Abstract
Desde la década de los ochenta comenzó un proceso de reformas al sistema de salud mexicano con el fin de promover cambios estructurales en el sector mediante una mayor presencia del sector privado. Se argumenta que la reforma fue propuesta por un grupo de actores tecno-burocráticos que han concentrado recursos de poder cruciales para modificar las reglas institucionales y que tales cambios se han llevado a cabo sin consultar ampliamente a los diversos actores interesados: gobiernos de los estados de la república, proveedores de los servicios públicos y usuarios.Abstract This paper examines the reform process within the Mexican health system undertaken since the eighties that led to an increasing privatization of health services. It argues that such process have been led by a small group of techno-bureaucratic actors that have changed institutional rules according to their interests without considering the interests of local governments, public services providers and public health services users.
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