Shvarts S
Health Policy and Management Unit, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Isr J Med Sci. 1996 Mar-Apr;32(3-4):248-53; discussion 254-5.
This paper analyzes the significance of the confrontation between the Jewish Labor Federation and the Hadassah Medical Organization in 1926-1928 over the requirement that unemployed workers produce a "Poverty Certificate" as a condition for an exemption from hospitalization charges. This confrontation lasted 2 years and ended with the revocation of the Poverty Certificate and with the resignation of the director-general of Hadassah. The showdown between Hadassah and the Labor Federation resulted in the endorsement of a doctrine that health services should be provided irrespective of income. Medical care of the poor was considered to be a social right, rather than charity. An additional consequence of this event was the decision of the Labor Federation to institute its own hospitals, rather than to rely solely on Hadassah for the provision of inpatient services.
本文分析了1926年至1928年犹太劳工联合会与哈达萨医疗组织之间就失业工人需出示“贫困证明”作为免交住院费条件的要求所发生对峙的意义。这场对峙持续了两年，以贫困证明的撤销和哈达萨总干事的辞职而告终。哈达萨与劳工联合会之间的摊牌导致一项原则得到认可，即无论收入如何都应提供医疗服务。穷人的医疗保健被视为一项社会权利，而非慈善行为。这一事件的另一个后果是，劳工联合会决定设立自己的医院，而不是仅仅依靠哈达萨提供住院服务。
