The article analyses the new problems coming out in the health care system, for Pasini a particular sector of social policies. These health problems concerns not only the western citizens, but also the immigrants who decided to live in these countries. Pasini focuses his attention on the large request of goods and services,
that represents a big challenge for the present economic and social situation, with limited resources and necessity to change its redistributive criteria. Automatically, the debate leads to a reflection about the health policies aims. In multi-ethnic and multicultural societies the conception of health and illness becomes more and more pluralistic and relativistic, causing difficult problems of trans-cultural bioethic. As a consequence, the concepts of need and right change their meanings and this imposes a ri-definition of the concept of citizenship, strictly connected with welfare.