Working Paper - Dov Chernichovsky

Israel’s population is aging quickly; the share of seniors in the population, especially those aged 70 and over, is projected to double by 2035. Due to this, functional impairment — which is naturally higher among the elderly — is expected to rise 16 percent faster than growth in Israel’s population. This will increase the need for in-home as well as institutional long-term care. The changing ratio between age-groups — more people aged 70 and over, in relation to those aged 15-69 — is expected to increase the long-term care challenge as well as the burden on households and on the economy as a whole.

This paper discusses the main challenges currently facing long-term care in Israel: (A) the lack of universal coverage; (B) the multiplicity of authorities charged with overseeing and managing the sector; and (C) the lack of preparation for the changing demographics of the future. This paper also looks at current Israeli government proposals for regulating the field, and points out the inconsistencies and weaknesses in those proposals.

The health indicators of Israel are high, while relative spending on healthcare is low. The enactment of the National Health Insurance Law (NHIL) in 1995 entitled all Israeli residents to free or nearly free health coverage via access to a socially determined “basket” of medical care. However, the NHIL recognizes that universal health coverage (UHC) transcends “the numbers,” or shares of population coverage. According to this law, UHC also embodies a series of qualitative attributes. This paper highlights the UHC attributes achieved in the Israeli healthcare system, beyond population coverage: equitable coverage, progressive contributions, access depending solely on medical need, accountability, and free choice. It also demonstrates particular implementation and continuance challenges: the lack of a firm state commitment to equitable UHC, leading to persistent disparities across Israel.

  • Publication Year:

"The total number of preventable deaths in the US includes about 315,000 working-age adults (ages 25-64). In addition to this loss, the rather unique role American employers play in the health insurance of their employees increases labor costs and is detrimental to employment."

  • Country: General
  • # Pages: 1
  • Publication Year: 2017
  • Type of Media: Press
  • Country: Israel
  • # Pages: 49
  • Publication Year: 2010
  • Type of Media: Working Paper

מאמר זה פורסם בחודש אפריל האחרון בכתב העת המדעי Health Affairs. המגזין רב היוקרה מתפרסם בארצות הברית ומיועד בעיקר לקובעי המדיניות. אף על פי שהמאמר דן במערכת הבריאות הישראלית, נושא שלכאורה אינו רלוונטי עבור מרבית קוראי כתב העת, עורכיו מצאו עניין מיוחד בניסיון הישראלי, שניתן להגדירו כשבירה חסרת תקדים של "כללי המשחק" במימון מערכות בריאות המעניקות ביטוח בריאות ממלכתי. בשל חשיבותו לציבור הרחב ולקובעי המדיניות בישראל, אישרה מערכת העיתון למרכז טאוב – אשר המאמר מבוסס על עבודה שנכתבה במסגרתו – לפרסם ולהפיץ את תרגום המאמר לעברית, ועל כך נתונה לה תודתנו. "

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המאמר פורסם באנגלית במגזין health affairs

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