Carolina Gomez Mena
Newspaper La Jornada
Saturday February 18, 2023, p. eleven
The right to social security continues to present itself as a major structural challenge
in the country. Between 2018 and 2020, access to this system, in addition to presenting a growing challenge, is still experienced by most of the population as a social deprivation, reaching more than half of the people.
For example, more than 50 percent of the employed 65 years or more in poverty have never contributed to any institution
of this type, establishes the Social Development Policy Evaluation Report 2022, of the National Council for the Evaluation of Social Development Policy (Coneval).
underlines that for this same year, only a third of the population aged 65 or over received a contributory pension
that is, the one obtained from the quote, evidencing the low coverage of the system
.
The study issued by Coneval every two years reveals that A challenge for dealing with life course risks is that those related to health, work, social security, and even education continue to be anchored to the conditions of legal status or formal employment.
.
fragmented system
Another structural challenge is the fragmentation of the health system, which entails differentiated attention to the population between the different subsystems
. In accordance with the latest regulatory modifications, the part without social security will be attended through the IMSS-Bienestar program, which will function as a decentralized body of the Mexican Institute of Social Security, which absorbs the objectives initially set for the Institute of Health for Well-being (Insabi).
Although it is relevant Moving towards universal health coverage, this program will face significant challenges, since, for example, the care catalog it provides includes only first and second level services, which continues to be a challenge given the need to balance services and benefits
in this category for beneficiaries and those who do not have any affiliation.
Indicates that currently social development programs and actions seek to contribute to the reduction of poverty through the redistribution of income
and a large part of the schemes and actions linked to risks serve the population in transversal conditions of vulnerability.
The above it is considered a success and progress in the construction of a protection policy throughout the life course; however, there is no information or evidence that makes it possible to observe whether the programs are effectively covering these groups.
.
Another lack that increased during the period measured, he adds, was access to health services. It occurred in the context of the health contingency and was more marked in the population with lower incomes and residents of rural areas. However, this increase is part of the administrative and operational transition process of the creation of Insabi and the disappearance of Seguro Popular
.
