The Social Protection System in Health Project supported the expansion of Seguro Popular, using the Program’ existing financial architecture, control mechanisms and management structure. Seguro Popular was expanded in order to protect the health and finances of families who lost health insurance when they lost their jobs, as well as families who still lacked health insurance coverage. However, in 2009 the economic crisis led to a deep, though brief, contraction of over 6 percent of GDP, with increased poverty and pressure on the finances of vulnerable families. By 2008, Seguro Popular counted over 27 million beneficiaries, who could access health services without a co-pay. In fact, more than half of all health-care expenditures in Mexico were paid for out-of-pocket. The budgets for public health care were uncertain and there was no defined package of free health services for the beneficiaries. Poor and uninsured families, whose well-being was vulnerable to the financial consequences of illness or accidents, financed their health-care expenditures out-of-pocket. The self-employed, underemployed and unemployed accessed health services through public providers with a co-pay, or they paid for private care. In 2002, before the creation of Seguro Popular, only half of the Mexican population benefitted from health insurance, largely through their employer. Democratic Republic of Congo - Français.
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