Academic Journal

How do the incomes of Israeli Arab physicians compare with those of Israeli Jewish physicians?

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: How do the incomes of Israeli Arab physicians compare with those of Israeli Jewish physicians?
Συγγραφείς: Rosen B; Myers-JDC-Brookdale Institute, Jerusalem, Israel. bruce@jdc.org.; The Hebrew University, Jerusalem, Israel. bruce@jdc.org., Miaari S; Tel Aviv University, Tel Aviv, Israel.; Yale University, New Haven, Connecticut, USA.
Πηγή: Israel journal of health policy research [Isr J Health Policy Res] 2026 Jun 24; Vol. 15 (1). Date of Electronic Publication: 2026 Jun 24.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: BioMed Central Country of Publication: England NLM ID: 101584158 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-4015 (Electronic) Linking ISSN: 20454015 NLM ISO Abbreviation: Isr J Health Policy Res Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central
Ιατρικοί όροι (MeSH): Arabs*/statistics & numerical data , Physicians*/economics , Physicians*/statistics & numerical data , Jews*/statistics & numerical data , Income*/statistics & numerical data, Israel ; Humans ; Male ; Adult ; Female ; Middle Aged ; Middle Eastern People
Περίληψη: Background: In 2023 Israeli Arabs (i.e., Arab Palestinian citizens of Israel) constituted 22% of Israel's working-age population. In that same year, Israeli Arabs constituted 25% of Israel's employed physicians of working age - up significantly from 8% in 2010. The objectives of this study were to: 1) assess whether, and to what extent, there is an Arab-Jewish income differential among Israeli physicians; 2) assess the extent to which any such differential can be attributed to Arab-Jewish differences in the demographic, geographic, and/or work-related characteristics of the medical workforce; and 3) explore the policy implications of the key findings.
Methods: The analysis utilized the Central Bureau of Statistics' 2022 Population and Housing Census, which included data on 7,089 physicians, of whom 1,333 were Arab and 5,756 were Jewish or other (hereafter "Jewish"). The main income variable examined was "Total annual gross income from work".
Results: In 2022, the average annual physician income for Arab physicians was 26% less than for Jewish physicians (NIS 358 thousand vs. NIS 483 thousand). Arab physicians were more likely to be under age 40 (71% v. 28%), male (77% v. 52%), residents of the North region (48% v. 7%), in non-supervisory roles (87% v. 75%), and generalists or family practitioners (33% v. 22%). Controlling for age and sex, via regression analysis, reduced the income differential to 1%. This major reduction was due to Arab physicians being markedly younger than Jewish physicians. Further controlling for regional distribution and work characteristics (managerial status, specialty status/type, and months worked) did not change the ethnicity differential, but did markedly reduce the coefficients of the age variables.
Conclusions: The 2022 Arab-Jewish income differential among physicians was due predominantly to differences in age composition. The differential could potentially shrink in the decades ahead, as more Arab physicians reach the ages at which physician incomes are at their highest. However, as part of the effect of age on income is mediated by work characteristics, the extent to which the wage gap will shrink will depend in part on the extent to which Arab physicians will secure prestigious residency training slots and managerial positions. Health system leaders can play an important role in promoting such developments. In particular, steps should be taken to increase the representativeness of Arabs in Israeli medical schools.
(© 2026. The Author(s).)
Competing Interests: Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
References: Longhi S. Racial wage differentials in developed countries. IZA World of Labor. 2020. https://doi.org/10.15185/izawol.365.v2 . (PMID: 10.15185/izawol.365.v2)
Gould E, Wilson V. Black workers face two of the most lethal preexisting conditions for coronavirus—racism and economic inequality. 2020.
Zwysen W, Longhi S. Employment and earning differences in the early career of ethnic minority British graduates: the importance of university career, parental background and area characteristics. Journal of Ethnic and Migration Studies. 2018;44(1):154–72. (PMID: 10.1080/1369183X.2017.1338559)
Roy B. Gender pay gaps in medicine: moving from explanations to action. J Gen Intern Med. 2018;33:1413–4. (PMID: 10.1007/s11606-018-4579-3300224146108994)
Khattab N, Miaari S. The occupational mismatch amongst Palestinians and Jews in Israel: a new evidence from the LFS 2000–2010. Res Soc Stratif Mobil. 2013;34:1–13. https://doi.org/10.1016/j.rssm.2013.07.002 . (PMID: 10.1016/j.rssm.2013.07.002)
Miaari S, Zussman A, Zussman N. Ethnic conflict and job separations. Journal of Population Economics. 2012;25:419–37. (PMID: 10.1007/s00148-011-0383-7)
Bar-Haim E. Stagnation and de-segregation: the expansion of Palestinian Arabs education in Israel. High Educ Policy. 2025;(38): 148-164 . https://doi.org/10.1057/s41307-023-00336-x.
Council of Higher Education. Making Higher Education Accessible to Arab Society. Council of Higher Education [Internet]. Available from: http://bit.ly/4lVFbUi.
Khattab N. Segregation, ethnic labour market and the occupational expectations of Palestinian students in Israel. Br J Sociol. 2003;54(2):259–85. (PMID: 10.1080/000713103200008023012945870)
Ly DP, Seabury SA, Jena AB. Differences in incomes of physicians in the United States by race and sex: observational study. BMJ. 2016;353:i2923 . https://doi.org/10.1136/bmj.i2923. (PMID: 10.1136/bmj.i2923272684904897176)
Milner A, Baker E, Jeraj S, Butt J. Race-ethnic and gender differences in representation within the English National Health Service: a quantitative analysis. BMJ Open. 2020;10(2):e034258. (PMID: 10.1136/bmjopen-2019-034258320601587044822)
Woodhams C, Williams M, Dacre J, Parnerkar I, Sharma M. Retrospective observational study of ethnicity-gender pay gaps among hospital and community health service doctors in England. BMJ Open. 2021;11(12):e051043. (PMID: 10.1136/bmjopen-2021-051043349377158704980)
Rosen B, Miaari S. The Representation of Israeli Arabs in the Health Professions. Isr J Health Policy Res. 2025;14(7).
Oster E. Unobservable selection and coefficient stability: theory and evidence. Journal of Business & Economic Statistics. 2019;37(2):187–204. (PMID: 10.1080/07350015.2016.1227711)
Burger A, Ben Meir E, Maoz Breuer E. Delays in the start of residency for physicians after receipt of an Israeli medical license. Myers-JDC-Brookdale Institute. 2024.
Ly DP. Historical trends in the representativeness and incomes of Black physicians, 1900–2018. J Gen Intern Med. 1900;37(5):1310–2. (PMID: 10.1007/s11606-021-06745-1)
Salsberg E, Richwine C, Westergaard S, Martinez MP, Oyeyemi T, Vichare A, et al. Estimation and comparison of current and future racial/ethnic representation in the US health care workforce. JAMA Netw Open. 2021;4(3):e213789. (PMID: 10.1001/jamanetworkopen.2021.3789337879108013814)
Appleby J. Ethnic pay gap among NHS doctors. BMJ. 2018;362:k3586. https://doi.org/10.1136/bmj.k3586. (PMID: 10.1136/bmj.k358629903713)
Entry Date(s): Date Created: 20260624 Date Completed: 20260624 Latest Revision: 20260726
Update Code: 20260726
PubMed Central ID: PMC13292322
DOI: 10.1186/s13584-026-00769-w
PMID: 42337635
Βάση Δεδομένων: MEDLINE