Improving health system performance in Mexico

Assessment of health system performance is a complex task, especially amid major political change, structural reforms, and a global pandemic. The Health Policy paper by Felicia Marie Knaul and colleagues1 in The Lancet identifies many challenges to improving the performance of the Mexican health system in the 21st century. Their analysis seeks to illustrate how successful implementation of health reform requires continuous efforts at improvement and careful political management of key stakeholder groups.1, 2, 3 We highlight important aspects of this Health Policy paper and suggest three principles to improve the performance and equity of the Mexican health system.