A universal health care system – a difficult challenge to achieve in Mexico

Mexico Arriving on World Health Day with a low incidence of COVID-19, but with more than 323,000 deaths from the disease, the same challenges persist for years. general health և solve Lack of medicine.

“The reality is that (we have reached this day) in one health crisis “The most serious one we’ve encountered,” Efei, Xavier Telo, a surgeon and health communications consultant, explained this Thursday.

On the occasion of World Health Day, which is celebrated on April 7 this year, the expert clarified that health care system The Mexican continues to face major problems, which have been exacerbated by their arrival pandemic just two years ago.

“There are three main mistakes. “The procurement system was dismantled, Seguro Popular disappeared, and the epidemic was terrible,” he said.

possible shortcomings

One of the promises of the incumbent president Andres Manuel Lopez Obradorwhen he came to power in December 2018, that was it universal access to health from all Mexicans.

However, three years later the reality is that with a few advances Institute of Health for Health (Insabi) և Transformation IMSS-WelfareThe healthcare system is even more fragmented.

“There is a complete disorganization of the health care system in Mexico. With these new (government) ideas, it is not clear to us what the new service scheme is,” said Carolina Gomez, Master of Public Health.

In this regard, the analysis presented by the organization this week Civic action against poverty He stressed that the Mexican healthcare system is not enough to provide effective access to all Mexicans.

“Mexico has a health system that does not respond to the needs of the population,” said Arantxa Colcero Aragones, a researcher at the National Institute of Public Health.

The document detailed that: health care system offers a differentiated treatment of beneficiaries “persons not related to social security”.

In addition, despite the fact that patients and their families fund the state system through their taxes, many times they also pay out of pocket for private services or ineffective prescriptions.

In addition to the fact that the services work without transparency, do not have effective protection mechanisms against inflated costs, and other abuses, he added.

According to the National Council for the Evaluation of Social Development Policy (Coneval:), there are about 35 million Mexicans who do not have access to health care.

rolled back for decades

The decisions made by the Mexican government for Tello have meant that “we are going back almost 70 years in our healthcare system.”

Disappearances are among the critical decisions Of course Popular:which referred to people who did not have any kind of social security, who today, without clear rules of insabs (created to assume the same function), are left without medical care.

But also changes in the procurement system drugs led to a shortage of medicines.

Criticism has also been leveled at the disastrous spending fund, which has been devoted to treating expensive diseases such as cancer.

“They took the money from Seguro Popular, fixed more than 60 billion pesos, put it in current expenses, we do not know what they are doing with that money,” said Thelo.

In addition, Gomez noted that “there is not enough investment” to guarantee free care.

“I do not see how it can be enough to address the many promises made by the president, the need for access to health care,” he said.

Both experts have criticized policies such as disappearances National Vaccination Weekwhich guaranteed a complete immunization scheme for minors.

“It simply came to our notice then measles and polio“But now we have reports of an outbreak of these diseases,” Gomez said.

While Tello regretted that Mexico had been “stuck” in it for the past three years main vaccination schedule which shows that “children are not interested in this government.”

Uncertain future

For experts, the president will not have enough time to leave universal health care system Like Denmark or Norway, as he promised when he took over the presidency.

This, they argued, was due to the COVID-19 epidemic, as the burden of neglected patients during health emergencies needed to be redesigned as a whole model of patient care.

In addition, they expressed concern about the vision of the health authorities to reduce the level of the epidemic, as, in their opinion, it is not over.

“We are in a period of low infection. “The epidemic is not over.”

While Gomez said that it is necessary to take action, to think differently about health, as well as not to continue the dysfunctional test schemes, to strengthen the first level of care.

According to EFE

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