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Structure of Mexican Health System: Social Security, Private Sector, and Uninsured Population

This article provides an overview of the structure of the Mexican health system, including the role of social security institutions, private business, state employees, and the private medical sector. It also discusses the high percentage of uninsured population and the challenges faced by the Secretaria de Salud. Additionally, it highlights the national health expenditure and potential reform alternatives.

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Structure of Mexican Health System: Social Security, Private Sector, and Uninsured Population

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  1. The Structure of the Mexican Health System • Social Security Institutions (52%) • Private business • State employees, oil industry & military • Private Medical Sector • Private Insurance (3-4%) • Out of pocket payments • Uninsured Population (49%) • Secretaria de Salud (39%) • Solidaridad and Nat. Institute for Indigenous

  2. The Social Security Systems • Funded: employees, employer and the state • Independent and uncoordinated systems • (Oil indutry, state employees, Mex. Soc. Sec.) • IMSS: Int.Mex Soc. Sec. - Largest public employer • “Progressive spirit”: All workers receive same benefits(blue collar worker & professional class) • Bureaucratic, centralized • At times, lacks medical equipment and supplies

  3. The Structure of the Health System - 2 • The Private Health Sector • Private health insurance = 3.6 million pop (3-4%) • Managed care organization are in their infancy • Non Governmental Organizations, NGOs are rare.

  4. The Structure of the Health System - 3 • The Uninsured (SSA - Solidaridad - INI) • SSA - Secretaría de Salud • Second largest employer in health sector • Operates under global budget • Salaried staff • Generally perceived as poor quality of care

  5. National Health Expenditure (1)

  6. National Health Expenditure

  7. Alternatives for Reform • Targeting • Decentralization • Privatization

  8. Case-study

  9. Chiapas

  10. Chiapas • The most resource rich state of Mexico • coffee, corn, cocoa, timber • cattle ranching • hydroelectric power • The majority, Indian communities • Uninsured constitute 76% of the population • 8 physicians / 100,000 pop • 6 hospital beds / 100,000 pop • cattle rights are protected by the state

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