Circles of Exclusion: The Politics of Health Care in Israel

Dr. Dani Filc delves into Israel\u27s health care system and provides numerous insights on how a private health care system undermines the principle of caring for the poor. Dr. Filc stresses that blind commitment to a for-profit health care system leads to wasted money and increased social inequity

Reconstructing data : evidence-Based Medicine and Evidence-Based Public Health in context

The emergence of Evidence-Based Medicine (EBM) as the gold-standard practice in biomedicine and public health practices represents a significant epistemological turn in modern medicine. The development of Evidence-Based Public Health (EBPH) followed the emergence of Evidence-Based Medicine, as an attempt to ground health policies and interventions on «sound facts». The present paper analyzes the historical and sociological roots of this turn. We evaluate the ethical and social consequences of this transformation, both within the medical profession (the polarization between a medical elite which strengthened its professional status, and a rank and file which experienced a process of «de-professionalization») and in its relationship to the welfare state (the link between the medical elite, EBM, EBPH and the commodification of health care and public health)

Is socioeconomic status associated with utilization of health care services in a single-payer universal health care system?

OBJECTIVES: To assess an association of Socio-economic status with utilization of health care services between years 2002 and 2008 in Israel. METHODS: We retrospectively analyzed the utilization of health care services in a cohort of 100,000 members, 21 years and older, of a Clalit Health Services. The research compared utilization according to the neighborhood SES status; and clinic’s location as another SES proxy. Data included: Charlson Score morbidity factor, utilization of health care services (visits to primary physicians and specialists, purchase of pharmaceuticals, number of hospitalization days, visits to ED, utilization of laboratory tests and imaging). The analysis was performed using Generalized Linear Model (GLM) technique. RESULTS: People with lower SES visited more the ED and primary physicians and were hospitalized for longer periods. People with higher SES visited more specialists, bought more prescription drugs and used more medical imaging. The associations between SES and most of the services we analyzed did not change between 2002 and 2008. However, the gap between lower and higher SES levels in ED visits and the use of prescription drugs slightly increased over time, while the gap in visits to specialists decreased. CONCLUSIONS: The research shows that even in a universal health care system SES is associated with utilization of health care services. In order to improve equity in utilization of services the Israeli public health should reduce economic barriers and in parallel invest in making information accessible to improve “navigation skills” for all

Populism, religion and family values policies in Israel, Italy and Turkey

There is a growing focus in political science on right-wing populist parties. But few comparative studies address their discourses and politics relating to family values, especially when involved with policy-making. Moreover, many comparative works about populism focus on a single region – often Western and Eastern Europe. This paper adopts a definition of populism with two different dimensions: the vertical (inclusive), which regards elites, and the horizontal (exclusive), which addresses ‘foreigners’. The use of family values in political discourse and policy pertains to the two axes of populism. On the one hand are elites who are accused of being uncommitted to traditional values and morally corrupt. On the other hand are demographic concerns regarding declining birth rates among native populations and immigrants with large families. The stress on family values can also originate from a value orientation – or merely a tactical move – engendered by political competition. This paper specifically examines the politics of family values in the context of policies concerning gender equality, family planning and LGBT rights in three countries: Israel, Italy and Turkey. These countries share a rather strong religious tradition, experienced changes in family orientations and have populist political parties that appeal to religious values. In our comparative study, we explore these developments and the role of family values in the discourses and policies of the Likud and Shas parties in Israel, the Lega and Fratelli d’Italia parties in Italy and the AKP in Turkey

Economic crisis and the variety of populist response: Evidence from Greece, Portugal, and Spain

Greece, Portugal and Spain are among the countries worst hit by the 2008 Great Recession, followed by significant electoral and political turmoil. However, one of the dimensions in which they differ is the presence and varieties of populism in parties’ political proposals. Drawing on holistic coding of party manifestos, we assess the varying presence of populist rhetoric in mainstream and challenger parties before and after the 2008 economic downturn. Our empirical findings show that populism is much higher in Greece compared to Spain and Portugal. We do not find a significant impact of the crisis as the degree of populism remains rather stable in Greece and Portugal, while it increases in Spain, mainly due to the rise of new populist forces. The study confirms that populist rhetoric is a strategy adopted mainly by challenger and ideologically radical parties. In addition, inclusionary populism is the predominant flavour of populist parties in new Southern Europe, although exclusionary populism is present to a lesser extent in the Greek case. We contend that the interaction between the national context – namely the ideological legacy of parties and the main dimensions of competition – and the strategic options of party leadership is crucial for explaining cross-country variation in the intensity of populism and the specific issues that characterise populist discourse