Government significantly increased inputs to the health sector: salary and number of employees

The report of the Wage Commissioner relating to the health system in 2020 reflects well not only the main health development of that year - the corona plague - but sheds light on the structural problems of the most complex system in the public sector. The clear conclusion from 2020 is that the Israeli government has significantly increased Not only the number of employees in the system but also their salaries. In other words, the government has significantly increased inputs to health. The corona has only increased the jump, as the trend is clear when looking at the system over a period (24%) is significantly higher than the increase in population (natural increase) which stood at 19% in those years. By 2019, the rate was less than 25%).
In the HMOs, too, the number of jobs will increase faster than the rate of population growth in the years 2020-2015 (the Ministry of Finance examined a different reference period here): 18% compared with 11% of the population increase.
The health system first received a separate report when in previous years it was part of the overall report on the public sector. According to the report, in the community system (HMOs) the average wage of each of the wage groups was higher than the average wage in the Corona Arab economy (in 2020 there was an abnormal jump due to the departure of low-wage earners from the labor force) when the average salary in the health MMO's was more than NIS 20,000 a month, compared with a little over NIS 10,000 on average in the economy. Those who saw the highest rate of wage jump in the past year were the lab workers who won a renewed employment agreement amid rising demand for corona tests.

The health care system has grown and been rewarded and it has soared especially during the corona. The problem, and the main argument against the government and the Ministries of Finance and Health is whether it has grown enough according to needs, population growth and rising health care inputs (this may be why the Treasury prefers not to include comparisons with OECD countries that invest much more in health, including the public system). , And whether it grew up in the right places.There's the debate, and the report turns the spotlight on some of these questions.
A major issue that exploded this year was the interns' protest that grabbed the headlines and led to the formulation of an outline for shortening the shifts that turns out to be a very difficult move to implement. The report clearly shows, without underestimating the importance of protest, that the number of shifts of interns in Israel has decreased throughout the country and in all types of hospitals continuously and continuously since 2012 on average one shift per month on average. Peripheral shifts: A peripheral intern performs an average of 5.6 shifts per month compared to 4.8 shifts per month for a center intern (a partial periphery is located in the middle with 5.1 shifts per month).
According to the report, the salaries of interns in the periphery are 26% higher than the salaries of interns in the center (a gap of NIS 6,000 gross per month). And also at Valley Hospital.Without central planning of specialties, it is difficult to impossible to advance an outline of shortening shifts in this format.