The lust for power is defined by Tacitus as being the “most flagrant of all the passions.” It is satisfied only when exercising power over other human beings. Governing ends up being the best way to exert power over people. But what does this have to do with Emergency Medicine in Brazil? After reflecting on the struggle for the recognition of Emergency Medicine in Brazil, I ask myself why is this recognition so difficult to attain? Why, despite all the evidence presented, technical, scientific, financial and social, our institutions insist on ignoring this issue or when they do, act so slowly and indecisively.