This objective of this paper is to analyze the theoretical and philosophical contributions of Luhmann and Kant, and how they relate the subject of health/nursing It tries to approach Kant's critical rationalism to Luhnmann's social systems theory, illustrating the importance of these thoughts and theoretical abstractions in both the field of social relations and human interactions with users, as well as historical subjects in the communication context. Kant seeks to understand who is man and how to ascend based on the emancipating process, whereas Luhmann wants each individual to acquire its identity as a member of the social networking, supported by interaction and communication. It concludes that communication in health care enables patients to manifest more adhesion, emancipation, and autonomy towards the therapeutical process.