a particular concern are rapidly rising rates of obesity bringing in their wake potentially devastating and costly diseases such as diabetes in addition a large proportion of the population continue to be informally employed where social safety nets are less well developed to meet this challenging constellation of circumstances mexico needs a health system that is responsive to people s changing needs capable of offering continuous personalised care proactive and preventive in orientation as well as being costeffective and sustainable sizeable investment in the publicly funded part of the health system has not always translated into better health outcomes