Promoting an Integral Social Protection System
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Washington, DC
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This note reviews the challenges in
Mexico s social protection system and possible options to
achieve an integral and effective system that is more than
the sum of its parts. Mexico s social protection system
includes contributory social security schemes, social
assistance programs, and labor market programs. The
contributory social security schemes offer pensions and
health insurance to formal sector workers to protect against
income shocks and help smooth consumption over the life
cycle. The recent noncontributory Social Protection System
in Health (SPSH) provides health insurance to people not
covered by formal schemes. To prevent poverty and promote
greater human development, Mexico has several social
assistance interventions, including Oportunidades, a
conditional cash transfer program for the chronically poor,
and 70 y Mas, a noncontributory old-age income-support
program. Finally, the social protection system also includes
several labor market interventions that promote
employability, facilitate job matching, and protect workers
against economic shocks. This note reviews the progress
achieved so far by Mexico s social protection system and its
remaining challenges to achieve an integrated system that
provides effective protection to all Mexicans from income
shocks, that helps them smooth consumption over the life
cycle and promotes greater human development.
Palabras clave
ABILITY TO PAY, ACCESS TO HEALTH SERVICES, ACCOUNTING, AFFILIATES, AGING, AGRICULTURAL PRODUCTION, ALCOHOL ABUSE, ALLOCATION OF RESOURCES, CANCER, CARDIOVASCULAR DISEASES, CHILD CARE, CHRONIC CONDITIONS, CITIZENS, COMMUNICABLE DISEASES, CONSOLIDATION, COUNSELING, CRISES, DAY LABORERS, DEVELOPMENT ECONOMICS, DIABETES, DIETS, DISASTERS, DROPOUT, EARLY CHILDHOOD, ECONOMIC CRISES, ELDERLY, EMERGENCIES, FAMILIES, FISCAL REFORM, HEALTH CARE, HEALTH FACILITIES, HEALTH INSURANCE, HEALTH PROVIDERS, HEALTH REFORM, HEALTH RISKS, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEM PERFORMANCE, HEALTH SYSTEMS, HOSPITAL, HOUSING, HUMAN CAPITAL, HUMAN DEVELOPMENT, ILLNESSES, IMPACT EVALUATIONS, INCOME, INCOME SECURITY, INDIGENOUS GROUPS, INDIVIDUAL ACCOUNTS, INEQUITIES, INFORMATION SYSTEM, INFORMATION SYSTEMS, INSURANCE PREMIUMS, INSURANCE SCHEMES, INTEGRATION, INTERNATIONAL TRENDS, INTERVENTION, INVENTORY, JOB CREATION, LABOR FORCE, LABOR FORCE PARTICIPATION, LABOR MARKET, LABOR MARKET INTERVENTIONS, LABOR MARKET POLICIES, LABOR MARKETS, LABOUR, LEGAL FRAMEWORK, LONGER LIVES, MATERNAL MORTALITY, MATERNAL MORTALITY RATIO, MEDICINES, MORTALITY, MUNICIPALITIES, NATURAL DISASTERS, NUTRITION, OLD AGE, OLD-AGE, PENSIONS, POPULATION GROUPS, PREGNANCY, PRESIDENTIAL DECREE, PRODUCTIVITY, PROGRESS, PROVIDER PAYMENT, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HEALTH EXPENDITURE, RESOURCE ALLOCATION, RETIREMENT, RISK MANAGEMENT, RURAL AREAS, RURAL DEVELOPMENT, SAFETY, SAFETY NETS, SAVINGS, SAVINGS ACCOUNTS, SCHOOL ATTENDANCE, SECONDARY SCHOOL, SERVICE DELIVERY, SERVICE PROVIDER, SERVICE PROVISION, SERVICE QUALITY, SOCIAL DEVELOPMENT, SOCIAL HEALTH INSURANCE, SOCIAL PROGRAMS, SOCIAL SECURITY, SUBSISTENCE FARMING, TAX COLLECTION, TEMPORARY EMPLOYMENT, UNEMPLOYMENT, URBAN AREAS, URBAN POVERTY, USE OF HEALTH SERVICES, USER FEES, VULNERABLE GROUPS, WORKERS, YOUNGER WORKERS