Full-text of the article is available for this language: Español (España).
In recent decades, traditional and complementary medicine has undergone a growing process of social legitimation and increasing public demand, challenging the traditional boundaries of the official medical field and giving rise to disputes over its institutional recognition. In these disputes, different actors—including therapists, professional associations, sectors of biomedicine, and state agencies—compete to define its status, scope, and degree of autonomy. Drawing on the sociology of professions and the concept of medical dominance, this article analyzes the nature of the legislative proposals aimed at granting official status to non-conventional medicine in Argentina. Based on a qualitative study involving documentary analysis of a corpus comprising Bill S-415/22, introduced in 2022 in the Argentine Senate, and a comparison with its legislative precedents in three previous bills introduced between 2016 and 2020, the analysis examines the definition of professional scope and boundaries and the proposed forms of articulation with the official medical system, represented by biomedicine. It focuses on three aspects: a) the “invention” of a legitimate therapeutic subject; b) the delimitation of competencies and boundaries; and c) the relationship with the State. The findings show that the legislative proposal produces a form of institutional recognition of traditional and complementary medicine that subordinates its legitimacy, autonomy, and professionalization to regulatory categories and to the dominant position of biomedicine within the healthcare system.
Keywords: Health Occupations, Health Legislation, Complementary Medicine, Argentina
Categories: Policies, Healthcare models, Work
Full-text of the article is available for this language: Español (España).
1. Fadlon J. Negotiating the holistic turn: the domestication of alternative medicine. Albany: State University of New York Press; 2005.
Crossref
| Google Scholar
2. Bordes M, Saizar M. “De esto mejor ni hablar”: omisiones y reformulaciones de lo sagrado por parte de terapeutas alternativos que trabajan en contextos hospitalarios. Sociedad y Religión. 2018;28(50):161-182.
3. Carozzi MJ. Nueva era y terapias alternativas: Construyendo significados en el discurso y la interacción. Buenos Aires: UCA; 2000.
4. Frigerio A. La ¿“nueva”? espiritualidad: ontología, epistemología y sociología de un concepto controvertido. Ciências Sociais e Religião. 2016;18(24):209-231.
Crossref
| Google Scholar
5. Semán P, Viotti N. New age spirituality in Argentina: Cultural change and epistemological challenge. International Journal of Latin American Religions. 2019;3:193-211.
Crossref
| Google Scholar
6. Saks M. Support workers and the health professions in international perspective: The invisible providers of health care. Bristol: Policy Press; 2020.
Crossref
| Google Scholar
7. Wiese M, Oster C, Pincombe J. Understanding the emerging relationship between complementary medicine and mainstream health care: a review of the literature. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine. 2010;14(3):326-42.
Crossref
| Google Scholar
8. Keshet Y. The untenable boundaries of biomedical knowledge: epistemologies and rhetoric strategies in the debate over evaluating complementary and alternative medicine. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine. 2009;13(2):131-155.
Crossref
| Google Scholar
9. Barnes L. Needles, Herbs, Gods and Ghosts: China, healing and the West to 1848. Cambridge: Harvard University Press; 2005.
Crossref
| Google Scholar
10. Barros NF, Nunes ED. Complementary and alternative medicine in Brazil: one concept, different meanings. Cadernos de Saúde Pública. 2006;22(10),2023-2028.
Crossref
| Google Scholar
11. Coulter I, Willis E. The rise and rise of complementary and alternative medicine: a sociological perspective. The Medical Journal of Austria. 2004;180(11):587-589.
Crossref
| Google Scholar
12. Hollenberg D, Tsasis P, Kelley N. CAM in Canadian hospitals: the new frontier? Journal of Complementary and Integrative Medicine. 2011;8.
Crossref
| Google Scholar
13. Shuval J, Mizrachi N. Changing boundaries: Modes of coexistence of alternative and biomedicine. Qualitative Health Research, 2004;10(2):219-243.
Crossref
| Google Scholar
14. Cant S, Sharma U. Complementary and alternative medicines: Knowledge in practice. London: Free Association Books; 1996.
15. Givati A. Performing ‘pragmatic holism’: professionalisation and the holistic discourse of non-medically qualified acupuncturists and homeopaths in the United Kingdom. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine. 2015;19(1):34-50.
Crossref
| Google Scholar
16. Maluf S. Mitos coletivos, narrativas pessoais: Cura ritual, trabalho terapêutico e emergência do sujeito nas culturas da ‘Nova Era’. Mana. 2005;11(2):499-528.
Crossref
| Google Scholar
17. Fulder S. The impact of non-orthodox medicine on our concepts of health. In: Lafaille R, Fulder S, editors. Toward a new science of Health. London: Routledge, 1993. p. 83-92.
18. Clarke DB, Doel MA, Segrott J. No alternative?: The regulation and professionalization of complementary and alternative medicine in the United Kingdom. Health & Place. 2004;10(4):329-338.
Crossref
| Google Scholar
19. Mc Guire M, Kantor D. Ritual healing in suburban America. New Brunswick: Rutgers University Press; 1988.
20. Saizar MM, Bordes M. Terapias no-convencionales en contextos hospitalarios de la Ciudad de Buenos Aires: Un estudio exploratorio de las motivaciones de especialistas alternativos y biomédicos. Saúde & Transformação Social. 2020;10 (1/2/3):34-43.
21. Bourdieu P. Sobre el Estado: Cursos en el Collège de France (1989-1992). Barcelona: Editorial Anagrama; 2014.
22. Willis E. Medical Dominance: Division of Labour in Australian Health Care. London: Routledge; 1983.
23. Willis E. Introduction: taking stock of medical dominance. Health Sociology Review, 2006;15(5), 421-431.
Crossref
| Google Scholar
24. Freidson E. The profession of medicine. New York: Dodd, Mead; 1970.
25. Larson MS. The rise of professionalism: A sociological analysis. California: University of California Press; 1977.
26. Norris P. How ‘we’ are different from ‘them’: occupational boundary maintenance in the treatment of musculo-skeletal problems. Sociology of Health & Illness. 2001;23(1):24-43.
Crossref
| Google Scholar
27. Saks M. Alternative medicine and the health care division of labour: Present trends and future prospects. Current Sociology. 2001;49:119-134.
Crossref
| Google Scholar
28. Abbott A. The system of professions: An essay on the division of expert labor. Chicago: University of Chicago Press; 1988.
Crossref
| Google Scholar
29. Kelner M, Wellman B, Welsh S, Boon H. How far can complementary and alternative medicine go?: The case of chiropractic and homeopathy. Social Science & Medicine. 2006;63(10):2617-2627.
Crossref
| Google Scholar
30. Gilmour J, Kelner M, Wellman B. Opening the door to complementary and alternative medicine: Self-regulation in Ontario. Law & Policy. 2002;24(2):149-174.
Crossref
| Google Scholar
31. Coburn D. State authority, medical dominance, and trends in the regulation of the health professions: The Ontario case. Social Science & Medicine. 1993;37(7):841-850.
Crossref
| Google Scholar
32. García Larraburu SM. Proyecto de Ley S-0415/2022 [Internet]. Honorable Senado de la Nación Argentina; 2022 [citado 10 mar 2026]. Disponible en: https://tinyurl.com/44k67mpw
33. Giustini D. Finding the hard-to-find: Searching for grey literature. Vancouver: University of British Columbia, Health Library; 2019.
34. Bowen GA. Document analysis as a qualitative research method. Qualitative Research Journal. 2009;9(2):27-40.
Crossref
| Google Scholar
35. Organización Mundial de la Salud. Global traditional medicine strategy 2025–2034. Geneva: World Health Organization; 2025.
36. Organización Mundial de la Salud. Estrategias para la Medicina Tradicional 2001-2005. Genova: OMS; 2002.
37. National Center for Complementary and Integrative Health (NCCIH). Strategic plan exploring the science of complementary and integrative health. Bethesda: U.S. Department of Health & Human Services, National Institutes of Health; 2016.
38. Baer HA. Toward an integrative medicine: Merging alternative therapies with biomedicine. Walnut Creek: AltaMira Press; 2004.
39. Cant S, Sharma U. A new medical pluralism?: Alternative medicine, doctors, patients and the State. London: Routledge; 1999.
40. Collins R. Market closure and the confilict theory of professions. In: Burrage M, Torstendhal R, editors. Professions in theory and history. rethinking the study of the professions. London: SAGE; 1990. p. 24-43.
41. Witz A. Professions and patriarchy. London: Routledge; 1992.
42. Good B. Medicina, racionalidad y experiencia: Una perspectiva antropológica. Barcelona: Edicions Bellaterra; 2003.
43. Di Liscia MS. Saberes, terapias y prácticas médicas en Argentina (1750-1910). Madrid: CSIC; 2002.
44. Stone J. An ethical framework for complementary and alternative therapists. London: Routledge; 2002.
45. Light D. The medical profession and organizational change: From professional dominance to countervailing power. In: Bird CE, Conrad P, Fremont AM, (eds.). Handbook of medical sociology. Upper Saddle River: Prentice Hall; 2000. p. 201-216.
46. Sajida S. Three decades of multilevel governance research: A scientometric and conceptual mapping in the social sciences. Social Sciences & Humanities Open. 2025;12.
Crossref
| Google Scholar
47. Jarillo EC. La profesión médica: Una construcción de la ideología profesional. En: Jarillo EC, Guinsberg E, editores. Temas y desafíos en Salud Colectiva. Buenos Aires: Lugar Editorial; 2007.
48. Menéndez EL. Hacia una práctica médica alternativa: Hegemonía y (auto)gestión (técnica) en salud. México DF: CIESAS; 1983.
49. Menéndez EL. Modelos de atención de los padecimientos: de exclusiones teóricas y articulaciones prácticas. Ciência & Saúde Coletiva. 2003;8(1):185-207.
Crossref
| Google Scholar
50. Campos Navarro R, (comp.). La antropología médica en México (2 vols.). Ciudad de México: Instituto Mora, Universidad Autónoma Metropolitana; 1992.
51. Campos Navarro R, (coord.). Antropología médica e interculturalidad. Ciudad de México: McGraw-Hill, UNAM; 2016.
52. Langdon EJ, Wiik FB. Antropologia, saúde e doença: uma introdução ao conceito de cultura aplicado às ciências da saúde. Revista Latino-Americana de Enfermagem. 2010;18(3):459-466.
Crossref
| Google Scholar
53. Idoyaga Molina A. Culturas, enfermedades y medicinas: Reflexiones sobre la atención de la salud en contextos interculturales de Argentina. Buenos Aires: IUNA; 2002.
54. Papalini V, Avelín Cesco MJ. Pluralismo médico: regulaciones y concepciones de salud en seis países de América Latina. Perfiles Latinoamericanos. 2022;30(59).
Crossref
| Google Scholar
55. Barros NF, Spadacio C, Viana da Costa M. Trabalho interprofissional e as Práticas Integrativas e Complementares no contexto da Atenção Primária à Saúde: potenciais e desafios. Saúde em Debate, 2018;42.
Crossref
| Google Scholar
56. Toniol R. Do espírito na saúde: oferta e uso de terapias alternativas/complementares nos serviços de saúde pública no Brasil. São Paulo: Liber Ars; 2018.
57. Ayres JRCM, Mendes VM, Almeida IS, Devincenzi MU, Guimarães JS, Calazans GJ, Bianchi PC, Yamashiro AS, Grupo de Pesquisa em Saúde de Jovens e Direitos Humanos. Atención integral a la salud de adolescentes y jóvenes desde la perspectiva de profesionales de atención primaria, San Pablo, Brasil. Salud Colectiva. 2025;21:e5419.
Crossref
| Google Scholar