mexico healthcare system

Healthcare system is a complex mix of

public. and private sectors

1943: Creation of health institutions like IMSS (Instituto Mexicano del Seguro Social)

Social Security- people who work for a living get healthcare through SS

ISSSTE (for government employees)

(tri care, VA,) - get insurance for serving the government

1983

healthcare reforms to decentralize and improve rural healthcare

2003

introduction of the system for social protection in health (Seguro popular) to extend healthcare coverage for the uninsured

Public

• IMSS (normal workers), ISSSTE (government), INSABI (replacing Seguro Popular) for uninsured 

strenghts

Social security programs offer coverage for many workers

Public healthcare facilities provide affordable services

Recent reforms aim to improve access for uninsured populations

weaknesses

High out of pocket expenses burden lower income groups

Public hospital are underfunded and face staffing shortages

Geographic and income disparities limit healthcare access

Facilities

• public hospitals face underfunding, while private facilities are modern but expensive 

Distribution

urban bias in distribution of healthcare facilities; rural areas underserved

Dispairites

significant disparities in healthcare quality and access between urban and rural regions

Technology and Equipment:

limited in public facilities; private sector well-equipped

Mexico's healthcare system is funded through

mix of payroll taxes (similar to US), general taxation, and out of pocket spending

IMSS and ISSSTE

financed through employer and employee contributions

INSABI

• Funded by federal and state governments

Private Insurance

Used by higher income individuals for faster and better quality care

Health Disparities

• Disparities in healthcare access based on geography, income, and ethnicity 

• Indigenous populations face additional barriers to care 

High prevalence of NCDs like obesity, diabetes and heart disease linked to

• lifestyle changes and economic development 

• Urgent need for more public investment in managing costly NCD interventions 

• Public health interventions remain underfunded