Israel does not have a recreational cannabis market in the way the United States or Canada does. What it has is a national medical cannabis program that started in 1992 under the Ministry of Health, scaled through the 2000s and 2010s, and as of recent counts had over 100,000 registered patients. Per capita, that is a higher participation rate than any US state.
A physician licensed by the Ministry of Health (Yakar) writes a prescription. The patient receives a permit listing approved cultivars and dosing. Until 2019, supply came directly from a small list of approved cultivators. After 2019, the system reformed toward a pharmacy distribution model: patients pick up at participating pharmacies, the cultivators sell to wholesalers, and the prescription is filled like any other regulated medication.
The approved indications are broader than in most American medical programs. PTSD, fibromyalgia, chronic pain, cancer side effects, epilepsy, Crohn's and IBD, multiple sclerosis spasticity, and specific pediatric conditions are all explicitly covered. The framework was built to be evidence-driven rather than condition-by-condition political. That is the legacy of starting with researchers rather than activists.