Newspaper Page Text
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c.nrv i.->kam.UK, August 3, iy/J
»»»™««»Senate Views«™»»»*
Israel’s Health Services
CAPITAL C OMMENT
By Joseph Polakoff
The U S. Senate Subcommitlee
on Health has found Israel’s health
services are "not operated within
or by a well-defined national
health authority, which would be
responsible for medical policy and
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personnel and financial resources
to operate such programs."
"The pattern of medical care in
Israel," the group said in a 153-
page report, “presents a com
plicated organizational and finan
cial structure,” inasmuch as the
voluntary medical services Israel
inherited with Statehood still exert
influence and may serve as an
obstacle to rationalization" of the
services.
Nevertheless, the report, which
was released recently, added,
"there was a demonstrated deep
concern by the Ministry of Health,
the Hadassah Medical Organiza
tion and Kupat Holim (voluntary
health insurance organization) to
provide a comprehensive range of
health services, preventive and
curative, to all the people of Israel
without regard to their ability to
pay for health care" and "with a
definite view toward assuring that
health services were equally
available to the people."
The subcommittee concluded
that Hadassah and Kupat Holim
have had great influence in the ul
timate determination of coor
dinated health care and in the
provision of curative services.
Most of the report was devoted
to examining the structure of ser
vices in Israel to help determine
"what features of the mosaic of
different organizations, health ser
vices and health manpower train
ing in Israel could be effectively
implemented and utilized to im
prove the crises in America's
health care."
The subcommitlee, of which
fdward M Kennedy (D Mass.) is
chairman, spent two days in Israel.
Members personally inspected
health care facilities.
Hadassah, the women’s Zionist
Organization of America,
pioneered in health services in
1913 when its nurses distributed
fresh milk in the Old City of
Jerusalem, the report said. At pre
sent, it operates Israel's largest un
iversity hospital
Kupat Holim, a voluntary
health insurance organization, em
braces workers in the urban and
rural areas, self-employed and
members of the Kibbutz and
Moshav communities. The report
said Kupat Holim covers more
than 70 percent of Israel’s popula
tion. It was founded in 1911 to
help agricultural workers
Regarding the Ministry of
Health, the report said it was the
"supreme authority in all matters
relating to health." It licenses
medical and other professions, en-
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sures health services for the pop
ulation, and administers or super
vises government hospitals.
Statistically, the subcommittee
said that the low maternal mortali
ty rate among Jewish women (0.52
in IOOO live births in I966, com
pared with 0.96 in I948) may be at
tributed m part to the high percen
tage of births that take place in
hospitals With the inducements of
maternity grants payable only to
mothers who enter hospitals for
confinement, non-Jewish births
rose from four percent in 1948 to
84 I percent in 1966.
The plan for rationalizing ex
isting services is to provide by I974
a ratio of 3.20 beds for each 1000
population compared with 3.03 in
I964. Beds for tuberculosis
patients are expected to decrease
by a third (0.19 to 0.13) but will in
crease for mental disease (2.30 to
2.50) and chronic disease and
rehabilitation (0.81 to I.IO). No
change in mental retardation
(0.65) is expected, the report said.
In a separate statement, Senator
Jacob K. Javits (K.N.Y.), a
member of the subcommittee,
observed that the report “leaves no
question that wherever the subcom
mittee went in Israel, from
Beersheba in the Negev Desert to
the Arab Village of Bake el Ghar-
biya, near Hadera, they were im
pressed with the amount and quali
ty of medical care which was
available to all."
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