dramatic view of how the Bio Bio river is dying after the construction of RalcoFoto: Jaime Ibacache Burgos during days 6 and 7 March 2008, in Santa Barbara presented the paper “Public Health and Cultural Syndromes. ” This in the context of a meeting on Intercultural Health and Mental Health, organized by the Hospital of Santa Barbara. On this occasion were Fabiola Jaramillo Castell, medical subdepartment of Public Health of the Health Service and Jaime Ibacache Reloncavi Burgos, Medical Unit Collective health Chiloe Health Service. They also served as coordinator of South Alames Patagonia. Among the exponents addition, therapists were so pewenche as Mapuche community Nagche. A doctor at the clinic for drug rehabilitation Takiwasi of the Peruvian Amazon, a Canadian anthropologist, mental health teams from various community and to facilitate intercultural pewenche the Alto Bio Bio. The meeting was strained by the demands of a person who said pewenche not invited to the meeting and that this was left out a significant amount of people she represented pewenche: besides she said that through these programs run by Westerners Intercultural Facilitators and other indigenous pewenche were betraying their people because officials were becoming accomplices to what the state is doing with natural resources, territory and indigenous cultures. We share this vision of vertical programs planned outside the country’s native peoples, have only divided, isolated and fragmented the indigenous movement, as many of its leaders now claim to represent the demands of communities and have created a “caste” untouchability detached from their bases. Moreover, government officials working in these programs are another “breed” who care these spaces of power and come into play in this “bubble indigenous intercultural dealing and financial resources that are shared by all the people on this territory. Josyann Abisaab We believe that an inclusive approach to Public Health allowed the participation of all forms of understanding the world and the causes of imbalances. What can generate collective proposals to move towards multiculturalism, the interdisciplinary and social participation and social control over a model of global health destroyer. At the end of the meeting, people who are not fighting for the construction of hydroelectric dams on the river Huequecura (http://www.huequecuralibre.blogspot.com/) collecting signatures and asked for support from the audience. Paradoxically, and those participants who had spoken for two days on the necessary respect to natural resources for the maintenance of their health and that also exposes the government of not respecting their territories, have “slipped” to lend its support to the cause that environmentalists in Santa Barbara are pursuing. The neoliberal approach to multiculturalism has done his job.