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The reform of the system of caring for the infirm. Details

According to the government decision, the implementation of the reform of the state system of insurance of caring for the infirm will be introduced in stages starting from 1 July of the current year. Knesset member Tali Ploskova («Kulan»), head of the Commission on elaboration of state programs of assistance to older people, published on Thursday, February 8, the details of one of the most important parts of the reform with the explanation. We are talking about changing the approach to determining the degree of dependence of an individual on assistance (the so-called «watch-care»). The total cost of the reform amounts to 1.8 billion shekels, the money will be allocated in stages.

«These are our parents, our grandparents, the most vulnerable people — said Tali Ploskova. And we must do everything possible to improve their system of care. The easing of conditions for obtaining «hours of care», the introduction of a cash equivalent and the increase in the number of hours will help to make sure that no elderly person in need of assistance, will not remain without attention».

The goal of the reform is to improve and optimize the system of care for the elderly in need of assistance. The reform provides for a substantial expansion, increasing the range of services, increasing the share of the financial participation of the state in parallel with the gradual removal of the load from the next of kin. One of the most important moments will be a choice between the provision of paid hours of nursing and obtaining the benefits in monetary terms.

The reform will change the mechanism of determining the amount of the childcare allowance, to give people that have fewer hours, the ability to obtain cost benefits with money, while those in more serious condition will be given additional hours for care. The reform provides for six degrees of dependence on outside help (compared to three now). In addition, the elderly, hiring of attendant care, is a citizen of Israel, will receive additional benefits.

The first stage of the reform will enter into force on 1 July 2018 and will be valid until 31 December 2018. It provides six degrees of dependence on outside help. First degree — the minimum, when determining which older people will receive additional assistance in the amount of 1,000 shekels a month, but he will not put the clock care. Second, the degree gives the right to the monetary equivalent of four hours of care per week plus service — six hours of care a week. Instead, you can choose 10 hours of assistance per week, abandoning the cash equivalent.

Third and forth degree of dependence on assistance involves a division by the number of benefits for those who use the services of the nurse were Israeli and those who chose the foreign worker (foreign worker). The person who hired the citizen (the citizen) of a foreign state, will receive the cash equivalent of four hours of care per week plus 8 hours per week, any return may waive the monetary equivalent benefits and get 12 hours of care a week. Whoever hired the citizen (the citizen) of Israel, will receive the cash equivalent of four hours of care per week plus 11 hours of paid caregivers, or may waive the monetary equivalent of benefits and to obtain 15 hours of paid work of nurses in a week.

Fourth, the degree provides for a monetary equivalent of 4 hours of care plus 12 hours of paid nurses-foreigner (or 16 hours of a nurse is a foreigner), or the monetary equivalent of 4 hours of care plus 15 hours of paid nurses were Israeli (or 19 hours of care nurses were Israeli).

The fifth degree of dependence on outside help provides the cash equivalent of 4 hours of care per week plus 14 hours of paid time nurses-foreigner (or 18 hours of a nurse is a foreigner in a week), or the monetary equivalent of 4 hours of care per week plus 18 hours of paid time nurses were Israeli (either by choice 22 hours per week care nurses were Israeli).

Sixth, the heavy dependence on external aid, provides for a monetary equivalent of 4 hours of care per week plus 16 hours of a nurse is a foreigner (or as the 20 hours of care nurses are from abroad), or the monetary equivalent of 4 hours of care per week plus 20 hours of care nurses were Israeli (or 24 hours per week of paid services of the nurse were Israeli).

The second stage of reforms will be introduced from 1 January 2019 to 31 December 2019, the budget envisages an increase in the number of paid hours nursing the last two categories of the elderly (category 5 and 6). The third phase will be from 1 January 2020 to 31 December 2020, it aims to increase the number of paid hours of care fourth, fifth and sixth categories of the elderly. The fourth stage of the reform will enter into force on 1 January 2021, it provides for the increase in the number of paid hours care, representatives of third, fourth, fifth, and sixth categories.

Currently still a debate about whether older people recognized in need of assistance (from the second category and below), defaults to obtain the cash equivalent of 4 hours per week plus the required hours of assistance with the possibility on request to give up the money for additional quantity of hours, or Vice versa.

In connection with the expansion of entitlement to assistance in the care and introduction of additional degrees number of recipients of benefits will grow significantly. By order of the government, list of beneficiaries should be ready by July 1, 2018.

The reform of the system of caring for the infirm. Details 08.02.2018

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