Resisting Reform A Policy Analysis of the

Many commissions have been formed to recommend changes in the health care system, and many reports and recommendations have been issued, but with little impact. This study seeks to understand the sources of this resistance to change and recommends measures based on this analysis. Contents: The Structure of Medical Care in Israel; The Ministry of Health; The KHC and the Histadrut; Structural Causes of the Crisis in the KHC; The History of Reform Efforts in the KHC; Reducing Surgical Queues; A Case Study; Alternatives to Public Medicine: The Private Sector; Conclusions and Recommendations. Co-published with the Jerusalem Center for Public Affairs.

Foreword
Preface
Introduction	p. 1
The Structure of Medical Care in Israel	p. 7
The Ministry of Health	p. 45
The KHC and the Histadrut	p. 65
Structural Causes of the Crisis in the KHC	p. 81
The KHC and the Government	p. 111
Complexity and Centralization in the KHC	p. 125
The History of Reform Efforts in the KHC	p. 137
Reducing Surgical Queues: A Case Study	p. 177
Alternatives to Public Medicine: The Private Sector	p. 185
Recommendations and Conclusions	p. 207
Appendix 1 - The Role of the Physicians in the Reform Process	p. 231
Appendix 2 - List of Interviewees	p. 233
Bibliography	p. 235
Index	p. 241
About the Authors	p. 246
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Resisting Reform A Policy Analysis of the Israeli Health Care System

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