Cover

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pp. 1-2

Title Page, Copyright

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pp. 3-8

Contents

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pp. vii-10

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Foreword

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pp. ix-xii

As I sat down to read Dani Filc’s Circles of Exclusion, I expected to learn a great deal about the Israeli health care system. What I did not expect was to find that this tiny country enmeshed in a seemingly intractable conflict in the Middle East would have so many lessons for the world’s most powerful nation—the United States. Several pages into this courageous book, ...

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Acknowledgments

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pp. xiii-18

In writing this book I am indebted to many people. My colleagues and friends at Physicians for Human Rights-Israel have been, and still are, an inspiration. In their ceaseless struggle against violations to the right to health they have formed a community to which I am proud to belong. I am grateful to those teachers and colleagues at the university who ...

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Introduction Four Stories of Exclusion

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pp. 1-15

My patient was as perplexed as she was outraged. “You can’t do it? What do you mean, you can’t do it?” she asked angrily. “I’ve been going there for years and years for my heart checkup! And now you’re telling me I have to start all over again at a new office, with a new doctor? No way!” Ms. Levana Malka,1 a sixty-year-old retired assistant kindergarten ...

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1 The Israeli Health Care System

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pp. 16-42

A group of old men meet everyday in the waiting room of one of the Israeli sick funds. Day after day, they gossip, talk politics, argue, and joke. One day they all realize that they haven’t seen Moshe, one of the regulars. Astonished and worried, Yaakov asks Pesah, “What happened to Moshe? Why didn’t he come today?” “Well,” Pesah, replies...

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2 The “Neoliberalization” of the Israeli Health Care System

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pp. 43-74

We arrived at the meeting with the new regional director of Kupat Holim Clalit’s (KHC) Tel Aviv area with apprehension. He had summoned the directors of all KHC clinics to a meeting to explain his program, and we did not know what to expect. In 1993 KHC was going through a severe crisis. There had been a major reorganization of the sick fund. Many young ...

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3The Health of Israeli Palestiniansand Bedouins

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pp. 75-99

Summer in the Negev: heat, dust. El Sara is one of the Negev Bedouin’s unrecognized villages—the home of a few thousand Bedouins. It was not easy to get here since there are no paved roads, nor road signs. It is difficult to walk through the village, which consists of a group of ramshackle houses, because the unrelenting Negev sun makes every movement a tor-...

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4 Migrant Workers

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pp. 100-128

...“Should we allow a baby with a fever to come to the day care center?” a Colombian woman—one of fourteen immigrants in the room—asked me in Spanish. I wasn’t sure how to answer her. From a purely “medical” perspective, if our goal was to avoid spreading disease and preventing the baby from becoming sicker herself, of course we should insist that the baby stay ...

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5 The Occupation as the Ultimate Violation of the Right to Health

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pp. 129-152

Ibrahim is a 28-year-old who’s been suffering from chronic hepatitis for over two years. He contracted the disease in 2005, and by 2007 his condition had worsened. To treat a patient with this condition, doctors have to administer drugs such as interferon. Had he been an Israeli, whose name was Ilan Amitai, living say in Tel Aviv, he would have gotten those drugs. ...

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Conclusion

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pp. 153-162

In the National Health Insurance (NHI) law passed in 1994, the Is-raeli government formally based its health care system on the values of justice, equality, and mutual help. The third article of the law definitively stated that every resident is entitled to health care services and that access to health treatment will depend on medical considerations and will be of ...

Notes

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pp. 163-170

Bibliography

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pp. 171-178

Index

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pp. 179-191