Resumen

HIDALGO, Sara. Between Promises and Realities: The Fragmentation of Healthcare in Mexico and the National Medical Center, 1940-1973. Hist. mex. [online]. 2024, vol.74, n.2, pp.655-699.  Epub 05-Nov-2024. ISSN 2448-6531.  https://doi.org/10.24201/hm.v74i2.4829.

This article analyzes the sale of the National Medical Center (CMN) by the Medical and Healthcare Secretariat (SSA) to the Mexican Social Security Institute (IMSS) as part of a broader fragmentation process in healthcare and hospital services that began in the forties, when access to healthcare was divided between workers in the formal economy, who were covered by IMSS, and the healthcare offered by SSA to those without access to it. Analyzing documents from both institutions, it can be seen that the sale of the CMN was a product of the major inequalities between an IMSS that was in its golden age and an underfunded and oversaturated SSA. This article argues that these inequalities only deepened with the sale of the CMN from one institution to another.

Palabras llave : public health; inequality; hospital modernization; Medical and Healthcare Secretariat; Mexican Social Security Institute.

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