Growing gaps and inequity in the use of medical care, a decline in state spending on health and higher infant mortality rates among Arabs were among the findings of the annual report of the non-profit Taub Center for Social Policy Research released Thursday. The report also warned about an excess of doctors in the large cities and the center of the country and a serious lack of nurses around the country. State expenditure on health has dropped to only 65 percent of national health expenditures, the report said, compared to 75% to 80% in the OECD (developed) countries. The government spends only $1,953 on the health of each resident, which is 20% lower than in the OECD countries. As a result, the use of medical care is three times higher in the wealthier sectors than in the lower socioeconomic groups. Infant mortality rates are highest among Israeli Arabs. While the ratio of doctors to residents is still among the highest in he world (3.5 per 1,000), over the coming decades it is likely to drop significantly. There are about four doctors per 1,000 in Jerusalem and Tel Aviv, but many fewer (2.3) in the periphery. The rate of nurses is only 5.2 per 1,000, compared to seven to 10 per 1,000 in the OECD countries.