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Published on: January 12, 2018
[Mexico facing health universalization: inequality, segmentation and contradictory reforms]
1Secretaría de Ciencia, Humanidades, Tecnología e Innovación, Ciudad de México, México; Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Abstract:
This essay examines the structural barriers that have hindered the development of a truly universal health system in Mexico. Drawing on a critical review of the design of the health system and the most relevant reforms in recent decades, it examines the effects of social inequality, segmentation, and institutional fragmentation, as well as the setbacks generated by recent reforms such as the Institute of Health for Well-being (INSABI), and the transition to Mexican Social Security Institute for Welfare (IMSS-BIENESTAR). The essay argues that progress towards universal health coverage has been fragile and vulnerable to political shifts. It concludes that addressing these challenges requires a deep institutional transformation grounded in citizenship-based eligibility, solidarity financing, and strong national stewardship. Building a truly universal health system is essential to advancing toward a more just and egalitarian society.
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