Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-06T09:03:30.125Z Has data issue: false hasContentIssue false

Joe Public v. The General Public: The Role of the Courts in Israeli Health Care Policy

Published online by Cambridge University Press:  01 January 2021

Extract

One man’s ceiling is another man’s floor

Paul Simon

The words of Paul Simon capture the essence of what the courts are called upon to deal with when adjudicating matters of health. Wealthier and healthier neighbors living in the upstairs apartment are, all things being equal, not overly interested in raising the floor of their apartment in order to create more space for those in the apartment below. The floor is tangible, measurable and movable, and thus a subject where science can contribute much. However, where to locate the floor is a matter of values and thus largely in the realm of politics.

Resorting to the courts in matters of public policy can be seen as the residual of the inability of the remaining two branches of government, the legislature and the executive, to succeed in allocating resources and regulating the system. When the combination of science (bureaucracy) and politics (legislation) falters, enter the judiciary.

Type
Article
Copyright
Copyright © American Society of Law, Medicine and Ethics 2005

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Flood, C. M., “Accountability of Health Service Providers: Comparing Internal Markets and Managed Competition Reform Models,” Dalhousie Law Journal 20 (1997): 470531, at 474.Google Scholar
Coulter, A. and Ham, C. eds., The Global Challenge of Healthcare Rationing (Philadelphia: Open University Press, 2001); Chinitz, D., “The Basic Basket of Services: Technocracy vs. Democracy Revisited,” Social Security 54 (1999); Klein, R., “A Middle Way for Rationing Healthcare Resources,” British Medical Journal 330 (2005): 1341-2.Google Scholar
Lowenstein, R., “The Quality Cure?” New York Times Magazine, March 13, 2005.Google Scholar
Bloche, M. G. and Jacobsen, P. D., “The Supreme Court and Bedside Rationing,” JAMA 284 (2000): 27762779.CrossRefGoogle Scholar
Klein, R. and Williams, A., “Setting Priorities, What is Holding us Back, Inadequate Information or Inadequate Institutions,” in Coulter, A and Ham, C., eds., supra note 2; Chinitz, D. P., “The Basic Basket of Services,” Social Security 54 (1999): at 52 (Hebrew); Chinitz, D. and Israeli, A., “The Uninsured and the Rationing of Health Care,” in Loewy, E. E. H. eds., Changing Health Care Systems from Ethical, Economic and Cross Cultural Perspectives (New York Springer, 2001); Chinitz, D., “Measuring Public Priorities for Healthcare Coverage,” Final Research Report submitted to the Israeli National Institute for Health Policy Research (2004); Evans, R. G., “Fellow Travelers on a Contested Path: Power, Purpose and the Evolution of European Health Care Systems,” Journal of Health Politics, Policy and Law (2005): 277-294, at 290.Google Scholar
Indeed, some observers quip that each Israeli physician can be sued by exactly one Israeli lawyer.Google Scholar
Chinitz, D., “Israel's Health Policy Breakthrough: The Politics of Reform and the Reform of Politics,” Journal of Health Politics, Policy and Law 20 (1995): 909–36; Shalev, C. and Chinitz, D., “In Search of Equity and Efficiency: Health Care Reform and Managed Competition in Israel,” Dalhousie Law Journal 20 (1997): 553-570; Gross, R. and Harrison, M., “Implementing Health Reform in Israel: Organizational Response to Perceived Incentives,” Journal of Health Politics, Policy and Law 28 (2003): 659-692; Shalev, C., Health, Justice and Human Rights (Hebrew) (Tel Aviv: Ramot University of Tel Aviv Publications, 2003).Google Scholar
Shalev, C., “The Ombudsman in Israel,” in Mackenney, S., Fallberg, L., eds, Protecting Patients' Rights? A Comparative Study of the Ombudsman in Health Care (Abingdon: Radcliffe Publishing, 2003).Google Scholar
AA 53/03 Keren Lasri v. Sherutei Briut Klalit (judgment of April 6, 2003, as yet unpublished).Google Scholar
HCJ Meuchedet Health Fund v. Minister of Finance (judgment of September 9, 2003, as yet unpublished).Google Scholar
HCJ 2725/02 Clalit Health Services v. State of Israel (judgment of September 8, 2004, as yet unpublished).Google Scholar
HCJ 2344/98 Maccabi Health Services v. Minister of Finance 54 (5) P.D. 729.Google Scholar
DBA 5–7/97 Yirma Medzini v. Clalit Health Fund, 33 PDA 193.Google Scholar
DBA 7–4/97 Clalit Health Fund v. Lilly Carmel Takdin 98 (3) 314; HC 4819/03 Lilly Carmel v. National Labor Court (unpublished decision of May 30, 2003).Google Scholar
Chinitz, D., Galai, N., Shalev, C., Israeli, A., “Israel's Basic Basket of Services: The Importance of Being Explicitly Implicit,” British Medical Journal 317 (1998): 10001007.Google Scholar
Chinitz, D., Israeli, A., “Health Reform and Rationing in Israel,” Health Affairs 16 (1997): 205210; Shalev, C. and Chinitz, D., “In Search of Equity and Efficiency,” supra note 7.CrossRefGoogle Scholar
Shalev, C. and Chinitz, D., supra note 16.Google Scholar
LA 1020/01 Maccabi Health Services v. Rima Baram and Ministry of Health (unpublished decision of July 18, 2003); LA 1507/02 Maccabi Health Services v. Ada Ben-Zvi (unpublished decision of June 30, 2003).Google Scholar
Shalev, C. and Guttman, N., “The Health Parliaments: Final Report to the Israel National Institute for Health Policy and Health Services Research,” on file with author.Google Scholar
Chinitz, D. and Israeli, A., “Measuring Public Attitudes towards Health Coverage: Final Report to the Israel National Institute for Health Policy Research,” supra note 5.Google Scholar
LA 1396/00 Clalit Health Services v. Yahel (unpublished decision of July 20, 2003).Google Scholar
AA 1091/00 Elad Shitrit v. Meuhedet Health Fund 35 PDA 5.Google Scholar
AA 1507/02 Maccabi Health Fund v. Ada Ben Zvi (judgment of June 30, 2003 as yet unpublished).Google Scholar
AA 1267/01 Clalit Health Fund v. Ayal Dekel 37 PDA 97.Google Scholar
AA 004565/04 Merva Binyamini v. Clalit Health Fund (Haifa Labor Court January 2, 2005).Google Scholar
Horev, T., The Health System as Reflected by Judiciary Disposition (Jerusalem: Taub Center for Social Policy Studies in Israel, 2005).Google Scholar
Calabresi, G. and Bobbit, P., Tragic Choices (New York: W. W. Norton and Co., 1978).Google Scholar
Elster, J., Local Justice: How Institutions Allocate Scarce Goods and Necessary Burdens (New York: Sage, 1992).Google Scholar
Coulter, A. and Ham, C., The Global Challenge of Health Care Rationing, supra note 2.Google Scholar
Evans, R. G., “Fellow Travelers,” supra note 5.Google Scholar
Chinitz, D., “The Basic Basket of Services,” supra note 5; Chinitz, D., “Health Technology Assessment in Four Countries,” International Journal of Technology Assessment in Health Care (2004): 5560, at 56.CrossRefGoogle Scholar
Evans, R. G., supra note 5.Google Scholar