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With the above it must be clear that to join the new health service, Mexican citizens will no longer need to go to a module or receive any type of policy Popular Insurance and even, they will not have to pay annual fees to be treated in medical units.
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The services that Insabi will provide will be under the criteria of universality, equality and inclusion and also, they will have one year to evaluate their compliance in accordance with Article 4 Constitutional to guarantee the right to medical care and access to free medications to 55% of the population without social security, that is, the equivalent of 69 million Mexicans.
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Equally, The implementation of the Wellness Physicians program will feature the deployment of 23 thousand professionals to rural and indigenous areas, while 87,000 workers are integrated into institutes, hospitals, highly specialized clinics, which includes free treatments and quality care for patients who come to their facilities.
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However, to take the next step to universalization, experts in public health policies point out that the repetition of Popular Insurance as a facade has to be avoided, as well as a centralization of health services. For this, impeccable management and eradication of coordination problems must be ensured, otherwise it would be nothing more than an extra expense of resources to appear an improvement, when the real objective has to be to change the health system in Mexico for good.
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This came out even before the inauguration of Insabi, because when it required a minimum budget for its transformation of between 140 and 150 billion pesos, only received a total of 72 billion pesos from the budget, which can hardly be achieved in relation to medicinal supplies and infrastructure.
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Another important detail for understand what exists behind the implementation of Insabi, is the flow of workers and unemployed who would go through it, that is, to take into account that the affiliation to the Mexican Social Security Institute (IMSS) is totally unstable, thanks to the losses or losses that occur in the field of employment in Mexico.
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The above causes that a significant number of its affiliates (Approximately 15 million Mexicans, according to data from the Coordinating Unit for Social Relations and Participation of the Ministry of Health) They put their attention between the State Health Services (SES) and the IMSS.
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Based on data provided by the IMSS from January to September 2019 in Mexico 488,061 formal jobs were created, that is, the equivalent of 286 thousand less than those registered in the same period during 2018, a situation that translates into a low generation of formal employment accumulated since 2013, which is again equivalent to the intercalation of health services by citizens.
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To this must be added the lack of clarity of financing that Insabi has or would have, of which the former secretary of federal health, Solomon Chertorivski, has indicated that with Popular Insurance there was a formula to provide resources to the states depending on the number of affiliates. However, with the new modality managed by the Institute of Health for Welfare in which said formula disappears and, therefore, the allocation of funds depends on the coordination agreements signed with each of the entities, the former official stressed at the time that the delivery of money can be discretionary, whenever the amount of money to be sent to each federative entity or to which governor, depend on the relationship you have with the government or administration managers on duty or of those with greater capacities.
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In the trade UCVPS / 1175/2019 signed by Ms. Mónica A. Mieres Hermosillo, Head of the Coordination Unit of Social Relations and Participation of the Ministry of Health, the answers to the questions of various legislators are sent during the appearance of the Secretary of Health, Dr. Jorge Carlos Alcocer Varela of September 30, 2019.
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It is on page 14 that the origin of Insabi’s financial resources is explained that, according to Dr. Alcocer’s responses they fall on the financial resources of UOl3, from the Prospera Health Component eliminated together with Prospera and its conditionalities. The total amount of program resources is 6.071.3 million pesos to transfer and 500 million pesos of base personnel. The resources transferred were distributed by indication of the SHCP in the 31 states in the same proportions as in 2018 and to IMSS Bienestar for an amount of 342.9 million pesos.
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However, among other health programs and budgets, Alcocer is questioned about the Budget reduction to the National Cancer Registry, as well as the mechanisms for its attentionOf those who said it was subject to reorganization of the National Health System that the designation of the budget was assessed in relation to the adjustments and reclassification of the planned expenditure for 2020, “more than a decrease in budget.”
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In spite of this, the opposition parties in turn indicate that Insabi does not guarantee treatment for cancer patients, in addition to allowing the discretionary use of health resources; was the senator Alejandra Reynoso Sánchez from the PAN bank who confirmed that such discretion of resources promotes clientelistic bases and not precisely a concern for health, in addition to not guaranteeing treatment to patients who have cancer and who are in transition between the Popular Insurance and Insabi.
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