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O.K. - I will give it a shot. Firstly, I am only used to public health care in Canada and the U.K. - I have no problem in a shared ward, no need for the "private resort" experience of the private hosp

Astonishing that so many expats feel entitled to use the healthcare system (SP) they have never paid into...how, exactly, do you justify that? For those who have worked and paid taxes in Mexico there

This is getting to be a big problem on this webboard.  People ask questions, and others presume they know best.  It's like the old joke...."I'm not a doctor, but I play one on TV!"

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On 2/21/2019 at 5:43 AM, AlanMexicali said:

https://www.saludiario.com/los-problemas-del-sector-educativo-le-han-quitado-reflectores-a-la-salud-publica-amlo/

"Today in SaludiarioNews

The problems of the education sector have removed "reflectors" to public health: AMLO

The president said that the education system and the Mexican public health sector were abandoned by past administrations.

By

Rodrigo Rojas

02/20/2019

Among the various problems facing our country, one of the most serious is related to public health. All that is required is to go to any unit and observe the facilities and equipment they have. If you work in some of them, you may notice that it is a situation that is increasingly critical.

In this regard, Andrés Manuel López Obrador reprized the subject. He reiterated his comparison between the educational system and the Mexican public health sector. He explained that both were abandoned by past administrations and now face severe challenges. Similarly, he said that while the issue of education has received media attention, health has been forgotten.

I have argued on several occasions that the public health system is worse than the education system. What happens is that in the issue of education there was a lot of ideological charge, it became polarized. In contrast, the problems in the health sector were never discussed.

 

On 4/12/2019 at 8:39 PM, AlanMexicali said:

https://mexiconewsdaily.com/news/amlo-announces-new-health-care-program/

 

The president introduces new healthcare scheme.The president introduces new healthcare scheme.

AMLO announces new health care program for those outside existing ones

 

New institute will provide medical services to 60 million uninsured
Wednesday, April 10, 2019
The federal government has announced the creation of a new health care program for people not covered by the IMSS and ISSTE social security schemes.

 

At an event yesterday to mark World Health Day, President López Obrador said that a new government department to be called the National Institute of Health for Well-Being will provide medical services to more than 60 million Mexicans without insurance.

“We’re going to restructure the whole health system . . .” he declared."

According to this article dated this week there is no Seguro Popular.

 

On 12/14/2018 at 9:48 PM, AlanMexicali said:

https://news.yahoo.com/mexican-president-seeks-revamp-health-care-poor-235010474.html;_ylt=AwrXgyIUcBRcJXwA0EPQtDMD;_ylu=X3oDMTByb2lvbXVuBGNvbG8DZ3ExBHBvcwMxBHZ0aWQDBHNlYwNzcg--

 

" Mexico already has one system for private-sector workers whose employers contribute health insurance payments, and another system for government employees.
Farmers, the self-employed and street vendors fall outside those plans.
"More than half the population has no health insurance," Lopez Obrador said. "So this program is for them. It is for everybody, but the emphasis is to care for those with no insurance, the poorest people." "

AMLO has been repeating it for years there is no Seguro Popular with about 59 million affiliates in Mexico.

 He also repeats he will " create " a universal health system to make the more than 60 million uninsured in Mexico so that they will be covered. So it appears that he is trying to take credit for " creating " the Seguro Popular or whatever name they give it.

 

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https://mexiconewsdaily.com/news/hospitals-warn-of-insolvency-due-to-cuts/

"Hospitals warn of insolvency due to cuts but AMLO insists there have been none
Directors of 11 facilities claim 2.3 billion pesos has been withheld or cut

Friday, May 24, 2019

Hospitals and national health institutes have warned that they are on the brink of insolvency due to federal budget cuts and the freezing of funds, threatening their ability to operate.

At a meeting with members of the budget committee of the lower house of Congress yesterday, the directors of nine government health institutes and two public hospitals said that a total of 2.3 billion pesos (US $120.7 million) has either been cut or withheld from their budgets as a result of austerity measures.

They demanded that the federal government release additional resources to ensure that they can continue to provide care to patients.

The document entitled Position of National Health Institutes in the Face of Budget Cuts said that 50% of the budget allocated to the Federico Gómez hospital in Mexico City to subcontract medical services has been frozen.

It also said that the hospital faced shortages of anesthetics and nitric oxide, undermining its capacity to schedule surgeries and threatening the adequate treatment of serious medical conditions in newborn babies.

The document added that the hospital only has enough funds to pay cleaning staff until July and warned that nurses and lab technicians may have to be laid off.

But President López Obrador today rejected the claims that 2.3 billion pesos has been withheld from the health sector.“There are no [fund] retention problems, [the accusations] are inventions . . . They may have a lack of information, that’s why we’re going to clear it up without any problem,” he said."

 

https://mexiconewsdaily.com/news/government-stopped-buying-medicine/

"Public hospitals and healthcare clinics continue to face medicine shortages, according to a pharmaceutical industry leader who also says the federal government hasn’t considered the logistics and costs of distributing the drugs it plans to purchase in 2020.

Hospitals in at least 24 states reported shortages of medicines last month and the problem still “hasn’t been controlled,” said Rafael Gual Cosío, head of the National Chamber of the Pharmaceutical Industry (Canifarma).

“It continues because the federal government stopped buying,” he said, explaining that the current administration has only purchased 20% of the medicines its predecessor committed to for 2019.

“[The government] should have bought 50% of what was agreed to [by now] . . . but it’s not more than 20% on average. It stopped buying and that’s why there’s a shortage,” Gual added.

Gual said that in 38 years working in the industry, he has never seen a medicine shortage as bad as what the nation is currently facing."

 

https://www.am.com.mx/opinion/Cronica-d … -0002.html

Google Translation:

" OPINION

Chronicle of announced deaths

In my 41 years as a doctor I had never seen a crisis in the health sector of this magnitude, so much maleficent and incompetence announced as charities for supposedly fighting against corruption, which augurs in Mexicans a chronicle of announced deaths.

By Dr. Éctor Jaime Ramírez Barba

June 15

Javier Potes has just told a scene that describes full body just the phenomenon of what is already happening, which he called 'Schlinder's list in hospitals in Mexico'; using the voice of Jorge, a 34-year-old cardiologist who works at the National Institute of Cardiology, one of the thirteen high-level national institutes that depend on the Ministry of Health (as well, with lowercase letters) and as mentioned by this writer in columns past, they are on the verge of collapse due to the reduction of all kinds of resources.
Jorge the cardiologist works on the evaluation of patients with heart problems and is one of those responsible for programming the procedures for the placement of "stents", which duly give years of quality of life to hundreds of patients. Jorge is not a technical doctor who sees folios; he attends to lives, families, dreams and hopes in each of them, so it is not surprising that he is looking for solutions beyond his responsibilities.

Jorge told him, "I have Schindler's list," that's what the National Institute of Cardiology calls a list of more than 300 patients who could die if they are not treated within a year. Being on that list can save your life, not being is unthinkable. From that list some are already urgent, others - without knowing it - will play their luck hoping to arrive alive when there is the possibility of attending them in six or eight months or never. But the chances that they will be served today are few, there is no money at all ... the government's solution to reduce the costs of care is to let them die, regardless of whether we deprive them of ten or fifteen more years of life, something has to be done and we do not know what to do"."

 

The new administration is responsible for all the turmoil not the previous administration which had medical systems budgeted correctly, built hundreds of new fully equiped clinics and state of the art hospitals and upgraded medical equipment needed for both the IMSS and Seguro Popular. They spent many billions of dollars on Mexicos socialized heath care systems in Mexico [ one of their crowning achievements ] and now it is being sabatoged by the current administration.

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http://www.zocalo.com.mx/new_site/articulo/la-salud-no-tiene-colores-de-partidos-narro-robles

Google Translation:

29, July, 2019

"México.- The former UNAM rector, José Narro Robles, called to take care of all the institutions, particularly those of the health sector, which throughout their history have been a factor of unity, not division and, never  have they been oriented for political or ideological purposes.

"Health has no party colors," he said when participating in the "Problems and Challenges of the Health Sector" Convention, organized by the Futuro 21 platform, where he also recommended: "Do not make doctors and interns leave. Don't wake up the cougar, don't wake him up. ”


The former secretary of Health referred to the protests last May, in which resident doctors took to the streets because they were owed various benefits, and noted that an undergraduate intern, from the fifth year of the medical career that performs a day of 60 until 100 hours of work, he obtains a scholarship of 2,500 pesos and "now they want to lower them by half."


There are also about eight thousand medical interns, who for a very modest scholarship grant an extraordinary service, where they get a whole "life" experience, but many of them return to their places of origin because they don't get a job.


Given the federal government's remarks that the health system is worse than the educational system, Narro Robles said that it is not possible to disqualify what it has cost and a lot of work to build, because even with its ineficiencies and deficiencies, progress has been made and its problems can be solved.


“Compare it with the epochs where neoliberalism had not arrived, which by the way, in the epochs of neoliberalism, we have never, ever, thought in terms of those political or ideological conditions. Health was always an element of unity, not a factor of division, "he said.

“Health has never had a question to ask in the health workers' union regarding: 'What is the party to which you belong, sympathize or who you voted for?' Never. Yes we ask some very personal things, because they have to do with health, not in political terms, "he said.

He added that no one can ignore the more than 24 thousand units of public health care, the almost one million health and social security workers, or the 320 thousand nurses and 215 thousand future doctors in the public sector.

"And, how can you do it to believe that there is, on average, a million and a half Mexicans who go to public health services, every day, 365 days a year?"

He noted that in the public system, four thousand 300 births and 16 thousand hospital admissions are registered daily, about 10 thousand surgeries, 100 thousand emergency care, hundreds of thousands of specialized and general medicine consultations, and scores of thousands of actions of preventive order

For Narro Robles, it is necessary to learn to attend where the people who do not have coverage are, since there are 16 million Mexicans with multiple insurances, that is, they have two or more health services, and he pointed out that the great enemies of Health is poverty, ignorance and lifestyles in the country, which have triggered problems such as obesity.

The exrector wondered “if instead of keeping what works, we are going to do bad service to society by eliminating our current system; instead of correcting what does not work we let the problems deepen; if we are going to let the ignorant, the ignorance, the insufficiency of life win us ".

He commented that there would be 160 million Mexicans, and not 130 million, if there was not adequate family planning, and stressed that there is adequate epidemiological surveillance, reaction capacity and public health laboratories.

Therefore, “you can not disdain and much less discard all that. There are weaknesses, yes; a fragmented system, unnecessary duplication, chronic budgetary insufficiency and poor distribution in the national territory of resources, "he acknowledged.

However, he stressed that care should be taken, because if it is believed that it is necessary to train more doctors, “we will have them soon in the street protesting because there are no spaces. What is required is to open clinics and hospitals to hire doctors who are available. "

AMLO claims Mexico has a shortage of Doctors. About 123,000 are needed.

"However, he stressed that care should be taken, because if it is believed that it is necessary to train more doctors, “we will have them soon in the street protesting because there are no spaces. What is required is to open clinics and hospitals to hire doctors who are available. "

 

https://m.aristeguinoticias.com/1307/mexico/lopez-obrador-revela-que-faltan-123-mil-medicos-en-mexico/

 

"López Obrador reveals that there are 123,000 doctors missing in Mexico

by Drafting AN / SH July 13, 2019 2:33 pm

According to the international standard in the country there should be 393,600 general practitioners, but there are only 270,600.

He said that this is why the Institute of Health for Bienstar is being created and agreements will be made with universities to promote the training of more general practitioners and specialists."

"The president of Mexico, Andrés Manuel López Obrador, said that a revealing fact of abandonment to the Health sector is that there are only 270,600 general practitioners in the country, when there should be 393,600, according to the international standard.

"We are missing 123,000 doctors," said the federal president at the head of a Dialogue with the Community of the Rural Hospital of Villamar, where he stressed that while he is president there will be no increases in the prices of gasoline, "there has been and there will be ' petrol ''.

After pointing out that the problem of health will be addressed, which is more serious than that of education, López Obrador explained the reason for the lack of doctors: “because they did not accept medical students in universities, that is why the lag”.

Medical students in free state universities have to pass an entrance exam. Those in the top scores get placement in medical schools those under that score need to pay for private medical school. Many do. The budget is set by the federal government on how many seats there are available each year and the following 5 or 6 years of training. Mexico is full of self employed, under employed and unemployed doctors now . Not accepting medical students into universities as the reason there is a supossed shortage of doctors in Mexico?

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https://www.sinembargo.mx/02-07-2019/3606096

Google Translation:

"AMLO slows plan to integrate health services and announces tour in IMSS hospitals across the country

By EFE

July 02, 2019

10:51 am

President Andrés Manuel López Obrador acknowledged that providing health care to the entire population is a pending issue. “We have not been able to attend to the health problem well. That is why from this weekend I start a tour of all the hospitals in the open population care system of the IMSS, ”he revealed.

Mexico, July 2 (EFE) .- The President of Mexico, Andrés Manuel López Obrador, announced on Tuesday his decision to sharply divide the health system between institutions that care for those who have social security [IMSS] and those that take care of the open population [Seguro Popular], abandoning his plan to integrate them all.

“We are going to improve the entire health system. The ideal was to integrate everything into a universal system; It happens in other countries. But weconsidered that it would be quite difficult.Consequently, it was decided to divide (the system) into two parts, ”the president said in his morning press conference.

One part will be related to social security [IMSS]. "That the Mexican Institute of Social Security (IMSS) and the Institute of Social Security and Services of State Workers (ISSSTE), for the right-holders, works well," he said.

"And that the National Institute of Health for Wellness [ Seguro Popular] serves the entire population that does not have social security," he said.

 

This National Health Institute will replace the current Seguro Popular, which is currently focused on serving Mexicans who lack social security.

The President acknowledged that reforming the entire public health system will require special attention, so he will consult “with those who have experience, in particular attending to children”.

On December 14 of last year, López Obrador presented a health program to guarantee health care and free medicines for all citizens, and that would integrate all the institutions of the branch, federal, state and municipal.

And on April 9 he announced the creation of the National Institute of Health for Wellness, which will deal with "the care of those who have no chance of having insurance", estimated at 60 million people. [Seguro Popular has already 59,000,000 enrolled]

Currently, the IMSS and the ISSSTE are the main institutions in the country in charge of providing care to the right-wing workers who have social insurance that is covered by worker-employer fees IMSS. They are joined by the state social security institutes for workers ISSSTE.

Additionally, the IMSS will have a system (IMSS Wellness), which provides free medical services to more than 13 million Mexicans in marginalized rural and urban areas through 80 hospitals."

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https://www.sinembargo.mx/21-10-2019/3664995

Google Translation:

"The Government of AMLO presents the new National Health Plan and announces the creation of Insabi

By Daniela Barragan

But nevertheless

October 21, 2019

9:34 am

SECTION MEXICO

From the National Palace, the health sector authorities announced the launch of a call to find the next "Wellness Doctors", who "will help the historical transformation of the health system."

The Secretary of Health started with this call, in order to recruit doctors, nurses, dentists, etc., to work in the most marginal regions in the country.

Government enlists program to hire doctors and nurses in the health system, AMLO announces

Mexico City, October 21 (SinEmbargo) .– The federal government presented on Monday morning the new National Health Plan, which contemplates the creation of the Institute of Health for Wellness (Insabi), with the aim of expanding in a way progressive access to services for the population without social security [IMSS], "eliminating restrictions on treatments and medications that currently exist."

Juan Antonio Ferrer Aguilar, next head of Insabi, explained that it is a decentralized public body of the federal administration, with legal personality and its own assets, sectorized in the Secretary of Health.

At a press conference, he indicated that the Institute will have four national coordinations for medical management, supply, infrastructure, as well as administration and finance.

In front of President Andrés Manuel López Obrador, the official explained that the first stage of Insabi will begin in 2020 with various basic functions, including supply and distribution of medicines, healing material and medical equipment; provide doctors, nurses and specialists in the care units; build and maintain health facilities; regularize all temporary workers and workers with contracts for fees.

Likewise, the health sector authorities announced the launch of a call to find the next "Wellness Doctors", who "will help the historical transformation of the health system."

The Secretary of Health started with this call, in order to recruit doctors, nurses, dentists, etc., to work in the most marginal regions in the country.

According to the document, the "Wellness Physicians" will have growth possibilities and stimuli to professional practice in Primary Health Care (PHC), such as full professional practice, specialized training, job stability and economic stimulation.

From July 5 to October 18, 2019, the President visited the 80 rural hospitals of the Mexican Social Security Institute (IMSS) -Wellness in 19 states of the Republic, where 12.3 million people benefit."

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I guess most of the "actual" and meanful detail has been lost in the translation ,like ok if this is the plan or goal how do we get there...if Mexicans are (in) famous for anything its making long verbal utterances but having no follow up details how to achieve their goal ...just attend any city hall meetings or fracc board meetings....Length of meetings is their criteria of having a successful outcome

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