Corrupción y salud 6: una visión presidencial para Guatemala sustentada en los determinantes sociales de la salud Corruption and health 6: a presidential vision for Guatemala based on the social determinants of health Corruption et santé 6: une vision présidentielle pour le Guatemala basée sur les déterminants sociaux de la santé

Abstract

Introduction: Over 20 presidential tickets are running in the upcoming elections in Guatemala on June 25, 2023. Everyone is making the same promises and promoting the same solutions that every four years the population hears and never materializes. Problem statement: the abuse of power, inefficiencies in the executive, legislative and judicial branches, law frauds, and institutionalized corruption, represent the prevailing and omnipresent culture of illegality and impunity in Guatemala. If the population doesn’t realize, becomes aware, or questions and investigates to cast a vote in a reasonable manner, but votes according to personal, party lines, employment, and economic reasons, or by emotions or irrationality, the population will continue to contribute to the destruction and underdevelopment of the country. Possible solution: A three-pronged strategy is conceptualized based on a ‘Future-Focused, Shared, and Servant Leadership Approach’, to implement a ‘Government Restructuring and Revitalization Program’, and execute a single national plan for the public, private and non-profit sectors and international organizations founded on the concept of ‘Comprehensive Security’, comprising four types of security –-medical, education, citizen, and economic. Discussion and conclusion: The change from a government that fails to one that functions is possible. A ‘Comprehensive Security Approach’ is needed; one that effectively implements a set of systems of prevention and protection against dangers and risks that negatively impact the health, wellbeing, and prosperity of the nation, to build a better, healthier, safer, and more inclusive, equitable, and sustainable world for the Guatemalan population.