Saturday, March 20, 2010

The Tort Reform the Republicans demand is draconian and DANGEROUS



...Those advocating tort reform ceaselessly (click title to entry - thank you) make the contention that tort reform is needed to curb the filing of frivolous lawsuits. The renowned New England Journal of Medicine has reported that a Harvard University study found that the civil justice system successfully weeds out claims against health care professionals that have no merit. The study conducted by the Harvard School of Public Health and Brigham and Women‘s Hospital in Boston found that 90% of all claims against health care professionals involved a serious injury; 26% of those resulted in death and 80% in disability. The study reported that 63% of the injuries were a result of negligent care or treatment....



Tort Reform Unlikely to Cut Health Care Costs

Studies Show Malpractice Awards Are Not Big Driver of Skyrocketing Costs

By Daphne Eviatar 8/19/09 6:00 AM
...In a recent Washington Post op-ed, Charles Krauthammer put “tort reform” on the top of his wish-list for reducing the costs of the health care system. Gov. Rick Perry of Texas in the Washington Examiner boasts that Texas tort reform that capped injured patient’s damages was the answer to his state’s problems. And the American Medical Association has said it won’t support any health reform bill that doesn’t reduce liability for doctors. “If the bill doesn’t have medical liability reform in it, then we don’t see how it is going to be successful in controlling costs,” James Rohack, president-elect of the organization, told Politico in March. “Why spend the political capital and energy in passing a bill if it is not successful?...”

...“It’s really just a distraction,” said Tom Baker, a professor at the University of Pennsylvania Law School and author of “The Medical Malpractice Myth.” “If you were to eliminate medical malpractice liability, even forgetting the negative consequences that would have for safety, accountability, and responsiveness, maybe we’d be talking about 1.5 percent of health care costs. So we’re not talking about real money. It’s small relative to the out-of-control cost of health care.”

Insurance costs about $50-$60 billion a year, Baker estimates. As for what’s often called “defensive medicine,” “there’s really no good study that’s been able to put a number on that,” said Baker.

Krauthammer cited a study by the Massachusetts Medical Society that found that five out of six doctors said they ordered additional tests, procedures and referrals to protect themselves from lawsuits. He also relies on a much-criticized study from the libertarian Pacific Research Institute on the civil justice system to conclude that “defensive medicine” wastes more than $200 billion a year.

Baker is skeptical, and makes the point that “defensive medicine” is not the same thing as wasteful medicine. “Like defensive driving, some defensive medicine is good,” he said. “To change behavior. When you drill down those studies, you see that what it means is, doctors are more careful with patient records. They spend more time with the patient. They’re more careful to say hello and goodbye to the patient. That’s good.”...