Challenges Ahead for Israel’s Healthcare System After War, Report Finds

A recent study by the Taub Center for Social Policy Studies highlights the immense strain Israel's healthcare system is experiencing in the aftermath of the ongoing conflict that began on October 7, 2023. While the system has shown remarkable resilience and the ability to meet the country’s urgent needs during the war, the report warns that significant challenges lie ahead.

Led by Prof. Nadav Davidovitch, head of Ben-Gurion University’s School of Public Health, and Natan Lev from the Taub Center, the study reveals that Israel’s healthcare system was already under pressure before the war, with limited resources and a shortage of medical personnel. The war’s aftermath has intensified these issues, especially in the mental health and rehabilitation sectors, which had been neglected for years.

Rising Mental Health Needs

As of October 2024, over 70,000 individuals were recognized as victims of hostile acts, with many suffering from severe psychological trauma. In response to this, Israel has seen a surge in demand for mental health services, with a notable increase in the use of antidepressants, anti-anxiety medications, and sleep aids among those affected by the conflict. This has put considerable strain on the healthcare system, which already faced budget cuts and staff shortages.

Approximately 13,000 individuals have filed for permanent disability benefits, most of them due to psychological issues. The report estimates that Israel spent more than $100 million on disability payments, over $68 million on rehabilitation, and $326 million on medical care in 2024 alone. These costs reflect the heavy toll the conflict has had on both individuals and the broader healthcare system.

Impact on Evacuees and Hostages’ Families

The war has also taken a physical and emotional toll on evacuees from conflict zones. Studies show that 30% of evacuated women reported poor physical health, while 60% experienced significant psychological harm. Among the relatives of hostages, 80% reported a decline in their health, with notable increases in weight loss and reliance on medication.

Despite the dedication and commitment of healthcare professionals, the report highlights the growing challenges facing Israel's medical workforce. The number of active physicians and nurses remains below the OECD average, and the shortage of healthcare workers is expected to worsen by 2035. In particular, healthcare professionals are reporting secondary trauma from the stresses of the war, which further impacts their ability to provide care.

Vaccination Decline and Infectious Disease Risk

Another concerning finding is the decline in vaccination rates, which has been exacerbated by the war. The outbreak of polio in the Gaza Strip, linked to poor hygiene conditions and reduced vaccine access, is a significant public health concern. This poses a risk not only to Gaza residents but also to Israelis, requiring stronger regional cooperation for vaccination and monitoring.

Mixed Outlook for Israel’s Healthcare System

Despite these challenges, the report provides a mixed picture of Israel's healthcare system. While there have been signs of resilience, the system’s long-term sustainability is at risk without significant investment and reform. Health Minister Uriel Buso has introduced plans to upgrade the mental health system and double its budget, but continued action is crucial.

Davidovitch draws a comparison to an overworked horse in a folk tale, emphasizing that Israel's healthcare system has been stretched thin for too long. “It’s promising that the Health Ministry is investing in healthcare, but it’s not enough,” he said.

In conclusion, while Israel’s healthcare workers and system have shown remarkable adaptability, the future demands substantial reform and investment to ensure it can meet the needs of the population in the aftermath of this devastating conflict.