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The Structure of the Mexican Health System

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%)

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The Structure of the Mexican Health System

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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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