Israeli Health Ministry Advances Major Reforms Amid Staffing Challenges and Aging Population
Dr. Safi Mandelblit, Deputy Director-General and Head of the Health Division at Israel's Ministry of Health, is concluding his five-year tenure during which he led significant systemic reforms. Mandelblit established a dedicated team nicknamed "the enabler" to drive cultural and operational changes, including launching the new Physician Assistant profession, shortening medical internships from 12 to 9 months, and improving disciplinary responses to doctors accused of sexual harassment. These reforms, some controversial, aimed to modernize the healthcare system and address deep-rooted issues.
Mandelblit emphasized that the Ministry's approach evolved post-COVID-19, describing the pandemic as a catalyst for "post-traumatic growth" that accelerated flexibility and innovation. He highlighted the introduction of Physician Assistants, trained through shorter programs and supervised by senior doctors, as a way to alleviate physician workload and improve patient care continuity. The internship reform, set to be reviewed again in 2027, also aims to streamline medical training and better integrate foreign-trained doctors.
A major achievement under Mandelblit’s leadership was overhauling the Ministry’s handling of sexual harassment allegations against doctors, instituting a judicial-like disciplinary process that allows for license suspension based on strong evidence even before criminal proceedings conclude. This approach received judicial backing, as seen in a 2025 court ruling upholding the suspension of a gynecologist accused of sexual offenses.
Addressing workforce challenges, Mandelblit noted that while there is no mass exodus of doctors, localized departures of a few physicians can critically impact certain specialties. The Ministry has increased medical student intake and is implementing a national plan to balance specialist training with healthcare system needs. He also discussed preparations for Israel’s aging population, including investments in community care, hospital care to maintain elderly patients’ functionality, and reforms in long-term care standards.
Regarding emergency preparedness, Mandelblit stressed that a strong healthcare system in routine times is essential for crisis response. Following recent conflicts, the Ministry enhanced hospital fortifications and developed rapid deployment teams. However, he acknowledged gaps remain, especially in post-acute care facilities. Mandelblit plans to return to a senior hospital management role after a cooling-off period, leaving behind a legacy of deep reforms aimed at long-term system resilience and quality improvement.
