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Policy making at the margins of government the case of the israeli health system s u n y series in israeli studies zalmanovitch yair on amazoncom free shipping on qualifying offers policy making at the margins of government the case of the israeli health system s u n y series in israeli studies. The israeli health system has a complex picture of health inequality inequalities in health outcomes and access to health services have persisted in israel israelis that are not jews from poor socio economic groups and those living in the north and south periphery regions experience worse health and have high risk factors jews men. Israel reformed its health care system in 1995 in contrast to many other developed nations it has since experienced relatively low rates of growth in health spending even as health outcomes have. N ineteen years after enacting a universal coverage law israel continues to grapple with the triangular constraints of cost access and quality that define the limits of any national health care system according to david chintz speaking at a health policy seminar at the university of pennsylvanias leonard davis institute of health economics ldi the hebrew university professor of health . Overall the israeli health care system is quite efficient health status levels are comparable to those of other developed countries even though israel spends a relatively low proportion of its gross domestic product on health care less than 8 and nearly 40 of that is privately financed