In 2011 Mexico reported one of the lowest rates in the OECD (at just over 1 000 consultations1 per doctor, compared to nearly 2 500 OECD-wide). This is despite Mexico having significantly fewer doctors per capita than is typical in OECD countries. To take another pertinent example, day-case rates for cataract surgery are lower than the OECD average, whilst rates of caesarian section are the highest in the OECD, which may be due to a lack of guidelines encouraging international best practice, and/or the inadequate implementation of such guidelines.