Claudia Sheinbaum’s morning press conference today Tuesday, September 29, 2026

Likewise, she knows she is very much loved here, and I want to express that yesterday evening, at midnight, Hurricane Polo passed through our land, and I would only add, President, my thanks 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 meteor, 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 — Loreto, Mulegé, and Comondú — the toll is zero, President. The people are being attended to. Some are still sheltered. We had no 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 returning to their homes, but we will remain here in Comondú making another tour. Yesterday we did the same, and I must tell 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 at the ready, and to the mayors I give my recognition for their effort, work, and dedication. To all the people who have helped us, and that today we can say 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. The material damage we will assess today. So, President, as always, from the bottom of my heart, thank you for all your support. A big hug.

Yes, President, good morning. With your permission, I'd like to report that Hurricane Polo, category 2, made landfall at midnight in the vicinity of the locality of Las Barrancas in the municipality of Comondú in Baja California Sur. At this moment it is important to mention, President, with information from 6 a.m. from the National Meteorological Service, its center is located at this moment 105 km from Loreto and 145 km from Guaymas, Sonora. It presents maximum winds of 120 km/h. It is expected that Polo will continue its movement, President, toward the coasts of Sonora, and that the impact will be as a category 1 hurricane between 8 and 9 in the morning. President, as the governor already informed you, the truth is we thank the population because from 3 in the afternoon people were sheltered in their homes or in temporary shelters. This was very important. The hurricane passed and has only left some road flooding at sidewalk level, some runoff, waterlogging. 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 restored today. And indeed, President, today people will return. They will leave their shelters and go to their homes; today they will return to their homes. Almost 700 people were sheltered and will gradually return today. A total of 6,827 public servants from the three levels of government, President, attended the passage of this hurricane through Baja California Sur — 6,827. And finally, President, I 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. Finally, President, Tropical Storm Rachel continues moving parallel to the national territory, heading into the Pacific Ocean. It is located 430 km from Lázaro Cárdenas. President, the toll is zero at this moment. We will make a tour for damage assessment. We will make the tour with the governor and we will keep you informed. We thank everyone and all the DN3 Plan, the Marina Plan, the municipalities, and mainly the population. At your service, President.

Today, today between 8 and 9 in the morning.

That's correct.

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

With your permission, President. Good morning to all of you. Please show the next slide. Since President Sheinbaum's arrival, she entrusted us with seeking to build a healthy republic, and that is the fundamental objective of 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 there be a balance between prevention and the capacity to improve care. And as a result of that, there are 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 here the important thing to mention is that vaccination is universal, it is free for all people, it is timely, and it is within reach of everyone. In these two years, 149 million doses of vaccines have been administered, all of which are listed here. I highlight universal vaccination, which has to do with 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 at 90% or more against all diseases, and on October 12 the new vaccination week for everyone will begin. 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 produced here in Mexico, and we apply around 30 million doses of this vaccine annually. Others are, for example, the human papillomavirus vaccine. We are vaccinating girls and boys in the fifth year of primary school to prevent cervical cancer. And we also now include the respiratory syncytial 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 point of view of prevention. Next slide, please. All public primary schools in the country have been intervened. Nearly 11 million students have been reviewed and around 84,000 schools have been visited. Weight and height measurements have been taken for everyone, oral health reviews, eye exams, and also 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 promoting nutrition as a very important health strategy, and some important facts are that soft drink consumption has been reduced by 2.2%. It seems small, but it is the first time we have begun to see a decrease in soft drink 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, implemented, and which is also the most important prevention program in the world for older adults and people with disabilities. 24.8 million consultations have been attended in homes. 17.1 million glucose, cholesterol, and triglyceride tests have been performed, and nearly 819,000 people have been referred to the services of the IMSS, ISSSTE, IMSS-Bienestar, and Pemex. 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'll show the next slide, to tell you what has happened in parallel to the first pillar of prevention, the pillar now of increasing the capacity of medical care. In parallel to all the actions the Secretary mentioned and many more. In these last two years we have advanced significantly in growing the capacity to care for 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 all 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, plus another 75 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 greatest 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 the 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 on screen showing how construction has taken place in the IMSS and ISSSTE since their creation. In the first stage, 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, 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 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, hand in hand with 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 ISSSTE. And it is also worth mentioning that President López Obrador left many hospitals under 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 occurred 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, ISSSTE, 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 IMSS-Bienestar, the new health service institution for people without social security in the 24 federal entities that already participate in this service network. Next. Hand in hand with the investment in infrastructure of new hospitals, we have also invested in modernizing the sector with better high-technology equipment to serve millions of Mexicans. Today, 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. Just for linear accelerators, 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 deliver radiotherapy. 15% of this equipment has already been delivered and put into operation, and deliveries 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, ISSSTE, and IMSS-Bienestar, have launched an ambitious program to rehabilitate and put into operation, as well as 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 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 medicines and health supplies to all institutions that make up the IMSS, ISSSTE, IMSS-Bienestar, Pemex, and 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 medicines that have been acquired and that are requested month after month for delivery in 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 medicines and health supplies — 3,291 different medicines, healing 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 I want to stress that this has not been the exception for one of the most critical points of the system: the supply of medicines for cancer care, the oncological medicines. In this same period we have received 21 million pieces of medicines for cancer care, of 221 types of medicines. This in 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 medicines, and in this year 2026 the number of medicines that have arrived at the institutes treating cancer increased by 133% compared to the same period of 2025. That is, we continue growing and making the delivery of medicines more efficient in all points of the country. Next. This comes 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 medicines — 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 positions being trained in Mexico. This legacy has been continued by our President Sheinbaum, 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 are compelling. If we compare the number of specialists being 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 us for the future of the country, to be able to count on the specialist doctors 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 all kinds of personnel, 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 data we want to share that are compelling: today more than ever, more Mexicans are being treated in the public sector — they choose to go to the IMSS, ISSSTE, or IMSS-Bienestar. Next. Let's talk first 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 of the year from January to July 2024 compared to January to July 2026, first-level consultations in the health sector have 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 in the IMSS, 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 that in the past sometimes had to wait longer for. In this sense, the increase is 36%. From 23.3 million consultations in 2024 from January to July to 31.7 million consultations in this 2026 in the IMSS, ISSSTE, and IMSS-Bienestar. This never could have happened if we were not investing today in the training of specialist doctors to train them in the hospitals of our country and also having the capacity to hire them in the public institutions of the IMSS, 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 are clear. There are advances, much remains to be done, however, the route is clear in terms of improving infrastructure capacity, equipment, training, and most importantly, the trust of Mexicans to turn to their free public institution when they have a health need, which guarantees the universal right to health. Thank you very much.

Thank you very much, President. Good morning to all of you. I want to tell you in these minutes about the advances at the Social Security, 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 this one you see there, which is in Cerrogordo, in 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 in the same place 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 discomfort. Before, a woman with suspected breast cancer had to go twice — once for the mammography and a second time for the biopsy. Today, with these 67 new mammography machines we bought, both are done in a single visit, which means fewer days of anguish waiting for the result. And also with the new CT scanners, a study that used to take 6 minutes now takes 15 seconds. And we also installed the 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 care for more people. From January to July of this year we gave 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 — well, none of this would be possible without the people of the IMSS. Today we are more than 490,000 workers of the Social Security. In these two years, more than 32,000 joined — almost 9,000 doctors, more than 6,000 nurses, and more than 16,000 colleagues who make all of this function, from laboratory technicians, stretcher-bearers, assistants, social workers — to all of them, thank you. They are, in the end, the heart of the Social Security. We continue working and above all growing the 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. [music] 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 — 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 have practically reopened — it is 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 Ochixtlán, 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. As for 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; the Chercherán hospital clinic in the Purépecha plateau. And this, in addition to the expansions of the clinics in Cancún and Chetumal to convert them into general hospitals, and the Pachuca clinic to convert it into a hospital clinic, and the comprehensive rehabilitation of the Chilpancingo hospital clinic. 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 fight cancer; four Rosa robots for knee surgery, which is one of the most demanded surgeries at the ISSSTE; and likewise 872 units with telemedicine that allow specialty consultations to be given even in 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 attend to heart attacks, cerebrovascular events, and trauma events. Fourth, I highlight the incorporation of the 'The Clinic Is Ours' program. With it, this year we benefited 633 units and last year we benefited 562 units. 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 of dignified treatment. This is a qualitative element — it is not an investment in construction or equipment — but it has great importance in improving the service. We installed 443 dignified treatment modules in various units. We also attended 104,000 cases that were attended to 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 user. 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 IMSS-Bienestar in two years. These are two years of health actions, community participation, free care, and bringing public and universal health services where they did not previously 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, it means more than 27,000 additional daily consultations, 61% more than was done in 2023, gradually increasing the capacity of our very important first level of care. Remember that this does not happen by accident — it happens thanks to a health reform process that our country underwent, which has allowed us to address the deep fragmentation of public health services. Next, please. It is important to mention that this growth is not the same across our entire country. The entities working under the IMSS-Bienestar primary health care model grew 54% in consultations since 2023. In contrast, entities not adhered to primary health care are growing only 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 confirm it. Much remains to be done, but we are moving 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 the closure of the boxes that previously charged for medical care, but also that care is provided in better conditions. The clearest example of this is 'The Clinic Is Ours,' 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 — that is 9 billion pesos going directly to communities through these popular health committees. These committees are elected democratically 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 of more than 700 beds, the largest public hospital in Latin America. And 12 more units are currently under construction, plus more than 293 existing units being rehabilitated. Next, please. In addition, we are modernizing the strategic medical equipment of our units. This includes, of course, preventive and corrective maintenance at a national scale with the incorporation of new equipment. As you know, the Public Network of Smart Operating Rooms of IMSS-Bienestar, which we have already discussed, new linear accelerators, CT scanners, MRIs, and specialized equipment. This is very important because public health services also provide the most complex medicine — the so-called third-level medicine — which previously only existed in the private sector or in very few units. Today it is public and free. Next, please. Something also very important is the transformation that is occurring before the patient enters the consulting room. 9,938 health routes cross the country month after month, distributing the necessary medicines in the 24 states to guarantee care. This is very important because we do it without intermediaries, with guaranteed and periodic supplies. In this way we have been able to distribute more than 300 million pieces of medicines, and more keep arriving. In addition, the model continues to be perfected and matured. We have identified 27 high-demand keys — essential keys for primary health care — that will be reinforced. We will be sending double these keys to all health centers to guarantee that they never run out during the entire month, during the entire supply cycle. Next, please. Finally, remember that every time a person does not have to return two, three, or four times for the same procedure, every time the diagnosis and treatment occur in a single act, we are improving health and, of course, improving life. That is why we have implemented this single-act 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 attended to since the launch with our President, with explicit institutional commitments. All these women have been attended to under this single-act 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 equipment, reaching where it did not previously exist. Guaranteed medicines month after month in every corner of our country. This is the commitment of IMSS-Bienestar, and we will keep building. If you'll 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 you for your 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 that I already had results, they gave me the appointment with the specialist right there inside the clinic. We are very grateful to IMSS-Bienestar for getting to the transplant. It was achieved yesterday, and here is my husband — everything about the transplant was free. The treatments are very good, I have improved a lot. Thank you for the support, for the free medicines. Yes, it's a great help, truly. We come from Rosario to Tijuana, and IMSS-Bienestar has accepted us very well for his chemotherapies. The ones he has needed here, they have given them. I'm on 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'll have it for life. The treatment — the doctors have been very good, very kind, helpful. It's a very good service, truly. The doctors are very attentive, the illnesses too. From the bottom of my heart. They are 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 applying the Universal Health Service, which we didn't hear about here. Especially, I understand that right now you are in the credentialing phase.

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: the primary health care consulting rooms of IMSS-Bienestar, ISSSTE, and IMSS that will operate under this universal health service model. Why? Because any person will be able to go to be treated in any of them regardless of their entitlement. That process continues — there will be 12,750. What has happened since the last time we presented it? One, the call was launched on September 14 for doctors, nurses who want to participate. We invite them to register at serviciouniversalde-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 were launched for the health committees for IMSS-Bienestar, the COSAVIS, to rehabilitate the spaces that require intervention for these consulting rooms. It is a process similar to what Dr. Esbar mentioned about 'The Clinic Is Ours' — with community management participation. The committees have already started and will be receiving resources during this year-end 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 Mother, which is for obstetric emergencies, Code Heart Attack, 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 have access to this. We will report soon on the advances, but these are the three pillars for 2027 of the Universal Health Service.

Excuse me, President. Present. Juan Fierro from the newspaper tiempocom.mx and Puente Libre 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 already told us about 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, and what really matters is that medicines 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 of medicines were purchased. That means it is the most we can ask for, and we keep requesting month after month what is needed. But the planning of the purchase 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 medicine and they deliver 60, 70, and that affects the supply. But we are correcting that with very well-planned purchasing, with advance notice, so that suppliers have the best conditions to deliver. That is why, in fact, last Friday the purchase of generic medicines for the health sector for 2027 and 2028 was completed, which allows us to have many months of advance to better plan the deliveries from suppliers. The second, which I believe is very important and is also being carried out by IMSS-Bienestar, IMSS, and ISSSTE, has to do with having digital monitoring systems to guarantee that we have in all clinics, in all hospitals, the medicines that doctors and nurses 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 IMSS-Bienestar, 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 at the most remote health center in the country or at the closest one, two blocks away here in Mexico City, what medicines they have, which ones 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 IMSS-Bienestar, IMSS, and ISSSTE. Those are the three main components of the medicine supply that we have seen month-after-month increases and improvements in. We may not be where we would like to be at the end of the day — we still have room to grow. But there is a substantive increase. You saw the data I mentioned: more than 100% more medicines sent to health centers and hospitals in 2026 than in the same period of 2025. Why? Also because the population is returning to health centers and hospitals. If we have 30% more specialty 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 a lot left to do, but we see a growth route 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 the supply with the change of the year.

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

Based on your experience, President, precisely within these processes, what advice do you give to those who will be coordinating this work of the 4T coordination?

Thank you. Good morning, President. Rodrigo Muñoz from NX Noticias. I want to ask you, after these nearly 25 million consultations in the health homes, house by house, what is the importance of this medical deployment? And also to ask you, after all these consultations, whether any specific condition has been 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. Also, I say perhaps it would be an excess to ask for more, but what would be the next step now? Have you thought about or detected any entity 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.

Yes, thank you very much, President. And indeed, as you mentioned, let me give you some data on the IMSS beneficiary base. There are several ways to be a beneficiary. One, the one we all know, is being an active worker with formal employment. That growth in recent years has been 13%. We went from 20 million workers to the 22,760,000 workers we have today. Keep in mind that there was a decrease in formal employment during the pandemic and a recovery in just 14 months to the previous level, and then growth. Now, the worker in the logic and care does not come alone; first, they come with their family members. Remember that a worker can insure their partner, and I say partner because they can be spouses and also concubines. The growth of family members in the IMSS has been... we are currently at 25 million family members. Spouses grew by 10%. Something interesting: daughters and sons, who are also beneficiaries until age 16 and then until age 25 when they are studying at a public education institution, is the only indicator that has decreased. It coincides a lot with INEGI data and the intercensal survey on the decrease in the number of children families are having. But fathers and mothers, remember that in the IMSS, when a father or mother has cohabitation or economic dependence is proven, they are also insured. We went from 4.4 million mothers and fathers to 5.9, almost 6 million insured as beneficiaries, fathers or mothers. This is a 35% growth from 2018 to 2026, and on average, the fathers and mothers of workers are 66.5 years old. As the President said, the older you are, the more disease burden and the more use of services. And one last piece of data: the pensioners. The IMSS pensioners went from 4.3 million, who obviously made contributions throughout their lives to have social security in retirement. We went from 4.3 million pensioners to 6.3 million pensioners in 2026, a 46% increase. Among other things, due to Fourth Transformation policies, the 2020 reform, new insurance modalities, and access to pensions when previously many weeks of contributions were required to access. In addition, there are other insurance mechanisms, for example, the voluntary insurance for public university students, and as you know, there has been a very important increase in access to higher education, going from 6.9 million to 7.9 million, that is, 1 million more students. So, effectively, the beneficiary base grows, but it also grows in terms of age, it grows in terms of need for care, and that is why it is so important that this growth happens so rapidly.