Channels turned into makeshift accommodation, health staff on the brink of nervous breakdown, recurrent mobilizations, the public hospital is under severe stress. This book proposes an analysis of the successive hospital policies that led to the current crisis. A real break in this public service is engaged by reformers who adhere to the acculturation of the medical world to managerial logics that contradict its proper functioning. Clearly, defenders of a reorganization of work continue to promote both inept profitability indicators and a technicist view of medicine that claims to substitute innovation for human relations. While the rise of precariousness and social suffering born of decades of neoliberal policies is leading a growing share of the population to find refuge in live hospital services, the hospital is also forced to resist the failings of city medicine. than the competition from private clinics largely exempt from public service obligations. At a time when the mobilizations to defend it are intensifying, a debate is needed on the hospital’s missions and the means granted to it.