Suny Press
Policy Making at the Margins of Government
About this book
Traces the almost century-long struggle between Israel's largest healthcare provider, Kupat Holim, and successive Israeli governments.
Who makes public policy in vital services that are paid for by the government but provided by autonomous non-governmental agencies? This book explores this question through the prism of Israel's unique not-for-profit health system, drawing heavily on unpublished archival sources and interviews with key players. Starting with the system's roots in Israel's pre-state period, it traces the almost century-long struggle between the country's largest healthcare provider, Kupat Holim, and successive Israeli governments for control of the tools of policy making: allocation, regulation, and restructuring. It analyzes how Kupat Holim acquired and exercised a veto over healthcare policy, and then, how, under the pressure of changing social developments and party politics, its veto was eroded and finally lost in the health reform of the 1990s. Entering the current debates on health reform and government by proxy, the author questions whether the reform actually improved healthcare, as promised, or allowed the government to renege on its responsibilities.
Author / Editor information
Reviews
"A detailed and comprehensive history of the development, institutionalization, and reform of the Israeli healthcare system." — Leslie C. Eliason, Monterey Institute of International Studies
Topics
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Front Matter
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Contents
vii -
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Tables
ix -
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Preface
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Policy Making from the Margin
1 - The Informal Preventive Veto
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Kupat Holim in Prestate Days: 1911–1947
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The Formative Stage: 1947–1949
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Health as a Political Resource: The First Two Decades of Statehood
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The Informal Preventive Veto
57 - The Formal Preventive Veto
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Accommodation Under Labor: Vision of Supervised Autonomy
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Expropriation of the Allocation Process
68 -
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Regulating Through Parity in Joint Regulatory Bodies and Through Informal Agreements
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Restructuring the Health System
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The Formal Preventive Veto
97 - The Obstructive Veto
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Exclusion Under the Likud: 1977–1984
103 -
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Government Allocation as a Means of Control
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Regulation as a Means of Control
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Restructuring: National Health Insurance to Establish Government Authority
162 -
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The Obstructive Veto
179 - The Erosion of the Veto
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Erosion of the Veto
189 -
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Stateness in Health
207 -
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Appendix
221 -
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Notes
223 -
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Bibliography
235 -
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Index
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