International migration and universal healthcare access: evidence from Mexico’s ‘Seguro Popular’

Although ‘Seguro Popular’ (SP), a healthcare programme for the uninsured, has been in place in Mexico for more than a decade, its consequences for international migration both to and from the country have received little scholarly attention. Using the spatial variation in the programme’s coverage generated through the rollout over time, this paper examines the effects of SP on the number of emigrants and return migrants per household. Based on data from Mexico’s National Survey on Demographic Dynamics for 1997–2014, the analysis confirms that being affiliated to SP does not reduce the number of emigrants per household, but such affiliation is, however, positively related to the number of returnees per household. These results are valid across different subsamples of the population and time periods and are robust to omitted variable bias. Our findings have important implications for understanding the effects of social protection policies on international migration patterns.