Evidence is Good for Your Health System: Policy Reform to Remedy Catastrophic and Impoverishing Health Spending in Mexico

Tje Lancet 2006; 368(9549): 1828-1841

Posted: 30 Apr 2012 Last revised: 15 May 2012

See all articles by Felicia Knaul

Felicia Knaul

Harvard Global Equity Initiative; Mexican Health Foundation

Héctor Arreola-Ornelas

Fundación Mexicana para la Salud, A.C.

Oscar Méndez-Carniado

Fundación Mexicana para la Salud, A.C.

Chloe Bryson-Cahn

Harvard University

Jeremy Barofsky

Harvard University

Rachel Maguire

affiliation not provided to SSRN

Martha Miranda

affiliation not provided to SSRN

Sergio Sesma

affiliation not provided to SSRN

Date Written: 2006

Abstract

Absence of financial protection in health is a recently diagnosed “disease” of health systems. The most obvious symptom is that families face economic ruin and poverty as a consequence of financing their health care. Mexico was one of the first countries to diagnose the problem, attribute it to lack of fi nancial protection, and propose systemic therapy through health reform. In this article we assess how Mexico turned evidence on catastrophic and impoverishing health spending into a catalyst for institutional renovation through the reform that created Seguro Popular (Popular Health Insurance). We present 15-year trends on the evolution of catastrophic and impoverishing health spending, including evidence on how the situation is improving. The results of the Mexican experience suggest an important role for the organisation and financing of the health system in reducing impoverishment and protecting households during periods of individual and collective financial crisis.

Keywords: financial protection, health reform, impoverishment

Suggested Citation

Knaul, Felicia and Knaul, Felicia and Arreola-Ornelas, Héctor and Méndez-Carniado, Oscar and Bryson-Cahn, Chloe and Barofsky, Jeremy and Maguire, Rachel and Miranda, Martha and Sesma, Sergio, Evidence is Good for Your Health System: Policy Reform to Remedy Catastrophic and Impoverishing Health Spending in Mexico (2006). Tje Lancet 2006; 368(9549): 1828-1841, Available at SSRN: https://ssrn.com/abstract=2048864

Felicia Knaul (Contact Author)

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

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

Héctor Arreola-Ornelas

Fundación Mexicana para la Salud, A.C. ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
México, D.F., 14610
México, 14610

Oscar Méndez-Carniado

Fundación Mexicana para la Salud, A.C. ( email )

Periférico sur 4809, El Arenal Tepepan, Tlalpan
México, D.F., 14610
México, 14610

Chloe Bryson-Cahn

Harvard University ( email )

1875 Cambridge Street
Cambridge, MA 02138
United States

Jeremy Barofsky

Harvard University ( email )

1875 Cambridge Street
Cambridge, MA 02138
United States

Rachel Maguire

affiliation not provided to SSRN ( email )

Martha Miranda

affiliation not provided to SSRN ( email )

Sergio Sesma

affiliation not provided to SSRN ( email )

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