Global health. The current scenario and future perspectives

234 explicitly declares “equal rights for families formed by couples of LGBTTTI people with or without children under civil marriage or any other civil union” (Political Constitution of Mexico City 2017, p.51). While roles are recognized and comprehensive protection for families is established in the Buenos Aires constitution as well as Bolivia’s (2008), neither declare family as a basic unit of society. Although it may seem counterintuitive, family undoubtedly needs to be revisited as a basic nucleus of a constitutionally proposed social organization. Family is an entity that emphasizes and enables the division of public and private spaces and work between women and men. This space is linked to the reproductive sphere and is an important point of analysis for this discussion. It is not just about expanding the rigidity of its interpretation; it is important, of course, to make the diversity of family formation visible and overcome heteronormative approaches. However, along with this, it is imperative to recognize that a family is a form of organization that responds to a deeply patriarchal-model society functional to capitalist production forms. Concern for life care, values of solidarity and protection for others in society are mobilizers of social organization that exceed the limited boundaries of a nuclear family. In addition, another reality that cannot be ignored is that for a significant percentage of children, cis women and trans women consanguineous families could be dangerous places, that could even lead to their death. From an intersectional perspective, referring to the family as a univocal category of organization and social protection also hides and obscures heterogenous realities that often undermine the realization of all rights that constitute citizenship. The family serves as a foundational unit for recognizing individuals in society, which emphasizes the necessity for legal status or acknowledgment of cohabitation among adults within marital unions to establish what is acknowledged as the fundamental nucleus in society. It raises the question as to how the Constitution ensures citizenship protection and social resources for those who opt out of traditional family structures; individuals who neither seek marital unions nor parenthood. In all constitutions, consistently, a triad – family, marriage, maternity – receives special protection, while other forms of societal existence are overlooked. This highlights a notable gap in safeguarding autonomy and self-determination rights. Right to autonomy Once again, the Constitution of Mexico City stands out in this recognition, far ahead of other constitutions that only use this concept of the right to autonomy for institutions and not within the scope of human rights. With multiple references, the Constitution of Mexico City highlights its transversality in application, which includes respect and protection of individuals’ autonomy by health care services regarding sexual and