Posts tagged as:

medical malpractice

I’m quoted on the subject in Grant Bosse’s article in New Hampshire Watchdog. Earlier here and here. More at Point of Law here (Senate bill) and here (more advantages for trial lawyers).

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November 18 roundup

by Walter Olson on November 18, 2009

  • “Common sense makes a comeback” against zero tolerance in the classroom [USA Today]
  • Slip at Massachusetts antiques show leads to lawsuit [Wicked Local Marion]
  • Update: Washington Supreme Court takes up horn-honking case [Lowering the Bar, earlier]
  • MICRA as model: “California’s Schwarzenegger stumps for medical liability reform” [American Medical News]
  • “Inventing a better patent system” [Pozen, NYT]
  • Google Books settlement narrowed to countries with “common legal heritage” [Sag, ConcurOp]
  • One way to make ends meet: cash-strapped Detroit cops are seizing a lot more stuff [Detroit News via Business Insider]
  • What temperatures are hot coffee actually served at? Torts buffs (including our Ted Frank) want to know [TortsProf exchange with Michael Rustad and followup, more and yet more]

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November 10 roundup

by Walter Olson on November 10, 2009

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November 3 roundup

by Walter Olson on November 3, 2009

  • American Federation of Teachers backs off earlier aggressive trademark stance against critical website [AFT Exposed via Ron Coleman, earlier]
  • Unintended but ever-so-predictable consequence of cash-for-clunkers: cheap used cars now a lot less cheap [Coyote]
  • Strange that Pat Robertson doesn’t seem to know hate-crime laws cover crimes motivated by religious bias [Neiwert]
  • Court rules against New York law firm’s debt collection practices [ABA Journal]
  • Trouble amid the Lamborghinis: rumors swirl of financial defalcations at prominent south Florida law firm [WSJ Law Blog and more] Plus: Rothstein’s huge bipartisan political donations [DBR]
  • Ohio: “Man dressed as a Breathalyzer for Halloween is arrested for DUI” [Obscure Store]
  • Blawg star Mark Herrmann (Drug & Device Law) writes a brief in Supreme Court case on (unrelated) topic of prosecutorial immunity for misconduct [Scott Greenfield]
  • Administration’s task force on medical liability reform meets amid signs it won’t accomplish much [Wood, ShopFloor; related, Stanley Goldfarb/Weekly Standard]

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Tampa: “When medical malpractice lawyer Michael J. Trentalange asked St. Joseph’s Hospital for every ‘adverse incident’ report made since the hospital opened in 1934, the hospital pushed back hard. In July, the hospital sued him, and Trentalange sued right back, the Web site Health News Florida reported.” (AP/Sarasota Herald Tribune via White Coat).

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Jennifer Rubin at Commentary has the scoop on how the bill’s language will reward states financially if they do not “limit attorneys’ fees or impose caps on damages”. P.S. And see Ted’s fuller treatment above.

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CBS Sunday Morning this weekend profiled author, lawyer and reformer (Common Good/”health courts”) Philip K. Howard. Related: Progressive Policy Institute to press health-court idea on Capitol Hill? [AP/Washington Post]

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TrialLawyersIncNew from the Manhattan Institute’s Trial Lawyers Inc. project, on health care and the Litigation Lobby; a few of its highlights are summarized here, at Point of Law.

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Or at least something traveling under that name, if Rep. Doris Matsui (D-Calif.) is right. [Legal NewsLine] More: “CBO: Tort reform would reduce deficit by $54 billion” [Ed Morrissey/Hot Air] Liability insurance premiums in Georgia fell by 18% after state capped noneconomic damages [American Medical News]

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“Zurich University Hospital has stopped treating North American ‘medical tourists’, fearing million-dollar claims from litigious patients if operations go wrong. Hospitals in canton Valais have also adopted measures to protect themselves against visitors from the United States, Canada and Britain.” [Swissinfo.ch via Mark Perry and Coyote]

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If you’re not following my other site, here’s some of what you’re missing:

Why not add Point of Law to your Google Reader or other RSS reader today, along of course with Overlawyered, if you haven’t yet?

Philip K. Howard has a by no means exhaustive list, in The Atlantic.

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HHS secretary Kathleen Sebelius, now detailed as Obama administration point person in charge of the demonstration projects on liability reform, spent eight years as executive director of the Kansas Trial Lawyers Association: “I think I’m just the person to do it because I think I understand the system of litigation very well.” Mary Katherine Ham: “Indeed, as I’ve consistently said, the fox is uniquely qualified to guard the henhouse, because he understands the delicious taste of poultry very well.”

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Some interestingly cross-cutting results, summarized by National Journal as “Would Tort Reform Make Pill Easier To Swallow? Right-Leaning Bloggers Say They’d Support A Health Care Bill That Included It; Some Left-Leaners Would Hold Their Nose For It.” The results, though, may have been influenced by wording that was susceptible to multiple interpretations. I added this comment, raising a sub-issue that I think might make a good topic for bipartisan discussions:

My pet proposal? Work on out-of-court dispute resolution methods for the sizable share of medical care the federal government already provides. Alas, Congress is headed in the other direction, as with its interest in opening up med-mal suits by active-duty personnel against military doctors.

More: David Kopel, Volokh.

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“In his speech tonight, the president shouldn’t forget tort reform.” (John Avlon of the Manhattan Institute, City Journal).

P.S. Maybe he was listening. In his speech tonight, Obama made a non-trivial gesture toward critics’ views on the subject, acknowledging that defensive medicine drives up costs and “prompting an eruption of applause from Republicans at Wednesday’s joint session of Congress.” [UPI]. From the same article:

“I know that the (George W.) Bush administration considered authorizing demonstration projects in individual states to test these issues,” Obama said. “It’s a good idea, and I am directing my Secretary of Health and Human Services (Kathleen Sebelius) to move forward on this initiative.”

On the politics of the gesture, see Jake Tapper/ABC, news-side WSJ (cross-posted from Point of Law).

Some reactions: Dr. Wes notices language recycled from the med-mal plan championed earlier by then-Sen. Obama and Sen. Hillary Clinton (D-N.Y.) My reaction? I think trying a bunch of demonstration projects to see how they work is actually one of the better reform ideas at the federal level, but obviously a great deal depends on how the demonstration projects are picked and designed. Projects might be selected from a list of ideas pre-vetted for acceptability to the litigation lobby, or at worst might even be designed to fail. I agree with Ron Miller: when it comes to actual policy, “Let’s just say President Obama is keeping his options open.” (bumped Thurs. a.m.)

And more: okay, maybe I gave the President too much credit above on having acknowledged the costs of defensive medicine: his exact wording was “defensive medicine may be contributing to unnecessary costs” (emphasis added). Ramesh Ponnuru: “A demonstration project for med-mal reform — don’t we already have one, called Texas?” Carter Wood notes that demonstration projects on med-mal reform have been shot down by Congressional Democrats in recent years. Dan Pero calls the gesture an “olive twig“. And from commenter Jack Wilson: “How come tort reform is the only part of this plan that needs to go through a demonstration project?”

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Susan Taylor Martin in the St. Petersburg Times has some striking numbers:

For neurosurgeons in Miami, the annual cost of medical malpractice insurance is astronomical — $237,000, far more than the median price of a house.

In Toronto, a neurosurgeon pays about $29,200 for coverage. It’s even less in Montreal ($20,600) and Vancouver ($10,650).

Among the reasons why: in 1978 the Canadian Supreme Court imposed (on its own) nationwide limits on pain-and-suffering recoveries, adjusted for inflation and now just over $300,000. A single mutual insurer covers most doctors and takes an aggressive approach to defending claims. Most cases are tried before judges. Billboard and TV advertising by lawyers is much less prevalent in Canada. And so forth — all aside from the loser-pays principle.

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Perhaps the most buzzed-about story while I was on vacation (I’m back now) was the frank acknowledgment by former Democratic Party chairman (and former physician) Howard Dean when asked why liability reform was omitted from the health care redesign. FirstAidIconFrom the New York Times “Prescriptions” blog:

The man then asked why tort reform was not part of any health overhaul.

Dr. Dean replied that the more items in a big bill, the more enemies it will have. “The people who wrote it did not want to take on the trial lawyers in addition to everyone else,” Dr. Dean said.

Dr. Dean also said he believed that patients should be able to bring actions against health care professionals, but they should go to arbitration. Then the case could go to trial, he said, but the arbitration verdict should be submitted as evidence. Not much reaction to that either way.

Mr. Moran [Northern Virginia Congressman Jim Moran] then apologized to the man whose identity he had questioned and added his 2 cents about why tort reform was not part of any bill. He said if it were, such a bill would have to go through the judiciary committee, which he said was one of the most partisan in Congress and would never have reported it out.

Commentary: Mark Tapscott/Examiner, Washington Times, Darrin McKinney/ATRA, Dan Pero linking Tiger Joyce/Investors Business Daily, Charles Krauthammer/FoxNews.com via Carter Wood/PoL and NRO “Corner”, Fred Barnes/Weekly Standard.

Relatedly, Philip K. Howard writes on “Stonewalling Legal Reform“, citing a Jon R. Gabel piece in the Times that rebuts a much-touted-by-trial-lawyers Congressional Budget Office report minimizing the likely cost reductions from malpractice reform. From the American Spectator Blog, “Conservative Leaders on Costly Lawsuits and Health Care Reform“. And Ramesh Ponnuru at NRO reiterates his argument that while malpractice reform is a good idea, it shouldn’t be imposed on the national level by the federal government.

More: Jim Lindgren at Volokh Conspiracy skewers an appalling report on health care “myths” which received, but did not deserve, the imprimatur of Indiana University.

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Calm down, it’s just a satire [Scott Ott/Scrappleface in D.C. Examiner]

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