The article explores the approach of the Obrador administration in Mexico, which posits that the government should play a central role in various sectors, including service provision and wealth generation. This perspective extends to elections, where the ruling party, Morena, is viewed as a pivotal force. The regime has been characterized by what can be described as an active resignation, particularly since taking office in 2018, during which it has dismantled several institutions deemed as impediments to the government's intentions.

A significant example highlighted is the effort to reorganize medical supply chains. The president ordered the dismantling of an imperfect system without considering the repercussions, leading to ongoing challenges even seven years later. Claudia Sheinbaum, a prominent figure within the administration, continues to face difficulties in establishing an effective mechanism for the purchase and distribution of medicines within the public sector. This aspect identifies the ongoing struggles within the healthcare system and how the previous decisions impact current operations.

The piece captures the essence of the government's vision for a more centralized administration while illustrating the practical hurdles that ensue from such sweeping changes. It raises questions about the balances between governmental control and efficiency in service delivery, especially concerning vital resources like healthcare.