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Mexico's health insurance success offers lessons for US reforms, Lancet study suggests
Date:4/8/2009

iment and analysis would be carried out -- a process designed to insulate findings from after-the-fact political meddling.

Researchers identified 74 matched pairs of communities that shared similar demographic and health conditions, and worked with Mexican officials to conduct household surveys capturing a baseline snapshot of each community's health status. Then, working independent of the Mexicans, researchers randomly selected one from each matched pair of communities for early introduction of Seguro Popular, establishing a controlled framework in which individual changes in health experiences in one community could be empirically compared to control conditions in the matching community.

"This was the largest randomized health policy evaluation ever undertaken," Moore said. "We the researchers were involved in experimental design, and in charge of data collection and analysis at the other end. Mexican officials had no control over the results and we had full freedom to publish what we found."

Residents in test areas were encouraged to enroll in Seguro Popular, and participating Mexican states received funds to upgrade medical facilities and improve access to health services, preventive care and medications. Follow-up surveys show the program is making a difference on its primary objective, documenting a 23 percent reduction in families experiencing catastrophic health expenditures.

"This study shows that social policy targeting can be successful," Moore said. "If money is put into a program targeting the poor to receive health insurance, and if that program is well structured, then the poor can actually see reductions in the amount they pay out of pocket for health care. That may seem obvious, but it's not. Designing a program that's targeted in a certain way may not mean that resources actually reach the people it's intended to reach."

In fact, the Lancet study identified areas where Seguro Popular needs improv
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Contact: Gerry Everding
gerry_everding@wustl.edu
314-935-6375
Washington University in St. Louis
Source:Eurekalert

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