Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico

Felicia Marie Knaul, Héctor Arreola-Ornelas, Oscar Méndez-Carniado, Chloe Bryson-Cahn, Jeremy Barofsky, Rachel Maguire, Martha Miranda, Sergio Sesma

Research output: Contribution to journalReview article

134 Scopus citations

Abstract

Absence of financial protection in health is a recently diagnosed "disease" of health systems. The most obvious symptom is that families face economic ruin and poverty as a consequence of financing their health care. Mexico was one of the first countries to diagnose the problem, attribute it to lack of financial protection, and propose systemic therapy through health reform. In this article we assess how Mexico turned evidence on catastrophic and impoverishing health spending into a catalyst for institutional renovation through the reform that created Seguro Popular (Popular Health Insurance). We present 15-year trends on the evolution of catastrophic and impoverishing health spending, including evidence on how the situation is improving. The results of the Mexican experience suggest an important role for the organisation and financing of the health system in reducing impoverishment and protecting households during periods of individual and collective financial crisis.

Original languageEnglish (US)
Pages (from-to)1828-1841
Number of pages14
JournalLancet
Volume368
Issue number9549
DOIs
StatePublished - Nov 18 2006
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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    Knaul, F. M., Arreola-Ornelas, H., Méndez-Carniado, O., Bryson-Cahn, C., Barofsky, J., Maguire, R., Miranda, M., & Sesma, S. (2006). Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico. Lancet, 368(9549), 1828-1841. https://doi.org/10.1016/S0140-6736(06)69565-2