The Necaxa-Avila Camacho Highway is a 37-kilometer, four-lane highway located in the states of Puebla and Veracruz, Mexico. The $75 million project, actually a small section of the larger Mexico City-Tuxpan Highway, aims to dramatically reduce time from Mexico’s capital to Tuxpan. Developed through a unique public-private partnership strategy, the Ministry of Communications and Transportation (Secretaría de Comunicaciones y Transportes, translated according to the ministry’s website, SCT), contracted the AUNETI (a consortium of the Mexican ICA, the Spanish FCC Construcción, and financial institutions such as Santander) to build the toll-free highway through a heavily mountainous terrain. One unique feature is the San Marcos Bridge, the world’s second highest bridge pier, running 220 meters above the river. This project considered and mitigated the various social, cultural, environmental and health impacts of development through slope re-vegetation programs, hillside stabilization schemes, worker education and vaccination, and school outreach programs, to name a few.