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17 Tammuz 5763 - July 17, 2003 | Mordecai Plaut, director Published Weekly
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NEWS
Domestic Crisis Deepens: Hospitals Run Out of Money, Protesters Converge on Jerusalem
by M Plaut and Yated Ne'eman Staff

Finance Minister Binyamin Netanyahu canceled a trip abroad that was supposed to start Wednesday and continue until early next week in order to deal with growing domestic troubles as government hospitals cut services and protesters hurt by the cutbacks converged on Jerusalem.

The Health Ministry on Monday announced a new round of canceled services in government hospitals. Rebecca Sieff Hospital in Tsefat is canceling its resuscitation services due to a lack of adrenalin. The hospital only has a two-week supply of dialysis equipment for kidney failure patients.

Bnai Zion Hospital in Haifa will have to transfer dialysis patients to other hospitals, postpone expensive elective surgery, and stop ambulatory cardiac catheterizations.

Abarbanel Psychiatric Hospital in Bat Yam will not be able to give patients expensive medications for internal medicine disorders. The number of guards has been reduced at another psychiatric hospital.

At Rambam Hospital in Haifa the supply of cancer drugs is running out and hernia operations have been halted. Back operations at Nahariya Government Hospital are being canceled as of Tuesday due to lack of equipment.

Nearly a dozen hospitals have cut key services since the beginning of the week.

Government-operated hospital deficits are estimated at NIS 400 million, and the deficits of the Clalit health maintenance organization are estimated to be NIS 340 million. The deficits of the entire health system including the four HMOs are estimated at NIS 2 billion.

The Health Ministry has demanded that the Treasury cover the hospitals' deficits. The Treasury has responded by arguing that the deficits are due to mismanagement and has demanded a series of measures to increase efficiency and structural changes, including reducing the doctors' wages in research foundations, and closing redundant medical departments.

Health Ministry Director-General Boaz Lev said not a single public hospital in Israel has a balanced budget.

Treasury Budget Director Ori Yogev accused the hospital directors of "cynical use of human lives to demand additional funds from the Treasury." His charge that the hospitals have been inefficiently run was denied by the Health Ministry.

Last week single mother Vikki Knafo marched 200 kilometers from Mitzpe Ramon to Jerusalem to draw attention to her plight. She camped out opposite the Knesset and has since been joined by some 50 other women. Press reports said that others are on the way, including some men heading single parent families, from all over Israel.

A 10-point program for single parents was announced Monday by a joint ministerial working group. In announcing the plan, Netanyahu said that the working group began work on the plan before Knafo's 200-km. march from Mitzpe Ramon to Jerusalem. But he admitted that the demonstrations and extensive media coverage, which whipped life into opposition to the austerity plan, sharpened the focus on the issues.

The program begins in August and will last one year. It is designed to encourage single-parent family heads, both men and women, to work at least 12 hours a week. In exchange, they will be eligible for a long list of benefits. This would halt the gradual rise in single-parent insured income recipients, which has grown from slightly under 10,000 in 1990 to almost 54,000 last year.

Points of the plan include: Subsidized day care so single parents can work longer hours; Subsidized transportation from remote areas (farther than 30 km.) to city centers, where jobs are easier to find; Grants of up to NIS 9,000 for those who manage to stay employed for a year; Various programs to provide employment for those with limited skills such as assistants in special education; A NIS 1,000 monthly grant to employers for each new single parent receiving insured income; Aid in establishing small businesses, such as at-home child care.

Netanyahu stressed that the government is taking a new approach that encourages work and self help. He said that returning to the previous system is out of the question. "The previous situation caused terrible distortions, created dependency on the state, and perpetuated a welfare culture for coming generations," he said.

 

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