Is a Comprehensive Health System in Mexico Just a Dream? An Analysis by Paola Abril Campos Rivera

Web Editor

September 14, 2025

a man in a suit and tie with his arms crossed and his arms crossed, with a blue background, Fernando

Introduction to the Public Health System in Mexico

Paola Abril Campos Rivera, Director of Evidence and Action for Health Equity at Tecnológico de Monterrey, conducted an analysis of Mexico’s public health system. Her findings reveal the significant distance between the IV-T administration’s goal of establishing a universal public health system and its current reality.

Challenges in Transitioning from Seguro Popular to IMSS Bienestar

One major issue highlighted in the analysis is the failure to replace Seguro Popular with IMSS Bienestar. This shortcoming has left 44.5 million people without access to healthcare services, and less than half of the population seeks assistance from public health institutions.

Financial Capabilities and Political Will

Dr. Campos Rivera, with extensive international experience, concludes that a fully integrated and universal health system, financed by federal taxes, is necessary. However, despite the government’s political capital for reform, there appears to be a lack of intent to implement such changes. The question remains: is the financial capability far behind?

Trade Interests: China vs. Mexico

The article briefly touches on China’s capitalist market system, built by the Communist Party in less than four decades to elevate over 400 million Chinese to middle-class status. Meanwhile, China’s trade interests with Mexico are scrutinized.

Asymmetrical Trade Relations

China’s justification for tariff disputes with Mexico overlooks the fact that they purchase minimal Mexican products, resulting in a $47 billion trade deficit. An example is China’s sale of subway cars to Mexico City’s AIFA.

Mexico’s Defense of Trade Interests

Mexico argues that defending its legitimate commercial interests is essential, echoing the famous line from “The Godfather”: “It’s not personal, it’s just business.”

Support for Morena’s Project Amidst Internal Divisions

The President, Claudia Sheinbaum, calls on her party and the government to defend Morena’s project during her promotional tours for her first report. The article raises questions about who will defend the project amidst internal divisions within Morena.

Political Landscape and Project Defense

Recent reforms during past and current administrations have strengthened the all-powerful presidency, subduing legislative and judicial powers and overwhelming the party system. With such concentrated power, it remains unclear who will defend Morena’s project against internal opposition.

Miscellaneous Notes

The article briefly mentions a truck driver severely injured in a gas tanker accident, hospitalized in intensive care. It also touches on potential political maneuvering surrounding the President of the Supreme Court’s snub of the panista President of the Chamber of Deputies, suggesting more complex political dynamics at play.

Key Questions and Answers

  • Question: What are the main challenges facing Mexico’s public health system?
  • Answer: The analysis by Paola Abril Campos Rivera highlights the failure to replace Seguro Popular with IMSS Bienestar, leaving 44.5 million people without access to healthcare services and less than half of the population seeking assistance from public health institutions.

  • Question: What does Dr. Campos Rivera suggest for a better health system in Mexico?
  • Answer: Dr. Campos Rivera proposes constructing a fully integrated and universal health system, financed by federal taxes.

  • Question: How do trade relations between China and Mexico compare?
  • Answer: Despite China’s capitalist market system success, their trade relations with Mexico are asymmetrical. China purchases minimal Mexican products, resulting in a $47 billion trade deficit.

  • Question: Why is Mexico emphasizing the defense of its trade interests?
  • Answer: Mexico argues that defending its legitimate commercial interests is essential, echoing the famous line from “The Godfather”: “It’s not personal, it’s just business.”

  • Question: What are the internal divisions within Morena, and who calls for project defense?
  • Answer: Internal divisions within Morena revolve around intergroup interests and ambitions. President Claudia Sheinbaum calls on her party and the government to defend Morena’s project during her promotional tours for her first report.