Ron A
Health Policy. 1986;6(1):87-101. doi: 10.1016/0168-8510(86)90020-5.
The health care systems of all countries have faced the problems of rising expenditures. In those countries with well developed social security health insurance financing, cost issues have been tackled without the threat of a major decrease in revenues. In Israel, revenues have declined dramatically in recent years. The major cause was the steep decrease in government participation, linked first to political and currently to economic factors. Since the level of government participation in the health insurance budget was not guaranteed by statute, the present system is confronted with a large and growing deficit, and by uncertainty to the point of threatening the viability of public health services in Israel. To understand the scope and issues in the sharing of financing between government, insurance contributions and the patient in other countries, this paper describes the situation in France, West Germany, Belgium, Luxembourg and the Netherlands as compared to Israel. In summary, the decline and instability in government support in Israel differentiates that country from the others and raises questions as to the recognition by government of the role of social security financed health care.
所有国家的医疗保健系统都面临着支出不断增加的问题。在社会保障医疗保险融资发达的国家，成本问题已得到解决，且没有收入大幅下降的威胁。在以色列，近年来收入大幅下降。主要原因是政府参与度急剧下降，这首先与政治因素有关，目前则与经济因素有关。由于政府对医疗保险预算的参与程度没有法律保障，现行制度面临着巨大且不断扩大的赤字，以及不确定性，甚至威胁到以色列公共卫生服务的生存能力。为了解其他国家在政府、保险缴款和患者之间融资分担的范围和问题，本文将法国、西德、比利时、卢森堡和荷兰的情况与以色列进行了对比。总之，以色列政府支持的下降和不稳定使其与其他国家有所不同，并引发了关于政府对社会保障资助的医疗保健作用的认识问题。
