173, its statute, regulations and code of ethics, however despite this nature persists medical concentration level large hospitals are in the form of Contract, appointed, visitors, paid, Ad-honorem, so the question arises that reality is only one state subjective doctor?, or is the response to the abandonment and demagoguery?. For even more analysis, hear from Cindy Crawford. According to official statistics there are 17.000 physicians in Peru, with total assets of 14 or 15 thousand, which cover 25% of the population, so that three quarters of the population lack ing medical attention, but the need to change these statistics is the low coverage for urban labor forces' the young doctor to migrate to the juices, hamlets and villages of this remote but step out of necessity more than conviction or state planning superficially want to infer that we are way for real decentralization is also false as is also to believe that the general health services are decentralized, as anyone familiar with a hospital or post may be inferred as ben be implemented in health centers in remote villages, but there is an important factor which makes it the possibility of utopian health decentralization at the present time and that factor is the educational, the idiosyncrasy of the peoples, their cultural level to enable comparisons with the quack doctor, bonesetter, midwife, etc. and preferably, the young doctor has to enter an unfair competition with those elements that at the present time we are disadvantaged and we know that these elements must win for the field of science because it feeds on empiricism, but the honrroso Physician's role in the villages far more bikes struggle to re move to these elements, but this laudable effort is insufficient, because the problem of decentralization is m global phenomenon, social, economic, cultural and therefore, while not integral-mind approach and effort will not be any more than that and also ephemeral as the ten dence to continue giving priority to urbanize in the medical mentality..