It was just a few months ago that officials from Israel blamed themselves for allowing private care in to mess up their system and well from the looks of what is happening in the last few months here in the US, we may be headed down some of the same paths here.  With the new contract after the series of doctor strikes that took place, new rules require punching a time clock and many were not following the rules.  I’m sure MDs reading this post here in the US sure hope it doesn’t come to this as the reimbursement wagon right now is bad enough. 

Officials In Israel Blame Themselves for Allowing Private Care and the Selling Supplementary Insurance For Degrading Their Public Healthcare System

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The country has 4 HMOs and all are required to join one of the four and there’s always the option to pay for private care.  Some of the same doctors working in the government facilities have referred patients to their private practice or those of other doctors.  The government pays $59% of the cost for the citizens, the lowest compensation percentage for a country with socialized medicine.  If you read further, the doctors are threatened with losing 20% of their pay checks. 

On Monday, the Tel Aviv Labor Court ordered all doctors working in Clalit-owned hospitals to punch a time clock, as required by the collective agreement signed last summer.

The order was issued at the request of the Clalit health maintenance organization, because hundreds of doctors employed at the hospitals it owns have refused to punch a time clock since the beginning of February, when the new rule took effect.

A new medical union called Arbel, which seeks to supplant the IMA, on Monday urged its members to hold protest meetings at all Clalit hospitals in response to the HMO's decision to deduct 20 percent from the February paychecks of doctors who refused to punch a clock.

The decision means hundreds of doctors would get a reduced paycheck, including 80 percent of those at Schneider, 70 percent of those at Beilinson and 60 percent of those at Meir and Hasharon.

http://www.haaretz.com/news/national/israel-labor-court-orders-doctors-to-punch-time-clocks-1.416726

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