Material and political dimensions analysis of the legal exclusion in the social protection in health

Mauricio Padrón Innamorato, Universidad Nacional Autónoma de México
Patricia Román Reyes, Universidad Nacional Autónoma de México

This paper seeks to analyze the guidelines and characteristics that the legal exclusion in the social protection in health assumes. It also searches to identify the diverse situations that impose barriers for the access and the use of the Health System services in Mexico. The central hypothesis that orientates the discussion postulates that the existence of a narrow relation between the life conditions and the health conditions. It conduces to extend the sanitary gap in direct relation with the socioeconomic conditions of the population. The field of the health continues being an extremely complex reality because it assembles biological, economic and socio-cultural diverse elements. It represents the space of policies conjugation (in macro and micro levels), beliefs, traditions and family practices. This exposition demands and approach to the problem from two dimensions or analytical axis. The first dimension includes the material one shaped by tangible resources as the labour market, the opportunities and the services. And the second one is about the political dimension integrated by the set of civil, political and socio-economic people rights. The results of the study show that there are two fundamental aspects of the population’s health exclusion conditions. On the one hand, the excluded population faces multiple sources of exclusion in all analysis levels. On the other hand, the degree of exclusion of this people is almost total. It means that when one of the factors is presented with high levels, the effect in other variables also is important. This information indicates that thinking the problem about terms of policies actions, these should be multisectorial, intersectorial and integrals and not to concentrate just in one dimension or factor of exclusion.