ResumenEl presente documento es una reflexion que pretende favorecer la discusion etico-politica de la justicia en la modernidad, para lo cual se revisan las implicaciones de las politicas publicas y la organizacion de los sistemas de servicios de salud, especialmente cuando la discusion actual de la equidad en salud implica valorar las desigualdades desde una idea de justicia. Se eligieron aquellos articulos que abordaran la justicia en la salud publica desde una mirada netamente etico-politica. La busqueda de informacion se obtuvo en varias bases de datos tales como: Medline, Proquest, Science Direct, Ovid, asi como tambien en paginas web de revistas y organizaciones nacionales. AbstractThis document is a reflection that seeks to promote the ethical-political discussion of justice in modernity. The implications of the public policies and the organization of health care systems are reviewed, especially when the current discussion of equity in health involves assessing inequalities from a sense of justice. Articles that addressed justice in public health from a purely ethical-political view were chosen. The search for information was obtained in several databases such as Medline, Proquest, Science Direct, Ovid, as well as on websites of national magazines and organizations.