To the Editor.
—I read with great interest Dr Richard Anderson's1 reply to Julian Morris2 in the March 1986 issue of the Archives. As an American ophthalmologist practicing in Israel within a socialized health care system, I can attest to the verity of Dr Anderson's comments regarding the negative impact of government regulation on medicine.Israel's health care is prepaid, without limit or direct charges. The largest provider of health care service in Israel is the country's biggest labor union, the General Federation of Labor or Histadrut (servicing about 80% of the population). Through its "sick fund," or Kupat Holim Clalit, it is far and away the giant of the nation's health industry, operating over 1200 clinics and 14 hospitals and employing almost 5000 physicians. The other big provider is the Ministry of Health, which derives its legacy from the British Health Administration. Together they constitute what is
Buckman G. The Negative Impact of Government Regulation on Medicine. Arch Ophthalmol. 1986;104(9):1273–1274. doi:10.1001/archopht.1986.01050210027007
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