Abstract
This paper tries to systematize a very complex historical process in the Bolivarian Republic of Venezuela, where the marked participation of the community is taking the lead in the social and political transformation. The implementation of the primary attention network of the Health National Public System, which expression is the Barrio Adentro Mission, constitutes one of the most significant achievements in health. It is a political project of social inclusion where they are simultaneously building a service network and developing professionals and technicians. All this is taking place in a contradictory and tense environment while the structural changes of the Venezuelan society are being deepened.