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The book was oriented towards achieving two main objectives. The first of them was to create a description of the main changes that have been made to the system since the beginning of the 2018-2024 Administration in Mexico. The diversity of the reforms and their scope make it difficult for the population to follow up on them and know how their right to health protection will be guaranteed. Thus, understanding the impact and extension of the reforms was one of the priorities of this study. Consequently, it was sought to develop a consultation document that allows identifying the current state of the SNS. The World Health Organization (who) has pointed out that health systems comprise all the institutions, organizations and resources used to produce actions aimed at improving health. Its performance can be measured based on its ability to respond to the needs of the population through actions such as increasing equality in access to health, reducing health risks and protecting individuals from the financial consequences caused by hight costs deseases. In this way, it is imperative that health systems have an efficient design that allows guaranteeing the protection of the right to health.