{"id":9277,"date":"2019-07-09T13:23:48","date_gmt":"2019-07-09T13:23:48","guid":{"rendered":"https:\/\/globalhealthintelligence.com\/?p=9277"},"modified":"2026-02-16T12:19:30","modified_gmt":"2026-02-16T18:19:30","slug":"why-amlos-policies-will-hurt-healthcare-in-mexico","status":"publish","type":"post","link":"https:\/\/globalhealthintelligence.com\/pt-br\/ghi-analysis\/why-amlos-policies-will-hurt-healthcare-in-mexico\/","title":{"rendered":"Why AMLO\u2019s Policies Will Hurt Healthcare in Mexico"},"content":{"rendered":"\n<p>Mexico\u2019s\npresident, Andr\u00e9s Manuel L\u00f3pez Obrador (AMLO), campaigned on increasing\nsecurity and waging war on corruption\u2014improving healthcare appeared to be almost\nan afterthought. And this is still true.<\/p>\n\n\n\n<p>Since taking office in December 2018, <a rel=\"noreferrer noopener\" aria-label=\"AMLO (opens in a new tab)\" href=\"https:\/\/americasmi.com\/insights\/whos-afraid-of-amlo\/\" target=\"_blank\">AMLO<\/a> has made it clear that improving the efficiency of government spending is a top priority, and this means reshaping how the government is managing purchases in all industry sectors, including healthcare. The rules of the game are changing. The risks are high for all stakeholders, particularly established players and patients. Let\u2019s review some key numbers for <a href=\"https:\/\/globalhealthintelligence.com\/pt-br\/ghi-analysis\/the-10-most-common-surgical-procedures-in-mexico\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Mexico\u2019s healthcare system (opens in a new tab)\">Mexico\u2019s healthcare system<\/a>:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Healthcare\nexpenditure: 5.5% of GDP<\/li><li>Public\nhealthcare expenditure: 10.4% of government spending<\/li><li>Total\nhospital beds: 167,000<\/li><li>%\nof hospitals belonging to the public sector: 82%<\/li><\/ul>\n\n\n\n<p>The public sector represents over <a rel=\"noreferrer noopener\" aria-label=\"80% of hospital beds in Mexico (opens in a new tab)\" href=\"https:\/\/globalhealthintelligence.com\/the-best-hospitals-in-latin-america-2018\/best-equipped-hospitals-in-mexico-2018\/\" target=\"_blank\">80% of hospital beds in Mexico<\/a> and approximately 60% of the revenue of established players, whether these be medical equipment, <a rel=\"noreferrer noopener\" aria-label=\"medical device (opens in a new tab)\" href=\"https:\/\/globalhealthintelligence.com\/pt-br\/ghi-analysis\/a-data-portrait-of-latin-americas-hospitals\/\" target=\"_blank\">medical device<\/a>, <a href=\"https:\/\/globalhealthintelligence.com\/pt-br\/ghi-analysis\/2019-developments-in-latin-americas-pharmaceutical-market\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"pharmaceutical (opens in a new tab)\">pharmaceutical<\/a> or consumables manufacturers. The public sector is big business, where winning tenders is a critical component of maintaining the topline. Manufacturers often partner with distributors to leverage local contacts and broaden reach. And in a country where kickbacks are a common business facilitator, it is not surprising to see AMLO\u2019s anti-corruption policies seek to reshape purchase processes. <\/p>\n\n\n\n<p><strong>Main\nStructural Changes to Public Tenders<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li><strong>Tenders are consolidated further.<\/strong> Government tenders are a common practice that are generally organized by type of institution, state, or region. These are being consolidated and centrally managed, thus reducing the number of overall tenders and increasing the stakes for the participants. The theory is that with greater volume and higher stakes, participants will be enticed to offer more competitive pricing, thus squeezing profit margins. In doing so, the opportunities for corrupt practices will also be more limited.<br><\/li><li><strong>Efficiencies are sought to reduce volumes.<\/strong> Authorities are speculating that greater consolidation of tenders will lead to better management of purchased goods. As such, consolidated tenders are of lesser volume then the sum of their previous parts. <br><\/li><li><strong>Distributors are being squeezed out. <\/strong>Manufacturers are called in to participate directly in tenders, while distributors are sidelined. The objective is to reduce costs by eliminating distributors and their margins. Additionally, international manufacturers generally have stricter anti-corruption policies. The Mexican government plans to manage the logistics directly, ranging from warehousing to distribution.<br><\/li><li><strong>International products are called in to lower costs. <\/strong>Participating in government tenders was typically reserved to companies whose home country had a free trade agreement with Mexico. As such, many international companies, notably those from Asia, were excluded from potential government sales. Opening tenders to companies from all countries is expected to place further downward pressure on pricing. <\/li><\/ol>\n\n\n\n<p><strong>Affected\nStakeholders <\/strong><\/p>\n\n\n\n<p>These include products with proven and\nestablished quality standards, the patients who rely on them, the doctors who\nuse them, the companies who manufacture them and the providers who distribute\nthem. More specifically, these changes will affect:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Patients dependent on innovative products and\/or with time-sensitive cases<\/li><li>Patients of lesser financial means who are dependent on public healthcare<\/li><li>Physicians, who are used to products with proven outcomes<\/li><li>Manufacturers of <a href=\"https:\/\/globalhealthintelligence.com\/pt-br\/ghi-analysis\/20-sales-opportunities-for-medical-equipment-devices-in-latam\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"products (opens in a new tab)\">products<\/a> with high IP content<\/li><li>Providers of value-added solutions<\/li><li>Distributors focused on the public sector<\/li><\/ul>\n\n\n\n<p>Additionally,\nthe overall healthcare system will become less efficient as the Mexican\ngovernment tries to become the sole distributor of products to public\nhospitals. This will further cripple the system\u2019s ability to move to\nvalue-based care.<\/p>\n\n\n\n<p>From\nthe product side, the burden on the healthcare ecosystem will increase as\nlesser quality products\u2014which are typically less efficient and have higher\nfailure rates\u2014are used by patients and the physicians who treat them.<\/p>\n\n\n\n<p>Said\nrisks also threaten the production and value chain: specifically, established\nmanufacturers and distributors. The combined effect of such policies is\nexpected to reduce the potential market for medical equipment, medical devices,\npharmaceuticals and consumables by over 50%.<\/p>\n\n\n\n<p>The\nconsolidated tender of medicines (for the second half of the 2019 fiscal year)\nis already showing signs of inefficiency. The primary points of concern\ninclude:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Some\nmaximum acceptable prices are lower than those of previous tenders<\/li><li>Open\ninternational bidding<\/li><li>Delivery\ndates are unreasonably tight<\/li><li>Commercial\nprocedures (payments, terms and conditions of sale) are unclear<\/li><\/ol>\n\n\n\n<p>Such\nvariances can discourage companies from participating in the tender, thus\ncreating a shortage of products in the market.<\/p>\n\n\n\n<p><strong>How\nCompanies Can Adjust to AMLO-Care<\/strong><\/p>\n\n\n\n<p>In\nthe process of adjusting to these policy shifts, manufacturers must change the\nway they look at the market. The topline value will be affected so dramatically\nthat historic viewpoints will no longer be relevant. Instead, metrics such as <strong>gross\nprofit<\/strong> and <strong>market share<\/strong> will become more appropriate and reflect\nperformance more accurately. <\/p>\n\n\n\n<p>In a market with limited performance indicators, measuring and tracking market share can be very tricky. Thankfully, GHI developed ShareScope, which is a unique market tracking solution with over 90% accuracy when measuring <strong>market size<\/strong> and <strong>market share<\/strong> of medical equipment in Latin America, <strong>market size<\/strong> and <strong>market share<\/strong> of medical devices Latin America, as well as <strong>market size<\/strong> and <strong>market share<\/strong> of pharmaceuticals and consumables for Latin America. <a href=\"https:\/\/globalhealthintelligence.com\/strategic-solutions-hospital-database\/sharescope-market-size-share\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"ShareScope (opens in a new tab)\">ShareScope<\/a> may be the measurement standard your company needs to <strong>evaluate performance<\/strong>, track the <strong>competitive landscape<\/strong>, assess the <strong>threats<\/strong> of Asian products and <strong>set your goals<\/strong> for the upcoming years. <\/p>\n\n\n\n<p><a href=\"https:\/\/globalhealthintelligence.com\/contact\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Contact one of our Solutions Advisors to see if ShareScope is right for you. (opens in a new tab)\">Contact one of our Solutions Advisors to see if ShareScope is right for you.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>AMLO\u2019s policies are eroding the Mexican healthcare landscape, whether it\u2019s for manufacturers, distributors and patients<\/p>\n","protected":false},"author":24,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[3574,122,1824,3575,3576,3578,3580,3582,3583,3584,3586,3588,3590,3592,3594,3596,3597,3599,3601,3602,941,3604,3606],"class_list":{"0":"post-9277","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-ghi-analysis","7":"tag-3574","8":"tag-global-health-intelligence-ghi","9":"tag-guillaume-corpart","10":"tag-how-companies-can-adjust-to-amlo-care","11":"tag-main-structural-changes-to-public-tenders-mexico","12":"tag-market-size-and-market-share-of-consumables-latin-america","13":"tag-market-size-and-market-share-of-medical-devices-latin-america","14":"tag-market-size-and-market-share-of-medical-equipment-latin-america","15":"tag-market-size-and-market-share-of-pharmaceuticals-latin-america","16":"tag-mexican-government-tries-to-become-the-sole-distributor-of-products-to-public-hospitals","17":"tag-mexican-healthcare-landscape","18":"tag-mexico-of-hospitals-belonging-to-the-public-sector-82","19":"tag-mexico-consolidated-tender-of-medicines","20":"tag-mexico-healthcare-expenditure-5-5-of-gdp","21":"tag-mexico-market-for-consumables","22":"tag-mexico-market-for-medical-equipment","23":"tag-mexico-market-medical-devices","24":"tag-mexico-market-pharmaceuticals","25":"tag-mexico-public-healthcare-expenditure-10-4-of-government-spending","26":"tag-mexico-total-hospital-beds-167","27":"tag-sharescope","28":"tag-the-public-sector-represents-over-80-of-hospital-beds-in-mexico-and-approximately-60-of-the-revenue-of-established-players","29":"tag-why-amlos-policies-will-hurt-healthcare-in-mexico"},"_links":{"self":[{"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/posts\/9277","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/comments?post=9277"}],"version-history":[{"count":2,"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/posts\/9277\/revisions"}],"predecessor-version":[{"id":29874,"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/posts\/9277\/revisions\/29874"}],"wp:attachment":[{"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/media?parent=9277"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/categories?post=9277"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/globalhealthintelligence.com\/pt-br\/wp-json\/wp\/v2\/tags?post=9277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}