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claudia sheinbaum
Mexico Healthcare Transition Provides Model for US
Pretty much every other country in the world has settled on one model for everybody, because it’s cheaper and less convoluted. We could solve a lot of problems in America by following this example.
Apr 19, 2026
In 2026, the US health care system is more costly, more unequal and more unstable than at any point in its history.
Last month, a survey released by the West Health-Gallup Center found that an estimated 28 million Americans (roughly 11%) had skipped meals to afford health care expenses in the last year. “Ambulance deserts” – where emergency services take over 25 minutes to arrive – are rapidly forming across the country, affecting millions of people. With the announcement last year of cuts to Medicaid and the federal government’s failure to extend ACA subsidies, the future looks especially bleak.
At the same time, we’ve seen huge increases in profits for insurance companies and hospitals. Greed and short-sighted pursuit of profits have brought American health care to the breaking point. This is a man-made natural disaster.
The US system is an outlier on the world stage in a number of important ways. For one, we’re the only developed country that doesn’t provide universal health care. Every one of our peer nations has some form of basic coverage for all citizens – the U.K., Canada, France, Japan, Italy, Germany, Spain, Australia… We’re the only ones that decided to leave a significant percentage of the population (generally around 8%) without any coverage whatsoever.
American health care is also, by far, the most expensive in the world. According to the Organization for Economic Cooperation and Development (OECD), we have roughly twice the per-capita health care costs of other wealthy nations, yet some of the worst outcomes. We consistently under-perform in areas like life expectancy, infant mortality and deaths from treatable diseases.
According to a study conducted in 2020 by Yale epidemiologists for the medical journal The Lancet, a universal health care system in the US would prevent around 68,000 unnecessary deaths per year. These are people who die from preventable diseases, simply because they don’t have access to health insurance. If they lived in any other country in the developed world, they’d survive.
Mexico, another country where coverage has historically been less-than-total, announced last week that they will be implementing a universal health service designed to guarantee access to health care for the entire population. As Mexico moves forward with its initiative, it may provide a model for how the US can repair our dysfunctional, fragmented system. Mexico’s decree unifies three fragmented public systems (IMSS, ISSSTE, IMSS-Bienestar, taking a patchwork model and consolidating it into one program to prevent unnecessary duplication of costs. Hopefully, we can learn from both their successes and their mistakes.
America also has a patchwork model, combining elements of several different approaches to health care. For working people under 65, we have employer-provided private insurance. For veterans and military personnel, we have the V.A. (Veteran Affairs). For the over-65 population and people with certain disabilities, we have Medicare. For people below the poverty line, we have Medicaid. And for those without any health insurance at all, we have out-of-pocket payments. Pretty much every other country in the world has settled on one model for everybody, because it’s cheaper and less convoluted. A unified system is the best tool for cost control. We could solve a lot of problems in America by following this example.
A majority of Americans favor a universal health care system. This would increase equality of access, bring down costs and help to resolve one of the greatest inequities in American life, something which separates us from the rest of the developed world and which has increasingly become unsustainable in recent years. If the status quo is maintained, health care costs will continue to rise, patients will continue to avoid care because they can’t afford it and for-profit companies will continue to find ways to pass the costs on to patients, even if it bankrupts or kills them.
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As Trump Pushes Privatization, Mexico's Sheinbaum Embraces Healthcare as a Human Right
Healthcare is neither a commodity nor the exclusive privilege of the wealthy—it is a human right. Far from “outrageous,” guaranteeing healthcare to all is about ensuring that everyone can live a rich and fulfilling life.
Apr 15, 2026
On April 6, the Trump administration announced it will increase payments to privately-run Medicare Advantage, or MA, plans by 2.48% in 2027—this will result in more than $13 billion in additional payments to companies like UnitedHealth, CVS Health, and Humana. Unsurprisingly, following this announcement, shares of those companies rose by more than 9%.
MA plans have been a significant source of growth and profit for insurance companies. As the Medicare Rights Center reports, this profitability is driven by enormous overpayments, including from fraudulent billing practices such as “upcoding.” This involves submitting billing codes that make patients appear sicker than they really are to secure higher government payments than are warranted. Despite this, the Trump administration is currently considering a policy that would automatically enroll seniors into MA plans as the “default enrollment option”—a proposal outlined in the Heritage Foundation’s extremist Project 2025.
The Center for American Progress estimates that making MA the default option would generate nearly $2 trillion in overpayments over 10 years, while significantly jeopardizing traditional Medicare’s financial stability. It would give for-profit corporations more control to restrict patient choices and deny doctor-recommended care.
Instead of more privatization that puts profits over people, we should embrace Medicare For All (M4A). Yet, President Donald Trump contends that paying for our current safety nets is already too much for the wealthiest nation on Earth. He remarks: “It’s not possible for us to take care of day care, Medicaid, Medicare, all these individual things. They can do it on a state basis. You can’t do it on a federal. We have to take care of one thing: military protection. We have to guard the country.”
Sheinbaum’s embrace of universal healthcare—as well as her support of Cuba—shows us what is possible when the well-being of people is championed unconditionally.
For Trump, spending billions in an illegal war takes precedence over providing healthcare for Americans. His 2027 budget calls for a 10% reduction in all nondefense spending, including reducing funding to the Department of Health and Human Services by $15.8 billion. This, at the same time, that a measles outbreak sweeps the nation, uninsured rates continue to climb, and the prevalence of children with chronic conditions grows to unprecedented levels.
While Trump prioritizes death and destruction, Mexican President Claudia Sheinbaum offers a different vision. On April 7, she issued a presidential decree establishing the Universal Health Service (Servicio Universal de Salud), which will allow patients from across Mexico to seek free care at any public health institution. Universal access will be rolled out in phases starting with emergency care and continuity of care in early 2027. Radiotherapy, laboratory tests, imaging studies, and other specialized services will be added later that year. Finally, in 2028, universal prescription fulfillment and hospitalization will be consolidated. For Sheinbaum, “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.”
The transition to universal healthcare began on April 13 when Mexicans aged 85 and older were eligible to register for their new Universal Health Credential. As Deputy Health Minister Eduardo Clark notes, these new credentials are “the guarantee of the right to healthcare” for Mexican citizens and eligible foreign residents.
This is the fundamental difference. In Mexico, healthcare is recognized as a human right enshrined in their Constitution. In 2023, then-Secretary of Foreign Affairs Alicia Bárcena said before the United Nations General Assembly, “In Mexico, we believe that coverage must be universal, public and free, starting with the most marginalized areas and prioritizing, as always, the poorest.” She continued: “It is unacceptable to profit from illness. In Mexico, we know that public health is not for sale. It is a public and universal good, and we defend it."
By contrast, for Trump, healthcare is a privilege meant solely for those who deserve it. During his first presidential campaign, he remarked: “Where I come from, you have to prove your worth. You have some guy with no college degree working a minimum wage job; no ambition, no goals, nothing to show for it. Yet for some reason, the current [Obama] administration believes he—and millions of people like him, should have access to health insurance. It’s outrageous.” While Mexico starts with “the poorest,” Trump finds it “outrageous” to provide healthcare to minimum wage workers.
Trump’s position is immoral and vile. Healthcare is neither a commodity nor the exclusive privilege of the wealthy—it is a human right. Far from “outrageous,” guaranteeing healthcare to all is about ensuring that everyone can live a rich and fulfilling life.
For most (if not everyone), lacking healthcare will prevent them from living the kind of life they desire. Those suffering from untreated illness may struggle to spend time with their loved ones, pursue the opportunities they desire, and exercise their political rights. Since, at some point, everyone will eventually get sick, healthcare is a universal good that benefits each of us. Moreover, as the Covid-19 pandemic made clear, our individual health is not solely a personal issue. My health impacts the lives of others around me just as their health impacts mine. Healthcare is thus a collective and communal good.
Still, one might object that even if healthcare is not a commodity, the market is still the best mechanism to allocate scarce resources; Trump’s push toward privatization will be better than Sheinbaum’s universal care.
Such blind faith in the market is misguided. Despite spending far more than other countries with universal coverage, more than a quarter of Americans report skipping consultations, tests, treatments and follow-ups because of costs. Roughly 21% report skipping medication for the same reason. Studies consistently find that universal care provides more access, better quality, and lower costs than privatized healthcare.
Ironically, Trump once understood this. In his 2000 The America We Deserve, he writes, “We must have universal healthcare. Just imagine the improved quality of life for our society as a whole if the issue of access to healthcare were dealt with imaginatively. With more than 40 million Americans living day to day in the fear that an illness or injury will wipe out their savings or drag them into bankruptcy, how can we truly engage in the ‘pursuit of happiness’ as our Founders intended?”
Trump was right. What we need is not more privatization that exploits the sick and dying, but rather a politic that works to radically defend life, liberty, and pursuit of happiness. What is needed is the imagination to rethink how we use (and misuse) our country’s wealth and resources. Sheinbaum’s embrace of universal healthcare—as well as her support of Cuba—shows us what is possible when the well-being of people is championed unconditionally.
A better future is possible—already, in the US, support for M4A continues to grow, and several 2026 midterm candidates have made it an explicit part of their platforms. Together, by embracing life and rejecting capitalism, we can make America great.
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As Mexico Enacts Universal Healthcare, Advocate Says Insurers' 'Stranglehold' Is Moving US in 'Opposite Direction'
Medicare for All advocate Wendell Potter said it's "both inspiring and frustrating" to see other nations advance their public healthcare systems while the US dismantles its own.
Apr 10, 2026
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.
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."
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