Life has been problematized anew by recent social change and scientific innovation. There are important and little studied geographical dimensions to any such understanding of "the politics of life itself," however. A geographical perspective involves, first, highlighting the spatial aspects of both states and capital, two rather neglected dimensions of vital politics. Elaborating the geographical constitution of vital politics entails further describing the related powers of knowledges and practices. Reflecting on the geographical dimensions of longevity and health leads directly to a recognition of the ethical implications of the geographical luck of birth and residence. Taking up this ethical challenge requires specifying at least six components of geographical justice: culpability, fairness, care, state failure, human rights, and solidarity with environmental and social justice. Key Words: biomedicine, care, health, inequality, justice, longevity, medical ethics. Otra vez, la vida adquiere dimensión problémica en virtud del cambio social y la innovación científica. Sin embargo, aunque existen importantes dimensiones geográficas para comprender "las políticas de la vida misma," muy escaso es el estudio hecho sobre el particular. Una perspectiva geográfica a este respecto implica, primero que todo, destacar los aspectos espaciales tanto de los estados como de sus capitales, dos expresiones de las políticas vitales hasta ahora muy marginadas. Elaborar la constitución geográfica de la política vital demanda describir con mayor profundidad los poderes relacionados de conocimientos y prácticas. El reflexionar sobre las dimensiones geográficas de longevidad y salud lleva directamente a un reconocimiento de las implicacioneséticas de la casualidad geográfica del lugar de nacimiento y residencia. Para asumir estos retoséticos se requiere especificar por lo menos seis componentes de justicia geográfica: culpabilidad, equidad, cuidado, falla del estado, derechos humanos y solidaridad con la justicia ambiental y social. Palabras clave : biomedicina, cuidado, salud, desigualdad, justicia, longevidad,ética médica. L ife is being politicized in new and novel ways today, especially in Western societies and especially with regard to some of the possibilities wrought by recent and rapid developments in the biological sciences. A growing number of geographers, anthropologists, and sociologists are exploring such "vital" issues as the social implications of neuroscience or the political and legal vortex surrounding regenerative medicine (Fischer 2003;N. Brown and Webster 2004;Wainwright et al. 2006). So, too, are they analyzing how life is being revalued (Collier and Ong 2005;Sunder Rajan 2006;Waldby and Mitchell 2007). Such nonphilosophical accounts of the politics of life (that is, accounts that are based primarily on ethnographic or sociological investigation rather than on a purely philosophical reflection) concern what we might call the form of life itself and how various technologies reconfigure it. Such work cons...