Healthcare systems in Ecuador and Mexico address chronic kidney disease

Healthcare challenges regarding chronic kidney disease and metabolic syndromes are drawing significant attention in Ecuador and Mexico.

In Ecuador, the healthcare system faces criticism for focusing on reactive dialysis rather than comprehensive care. While dialysis is essential, experts note that patients require integrated support, including specialized nutrition and psychological aid, to maintain quality of life. Additionally, the state faces a debt of over 400 million dollars to dialysis clinics, a situation that threatens the continuity of treatment for approximately 20,000 Ecuadorian patients.

In Mexico, health authorities are shifting strategies to combat the cardio-renal-metabolic syndrome, a combination of hypertension, diabetes, and chronic kidney disease responsible for 40% of deaths. Secretary of Health David Kershenobich announced a transition toward preventive care at the primary level. This includes mandatory monitoring of weight, blood pressure, and glucose levels during consultations to identify risks before complications arise. The strategy also involves moving beyond single-drug treatments, such as Metformin, toward more advanced therapeutic options.