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Stephen Prager for Common Dreams
As Mexican President Claudia Sheinbaum moves forward with a plan to enact universal healthcare for her country’s more than 130 million people, a longtime advocate for Medicare for All in the US called the development “both inspiring and frustrating.”
“Inspiring because it shows what is possible,” Wendell Potter, a former insurance company communications director who has become a leading critic of the industry, told Common Dreams. “Frustrating because here in the US we are going in the opposite direction.”
Earlier this week, Sheinbaum announced a decree that she called “a historic step” for Mexico.
Beginning in 2027, her government plans to unify Mexico’s public health institutions into a single Universal Health Service, allowing patients across the country to receive care from the Mexican Social Security Institute (IMSS), the Social Security Institute and Social Services of Workers of the State (ISSSTE), and the IMSS‑Bienestar program, which provides free services to those without employer-provided insurance.
According to TeleSur, universal access would be rolled out gradually, with universal emergency care and continuity of treatment, free of financial constraints, beginning in January. Specialized services such as radiotherapy, laboratory tests, and imaging studies would be phased in later that year, and universal prescription fulfillment and hospitalization would also be added to the program in 2028.
“The goal is that when we leave the government [in 2030], any Mexican man or woman can go to any health institution for treatment for any ailment and be received,” Sheinbaum said.
🇲🇽🏥 SHEINBAUM TO DECREE UNIVERSAL HEALTH SYSTEM
By presidential decree, any Mexican will be able to receive healthcare at any public institution, regardless of enrollment.
120M to be credentialized starting April 13, with a unified digital platform connecting medical records,… pic.twitter.com/3VTkLr2KRA
— Samuel 🇲🇽 (@resisres) April 8, 2026
Mexico has expanded its annual healthcare budget in recent years, but Sheinbaum’s government hopes that consolidating all of Mexico’s health services into a single program will eliminate bureaucratic bloat and create a more cost-effective system that saves money over time.
Potter described the plan as “just another example of countries around the world lapping the US when it comes to healthcare policy.”
While tens of millions more previously uninsured Mexicans have become eligible for free care under the healthcare expansion efforts of Sheinbaum and her predecessor, Andrés Manuel López Obrador,the US under President Donald Trump is in the process of shredding public healthcare programs and subsidies.
Following the One Big Beautiful Bill Act, signed into law by Trump last year, 11.8 million Americans are expected to lose Medicaid and other coverage, and more than 20 million are projected to see higher premiums after insurance subsidies under the Affordable Care Act were allowed to expire.
“Due to the stranglehold Big Insurance has on too many politicians in this country, instead of expanding care and lowering costs, we are simply helping Big Insurance make more and more money,” Potter said. “It is totally backwards.”
“We must continue to keep Medicare for All as our north star here. But also acknowledge the reality that we need to change so much about our current political environment to make it possible,” he said. “And that has to start with breaking up Big Insurance’s stranglehold on Washington.”
Stephen Prager is a staff writer for Common Dreams.
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