| Sumario: | The Colombian health system is of a public and solidarity nature in terms of financing, and seeks universal coverage through the affiliation of the population through the contribution or subsidy. Among the affiliated population are those who according to their income levels should contribute and do not, which generates a loss that causes an imbalance in the system. This article calculates the loss that the system may experience when it ceases to receive these contributions, using the Large Integrated Household Survey (GEIH) of the National Administrative Department of Statistics (DANE), corresponding to the period 2008-2013. The results indicate that the loss for 2013 was between 2.7 and 2.9 billion Colombian pesos, with the selfemployed being the main causes of the loss that is generated in the health system. The loss for the General Health Social Security System (SGSSS) has been significant, so that informality apart from representing a significant financial cost, reduces the productivity of the economy.
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