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.”
Posts Tagged ‘medical malpractice’
National Journal blogger’s poll on med-mal
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.
“Obama’s medical malpractice opportunity”
“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?”
“Canada keeps malpractice cost in check”
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.
Howard Dean on Obamacare and med-mal reform
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. 
From 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.
“Obama plan creates ‘Public Option’ malpractice law firm”
Calm down, it’s just a satire [Scott Ott/Scrappleface in D.C. Examiner]
Med-mal on Andrew Sullivan’s blog
Longtime reader P.W. writes:
I’ve been biting my fist while I read the recent series of guest posts on tort reform and medicine on andrewsullivan.com, such as this one. Lots of readers breezily asserting that there’s no problem, pretty much a fact-free debate. I’ve emailed them myself, but no luck so far….
P.S. More or less relatedly, Democratic strategist Bob Beckel sees medical liability reform as the possible pivot of a health care deal [Real Clear Politics]
P.P.S. Sullivan’s guestblogger Patrick Appel has now posted good emails from one reader dismantling some of the trial bar talking points that had figured prominently in earlier posts:
Easily disprovable lie #1: Texas malpractice insurance rates have declined every year since tort reform was enacted. Here’s a link to TMLT, the largest insurer in Texas…
[#3:] …the inflation-adjusted decrease in overall indemnity payments is due precisely to tort reform, primarily in the country’s largest economy, California, where MICRA was established in 1974. In non-tort reform states, indemnity payments have steadily increased. In Illinois, which only adopted tort reform in 2007, the average (pdf, page 15) indemnity payment increased from $70,000 in 1980 to $630,000 in 2008. If you adjust for inflation, those 1980 dollars would only be $182,943.81 in 2009. Clearly, this is not a decrease. …
August 20 roundup
- Federal judge rejects lenient plea deal for two judges in Luzerne County, Pa. judicial scandal [ABA Journal, Scott Greenfield] More: allegations of extensive abuses including “rampant case-fixing and payoffs” [Hank Grezlak and Leo Strupczewski, Legal Intelligencer] Charges of impropriety in handling defamation case handed down against Wilkes-Barre newspaper [Strupczewski, same] Improprieties in that libel case denied [ABA Journal] Should juvenile convictions by Judge Mark Ciavarella Jr. be vacated? [ABA Journal]
- Law and a banana: Page-one Wall Street Journal treatment of fruit pesticide litigation fraud [yesterday’s paper, PoL] Further: Cal. Civil Justice (“trained like a parrot”, “super lawyer”), L.A. Times and more, earlier.
- “Can it be true that some Girl Scout camps FORBID climbing trees?” [Skenazy, Free Range Kids]
- Katy Perry (U.S. pop singer) vs. Katie Perry (Australian fashion designer) trademark lawsuit [Bryan Quigley, Institute for Legal Reform] Suit has now been dropped [Katie Perry website, h/t @lenejohansen]
- Emergency room blogger White Coat wraps up his malpractice-suit saga [collected posts]
- “Automated shakedown racket sends legal threats, demands cash” [BoingBoing; copyright infringement demand letters]
- More coverage of New Mexico baseball-hit-into-stands liability ruling [Hochfelder/PoL, Stossel, earlier]
- Do not anger Texas criminal defense law blogger Mark Bennett. Just don’t [Popehat]
August 17 roundup
- Liability protection for doctors, premised on “best-practices” medicine: a proposal to address the federalism difficulties [Bernstein/MacCourt, MI Center for Medical Progress, PoL]
- Fraud in immigration law victimizes both U.S. and aspiring immigrants [NYT]
- Paralyzed while tackling opponent, high school footballer now suing Barre, Vt. school system [Barre-Montpelier Times Argus]
- Memo to Sen. Edwards: voters forgave Grover Cleveland the paternity, but they do mind lies [Mickey Kaus]
- Issue in New Orleans case: defamatory to call tour guides “thugs”? [Times-Picayune]
- No more Lux et Veritas: Yale press
wimps out on Mohammed cartoons [NYT, Moynihan/Reason “Hit and Run”, Steyn/NRO “Corner”, Hitchens] - More on NYC woman’s “wasted-tuition” suit against college [Mark Gimein, NY Mag via Genova, earlier]
- Do we really want to let CPSIA’s drafters within a mile of redesigning our health care system? [Inoculated]
July 14 roundup
- Is it OK if Boulder County prosecutor Tweets the murder trial while in progress? [Colorado Daily]
- Pierce O’Donnell terms his gigantic Katrina/New Orleans lawsuit a “crapshoot” [Hiltzik, L.A. Times]
- Massachusetts hospital not responsible for third-party injuries from just-released colonoscopy patient’s auto accident [Ronald Miller]
- Controversial “citizen suit” provision was removed from environment bill as one of the compromises to obtain House passage [Global Climate Law Blog and more, earlier] More: Coyote.
- “I was shocked at the number of cases the neurologist, radiologists, and especially the neurosurgeon had against them.” [ER Stories with a first-person lawsuit tale]
- I liked Dole Food better when it was a victim of the litigation system rather than an aggressor [L.A. Business Journal, NLJ, L.A. Times “The Envelope” on company’s suit against Swedish documentary filmmaker; underlying banana-worker pesticide litigation scandal; CJAC]
- Virginia Postrel on kidney donation, altruism, and policy [The Atlantic]
- Grown kids appear in court to exonerate dad who spent nearly 20 years in prison on false charges of abusing them [The Columbian, Wash., via Obscure Store] More: Coyote.