When social health insurance goes wrong: Lessons from Argentina and Mexico

Peter Lloyd-Sherlock*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)


Social health insurance (SHI) has gained popularity in recent years as a health-care funding mechanism for developing countries in Latin America and beyond. This is reflected in a number of high-profile conferences sponsored by international agencies, and a profusion of externally funded reform projects. This article assesses the potential of SHI to provide a sound model of health-care financing, drawing on the experiences of Argentina and Mexico. It uses four criteria to assess the performance of SHI: coverage, equity, effectiveness and sustainability. The article begins by outlining key principles of SHI and comparing it to other models of health-care financing. It then gives a comparative overview of four SHI programmes in Argentina and Mexico, before analysing their performance in greater detail. The article finishes by extracting lessons from this comparative analysis, both for the countries studied and for global debates on SHI.

Original languageEnglish
Pages (from-to)353-368
Number of pages16
JournalSocial Policy and Administration
Issue number4
Early online date19 Jul 2006
Publication statusPublished - 1 Aug 2006
Externally publishedYes

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