{"id":181360,"date":"2026-09-22T22:39:52","date_gmt":"2026-09-23T04:39:52","guid":{"rendered":"https:\/\/lospoliticosveracruz.com\/?p=181360"},"modified":"2026-09-22T22:39:53","modified_gmt":"2026-09-23T04:39:53","slug":"la-tormenta-contra-el-abasto-de-medicamentos","status":"publish","type":"post","link":"https:\/\/lospoliticosveracruz.com\/?p=181360","title":{"rendered":"LA TORMENTA CONTRA EL ABASTO DE MEDICAMENTOS"},"content":{"rendered":"\n\n\n<p class=\"wp-block-paragraph\"><strong>Carlos Miguel Acosta Bravo<\/strong><br><em>Impronta<\/em><\/p>\n\n\n\n<p class=\"dropcapp1 wp-block-paragraph\">El reconocimiento oficial de un adeudo de 110.8 mil millones de pesos a la industria farmac\u00e9utica \u2014con facturas arrastradas desde licitaciones de 2023\u2014 no es solo un n\u00famero en el Segundo Informe de Gobierno,&nbsp;es una se\u00f1al de tensi\u00f3n financiera que pone en riesgo el abasto de medicamentos en hospitales y cl\u00ednicas del pa\u00eds. A esto se suma la queja de empresarios mexicanos de que las compras p\u00fablicas se abrieron a proveedores de India, China y otros pa\u00edses que operan con subsidios estatales, una decisi\u00f3n que, seg\u00fan la industria, distorsiona la competencia, amenaza empleos locales y contradice los objetivos del Plan M\u00e9xico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La magnitud del pasivo es elocuente 110.8 mil millones de pesos conciliados al 30 de junio de 2026 equivalen a cerca del 63% del presupuesto proyectado para IMSS-Bienestar en 2026. No se trata de compromisos futuros,&nbsp;son medicamentos e insumos que las empresas ya entregaron, pero que el Estado no ha pagado a tiempo. La industria identifica al IMSS-Bienestar como el principal deudor, y el propio informe admite que parte de los adeudos corresponde a licitaciones realizadas desde 2023, es decir, compromisos que se arrastran por m\u00e1s de dos a\u00f1os.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cuando el gobierno no paga a tiempo, las farmac\u00e9uticas ven reducida su liquidez para comprar activos, empacar, distribuir o financiar nuevas licitaciones. El resultado es previsible,&nbsp;algunas empresas pueden decidir no participar en futuras licitaciones o exigir mayores garant\u00edas, lo que reduce la base de oferentes y aumenta el riesgo de que claves queden desiertas. En un sistema que ya ha reportado episodios de desabasto, la combinaci\u00f3n de deuda acumulada y licitaciones con participaci\u00f3n internacional amplia puede generar cuellos de botella en la reposici\u00f3n de inventarios, sobre todo en medicamentos de alta rotaci\u00f3n o especializados.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El segundo frente de tensi\u00f3n es la apertura internacional de las compras. La Secretar\u00eda de Hacienda declar\u00f3 internacional la licitaci\u00f3n LA-12-NEF-012NEF001-I-285-2026 de medicamentos y material de curaci\u00f3n, permitiendo la participaci\u00f3n de empresas de pr\u00e1cticamente cualquier pa\u00eds, incluidos China, India y Pakist\u00e1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Canifarma y otros gremios sostienen que muchos de esos competidores operan con subsidios estatales y condiciones de producci\u00f3n distintas, lo que les permite ofrecer precios m\u00e1s bajos pero en condiciones que la industria mexicana considera \u201cno equitativas\u201d. El argumento no es proteccionismo ciego,&nbsp;es una advertencia sobre distorsiones de mercado. Si se privilegia la compra al extranjero solo por precio, sin considerar certificaciones, continuidad de abasto, empleo local y compromisos de&nbsp;inversi\u00f3n, se erosiona la base productiva nacional justo cuando el Plan M\u00e9xico busca fortalecer cadenas estrat\u00e9gicas y generar empleos formales.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La contradicci\u00f3n es evidente,&nbsp;por un lado, el Plan M\u00e9xico promete fortalecer la inversi\u00f3n, el empleo y la soberan\u00eda productiva en sectores estrat\u00e9gicos. Por otro, la combinaci\u00f3n de deuda acumulada y competencia con proveedores subsidiados desalienta la inversi\u00f3n en plantas, l\u00edneas de producci\u00f3n en M\u00e9xico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Adem\u00e1s, la credibilidad del Estado como comprador queda en entredicho. Un comprador p\u00fablico que reconoce adeudos viejos y, al mismo tiempo, abre licitaciones a proveedores extranjeros con ventajas de costo, env\u00eda se\u00f1ales mixtas a inversionistas,&nbsp;por un lado, hay compromiso de pago; por otro, persiste incertidumbre sobre criterios de adjudicaci\u00f3n y sostenibilidad financiera.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Qu\u00e9 se necesita para salir del atolladero?&nbsp;reducir el riesgo de desabasto y recuperar confianza requiere acciones concretas:Plan de pagos claro y calendarizado;&nbsp;Priorizar el pago de facturas conciliadas sobre todo de IMSS-Bienestar y comunicar un calendario que permita a las empresas planear producci\u00f3n y compras de insumos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En licitaciones de medicamentos y material de curaci\u00f3n, ponderar no solo precio, sino certificaciones, continuidad de abasto, empleo local y compromisos de inversi\u00f3n, para evitar distorsiones por subsidios externos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Es clave mantener un margen de compra a proveedores nacionales en claves estrat\u00e9gicas, como han pedido Canifarma y otros gremios, para blindar el abasto frente a posibles interrupciones de importaci\u00f3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se necesita publicar estatus de pagos, resultados de licitaciones y indicadores de abasto por instituci\u00f3n, de modo que la industria y la sociedad puedan evaluar avances y corregir a tiempo.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El adeudo y la apertura a proveedores asi\u00e1ticos subsidiados no son solo un problema contable,&nbsp;son factores que, si no se gestionan con un plan de pagos cre\u00edble y reglas de compra equilibradas, pueden debilitar el abasto de medicamentos, erosionar la base productiva nacional y contradecir los objetivos del Plan M\u00e9xico en salud, empleo e inversi\u00f3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La pregunta es simple,&nbsp;\u00bfpriorizar\u00e1 el gobierno el pago oportuno y reglas claras, o seguir\u00e1 acumulando tensiones que terminan pagando los pacientes con desabasto y los trabajadores con empleos perdidos? La respuesta definir\u00e1 no solo la salud financiera de la industria, sino la salud p\u00fablica de millones de mexicanos.[<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Carlos Miguel Acosta BravoImpronta El reconocimiento oficial de un adeudo de 110.8 mil millones de pesos a la industria farmac\u00e9utica \u2014con facturas arrastradas desde licitaciones de 2023\u2014 no es solo un n\u00famero en el Segundo Informe de Gobierno,&nbsp;es una se\u00f1al de tensi\u00f3n financiera que pone en riesgo el abasto de medicamentos en hospitales y cl\u00ednicas [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":141377,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[70],"tags":[43303,32419,6534,42695],"class_list":["post-181360","post","type-post","status-publish","format-standard","has-post-thumbnail","category-de-opinion","tag-carlos-miguel-acosta-bravo-2","tag-imss-bienestar-2","tag-industria-farmaceutica","tag-plan-mexico"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - 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