SUMMARY
The text examines the progress in achieving universal health coverage in Mexico under the government of Andrés Manuel López Obrador (AMLO). The government aimed to implement policies that would protect the most vulnerable groups and transform the country's healthcare system. However, they faced the inertia of previous health policies and challenges posed by the COVID-19 pandemic.The text explains the concept of "path dependence" in Mexico's healthcare system, where each regime established and consolidated its own policies over decades. During the neoliberal period, policies were implemented to leave healthcare in the hands of the market, but with mixed results.The 4T government (Fourth Transformation) sought to break away from this path dependence by creating the Institute of Health for Wellbeing (INSABI) and eliminating the Seguro Popular program. However, the implementation of INSABI faced challenges due to preexisting issues in the healthcare system, such as shortages of medicines and medical equipment, corruption, and a lack of specialists.While the neoliberal path dependence was contained, there were also negative consequences, including medicine shortages and difficulties in accessing public healthcare services. The incoming government will face the challenge of consolidating the transformation of the healthcare system, improving the health of Mexicans, federalizing the healthcare system, and establishing a healthcare model that prioritizes the fulfillment of the human right to health.In conclusion, there is a need to establish a new paradigm of health in Mexico that combines continuity and change, with the goal of achieving universal healthcare services and a counter-hegemonic care model. If an approach focused on the population's needs is achieved, it will be possible to attain the long-awaited universality in healthcare that Mexicans deserve.