Abstract

http://ssrn.com/abstract=2262966
 


 



The Quest for Universal Health Coverage: Achieving Social Protection for All in Mexico


Felicia Marie Knaul


Mexican Health Foundation; Harvard Global Equity Initiative

Eduardo Gonzalez-Pier


Independent

Octavio Gómez-Dantés


Independent

David García-Junco Machado


Consejo Nacional de Ciencia y Tecnología (CONACYT)

Héctor Arreola-Ornelas


Fundación Mexicana para la Salud, A.C.

Mariana Barraza-Llorens


Independent

October 6, 2012

The Lancet, Volume 380, Issue 9849, Pages 1259 - 1279, 6 October 2012

Abstract:     
Mexico is reaching universal health coverage in 2012. A national health insurance program called Seguro Popular, introduced in 2003, is providing access to a package of comprehensive health services with financial protection for more than 50 million Mexicans previously excluded from insurance. Universal coverage in Mexico is synonymous with social protection of health. This report analyses the road to universal coverage along three dimensions of protection: against health risks, for patients through quality assurance of health care, and against the financial consequences of disease and injury. We present a conceptual discussion of the transition from labour-based social security to social protection of health, which implies access to effective health care as a universal right based on citizenship, the ethical basis of the Mexican reform. We discuss the conditions that prompted the reform, as well as its design and inception, and we describe the 9-year, evidence-driven implementation process, including updates and improvements to the original programme. The core of the report concentrates on the effects and impacts of the reform, based on analysis of all published and publically available scientific literature and new data. Evidence indicates that Seguro Popular is improving access to health services and reducing the prevalence of catastrophic and impoverishing health expenditures, especially for the poor. Recent studies also show improvement in effective coverage. This research then addresses persistent challenges, including the need to translate financial resources into more effective, equitable and responsive health services. A next generation of reforms will be required and these include systemic measures to complete the reorganization of the health system by functions. The paper concludes with a discussion of the implications of the Mexican quest to achieve universal health coverage and its relevance for other low-income and middle-income countries.

Accepted Paper Series





Not Available For Download

Date posted: May 10, 2013  

Suggested Citation

Knaul, Felicia Marie and Gonzalez-Pier, Eduardo and Gómez-Dantés, Octavio and García-Junco Machado, David and Arreola-Ornelas, Héctor and Barraza-Llorens, Mariana, The Quest for Universal Health Coverage: Achieving Social Protection for All in Mexico (October 6, 2012). The Lancet, Volume 380, Issue 9849, Pages 1259 - 1279, 6 October 2012. Available at SSRN: http://ssrn.com/abstract=2262966

Contact Information

Felicia Marie Knaul (Contact Author)
Mexican Health Foundation ( email )
Periférico sur 4809, El Arenal Tepepan, Tlalpan
El Arenal Tepepan, Tlalpan
Mexico, D.F., 14610
Mexico
(52) 55 56559011 (Phone)
(52) 55 56559082 (Fax)
HOME PAGE: http://http//www.funsalud.org.mx
Harvard Global Equity Initiative ( email )
FXB Building, Room 632
651 Huntington Avenue
Boston, MA 02115
United States
(617) 4327938 (Phone)
HOME PAGE: http://isites.harvard.edu/icb/icb.do?keyword=k62597&pageid=icb.page268594
Eduardo Gonzalez-Pier
Independent ( email )
No Address Available
United States
Octavio Gómez-Dantés
Independent ( email )
No Address Available
United States
David García-Junco Machado
Consejo Nacional de Ciencia y Tecnología (CONACYT) ( email )
Justo Prieto esq. Teofilo del Puerto
Asuncion, 00001119
Paraguay
Héctor Arreola-Ornelas
Fundación Mexicana para la Salud, A.C. ( email )
Periférico sur 4809, El Arenal Tepepan, Tlalpan
México, D.F., 14610
México, 14610
Mariana Barraza-Llorens
Independent ( email )
No Address Available
United States
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