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INSABI vs. Seguro Popular

The Politics Behind the Switch from Seguro Popular to INSABI

When current president of Mexico Andres Manuel Lopez Obrador (AMLO) was the mayor of Mexico City in the early 2000s, he believed that Seguro Popular was “neither safe nor popular,” a common leftist criticism of the program at the time. AMLO’s main criticisms of Seguro Popular were incomplete coverage of the population, incomplete coverage of services, not enough reduction of out-of-pocket spending, widespread corruption, and overall failure to improve the well-being of citizens by failing to improve health conditions and failing to reduce poverty (Reich 2020).


So, when AMLO became president of Mexico in 2018, he envisioned a new healthcare system based on three core ideas: universality, free services, and anti-corruption. In January 2020, this new healthcare system manifested in the Instituto de Salud para el Bienestar, or INSABI for short (Reich 2020).

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