Americas Quarterly | Mexico Is Growing Old. Can It Build a Care System in Time?
/Elvia León, the youngest of seven children, wanted to leave Bomintzhá back in 1987. “I told my mother that I didn’t want to live in that kind of poverty, and she supported me.” Her father was less pleased with her plans to abandon their small community in Mexico’s Hidalgo state to study in the city of Querétaro. “The culture here is that women are meant to be at home, doing domestic chores.”
But more than two decades later, her father, suffering from prostate cancer, followed her to Querétaro. At the end of a long administrative career in the Mexican public health system, León found herself juggling the care of each parent until her mother passed away at the age of 92 in 2023. Along the way, León struggled with a variety of obstacles, from substandard elder care centers to a public transit system unable to handle her mother’s wheelchair.
Mexico will soon have to reckon with these kinds of challenges on a mass scale for one big reason: The country is growing old. Long able to trumpet having a large, young working population as a comparative advantage over its North American peers, Mexico’s median age will jump from 18 in 1987, when León left home, to 40 in 2050, per National Population Council projections. The country’s 60-year-long demographic dividend, the period when the working-age population outnumbers dependents, will come to an end in 2030—just as Claudia Sheinbaum’s presidency draws to a close.
Is the country ready for the big shift ahead? Already, the potential demand for elderly care services is 15 times higher than for childcare services, according to Inmujeres. Many argue that one solution lies in building a national care system through a network of services for children, people with disabilities, and the elderly while relieving women of the burden of unpaid domestic labor. I met León at a November conference focused on developing such systems. The Mexican government has started laying the groundwork, but time is short.
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