Often indigenous peoples are included in broader categories such as "vulnerable groups" or "the poor", obscuring the particularities of their situation. Furthermore, this recognition entails the structural reforms necessary to exercise self-determination, which in the case of health, corresponds to supporting the development of indigenous health systems while also ensuring full and effective participation in the health services offered by the state. Political will, since the mere existence of policies aimed at improving the health of indigenous peoples is insufficient if they are not successfully implemented.