Mexico’s President, Claudia Sheinbaum, has recently announced a positive health reform aimed at granting universal health care coverage starting in January 2027. Describing this as a “historic step” towards free and equitable health services to all citizens of Mexico. Here is more information about the move toward universal health care in Mexico.

The Current Situation

Mexico, the 13th largest country in the world, with a population of more than 100 million people, is a culturally, socially and economically diverse nation. Although it earns a medium-high income, it still has suffered from inequality, poverty, economic insecurity and mental health disorders.

The current health system in Mexico is divided into three types of services: 

• Social Security: Only the formal, salaried members of the economy, about 47% of the population, receives this.
• Those Not Covered by Social Security: The poorest members of Mexican society, about 45% of its population, do not receive social security.
• Private Providers: Private providers attend to non-insured families who can afford them. This accounts for 4% of the population.

The current health care situation in Mexico is dire. Director of the Mexican Ministry of Health, Mariana Barraza-Lloréns explains that half of Mexico’s population is uninsured and incapable of accessing health care due to financial disparity. Barraza-Lloréns also focuses on the Indigenous communities that the current health care system impacts and marginalizes. These communities have infant mortality rates that are 58% higher and a life expectancy that is five years lower than national averages. Barraza-Lloréns argues that universal health care is a need.

What To Expect

This new health care system will be carried out in several phases, beginning with initial registration for this health care system starting with Mexicans aged 85 and older. Sign-ups will continue throughout the year, organized by age group and an official identification card will be given to each citizen to grant them access to services starting January 2027. By prioritizing emergency care, continuity of treatment across institutions and access to services regardless of insurance affiliation. In this first phase this universal health care in Mexico will mainly cover emergency services, high-risk pregnancies, heart attacks, strokes and cancer diagnosis. By the end of 2027 and starting 2028, Mexico plans to roll out its next phases and extend its promise for health care for all.

Why Is Universal Health Care in Mexico Important?

A WHO study in 2020 offered insights into Mexico’s overall health index. While life expectancy has increased from an initial 34 years in 1930 to 75 years in 2017, there has still been a significant delay with these improvements. With mortality rates in cases such as heart disease and diabetes ranging anywhere from 70-80 deaths per thousand, there is evidence to suggest lack of access to proper health services. Sheinbaum’s new health reform aims to provide care to all citizens regardless of insurance status. With 46% of its citizens under the poverty line, universal health care would provide life-changing services to many. 

Countries such as Sweden, which access universal health care, offer some of the highest life expectancy rates in the world, averaging about 81 years. Sweden has seen drastic improvements in overall public health in the last several decades with these universal health reforms. With decreases in mortality, work-related injuries, and mental health, Sweden’s public access to health care has served many.

Universal health care is an object of political, economic and social discussion in many countries across the world. As seen in countries such as Sweden and many others, free public access to health care has proven to be a guarantee for life expectancy and quality of living. Time will tell how Mexico’s health reforms will positively impact the citizens of the country.

– Sadie Lopez

Sadie is based in Seattle, WA, USA and focuses on Global Health for The Borgen Project.

Photo: Wikimedia Commons