1. Health care coverage across borders
Tomica Blocker, MS4

2. 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

3. The city of Pachuca

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

5. Pachuca

6. 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

7. 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

8. Teotihuacan

9. 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

10. 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

11. WElcomed with open arms!!!

12. 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

13. 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…

14. Wishing you all good fortune!!!