The burden of out-of-pocket payments for health services and for private health insurance policies doubled over the last decade. The Adva Center works closely with Physicians for Human Rights and with the Association for Civil Rights in Israel, among other organizations, on the public health issue. The annual "Labor Report" monitors labor market developments in Israel, including employees' and employers' share of the national income, salary trends and fringe benefits in different sectors of the economy, high and low salaried persons by gender and ethnic group, the kinds of new jobs being created, unemployment rates and more. Taking their cue from these reports, business sections of print and internet papers have begun to write about the high management fees of retirement savings plans. The Adva Center runs workshops to educate workers on the importance of retirement savings and on the benefits and disadvantages of various alternative plans. It also lobbies officials and the media to advocate for improvements in the retirement savings system. In 2010 it became mandatory for all employed persons in Israel to contribute to retirement savings, as implemented through the payroll system. Retirement savings of between 5% and 7% of gross wage are subtracted from the monthly salary of employees and transferred to their retirement savings accounts. Employers are also mandated to contribute to these accounts at the rate of 6%-13% of gross salary. The retirement savings accounts are owned and managed by insurance companies and investment houses. Management fees are for these accounts are extremely high, eroding as much as 30% of a person's savings. Agents at insurance companies and banks have also been found to aggressively offer advice - for additional fees - which put employees at a loss. Additionally, investment committees without any employee representation place most of the monies in the highly volatile capital market, with no guaranteed minimum annual return. Adva has produced a series of policy papers on education reform. Most recently, the August 2011 paper titled "Education Reform: Making Education Work for All Children" argues that the current functioning of the Israeli school system perpetrates inequality and poor achievements among most schoolchildren in a multigenerational trend. The analysis is based on the belief that all Israeli schoolchildren are capable of attaining normative achievements, and that the school system can be changed to enable them to do so. Main tenets of the proposed reform include:  The Center releases a semi-annual report called "The Costs of Occupation". The publication provides data on the relationship between the Israeli–Palestinian conflict and Israel's economic growth, its budget, its social development, its vision, its international standing, its army, societal divisions, and its future as a Jewish state.