The health and medico-social field is currently undergoing profound changes. The care is not only a therapeutical practice. In a context of strengthening the value of autonomy and social participation of stakeholders, it carries a social and political dimension. Hence a prevalent use of the concept of empowerment to describe the aim of health practises. This article questions the ethical aim of this treatment induced by empowerment dynamics. It also seeks to analyze the evolution of the ethical approach and question the renewal of modalities of intervention in healthcare ethics, which authors propose to design as a capacitation process of actors and organizations.