Morning press conference live. Tuesday, September 29, 2026 | President Claudia Sheinbaum

Likewise, she knows she is very much loved here, and I want to express that last night, at midnight, Hurricane Polo passed through our land, and I would only add, President, to thank you for all the support we have had from you and from the federal institutions. They have been very important. The presence of our colleague Laura here not only helped organize the last details to face this storm, but the person I want to recognize this morning is the people of Baja California Sur, who behaved extraordinarily well, followed the instructions, and in the three municipalities the hurricane threatened, which was Comondú, Loreto, and Mulegé, the toll is zero, President. The people are being attended to. Some are still sheltered. We did not have major problems attending to everyone who wanted to take shelter. Around 700 people took shelter and all have been attended to. Today they will surely begin to return to their homes, but we will continue here in Comondú doing another tour. Yesterday we did the same, and I must say to the entire population of Baja California Sur, thank you very much for all your support. Thanks to the volunteers, the Red Cross, the Army, the Navy, the National Guard, and of course to you, because the federal commission has been working hard. All the federal institutions are here on the ground, and to the mayors, my recognition for their effort, work, dedication, and to all the people who have helped us, so that today we can tell them that the passage of the hurricane in Baja California Sur left us with rains, but no loss of human life, which is the most important thing. We will assess the material damage today. So, President, as always, from the bottom of my heart, thank you very much for all your support. Big hug.

Yes, President, good morning. With your permission, may I report that Hurricane Polo, a Category 2 storm, made landfall at midnight in the vicinity of the town of Las Barrancas in the municipality of Comondú in Baja California Sur. For the moment, it is important to mention, President, with information from 6:00 a.m. from the National Meteorological Service, its center is currently located 105 km from Loreto and 145 km from Guaymas, Sonora. It presents maximum winds of 120 km/h. We expect Polo to continue its movement, President, toward the coasts of Sonora, with the impact as a Category 1 hurricane between 8:00 and 9:00 a.m. President, as the Governor already informed you, we truly want to thank the population because from 3:00 p.m. onward, people were sheltered in their homes or in temporary shelters. This was very important. The hurricane passed and only left some flooded roads at sidewalk level, some runoff, and pooling. There is electricity service, water service. All services are operating in Comondú, in Mulegé, and in Loreto. There are only some effects from fallen trees, branches, leaves, something that will be cleared today. And indeed, President, people will return today. They will leave their shelters and go to their homes. Today they will return home. Nearly 700 people were sheltered and will gradually return today. A total of 6,827 public servants from the three levels of government, President, attended to the passage of this hurricane through Baja California Sur. 6,827.

And finally, President, to inform you that I have had permanent communication with the government of Sonora. They are prepared, they have also carried out preventive actions informing the population about this impact that will occur during the morning, very probably very close to Guaymas. Lastly, President, Tropical Storm Rachel is continuing to move parallel to the national territory, heading into the Pacific Ocean. It is located 430 km from Lázaro Cárdenas. President, the toll is zero so far. We will make a tour for damage assessment. We will do the tour with the Governor and we will keep you informed. We thank everyone, the Plan Marina, municipalities, and mainly the population. At your service, President.

Today, today between 8:00 and 9:00 a.m.

That is correct.

Through Guaymas, more or less. Yes, that's right.

Very good day, President.

With your permission, President. Good morning, everyone. Please show the next slide. Since President Sheinbaum arrived, she tasked us with seeking to build a healthy republic, and that is the fundamental objective at the Ministry of Health. For that, two things are required: prevention to reduce diseases, and greater capacity to improve care. And what is required is that they do not function separately, but that both prevention and the capacity to improve care are in balance. And as a result of that, there is a series of practically historic achievements that I would like to mention next. Next slide, please.

One has to do with prevention: the national vaccination campaigns. And the important thing to mention here is that vaccination is universal, it is free for everyone, it is timely, and it is within reach of all. In these two years, 149 million vaccine doses have been administered, all of which are listed here. I highlight the universal vaccination, which involves the different vaccines where the entire spectrum is protected, from children to adolescents, adults, etc. And also to note that we have achieved important milestones in this universal vaccination. Currently, children are protected 90% or more against all diseases, and on October 12th, the new national vaccination week will begin for everyone. Another very important achievement is that we have managed to increase from 60 million vaccines. This year we have increased to a record figure in 2025-2026 of 88 million vaccines.

I highlight the influenza vaccine, which is now produced in Mexico, and we apply around 30 million doses of this vaccine annually. Others are, for example, the HPV vaccine. We are vaccinating girls and boys in the fifth year of primary school to prevent cervical cancer. And we have also now included the respiratory syncytial virus vaccine for pregnant women, so that babies born to vaccinated mothers no longer die from respiratory infections, which is a very significant achievement from the standpoint of prevention. Next slide, please.

Interventions have been carried out in all public primary schools across the country. Nearly 11 million students have been screened and around 84,000 schools have been visited. Height and weight measurements were taken for everyone, oral health reviews, eye exams, as well as recommendations on nutrition and physical activity. It is important to note that sweets and junk food have been eliminated from schools. Next slide, please.

We continue to promote nutrition as a very important health strategy, and some important facts are that soda consumption has been reduced by 2.2%. It seems small, but it is the first time we are seeing a decrease in soda consumption in this population, and tobacco consumption has also decreased by 7.1%. Next slide, please.

One of the iconic programs related to prevention is the Health House by House program, which the President conceived and implemented, and which is moreover the most important prevention program in the world for older adults and people with disabilities. 24.8 million home consultations have been attended to. 17.1 million glucose, cholesterol, and triglyceride tests have been performed, and nearly 819,000 people have been referred to IMSS, ISSSTE, IMSS-Bienestar, and Pemex services. These are examples of programs related to prevention that have given a very different approach to managing the health sector. Next, Eduardo will tell you about medical care.

Thank you, Secretary. With your permission, President, it is a pleasure to join you today. If you could show the next slide, to tell you what has happened in parallel to the first pillar of prevention, the pillar now of increasing medical care capacity. In parallel to all the actions the Secretary mentioned and many more. In these last two years, we have significantly advanced in growing the care capacity to attend to all Mexicans who require medical care. In two years, our President has inaugurated 33 new hospitals, completely new or significantly expanded, and many also replacing hospitals that had been operating for many, many years. This has represented an increase of 1,535 new beds that are already providing care to Mexicans around the country, and nearly 24 billion pesos of investment. In parallel to this, another 45 hospital projects are already underway and are expected to be completed in the coming years, in addition to 75 other projects in planning that will begin next year and beyond in this administration. In this way, we will reach nearly 9,000 new beds between the IMSS, ISSSTE, and IMSS-Bienestar in this administration. The largest growth, at least since we have data, since 1982. Next.

Here we can quickly see the 33 hospitals that have been inaugurated across the length and breadth of the national territory. As I mentioned, six from the ISSSTE, seven from the IMSS, 20 from IMSS-Bienestar. In all the states of the country, we already have constructions that are either completed or in process.

It is worth putting in perspective what this infrastructure growth means. You can see the data here on screen showing how construction has taken place at the IMSS and the ISSSTE since their creation. In the first stage, which is the foundational stage of the birth of these institutions, first the IMSS in 1943 and a couple of decades later the ISSSTE, for 40 years, between 1943 and 1982, the majority of the infrastructure that operates in the country today was created and built: 35,000 new hospital beds. However, between 1983 and 2018, 36 years of the neoliberal period, the population kept growing. Disease kept multiplying, particularly with the arrival of chronic-degenerative diseases. And in those 36 years, only 6,000 beds were built between the IMSS and the ISSSTE — from 35,000 between 1943 and 1982 to only 6,000 between 1983 and 2018. But this changed radically with the arrival of the Fourth Transformation in 2019, led by President López Obrador, and with the continuity of President Sheinbaum.

Between 2019 and 2024, in six years, 4,800 beds were built between the IMSS and the ISSSTE. And it is also worth mentioning that President López Obrador left many hospitals at the beginning of construction that we have managed to complete in these last years. But look at that difference — nearly the same number of beds, a similar number of beds between 2019 and 2024 as what happened during 36 years between 1983 and 2018. And we continue, with the support of President Sheinbaum, through a historic investment of more than 180 billion pesos in the IMSS and IMSS-Bienestar to keep growing. From the IMSS and ISSSTE alone, there will be 7,400 beds between 2024 and 2030. What does that mean? That by the end of the administration, in 12 years between 2019 and 2030, 12,000 beds will have been built — double what was built in 36 years, which was only 6,000. To these are added more than 2,000 additional new beds that will be built for the INSabi, the new health service institution for people without social security in the 24 federal entities that are already participating in this network of services. Next.

Hand in hand with the infrastructure investment in new hospitals, we have also invested in modernizing the sector with better high-technology equipment to serve millions of Mexicans. Between 2025 and 2026, an investment of 15.8 billion pesos has been made for more than 241 CT scanners, 5 PET scanners, 676 mammography machines, 37 linear accelerators, and 52 MRI machines. From linear accelerators alone, in this two-year period we will go from having nearly 100 to more than 130, that is, a 30% increase in the capacity to provide radiotherapy. 15% of this equipment has already been delivered and put into operation, and deliveries will continue during the rest of this year and the first half of 2027. Next.

Hand in hand with all of this — more hospitals, more high-technology equipment — the health sector institutions, the IMSS, the ISSSTE, and IMSS-Bienestar, have launched an ambitious program to rehabilitate, put into operation, and modernize operating rooms. 650 operating rooms have been rehabilitated, modernized, and put into operation from 2025 to date. In two years: 122 operating rooms at the ISSSTE, 235 at the IMSS, and 293 at IMSS-Bienestar, many of which belonged to hospitals that had never before performed a surgery after being built during the neoliberal period. In addition, we have implemented in those operating rooms 21 new surgical robots of the latest technology that facilitate surgeries, making them simpler, more efficient, and safer for patients. Next.

We have also advanced in the delivery of medications and health supplies to all institutions that make up the IMSS, ISSSTE, IMSS-Bienestar, Pemex, and the National Health Institutes network. There is an investment by the Government of Mexico of up to 332 billion pesos between 2025 and 2026 for the medications that have been acquired and that are requested month after month for delivery to hospitals and clinics across the country. What does this mean? That in these two years we have received more than 3,182 million pieces of medications and health supplies — 3,291 different medications, wound care materials, devices, reagents, and tests. And comparing with the first year, the first semester of 2025 between January and August, this 2026 has seen an increase in everything that arrives at health units and hospital centers: 125% more pieces delivered than in the same period of 2025. And this, I want to emphasize, has not been the exception for one of the most critical points of the system: the supply of medications for cancer care, the oncological drugs. In this same period, we have received 21 million pieces of cancer care medications of 221 types. This is across 155 cancer care centers distributed among the IMSS, ISSSTE, IMSS-Bienestar, and the National Health Institutes. It is an investment of 74 billion pesos for cancer drugs, and in 2026 the number of medications reaching the cancer institutes increased by 133% compared to the same period in 2025. That is, we continue to grow and make the delivery of medications more efficient across all points in the country. Next.

This goes hand in hand with the most important resource our health sector has: the doctors, female doctors, specialists, and health professionals. All the investments we could make — building hospitals, equipping them, buying medications — would not be sufficient if we do not invest in the training of doctors in our country. Six years ago, President López Obrador, as you can see in this chart, made the decision to practically double the number of specialist doctor training positions in Mexico. Our President Sheinbaum is continuing this legacy, and in these years we have assigned more than 56,000 positions for the training of specialist doctors of all specialties across the country, and the data is compelling. If we compare the number of specialists trained in 2011, it was around 6,000 per year. In this administration, we are close to 18,000 — three times more specialist doctors trained each year. This not only serves us for the present, it serves the future of the country, to be able to have the doctors and specialists we need to care for Mexicans in the coming decades. Next.

This has been reinforced not only by training them, but also by hiring doctors, nurses, and personnel of all kinds, health professionals, so that they operate in health centers, hospitals, clinics, expanded service centers — all the government infrastructure to provide health services to the population. In these two years, 22,456 nurses and 26,688 doctors have been hired, who now join the ranks of the health sector to provide services across the length and breadth of the national territory. Next. And this has translated into three figures we want to share that are compelling: today more than ever, more Mexicans are being served in the public sector, choosing to go to the IMSS, the ISSSTE, or IMSS-Bienestar. Next.

Let's first talk about general consultations, the first level of care, the closest to the population when they have a health need. Between 2024 and 2026, if we take the first semester from January to July 2024 compared to January to July 2026, the number of first-level consultations provided by the health sector has increased by 19%. Today we cross the barrier of more than 100 million consultations in that January to July period, growing from 85 million in 2024, to 95 million in 2025, and now growing to more than 101 million in 2026. This is at the IMSS, the ISSSTE, and IMSS-Bienestar. Next. The data is even clearer regarding the result of the specialist doctor training strategy when we talk about specialty consultations — the consultations that much of the population requires and sometimes in the past had to wait longer for. In this sense, the increase is 36%.

From 23.3 million consultations in 2024 (January to July) to 31.7 million consultations this 2026 at the IMSS, the ISSSTE, and IMSS-Bienestar. This could never have happened if we were not investing today in the training of specialist doctors in the hospitals of our country, and also having the capacity to hire them in the public institutions — the IMSS, the ISSSTE, IMSS-Bienestar, Pemex, and the National Health Institutes of our country. Next. And finally, this has also been reflected in a notable increase in the capacity to perform surgeries in our country. 25% more surgeries are performed in 2026 than in 2024 — from one and a half million to nearly 1.9 million surgeries per year, 350,000 more surgeries than were performed before. And this has been the result of the investment that began in 2019 for more hospitals, more operating rooms, more supplies, and, most importantly, more specialist doctors — from anesthesiologists to surgeons, etc. — to be able to achieve this increase. As you can see, the data is clear. There are advances, much remains to be done. However, the path is clear in terms of improving infrastructure capacity, equipment, training, and, most importantly, the trust of Mexicans, so that when they have a health need, they turn to their free public institution that guarantees their universal right to health. Thank you very much.

Thank you very much, President. Good morning, everyone. I want to tell you in these minutes about the advances at the Social Security Institute in these first two years of the second floor of the Fourth Transformation, especially in what you experience or what you see when you go to your clinic or hospital. Next slide. First, I'll start with what's closest: the family medicine unit, the first level of care. We opened six new family medicine units, like the one shown there in Cerrogordo, Ecatepec, in the State of Mexico, but also in San Nicolás de los Garza in Nuevo León, La Joya in Torreón there in Coahuila, Jesús María in Aguascalientes, Villa Fontán in Zacatecas, and Pitiquito, Puerto Libertad in the state of Sonora. They are very large units — in total they add up to 134 consulting rooms. Family medicine consulting rooms, preventive modules, dental service, mental health, nutrition, and they also have X-rays, laboratory, and pharmacy on site so you don't have to go from one place to another. They also have continuous medical admission, which means they are open 24 hours a day for emergency care. Also on the next slide, we renewed equipment, as has already been mentioned, and that translates into less waiting and less inconvenience. Previously, a woman with suspected breast cancer had to go twice — once for the mammogram and a second time for the biopsy. Today, with these 67 new mammography machines we purchased, both are done in a single visit, meaning fewer days of anguish waiting for the results. And also with the new CT scanners, a study that used to take 6 minutes now takes 15 seconds. We also installed 17 MRI machines and three linear accelerators to treat cancer with more precision while protecting healthy tissues. Next slide.

All of this is reflected in serving more people. From January to July of this year, we provided 12.6 million more consultations and surgeries than in the 2024 period. That is, surgeries at the IMSS rose 36% — today we operate on more than 100 additional people every day — and specialist consultations grew 37%, in addition to family medicine consultations, which grew 12%. And the next slide — none of this would be possible without the people of the IMSS. Today we are more than 490,000 workers of the Social Security Institute. In these two years, more than 32,000 joined: nearly 9,000 doctors, more than 6,000 nurses, and more than 16,000 colleagues who make all of this work — from laboratory technicians, stretcher-bearers, assistants, to social workers. To all of them, thank you. They are, in the end, the heart of the Social Security Institute. We continue working and, above all, growing capacity. We have a short video, President — I don't know if we can play it. Thank you.

For 83 years of history, the IMSS has grown with Mexico to care for the health of Mexicans. But growth has not always been the same. In its first 40 years, 29,500 beds were built. Then came 36 years of stagnation. During the neoliberal period, only 4,300 new beds. And starting in 2018, we began the largest hospital growth process in its entire history: more than 10,000 beds on the way to 2030. In 12 years, we will build more than double the beds built in the 36 years of the neoliberal period.

Good morning, President. Good morning, friends of the media. Among the numerous achievements of the ISSSTE, I present a list of outstanding examples grouped into five points. First, the inauguration of hospitals, clinics, and consulting rooms. Here I highlight the inauguration of the high-specialty hospital in Torreón, Coahuila; the high-specialty hospital in Acapulco, Guerrero; and the high-specialty hospital in Tlajomulco, Jalisco. Likewise, the new general hospital in Tampico and the rescue of the General Hospital Carlos Calero, which had been closed since 2010 and which we reopened as practically a new hospital. We also built 100 more consulting rooms — there are a few more by now. All are operating in different states of the Republic, and we opened 12 new family medicine units: in Oaxaca, in Oxchuc, Guelatao, Huautla, Tapanatepec; in Michoacán, in Los Reyes; in Chiapas, in Chiapa de Corzo; in Rosarito, Baja California; in Champotón, Campeche; Ticul, Yucatán; San Miguel, Tamaulipas; San Buenaventura, Coahuila; and in Playa del Carmen, Quintana Roo.

Regarding the construction of more infrastructure, we are currently building the new regional high-specialty hospital of Oaxaca, which is a very large hospital; the new Gonzalo Castañeda General Hospital here in Mexico City, in Tlatelolco; and the Cherán clinic-hospital in the Purépecha plateau. And this, in addition to the expansions of the Cancún and Chetumal clinics to convert them into general hospitals, the Pachuca clinic to convert it into a clinic-hospital, and the comprehensive rehabilitation of the Chilpancingo clinic-hospital.

Third, I highlight the incorporation of cutting-edge equipment and technology: six da Vinci robots in various hospitals across the country; five blue rooms with artificial intelligence to help rapidly detect breast cancer — there will be at least 400,000 readings per year; the incorporation of four linear accelerators, which is radiotherapy equipment to combat cancer; four ROSA robots for knee surgery, which is one of the most in-demand surgeries at the ISSSTE; and likewise 872 units with telemedicine, which allows specialty consultations to be provided in even the most remote corners of the country. We renewed 486 ambulances, replacing them with 713 new ones, and of those 713, 103 are advanced emergency units — that is, they have equipment to treat heart attacks, cerebrovascular events, and trauma cases.

Fourth, I highlight the incorporation of the "La Clínica es Nuestra" (The Clinic is Ours) program. With it, we benefited 633 units this year and 562 units last year. We acquired more than 3,500 pieces of equipment and carried out more than 2,800 improvement works. And finally, fifth, I highlight the national strategy for dignified treatment. This is a qualitative element — it is not an infrastructure or equipment investment — but it is very important for improving the service. We installed 443 modules for dignified treatment in various units. We also attended to 104,000 cases that were handled and resolved, and we carried out extensive staff training with humanization courses that we continue to carry out and where we must keep advancing. In conclusion, we expanded infrastructure, incorporated more technology and equipment, and improved the relationship with the rights holder. Thank you very much, President.

Good morning, President, Mr. Secretary, colleagues from the health cabinet. It is a pleasure to be here to present the achievements of two years of IMSS-Bienestar. These are two years of health actions, community participation, free care, and bringing public and universal health services where they previously did not reach. We have done it in three ways: increasing, improving, and transforming medical care. Next, please.

In two years, under the vision of our President, IMSS-Bienestar has increased its productivity from 41 million consultations per year to more than 60 million projected for the close of this year. This is very important — it means 20 million additional consultations in just two years, more than 27,000 additional daily consultations, 61% more than in 2023, gradually increasing the capacity of our very important first level of care. Remember that this does not happen by chance — it happens thanks to a health reform process that our country has undergone, which has allowed addressing the deep fragmentation of public health services. Next, please.

It is important to mention that this growth is not the same across our country. Entities working under the IMSS-Bienestar primary health care model grew 54% in consultations since 2023. In contrast, entities not adhering to primary health care are only growing 11%. The difference does not lie in management or demographic impact — it lies in the change of the care model. It means free medical care, it means operating as a coordinated network, and it means strengthening the first level of care. When that happens, more health is produced, and the data confirms it. Much remains to be done, but we are heading in the right direction under the primary health care model. Next, please.

Something very important is that it does not only mean more care, but that the quality of that care is better. Thanks to the arrival of the federalization plan, it not only meant closing the cash registers that previously charged for medical care, but also that in addition to free care, patients are treated in better conditions. The clearest example of this is "La Clínica es Nuestra" — the largest social construction and social participation in health project in the world. Today, with 8,638 health centers that have already received resources from this presidential program, it is 9 billion pesos going directly to communities through these popular health committees. These committees are democratically elected and they invest in priority actions within the health centers. 86,000 colleagues are already integrated into this task. Next, please.

This investment also reaches hospitals and the most remote communities. In two years, under the vision of our President, we have launched more than 20 new hospitals — from 30-bed hospitals in Santa Rosalía, Mulegé, about 7 or 8 hours from La Paz, to 24-bed hospitals in Maruata, Michoacán. Of course, the great Agustín O'Horán Hospital in Yucatán, a hospital with more than 700 beds, the largest public hospital in Latin America. And 12 more units are currently under construction, along with more than 293 existing units being rehabilitated. Next, please.

Lastly, remember that every time a person does not have to come back two, three, or four times for the same procedure, every time the diagnosis and treatment happen in a single visit, we are improving health and, of course, improving lives. That is why we have implemented this single-visit model, which today already operates at the Women's Oncology Hospital in Mexico City. This model works with explicit time commitments for care: the appointment and assessment are done in one day, results within a maximum of two weeks, and treatment begins in less than a month. More than 900 women have already been treated since its launch with our President, with explicit institutional commitments. All of these women have been treated under this single-visit program with explicit care times, because in oncology, times are not an administrative detail — they are a vital part of the effectiveness of treatment. Next, please.

President, in these two years, IMSS-Bienestar has increased, improved, and transformed medical care. More than 20 million additional consultations compared to two years ago. 9 billion pesos invested through social participation in health and cutting-edge technology reaching where it did not exist before. Medications guaranteed month after month in every corner of our country. This is the commitment of IMSS-Bienestar, and we will keep building. If you allow me, we have a very brief video that reviews this pride of IMSS-Bienestar.

The care from day one has been excellent from all the staff. I carry them in my heart and I thank them for their empathy. Thank you, thank you for what you did for me. Every month I have my consultation and it's free, they don't ask us for anything. And right now, thank God, I am seen by my internist doctor and I don't pay a single peso. I get my appointment with the family doctor. Since they saw I already had results, they gave me the appointment with the specialist right there in the health center. We are very grateful to IMSS-Bienestar for getting us to the transplant. It was achieved yesterday, and here is my husband — everything about the transplant was free. The treatments have been very good, I have improved a lot. Thank you for the support, for the free medications. Yes, it's a great help, honestly. We come from El Rosario to Tijuana. She has responded very well to her chemotherapies. The ones she has needed here, they have given her. I have a treatment, it's a little vial. At the pharmacy you can see the price — 70,000 pesos. I come every month for that treatment and they give it to me free, and I will have that for life. The treatment — the doctors have been very good, very kind and helpful. It's a very good service, honestly. The doctors are very attentive, the nurses too. They are very kind, very humanitarian. For me, in my situation, they are the best. They give us hope. We are all IMSS-Bienestar.

Good morning, President, and to the entire health cabinet. My first question is about the progress on implementing the Universal Health Service, which we haven't heard about here. I understand that right now you are in the credentialing phase.

That we are in the credentialing of the universal service.

Correct. Of course. Let me tell you, we have three strategies happening in parallel for the Universal Health Service. The first is, as you mentioned, credentialing. We have more than 7 million people credentialed. We are focused right now on older adults in all the federal entities that have IMSS-Bienestar, and we will continue step by step. We invite any older adult to go to these centers. Additionally, we have a project that deeply excites us, which is the primary health care consulting rooms of IMSS-Bienestar, the ISSSTE, and the IMSS, which will operate under this universal health service model. Why? Because anyone will be able to go to any of them for care, regardless of their entitlement. That process continues — there will be 12,750 of them. What has happened since the last time we presented it? One, the call for applications began on September 14th for doctors, nurses who want to participate. We invite them to register at serviciouniversal.salud.gob.mx. We have more than 70,000 people who have expressed their interest in participating, and the call will continue for the rest of the year. And in fact, yesterday — sorry, yesterday was Monday — the calls for the health committees for Bienestar, the COSAVIS, began, to rehabilitate the spaces that require intervention for these consulting rooms. It is a process similar to what Dr. Svarch mentioned with "La Clínica es Nuestra," with community management participation. The committees have already started and will be receiving resources during this end of year to put those consulting rooms into operation at the beginning of January. And the third component of the Universal Health Service is that also starting in January we will begin the exchange of services — services like emergencies, Code Matteer for obstetric emergencies, Code Infarct, Code Stroke, continuity of treatment when a person changes entitlement — that continues in terms of what the institutions have been doing so that people can access this. We will report soon on the advances, but these are the three pillars for 2027 of the Universal Health Service.

Sorry, President, I didn't introduce myself. Juan Fierro from periódicotiempo.com.mx and Puentelibre MX. My second question, President, is about — well, in the health sector, one of the most important topics is the supply of medicines, and here they have shared some efforts by your government. My question here, President, is: what makes it difficult to reach that 100%, and how does your government plan to prevent these problems that people ultimately feel in the hospitals, in the clinics?

Of course, there are different types of challenges, and I would like to mention the advances. The first — and it is administrative, everything — and what really matters is that medications reach the people who need them, but it starts with the planning of the purchasing processes. Last year, as you can see, nearly 330 billion pesos worth of medications were purchased. That means it is the maximum we can ask for, and we keep requesting month after month what is needed. But purchase planning is very important to guarantee that suppliers deliver. Many suppliers, unfortunately, who receive a contract do not fully meet their obligations. We ask them for 80 pieces of medication and they deliver 60, 70, and that affects supply. But we are correcting that with very well-planned purchasing, with advance payment, so that suppliers have the best conditions to deliver. That is why, in fact, last Friday the purchase of generic medications for the health sector for 2027 and 2028 was completed, which allows us many months of advance to better plan deliveries from suppliers. The second, which I think is very important and is also being carried out by IMSS-Bienestar, the IMSS, and the ISSSTE, has to do with having digital monitoring systems to guarantee that we have in all clinics and all hospitals the medications that doctors require. The sector has advanced enormously in digitizing inventories and having visibility to be able to send what is needed and to see what people are consuming. Just in INSabi, by the end of this year, we will have a historic milestone: we will have digital inventories because there will be internet, electronic medical records, and electronic prescriptions at all 8,000 first-level points of IMSS-Bienestar. What will that allow us? For the first time in history, to know what medications the most remote health center in the country has, or the closest one here two blocks away in Mexico City — what they have, what they are missing, and to be able to send what the population requires. Those are two challenges we have advanced enormously on, but ultimately what we need most is to truly deliver for the population through adequate dispensing at health centers and hospitals, and for that we continue working on logistics from Birmex, from INSabi, the IMSS, and the ISSSTE. Those are the three main components of medication supply where we have seen month-after-month increases and improvements. We are perhaps not where we would like to be at the end of the day — we still need to grow. But there has been a substantive increase. You saw the data I mentioned: more than 100% more medications sent to health centers and hospitals in 2026 than in the same period in 2025. Why? Also because the population is returning to health centers and hospitals. If we have 30% more consultations, 36% more specialty consultations, 20% more first-level consultations, many more surgeries — 25% more — we also need more supplies. That is what we are seeing: more supplies are being distributed month after month. We have much more to do, but we see a growth path every day that we continue to reinforce, and for 2027 we want to be very clear: we are already planning everything necessary so that there is no type of interruption in supply with the change of year.

President, finally, my last question, changing the topic from health a bit, is about your analysis of the process of electing coordinators for the Fourth Transformation, and what message you could give to those who were not elected in these coordinator positions, especially regarding unity.

Based on your experience, President, precisely within these processes, what advice do you give to those who will be coordinating this Fourth Transformation work?

Thank you.

Thank you. Good morning, President. Rodrigo Muñoz from NX Noticias. I'd like to ask, after these nearly 25 million consultations in the Health House by House home visits, what is the importance of this medical deployment? And also to ask, after all these consultations, whether any particular condition has been specifically detected among the Mexican population — whether there is more hypertension, whether there is more — I don't know, some detail that requires attention.

President, regarding, for example, the inauguration, right? 33 new hospitals, more than 15 beds from what I was able to detect. I also think perhaps it would be too much to ask for more, but what would be the next step now? Have you thought about or detected any state that requires even more hospitals, building even more beds, more operating rooms? I don't know.

83 years of history, the IMSS has grown with Mexico to care for the health of Mexicans, but the growth has not always been the same. In its first 40 years, 29,500 beds were built. Then came 36 years of stagnation. In the neoliberal period, only 4,300 new beds. And starting in 2018, we began the largest hospital growth process in its entire history. There, more than 10,000.