Health care coverage across borders Tomica Blocker, MS4

Health care coverage across borders Health Insurance Coverage in the US Health Insurance Coverage in Mexico Comparisons (cost, health endpoints) Factors impacting health endpoints Interview

The city of Pachuca

United States Federally funded health coverage Private insurance Medicare Medicaid Children’s Health Insurance Program Veterans Health Administration Private insurance Through employment By purchase

Pachuca

Mexico Universal health care since 2012 Last (#32) of 34 nations in the Organization for Economic Cooperation and Development (OECD) The US and Turkey are the only 2 without UHC Private health care 2/3 of the nation’s hospitals Serve only 10% of the nation’s population

Mexico Public health care Secretariat of Health’s Seguro Popular Unemployed Funded by the federal government Instituto Mexicano del Seguro Social Employed Funded equally by the employee, employer and the federal government Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Government employees

Teotihuacan

Comparisons Mexico United States % population with health coverage 92.3 % 90.9% Predominant form of health coverage Government-funded Private Insurance % GDP used on health coverage 6.2% 16.9% Life expectancy 74.8 years 78.8 years All cause mortality (per 100,000) 946.1 (#34 of 34) 826.1 (#27 of 34) Infant mortality (per 1,000 births) 13 6 Maternal mortality (per 100,000 live births) 48.1 12.7

Contributing Factors? Mexico United States Obesity ranking #2 of 34 Tobacco (grams per capita) 1,374 6.3 Hospitals 4,436 5,686 Hospital beds 190,935 914,513 CT machines 706 13,065 Active nurses 322,524 3,558,920

WElcomed with open arms!!!

Interview Per Dr. Rodgriguez: The best quality of the health insurance system in Mexico, is that it provides health insurance coverage for all citizens, no matter their employment status The one quality that she would change about Mexico’s health care system is its number of hospital personnel- in fact, she believes that public hospitals are overcrowded and understaffed, and require additional personnel at every level She shared that because of this, residents become burned out, and often wish to enter the private sector- contributing to the shortage When asked what she thought of medicine in the US, she expressed that though she enjoyed her time here, she thought that medicine revolved more around politics and money than around patient care

Conclusions Mexico has Universal Health Care, the US does not Despite this, it does not equate to better quality of care Availability of resources likely contributes to quality of care The US spends considerably more money on health care than Mexico, and has considerably more resources in the form of hospital beds, technology and nurses among other things Its worth noting that despite this, the US is still ranked one of the lowest amongst developed countries in the quality, cost and efficiency of health care Great resources and ample government funding can increase the quality of care, but apparently, its still not enough…

Wishing you all good fortune!!!