Decentralizing Health Services in Mexico: A Case Study in State Reform

[...] the editors and authors, who include social scientists, public health specialists, and physicians, show that in Mexico, where decentralization was introduced during the mid-1980s economic crisis, the federal government secured funds for international debt service but shifted the financial burden of health care to states ill-prepared to carry out the program monitoring and evaluation, not to mention the commodity procurement and distribution, necessary to provide citizens with access to quality health care services.