The struggles for the recognition of cultural difference have been present in various social scenarios in which encounters between knowledge and practices are generated that differ depending on the cultural group of each subject. In Colombia, the policy that aims to create the Intercultural System of Indigenous Own Health (SISPI in spanish) is precisely a scenario in which healing and healing practices are in tension between indigenous peoples and State institutions, at the time of recognize and legitimize the existence of different conceptions and knowledge related to health that can be articulated with the General System of Social Security in Health (SGSSS in spanish) of the country. In this sense, processes of 'articulation' between indigenous medical practices and stateized health systems have been promoted to promote intercultural spaces that guarantee access to differential health by indigenous groups. However, after carrying out this research, with an ethnographic approach, it was pointed out in the case of the Kichwa population in Bogotá, to question whether the SISPI configuration is mediated by bureaucratic relations that are generated among the town councils, representatives or leaders of indigenous peoples with State institutions. This in the end what it implies is to think about this configuration in bureaucratic itineraries of interculturality, which hide a series of tensions and negotiations that mobilize specific ideas on indigenous health, cultural difference, and therefore on the value of the indigenous.
