• Let no-one confuse or mislead the public; the public nature of this noble institution is, and will remain unchanged.

• At the beginning of this administration, the IMSS’s financial viability was at risk, and in three years, the annual deficit has been trimmed by 15 billion pesos, equivalent to a reduction of 60%.

• The president announced that he has given instructions to the IMSS director to reduce waiting times for surgery scheduling and the allocation of hospital beds, one of the beneficiaries’ most pressing demands.

• The president closed the 106th IMSS General Assembly.

President Enrique Peña Nieto said today that the Mexican Social Security Institute (IMSS), “Is one of the Mexicans’ achievements, and therefore its operation is and will remain an inalienable responsibility of the Mexican state.”

Let no-one confuse or mislead the public; the public nature of this noble institution is and will remain unchanged.

At the close of the 106th IMSS Ordinary General Assembly, the president noted that, as has been the case so far, “All members will continue to receive all their services; the IMSS will continue to be our Mexican Social Security Institute.”

He confirmed, “The government’s commitment to this great institution, the Mexican Social Security Institute.”

President Peña Nieto highlighted, as one of the important aspects of the work report submitted by the IMSS director, the gradual but significant financial transformation of the Institute, which today, “Is more viable for the benefit of all its beneficiaries.”

He said that at the beginning of this administration, “The IMSS’s financial viability was at risk. In 2012, the financial deficit had reached an unsustainable level of 25 billion pesos. Thanks to a thorough reengineering of its finances, including increasing revenue, operational efficiencies and increased staff productivity, the cash deficit was halved in 2014, and for this year, the deficit is expected to be approximately 10 billion pesos.”

“In other words, in three years, the annual deficit has been trimmed by 15 billion pesos; a reduction of 60 percent,” he said.

The president highlighted another four key aspects of the Director General’s Report:

FIRST: The growing solidarity and support for Mexicans living in vulnerable conditions. “Thanks to IMSS-PROSPERA, over 12 million people, including hundreds of thousands of indigenous children, young farm workers, women artisans, day workers and elderly people without social security, now have access to health services.”

SECOND: Simplification of procedures. “It is very encouraging that nowadays, three out of four IMSS procedures can be performed online, saving time and costs for millions of beneficiaries and employers.”

THIRD: The modernization of its infrastructure and equipment. “We are working to improve the quality and effectiveness of IMSS services. As a result, in 2015 only, over five billion pesos are being invested in infrastructure and equipment. It is one of the largest annual investment in these areas.

Thanks to these resources, progress has been made in the construction of large hospitals such as those in El Marqués, Querétaro; León, Guanajuato; Nogales, Sonora; or Villa de Álvarez, Colima. It is worth noting that construction will begin on at least one Family Medicine Unit in each state.”

FOURTH: The strengthening of measures to ensure timely disease prevention and detection. “As we pledged a year ago, 30 million PREVENIMSS check-ups will have been carried out by the end of 2015. This is equivalent to almost a quarter of our country’s population and 3.5 million more than in 2012.”

The president declared that through the creation of the IMSS 72 years ago, “Our country paved the way for the emergence of similar institutions in Latin America.”

Now, he added, “We are joining forces to consolidate it as a reference for social security in the 21st century, but above all, we want the IMSS to remain one of Mexicans’ most cherished institutions.”

He noted that from this perspective, the quality of services will be a priority for the coming years. “Although efforts were devoted to this during the first half of this administration, particularly to give the institution financial viability and streamline its processes, in the second half, we will be concerned with working on the quality of the services the institution should provide,” he said.

He said it is necessary to improve protocols and take actions that will lead to better care for the beneficiaries. The president announced that he has instructed the IMSS director to reduce waiting times for surgery scheduling and the allocation of hospital beds.

"When you have a loved one who is sick, a child in pain and in need of treatment, there is nothing more frustrating than having to wait days or even weeks, in the case of surgery, to be treated. Reducing waiting times is one of the most pressing demands of the beneficiaries, which we are determined to meet responsibly,” he said.

He declared that, “It is a major challenge, but in over seven decades, members of this great team and the family of the Mexican Social Security Institute have faced and overcome the challenges that have arisen.”

President Peña Nieto said that since the beginning of this administration, “We have implemented fundamental solutions to the structural challenges of this great institution. We wish to improve the quality and timeliness of services, as 60 million beneficiaries and 12 million beneficiaries’ dependents deserve.

In order to give some idea of the scope of the IMSS’s contributions to the country’s public health, he explained that on a normal day, “The Mexican Social Security Institute provides 500,000 consultations, deals with 58,000 emergencies, performs four thousand surgical operations and handles over 1,200 deliveries.”

He thanked, “The 430,000 members of the great family, the great team of Mexican Social Security Institute. Thanks to their professional, responsible and committed performance, the Social Security is one of the pillars of Mexicans’ well-being.”

During the event, the president delivered four ambulances out of a total of 300 in the “Ambulance Replacement” Program. He also presented three awards for the IMSS Competitiveness Competition 2015:

Dr. Alma Lilia Varela Delgado, head of the Family Medicine Unit 91, in the municipality of Coacalco de Berriozábal, State of Mexico; Dr. José María Ávila Ávalos, head of the Rural Hospital Prospera in the municipality of Buenavista Tomatlán, Michoacán; Nora Liliana Guadiana Urias, head of the North Merida Subdelegation, in the capital of Yucatán.

President Peña Nieto also presented three doctor’s bags out of a total of 20,000 that will be given to family physicians at the Institute, which will allow them to always have the necessary tools for the proper, timely diagnosis of their patients.


Director General of the IMSS José Antonio González Anaya declared: “Mr. President, with collective pride, I inform you that the Institute’s financial viability is guaranteed for the duration of your administration.”

He stressed that the IMSS is working, "With great gusto and even more of an effort to meet the two objectives we set ourselves from day one: improve the quality and warmth of service, and financially restructure the Institute. We are achieving this without cutting staff, without cutting supplies and without cutting services,” he said, explaining how this work has been carried out in four areas:

First: through the Digital IMSS initiative, “We launched the most ambitious program for the deregulation, simplification and digitization of procedures in recent years.” There are 18 common procedures performed four million times a day, he said.

Second: A true culture of transparency is being institutionalized to make health spending more efficient. As an example, he mentioned that for the third time, the IMSS is leading the consolidated purchase of medicines that generated savings of more than eight billion pesos in the health sector. This made it possible to fill another three million prescriptions and maintain supplies at 95 percent, ensuring that more patients have timely access to their medications.

Third: In order to have more, better trained doctors and nurses, “We made an unprecedented investment of over 130 million pesos. We hired a thousand more residents than last year; we restarted the scholarship program, granting 260 this year, and resumed the tradition of sending doctors for stays at world-class institutions.”

Fourth: An expansion program that includes building, during the current administration, a new Family Medicine Unit in every state, with a model that offers the same functionality and quality healthcare at a fraction of the cost. Another five hospitals are being built and, “We plan to build another seven to increase the number of beds by one thousand by the end of the administration.”

Gonzalez Anaya said that the IMSS is the principal health provider of the Thrive Program, attending 12 million low-income Mexicans for free. He added that the 13 structural reforms triggered a process of formalization of employment, as a result of which, “We built new clinics and hospitals with economic, functional models,” he said.


President of the Confederation of Industrial Chambers (CONCAMIN) Manuel Jesús Herrera Vega hailed the Federal Government’s efforts to boost formal employment. He explained that by the end of September, the number of people with social protection amounted to 60 million beneficiaries, including more than 17,900 direct beneficiaries.

He said that the recent report submitted to the president and Congress on the financial situation and risks of Mexican Social Security Institute noted that the increase in jobs registered with the Institute in 2014 was 4.3 percent, while the economy grew by 2.1 percent during the same period. “it is worth noting that this encouraging performance has taken place within a difficult environment for economies, not only in Mexico but throughout the world,” meaning that this effort warrants even greater recognition.

He said the Institute’s pension liability has a current value of 2.8 billion pesos, an amount that represents approximately 15 percent of GDP for 2015.

“The pension system in our country will undoubtedly be a challenge, in which we should all participate, so from the employers’ sector we propose: the implementation of a high-level group, that will bring together, in addition to business and labor organizations, academic institutions, federal executive and legislative bodies, as well as experts and civil society groups, and others who can provide viable alternatives and solutions with a vision of the future.”

Expressing his support of the current Administration, on behalf of employer sector, he emphasized the need to continue incorporating substantive measures to ensure their permanence for millions of beneficiaries. “I would like to give this honorable assembly a strong, clear message from the employers’ sector: we believe in the Mexican Social Security Institute. He ended by saying, “We believe in the talent of its employees, doctors and nurses.”


José Luis Carazo, the representative of the labor sector, said that social security alone can provide quality and warmth if it has healthy finances. In the face of a difficult economic situation, the actions implemented in the IMSS have given its finances breathing space, since it has reduced the use of reserves, increased revenue and controlled operating expenses.

He explained that the strategies implemented contribute to raising revenues through savings, which strengthens its economy, and has made it possible to provide beneficiaries with better quality, caring service.

“These actions will free up resources that can be allocated for actions and strategic programs to increase the productivity and effectiveness of the services provided,” he said.

He said that the IMSS has contained the growth of current expenditure, which exceeded 5 percent annually between 2006-2012, and is now less than 2 percent, “Noting that the programs mentioned have a profound social spirit and strategic financial care that meet the beneficiaries' greatest priorities.”

He reported that for the first time in Mexico, formal employment is increasing faster than economic growth, resulting in improvements to the budgeted income. “There are nearly 18 million contributors. The best thing is that a growing number of families are being incorporated into social security,” he said.


Manuel Vallejo Barragán, Secretary General of the National Union of Social Security Workers (SNTSS), thanked President Enrique Peña Nieto for being "a great friend of social security" adding that the IMSS is experiencing one of the best labor relations in its history with its trade organization, based on harmony, respect and a permanently positive attitude.

This, he added, strengthens this noble institution on a daily basis.

As an IMSS worker, on behalf of his colleagues, he thanked the president for the support he has provided during his administration to the agency and the National Union of Social Security Workers, and confirmed the commitment to, “Continuing to perform our duties with responsibility and excellence for the benefit of the population.”

“Social Security Workers will always be with you to build industrial peace,” he told the president.