Israeli health care is universal. Residents are required to participate in a comprehensive medical insurance plan on a compulsory basis. All citizens have a fundamental right to get basic services and professional medical assistance. As for Americans, they spend more money on health care than any other developed country. However, it does not mean that U.S. taxpayers are completely satisfied with the services that they get. Advanced medical technologies and a high price of care significantly increase the overall spending. The current paper seeks to provide an overview of Israeli and American healthcare systems, particularly nursing practices, and compare them.
Governmental financial resources and taxes directed towards the resolution of health-related issues serve as funds for the Israeli healthcare system. The latter has four healthcare plans that provide basic services to every person regardless of his/her status, age, and gender. The Ministry of Finance governs and controls this process. Moreover, competent authorities decide whether new services should be added to the basic basket or not. The Israeli National Health Insurance Law insures every citizen. The resident pays premiums to the National Insurance Institute every month. Four healthcare plans, namely Meuhedet, Maccabi, Leumit, and Clalit, are available to Israelis regardless of their health status, conditions, and age (Nefesh B’Nefesh, 2015). Services provided according to these laws are identical. The main issue is that they differ depending on the location. The basic services include discounts on prescribed drugs, hospitalization, diagnosis, and doctor visits. Thus, only such options as prescription and treatment are available. However, a person can obtain supplemental insurance and get a wide range of services, including dental ones (Nefesh B’Nefesh, 2015).
Healthcare costs in the USA significantly exceed Israeli expenses. However, in the recent years, spending growth has slowed down in the country. Although the U.S. does not have a publicly financed system, it continues to spend public money on services. Despite the fact that doctor visits and hospital admissions are relatively few, the use of expensive technologies is a burden to the entire system and citizens’ budget. As compared to Israel, U.S. officials spend less money on such social services as food safety, disability, housing, and employment programs (Rector, 2015). Despite a significant investment in the system, healthcare outcomes are still poor. Issues associated with life expectancy and chronic conditions prevail. The mortality rate from cancer is lower in the USA than overseas. However, most U.S. residents suffer from the ischemic heart disease.
Israeli medical centers employ qualified and skillful nurses, who can share rich experience in clinics and hospitals. These institutes are well-known for their professionalism, high quality of services, medical training, and clinical research. The number of proficient certified nurses in Israel is higher than in the USA. Most of them have advanced training in psychiatry, oncology, intensive care, and surgery. Administrative and clinical work receives significant benefits from this training and practice leading to the introduction of new treatment methods and medicines. The Israeli healthcare system desperately needs more nurses (Oren & Ben Natan, 2011). Such shortage, development of technologies, and innovation have forced the Israeli authorities to review initiatives, laws, and programs associated with health-related issues.
On the contrary, the U.S. advanced nursing practice has significantly evolved in the recent years. Such specialties as a clinical nurse specialist and nurse practitioner have been introduced. The main reason for this development is the ability to respond to patients’ social demands for quality and affordable care. In the USA, nurse practitioners closely collaborate with clinical and primary nurse specialists in acute and specialized care. These professionals do not only take care of hospitalized patients, but also work independently in various positions. Collaboration with other specialists is also highly valued.
To conclude, the Israeli and American healthcare systems function differently. Unlike American officials, the Israeli competent authorities have provided insurance coverage to all residents. The amount of money spent on social services in the USA is relatively low as compared to Israel. Services provided in the Middle Eastern country differ in locations. The U.S. government spends more money on health care than the Israeli one, but it does not mean that residents are fully satisfied with its quality.
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