Centralization of public health services benefit those who are not beneficiaries – El Sol de Puebla

The centralization of services of state public health could be beneficial for those who lack medical rights, since they would have lthe opportunity to access to standardized medical treatments. However, the way in which the Federation proposed the issue to the entities is questionable. doing it for individualized agreements with each state, it could give way to lack of control, inefficiency and eventual failure of the same.

This was what Juan Manuel MecinasDoctor of Law from the Complutense University of Madrid and lawyer from the Autonomous University of Tlaxcala, detected on the proposal that the President of the Republic, Andres Manuel Lopez Obradoroffered to all the governors of the country, just on April 11.

In townthe subject was made known by the head of the Poblano Executive, Miguel Barbosa Huertaone day after the meeting with the federal president in the Mexico City. Accompanied by the data, the governor gave his opinion on the importance of the state Health Secretariat, since he highlighted its relevance in the coverage of medical care throughout the entity.

Although ever since has avoided speaking on whether Puebla will accept that accession or not, the government official replied that his decision will come until there is certainty of being a bilateral deal and with real benefits: “We defend the poblanos and the poblanas”, externalized this April 13 at a press conference.

He added that the public health system Poblano is the strongest in the entire country, since its coverage even extends to patients from other entities who come to the entity to be treated by poblano doctors.

However, Mecinas stated in an interview that it is hard to ignore the fact that those entities that do not agree to the deal will be excluded from budget increases in the future. Faced with this reality, Puebla could experience a moment of fiscal uncertainty, and that is something that is not convenient for the state at this time.

Despite this, the expert stated that the federalization of systems of health could bring several benefits both for the people and for the treasury.


One of the main problems The country is currently facing is the inequality of local health services. Therefore, if there is a unified strategy, they could be standardized better procedures and thus, substantially improve health services in each place.

“It is unfeasible have so many health systems (…) there is no country in the world that has as many as Mexico”, mentioned the jurist to this publishing house.

He added that in addition there would be substantial savings for public finances. The reason for this statement is that the vast majority of state health systems subsist with federal resources, since the entities collect a minimum amount of own money and by themselves they couldn’t keep them. Now, since it is a unified system with a massive presence, better budgets and deals can be sought business for the state.

In this sense, he pointed out that the loss of control of infrastructure of health will not cause new expenses, since in reality the budgets are already labeled for that purpose. He stressed that the decision is rather political, since the governments state will lose some power over their territories.

He mentioned that it is very difficult for health secretaries to be fired, but it is very likely that these people will lose control over the infrastructure that they were previously able to organize.


To learn more about the perception of those who They work in Salud Puebla, This medium spoke with Laura Noemí Brasil Rodríguez del Castillo, leader of the Health Sector Network movement for Puebla and a nurse at the Cholula General Hospital.

Through a telephone link, the health professional explained that for now, the workers of that dependency do not perceive considerable risks regarding their employment status, in view of the approval of the process of centralization that is being talked about today in the entity.

Conversely, hopes that this administrative action have positive effects on the care provided to citizens and also increase basifications: “I hope there is no place for a lack of resources, medicines, materials and supplies [y] that the payroll is strengthened with qualified personnel.

On this last point, he insisted on the importance to recognize those who have worked in dependency and that despite remaining there for several years they have not received a permanent contract. He said that it would be a shame if only base personnel were given the opportunity to move to IMSS-Wellbeing and those with temporary contracts, no.

Rodríguez del Castillo concluded by saying that another of the possible benefits of this merger will be that salaries are equal for all health personnel at the national level, because in the case of Puebla, he assures, there are people who receive a lower salary, regardless of their abilities, skills and studies.


So far they are known to have been 14 entities that agreed to initiate the delivery of its health infrastructures to the Federation. Very little is known about the legal process and the implications, except that it will be through a voluntary and individualized agreement with each local government.

According to the specialist, do it that way it can bring with it some complications in the future, since the treaties will be different in each state and in some cases, more responsibilities may fall on one entity than another. That is, the rules will not be the same for everyone.

Finally, he warned that the offer contemplates transferring all the infrastructure to the federal government, including human resources. For this reason it is important to know what will happen to the working base and their rights.

This is important because employees must be certain not only about their employment, but also about their benefits and other employer obligations of an economic nature: “The fine print of the agreement is what matters.”