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Mexico

How Mexico's job-segmented public insurance system, blend of Western and traditional healing, and emphasis on personal warmth shape the way patients access and experience healthcare.

01

Healthcare system (coverage & access)

  • The public system is separated into groups based on citizens' employment: IMSS (Mexico Social Security Institute) covers private-sector employees and their families; ISSSTE covers federal and state government workers; PEMEX covers military and petroleum/oil industry staff; and IMSS-Bienestar/SSA covers uninsured or unemployed citizens.
  • A separate private system of independent clinics, hospitals, and doctors provides outpatient care for citizens with private insurance or those who want to skip public hospital wait times.
  • All public groups operate independently, so citizens in one public group cannot use their insurance plan at another group's facilities.
  • Demand is very high, leading to long wait times in crowded public hospitals.
02

Approaches to medication

  • Healthcare blends Western medicine, emotional support, and herbal home remedies.
  • Many medications that require a prescription in the US can be purchased directly at local pharmacies in Mexico.
  • Patients often visit small in-pharmacy doctor offices rather than going to a full clinic.
03

How patients view providers

  • Patients value personal attention and warmth from healthcare providers, and prefer providers who ask about family life and personal matters.
  • Curanderos — traditional healers — treat the body, mind, and spirit, viewing health as a balance between hot and cold.
  • Pharmacists frequently give basic medical advice directly to patients.
04

Helpful to know

  • Patients place a high value on emotional health.
  • There is a strong emphasis on internal healing as a path to external healing.

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