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I NEWS

Health Care
Found Ailing

Jerusalem (JTA) — A state
commission which examined
Israel's health-care system
and found it ailing has pre-
sented Prime Minister Yit-
zhak Shamir with proposed
cures that could have pro-
found political repercus-
sions.
The panel, headed by
Judge Shoshana Netanyahu,

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108 FRIDAY, AUGUST 31, 1990

began its study two years
ago and offered its conclu-
sions this week. They in-
clude 'enactment of a nation-
al health law that would
decentralize existing health-
care agencies, particularly
Kupat Holim, the Histadrut-
affiliated giant with the
largest membership.
Histadrut, Israel's huge
trade union federation, is a
Labor Party stronghold.
But the cautious reception
the commission's proposal
got from Mr. Shamir and
Health Minister Ehud
Olmert did not necessarily
reflect reluctance by Likud
to tangle with Labor.
Rather, the Likud politi-
cians may have imagined
the public reaction to the
new system, which would
require it to pay for what it
now receives free or for a
small premium.
The commission proposed
replacing the Health Min-
istry with a National Health
Authority. It would separate
existing health-care agen-
cies into regional entities,
which would operate in-
dependently.
Hospitals would be put on
a profit-making basis and
the private sector would
become more involved in
health insurance for profit.
The idea, the commission
said, is to improve the in-
come of doctors and so end
the constant round of strikes
and work slowdowns which
have paralyzed health care
in Israel in recent years,
leading to the commission's
creation.
But the changes would re-
quire huge sums of money.
The state would have to im-
pose a health tax, similar to
the monthly National In-
surance levy.
The health-care agencies
would be authorized to
charge patients on a per-
visit basis, whereas . now
payment of a single
premium allows unlimited
visits.