Nuria Homedes y Antonio Ugalde son editores del Boletín Fármacos.Ahora publican el PLoS este trabajo sobre las reformas en salud realizadas en México en los últimos 25 años.
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The first reform (1983) was a failed attempt to decentralize the Ministry of Health (MoH) by transferring financial responsibilities without devolving adequate decision-making authority to the states.
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The second reform (1994) advanced the decentralization of the MoH and attempted to increase the exposure of the major public social security scheme to private sector competition.
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In 2003, a third reform, the Seguro Popular (SP), emphasized improved access and services for the poor.
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Although accessibility has increased, the Mexican reforms have not resulted in significant reductions of health inequities, or in increased efficiency, productivity, or quality, despite their costs.
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