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      <title>Tort Deform</title>
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      <copyright>Copyright 2012</copyright>
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         <title>The Politics Behind Tort Reform</title>
         <author>Justinian Lane</author>
         <description><![CDATA[Hello, and welcome back after that fifteen-month intermission.  I&apos;ve been too busy helping people to blog about the forces that want to prevent me from helping people.

To dip my toe back in the blogging water, I thought I&apos;d give a very brief primer on the politics behind tort reform.

Tort &quot;reform&quot; is of course the effort to (a) make it more difficult to file injury lawsuits, and (b) make it more difficult to collect meaningful amounts of money from injury lawsuits.  These efforts benefit large industries to the detriment of the general public.  (You know, like most policies these days.)

Republicans are big supporters of tort &quot;reform&quot; for the following reasons:

1: Most Republicans believe that lawsuits are a form of regulation that hampers big business.  Without pesky lawsuits, businesses could make more decisions on the basis purely of profitability, without much concern about the safety of their products.  For those folks who believe corporate America would always do the right thing regarding safety, I suggest you research the history of asbestos use in America.

2: Most Republicans are supported by industries that are often sued in personal injury lawsuits (doctors, pharmaceuticals, oil, gas, transportation, etc.) or that foot the bill in the lawsuits (insurance companies.)

3: Most trial lawyers are Democrats and give campaign contributions to Democrats.

4: Tort &quot;reform&quot; drastically reduces the amount of money trial lawyers can earn.  The less money a trial lawyer earns, the less he or she can give to Democrats.

So here&apos;s how the cycle works: Republicans throw red meat to the base by promising tort &quot;reform&quot; measures.  That gets dollars flowing to the Republicans.  If the measures pass, it cuts into the amount of money trial lawyers can give to Democrats.  So by pushing for tort &quot;reform,&quot; the Republican party simultaneously revs up its base, increases campaign contributions, and defunds the Democrats.  If you&apos;re a Republican, you&apos;re an idiot not to support tort &quot;reform.&quot;  You&apos;re also not the brightest if you&apos;re a Democrat who supports tort &quot;reform.&quot;  

That&apos;s it for today, kids.  I have literally over 1,000 blog topics I&apos;ve been saving up in a &quot;To Be Blogged About&quot; folder in my Inbox.  I doubt I&apos;ll ever get all the way through it, but I&apos;ll start working on it.]]></description>
         <link>http://www.tortdeform.com/archives/2012/05/the_politics_behind_tort_refor.html</link>
         <guid>http://www.tortdeform.com/archives/2012/05/the_politics_behind_tort_refor.html</guid>
         <category></category>
         <pubDate>Sun, 20 May 2012 18:13:41 -0500</pubDate>
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      <item>
         <title>The value of a human life and damage caps</title>
         <author>Justinian Lane</author>
         <description><![CDATA[Even if we go with the Bush-era figure of $6.8 million, you&#8217;re far above the often-proposed cap of $250,000 for noneconomic damages.&#160; I&#8217;m morally opposed to ANY damage cap because I don&#8217;t believe that you can set a flat rate on every human&#8217;s life.&#160; But if we&#8217;re going to do caps at all, couldn&#8217;t they at least be in line with what the feds think a human life is worth?     To protests from business and praise from unions, environmentalists and consumer groups, one agency after another has ratcheted up the price of life, justifying tougher &#8212; and more costly &#8212; standards.     The Environmental Protection Agency set the value of a life at $9.1 million last year in proposing tighter restrictions on air pollution. The agency used numbers as low as $6.8 million during the George W. Bush administration.     The Food and Drug Administration declared that life was worth $7.9 million last year, up from $5 million in 2008, in proposing warning labels on cigarette packages featuring images of cancer victims.     The Transportation Department has used values of around $6 million to justify recent decisions to impose regulations that the Bush administration had rejected as too expensive, like requiring stronger roofs on cars.     And the numbers may keep climbing. In December, the E.P.A. said it might set the value of preventing cancer deaths 50 percent higher than other deaths, because cancer kills slowly. A report last year financed by the Department of Homeland Security suggested that the value of preventing deaths from terrorism might be 100 percent higher than other deaths.     Source: A Life&#8217;s Value May Depend on the Agency, but It&#8217;s Rising - NYTimes.com]]></description>
         <link>http://www.tortdeform.com/archives/2011/02/the_value_of_a_human_life_and.html</link>
         <guid>http://www.tortdeform.com/archives/2011/02/the_value_of_a_human_life_and.html</guid>
         <category>Damage Caps</category>
         <pubDate>Thu, 17 Feb 2011 14:58:23 -0500</pubDate>
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         <title><![CDATA[Business Litigation vs. Malpractice Litigation&ndash;Let&rsquo;s Get Some Perspective]]></title>
         <author>Justinian Lane</author>
         <description><![CDATA[Which is a greater tragedy: A child dying at the hands of an incompetent doctor, or a toy company ripping off the design of a doll from another toy company?&#160; Brian Wilson discusses how out-of-whack our priorities are regarding &#8220;reforming&#8221; the tort system:     I couldn't help but to juxtapose the latest Doll Wars legal skirmish against the latest push in Congress to limit malpractice victims' recovery to $250,000. So let's juxtapose, shall we? Never ending billion dollar lawsuits, and $270 million in attorneys fees dedicated to denigrating plastic dolls that carry neat little outfits and may or may not throw F bombs. Meanwhile, if a doctor mistakenly removes a woman's non-cancerous breast, or a hospital mistakenly overdoses a child and renders her comatose, either's lifetime of misery is liquidated to $250K.&#160;     Source: The Nicodemo &amp; Wilson Bull's-Eye Blog]]></description>
         <link>http://www.tortdeform.com/archives/2011/02/business_litigation_vs_malprac.html</link>
         <guid>http://www.tortdeform.com/archives/2011/02/business_litigation_vs_malprac.html</guid>
         <category>Business Culture</category>
         <pubDate>Wed, 09 Feb 2011 16:19:48 -0500</pubDate>
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         <title>Great Op-Ed on Malpractice Reform</title>
         <author>Justinian Lane</author>
         <description><![CDATA[I liked this one.     Washington lawmakers who advocate for medical malpractice reform assume they know what goes on in doctors' offices. They say physicians order unnecessary tests because they fear being sued. So-called &quot;defensive medicine&quot; drives up health spending, the argument goes.    They don't acknowledge many doctors order tests because they're trying to do a thorough job with patients. They rarely mention too much testing is a result of this country's &quot;fee for service&quot; system of paying doctors. The more care they provide, the more they bill.    Source: Malpractice reform rests on thin evidence | The Des Moines Register | DesMoinesRegister.com]]></description>
         <link>http://www.tortdeform.com/archives/2011/02/great_oped_on_malpractice_refo.html</link>
         <guid>http://www.tortdeform.com/archives/2011/02/great_oped_on_malpractice_refo.html</guid>
         <category>Medical Malpractice</category>
         <pubDate>Tue, 08 Feb 2011 13:15:22 -0500</pubDate>
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         <title>No Jobs In Ohio After Tort Reform</title>
         <author>Justinian Lane</author>
         <description><![CDATA[My Friend and Ohio personal injury attorney Brian Wilson discusses the drop in tort lawsuits in Ohio between 2002 and 2009.&#160; Between those two years, many tort deform laws took effect and were upheld by the Ohio Supreme Court.     Compare these numbers to 2002, shortly before The Ohio Legislature passed the beginning of many of The Chamber's lobbied for reforms. Notice the HUGE drop in &quot;personal injury&quot; type lawsuits (in bold) in 2009 as compared to the &quot;pre-reform&quot;      numbers in 2002:     Source: The Nicodemo &amp; Wilson Bull's-Eye Blog: The Chamber, Lawsuits And Jobs: If Only The Truth Mattered...   You’ll have to visit his blog to see the numbers.&#160; The point of his blog post is to show how gutting consumer protections has (a) lowered the number of personal injury lawsuits, (b) not created any jobs, and (c) show how the Chamber of Commerce is full of it.]]></description>
         <link>http://www.tortdeform.com/archives/2011/01/no_jobs_in_ohio_after_tort_ref.html</link>
         <guid>http://www.tortdeform.com/archives/2011/01/no_jobs_in_ohio_after_tort_ref.html</guid>
         <category>News</category>
         <pubDate>Sat, 15 Jan 2011 14:14:40 -0500</pubDate>
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         <title>Wisconsin May Cap Punitive Damages At $200,000</title>
         <author>Justinian Lane</author>
         <description>Continuing the “2011 will be a bad year for civil justice” theme:     The Senate judiciary committee voted 3-2 on Friday to cap punitive damages at $200,000 or twice the amount of compensatory damages, whichever is greater. Current state law does not lay out any caps on punitive damages.    Source: Wis. GOP caps punitive damages in tort reform bill - WBAY-TV Green Bay-Fox Cities-Northeast Wisconsin News   Capping punitive damages at $200k will only encourage corporations to sell profitable but defective products.&#160; If it weren’t for punitive damage awards well in excess of $200k, Johns Manville might still be pumping out asbestos products.  I don’t understand Republican ideology.&#160; On one hand, most of them support the death penalty.&#160; But on the other hand, they don’t like punitive damages.&#160; How can you rationalize putting a man to death for committing a crime, but not allowing the family of his victims to take more than $200k?</description>
         <link>http://www.tortdeform.com/archives/2011/01/wisconsin_may_cap_punitive_dam.html</link>
         <guid>http://www.tortdeform.com/archives/2011/01/wisconsin_may_cap_punitive_dam.html</guid>
         <category>News</category>
         <pubDate>Fri, 14 Jan 2011 14:29:36 -0500</pubDate>
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         <title>Florida Wants To Allow Irrelevant Evidence In Automotive Defect Lawsuits</title>
         <author>Justinian Lane</author>
         <description>Here’s a hypothetical for you.&#160; Imagine that a guy is incredibly drunk – say twice the legal limit.&#160; He gets in his car to start it up, and as soon as he turns the key, a defectively-designed fuel pump ignites the gas tank.&#160; The car blows up, and kills him instantly.&#160; The exact same result would have happened to a sober person.&#160; Should the jury hear evidence that the guy was drunk?&#160; No.&#160; The reason why is that the driver’s intoxication has no bearing upon whether or not the fuel pump was defectively-designed.  At the behest of the auto industry, Florida is trying to pass a bill that will allow irrelevant evidence in automotive defect lawsuits:     The bill specifically boosts protections for automakers by allowing them to present more evidence when they are sued for product defects that result in enhanced injury following a crash. Florida is among a handful of states that consider a crash -- and any fault of the driver in that crash -- unrelated and irrelevant to injuries caused by defective parts or design.     In 2001, the Florida Supreme Court ruled against Ford, saying manufacturers could be held solely liable for design defects that enhanced the injury suffered in a crash, regardless of who was at fault in the crash itself.     The court&apos;s rationale for excluding evidence of the driver&apos;s fault in causing an accident is that the accident-causing fault is not relevant to whether an automobile manufacturer designed a defective product.     Source: Year&apos;s First Major Tort Bill Sails in Senate Judiciary | Sunshine State News   “Enhanced injury cases” are those in which a defectively designed part did not cause the crash, but increased the injuries sustained in the crash.&#160; And whether the driver was drunk, speeding, or otherwise driving irresponsibly shouldn’t be admissible in determining whether the part was defectively designed.  My prediction: This bill will easily pass, and will be described as bringing “fairness” and “common sense” back to the Florida tort system.&#160; It’s only January, but I’m confident this will be the worst year for the civil justice system since the bloodbath that was 1986-1987.</description>
         <link>http://www.tortdeform.com/archives/2011/01/florida_wants_to_allow_irrelev.html</link>
         <guid>http://www.tortdeform.com/archives/2011/01/florida_wants_to_allow_irrelev.html</guid>
         <category>Product Liability</category>
         <pubDate>Thu, 13 Jan 2011 10:28:22 -0500</pubDate>
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         <title>2011 Looking Like A Bad Year For Civil Justice</title>
         <author>Justinian Lane</author>
         <description>2011 is already shaping up to be a horrible year for the civil justice system.&#160; The Republican takeover of many state legislatures means we’re going to see a slew of tort “reform” measures that limit the rights of injured citizens and pass on the cost of negligent corporations onto taxpayers.&#160; This, from Wisconsin:     The far-reaching lawsuit reform proposal would make it more difficult for those bringing lawsuits to prove they were injured by a company&apos;s product and to collect damages. Walker said it would protect retailers from liability for defects caused by manufacturers and distributers.    It would also limit liability to products manufactured and sold within 25 years of an injury and make it easier for someone to be sanctioned for bringing a frivolous lawsuit.    * * * *     The Wisconsin Defense Counsel, which represents 450 defense attorneys, said passing the reforms would send a signal to the rest of the country that Wisconsin is serious about attracting new businesses and adding jobs. The Wisconsin Economic Development Association, which works to promote businesses in the state, also praised Walker&apos;s proposal.     Source: Walker&apos;s civil lawsuit reforms draw split reaction - Bloomberg   There are other proposals in other states.&#160; And of course, the House of Representatives wants to repeal the healthcare act and replace it with laws that don’t let people sue negligent doctors.&#160; Because for some reason, it’s important to keep inept doctors practicing medicine.&#160;   The Tea Party movement could be a wild card.&#160; Recall that Sarah Palin said she did not agree with the Supreme Court’s decision to limit punitive damages in the Exxon Valdez case.&#160; And the wording of the 7th Amendment is pretty clear in its declaration that injured citizens have a right to a jury trial.&#160; So maybe the Tea Partiers won’t support laws that curtail our right to sue.&#160; But I doubt it.  Let’s hope I’m wrong.</description>
         <link>http://www.tortdeform.com/archives/2011/01/2011_looking_like_a_bad_year_f.html</link>
         <guid>http://www.tortdeform.com/archives/2011/01/2011_looking_like_a_bad_year_f.html</guid>
         <category>News</category>
         <pubDate>Mon, 10 Jan 2011 14:46:59 -0500</pubDate>
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         <title><![CDATA[How many lives has &ldquo;defensive medicine&rdquo; saved?]]></title>
         <author>Justinian Lane</author>
         <description>“Defensive medicine” is the name given to tests that doctors run more out of fear of being sued than out of concern for their patients.&#160; The poster-child of the “defensive medicine” argument is the CT scan.&#160; We’re told by “reformers” that these tests are expensive and unnecessary.&#160; (The “reform” crowd doesn’t tell us that many doctors have a financial interest in the facilities that own CT scan machines, meaning the more tests the doctors order, the more money they make.&#160; But that’s for another day.)&#160; Here’s some interesting food for thought about whether the tests are truly unnecessary:     WASHINGTON — Annual CT scans of current and former heavy smokers reduced their risk of death from lung cancer by 20 percent, a huge government-financed study has found. Even more surprising, the scans seem to reduce the risks of death from other causes as well, suggesting that the scans could be catching other illnesses.     The findings represent an enormous advance in cancer detection that could potentially save thousands of lives annually, although at considerable expense. Lung cancer will claim about 157,000 lives this year, more than the deaths from colorectal, breast, pancreatic and prostate cancers combined. Most patients discover their disease too late for treatment, and 85 percent die from it.     * * * *    The study found that for every 300 people who were screened, one person lived who would otherwise have died during the study. But one-quarter of those given CT scans were found to have anomalies, nearly all of which were benign. These false signals generally led to more worry, more CT scans and sometimes to lung biopsies and thoracic surgery.     Source: Lung Cancer Deaths Reduced by CT Scans, Study Finds - NYTimes.com   If 1 out of 300 lives were saved in this study, it’s reasonable to assume that at least some lives are saved when “unnecessary” CT scans are run.&#160; I’m still waiting for a survey or study to determine how many doctors changed their diagnosis based upon a test they felt was unnecessary but ordered merely to play CYA.</description>
         <link>http://www.tortdeform.com/archives/2010/11/how_many_lives_has_defensive_m.html</link>
         <guid>http://www.tortdeform.com/archives/2010/11/how_many_lives_has_defensive_m.html</guid>
         <category>Medical Malpractice</category>
         <pubDate>Fri, 05 Nov 2010 12:41:05 -0500</pubDate>
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         <title>$1.5 million dollars for sharing 24 songs, $250,000 for a lifetime of paralysis?</title>
         <author>Justinian Lane</author>
         <description>Nothing better illustrates the profound inequity of capping noneconomic damages than the verdicts against file sharers:     Jammie Thomas-Rasset, the Minnesota woman who has been fighting the recording industry over 24 songs she illegally downloaded and shared online four years ago, has lost another round in court.     A jury in Minneapolis decided today that she was liable for $1.5 million in copyright infringement damages to Capitol Records, or $62,500 for each song she illegally shared in April 2006.     Source: Jammie Thomas hit with $1.5 million verdict | Digital Media - CNET News   You tell me why a record label (who can’t prove actual damages) should be awarded seven figures, but a person put in a wheelchair for life should only receive $250k.&#160; </description>
         <link>http://www.tortdeform.com/archives/2010/11/15_million_dollars_for_sharing.html</link>
         <guid>http://www.tortdeform.com/archives/2010/11/15_million_dollars_for_sharing.html</guid>
         <category>Damage Caps</category>
         <pubDate>Thu, 04 Nov 2010 10:02:21 -0500</pubDate>
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         <title><![CDATA[Cure, cause&ndash;what&rsquo;s the difference?]]></title>
         <author>Justinian Lane</author>
         <description>And some people still believe that a drug is “safe and effective” if the FDA says so.     In the past month, the Food and Drug Administration has concluded that in some cases two types of drugs that were supposed to be preventing serious medical problems were, in fact, causing them.&#160;     Source: News Analysis - When Avandia and Other Drugs Cause Problems They Are Supposed to Prevent - NYTimes.com</description>
         <link>http://www.tortdeform.com/archives/2010/10/cure_causewhats_the_difference.html</link>
         <guid>http://www.tortdeform.com/archives/2010/10/cure_causewhats_the_difference.html</guid>
         <category>FDA</category>
         <pubDate>Sun, 17 Oct 2010 20:41:14 -0500</pubDate>
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         <title>Tom Donahue: Hypocrite, Serial Plaintiff</title>
         <author>Justinian Lane</author>
         <description><![CDATA[Everyone’s favorite foreign-corporation-funded special-interest group, the U.S. Chamber of Commerce, has a guy at the helm named Tom Donahue.&#160;   I used to think that Tom hated lawsuits.&#160; After all, his group spends millions of dollars every year to persuade the public that we need to pass tort “reform” because there are too many lawsuits.&#160; But as it turns out, Tom’s a big fan of lawsuits:     &quot;Litigation is one of our most powerful tools for making sure that federal agencies follow the law and are held accountable,&quot; Donohue said in remarks prepared to be delivered in Des Moines, Iowa.&#160;       Source: U.S. Chamber pledges to take Obama policies to court | Reuters    So why is it that when people use litigations to make sure that Chamber members “follow the law and are held accountable,” Tom says we need to change the law?  Probably because Tom is a hypocrite.&#160; And his Chamber of Commerce is also a serial plaintiff.&#160;&#160; You see, Tom also bragged that the Chamber has sued the EPA “six times” this year.&#160; What would Tom say about someone who bragged about suing Wyeth six times in a single year?&#160; Tom would probably brand the plaintiff a “serial litigant” and accuse him of “clogging the courts with frivolous lawsuits.”  Don’t get me wrong.&#160; Tom and the Chamber of Commerce have the right to sue the EPA six times a day if they believe the EPA has wronged them.&#160; But the flip side is that we American citizens also have the right to sue Chamber members when they wrong us.&#160; If Tom doesn’t want his right to sue to be limited, then he shouldn’t ask us to limit our right to sue.]]></description>
         <link>http://www.tortdeform.com/archives/2010/10/tom_donahue_hypocrite_serial_p.html</link>
         <guid>http://www.tortdeform.com/archives/2010/10/tom_donahue_hypocrite_serial_p.html</guid>
         <category>Hypocrites of Tort &quot;Reform&quot;</category>
         <pubDate>Thu, 14 Oct 2010 11:08:33 -0500</pubDate>
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         <title>A Medical Malpractice Testimonial</title>
         <author>Justinian Lane</author>
         <description><![CDATA[“John,” a frequent TortDeform reader, gave me permission to share this story:  I have read some of the things on Tortdeform and would like to share our medical malpractice experience.&#160; My hope is that others will share their experiences. Perhaps, if enough experiences are shared, we can change public perception. Currently, that perception is that many are getting rich making frivolous medical malpractice claims, that juries give away huge amounts of money for the slightest thing, that this has a big impact on our medical insurance cost, and that it drives medical malpractice insurance so high that doctors go out of business. This perception fuels a cry for tort reform and is taken up by our politicians. The most common “fix” is to limit damages awarded. While this sounds good in theory, did you ever think what happens to someone who is actually a medical victim in this “reform” environment? The following is our “story”.  We live in Texas, which is touted as the &quot;model&quot; of tort reform for medical malpractice.&#160; My wife and I had planned our “dream” vacation. Before we left, she wanted to get a procedure (which she has had several times before) done on her spine to alleviate pain. Unfortunately the doctor messed up and she was left paralyzed on one side. She had additional complications which left her in constant pain, unable to walk without a walker, and then only a minimal amount. It is difficult for her to function and I prepare her food, bathe her, dress her, fix her hair, etc.&#160; Our life has totally changed.&#160;   When we explain what happened to our friends, one of their first responses is, “I guess you’ve sued and gotten a big award”? It seems so obvious to them. However, it’s not so easy. Our first issue was to find a lawyer. Expenses will be $50,000 - $250,000 to try the case. If the lawyer loses, this money comes out of his pocket. In 75% of the cases that go to trial, the doctor wins. So the lawyer’s not taking the case, unless he is very confident of winning. Second, there must be written expert opinion, from doctors in the same field as the plaintiff, who will testify to the malpractice – before the case can even get on the docket. So much for “frivolous” lawsuits!  We have already spent $45,000 out of our pocket (beyond what medical insurance covers). I estimate that over my wife’s lifetime we will need $1,000,000 to $1,250,000 to cover extra expenses. Experts in our case tell me that my estimate is low – it could well be double this. The lawyer’s fee is 40% of gross recovery plus expenses (and interest on those expenses).  As we proceed with the case, we are confronted with additional sobering facts. Today, doctors attend classes to learn how to shelter their assets (trusts, etc). Even if we do go to trial and win that two-million dollar award, the doctor’s assets are sheltered, he will declare bankruptcy, and the most we will get is the limit on his malpractice insurance - $750,000. In addition, medical insurance companies (and Medicare) have a little clause in their policy called subrogation. This means that if you recover money in a case, they will expect you to pay back (out of your recovery) all the money they paid for hospital bills, rehab, etc. Their first requests to us were for upwards of $300,000.  We are told we are pretty lucky. Following negotiation with the medical insurance company, and after lawyer fees and expenses, we stand to recover about $250,000. Still the feeling is bittersweet. This totally ignores the constant pain and suffering my wife experiences, her inability to function normally, and the likelihood that she will spend her last years in a nursing home when I am too old to care for her. Nor does it deal with the change in quality of life I have as a caretaker. I have no idea how we will meet the mounting financial strain - $250,000 is 12-25% of what we will need.  We feel we have been victimized twice - the first as a medical victim, the second by the judicial “tort reform” system. My lawyer says that our story is common place – in fact there are many worse than ours. To add injury to insult, I am told that we will be required to sign an agreement that we will not reveal facts of our case to the media. Again, an attempt to keep the real truth hidden from the public. While I have not yet signed such an agreement, I have kept names and details out of our story to protect everyone involved.  Again, I implore others to share their story in Tortdeform (without violating any legal agreements). If sufficient “stories” are revealed, perhaps public opinion will side with the victim, and more appropriate “tort reform” can occur.  Thanks,  “John”]]></description>
         <link>http://www.tortdeform.com/archives/2010/10/a_medical_malpractice_testimon.html</link>
         <guid>http://www.tortdeform.com/archives/2010/10/a_medical_malpractice_testimon.html</guid>
         <category>Medical Malpractice</category>
         <pubDate>Wed, 06 Oct 2010 13:38:48 -0500</pubDate>
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         <title>Where is the concern for the patients?</title>
         <author>Justinian Lane</author>
         <description><![CDATA[I read an article today that discusses a very large increase in the number of diagnostic tests ordered each year.&#160; One of the doctors quoted in the article of course blamed the medical malpractice system.&#160; Pay particular attention to the last line quoted below:     But, Dr. Levon Nazarian, a professor of radiology and vice chairman for education at Thomas Jefferson University Hospital in Philadelphia, suspects other motives lie behind the growing use of scans.    For one thing, ER doctors are under pressure to get patients discharged as quickly as possible, he said. By ordering an imaging test, doctors think they can get a quicker diagnosis and move the patient out of the emergency department faster, he said.    Another factor, one which he said is key, is increased fear of lawsuits. &quot;Doctors will say, 'I need this test for my own peace of mind. If I don't do this test I may get sued,'&quot; he added.     Source: MRI, CT Scans for ER Patients Triple Over Decade   Too bad doctors don’t say: “I need this test for my own peace of mind.&#160; If I don’t do this test, I may misdiagnose the patient.”&#160; Instead, we’ve got another doctor who acknowledges the reality that many doctors are more concerned about not being sued than about providing optimal care to their patients.&#160;   I truly wish some organization would conduct a survey of doctors and ask the following question:  “Have you ever ordered a diagnostic test primarily out of fear of being sued, but then altered your treatment because the results of the test surprised you?”  That’s the metric that matters.]]></description>
         <link>http://www.tortdeform.com/archives/2010/10/where_is_the_concern_for_the_p.html</link>
         <guid>http://www.tortdeform.com/archives/2010/10/where_is_the_concern_for_the_p.html</guid>
         <category>Medical Malpractice</category>
         <pubDate>Wed, 06 Oct 2010 13:35:41 -0500</pubDate>
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         <title>Contradictory Evidence Regarding Defensive Medicine</title>
         <author>Justinian Lane</author>
         <description><![CDATA[Read the passage below and see if you spot a problem:     Diagnostic errors are the leading cause of malpractice suits, accounting for as many as 40% of cases and costing insurers an average of $300,000 per case to settle, studies of resolved claims show. Peter Pronovost, a patient-safety researcher at Johns Hopkins University, estimates that diagnostic errors kill 40,000 to 80,000 hospitalized patients annually, based on autopsy studies over the past four decades.     * * * *     One concern is that using claims data to educate doctors will lead to more &quot;defensive medicine,&quot; in which doctors order more tests and procedures than needed to protect themselves against malpractice suits. In a study in the June Archives of Internal Medicine, 91% of physicians surveyed reported that doctors practice defensive medicine; the majority of physicians also agreed that legal protections against unwarranted malpractice suits are needed to decrease the unnecessary use of diagnostic tests.    Source: How Malpractice Claims Help Doctors Avoid Mistakes - WSJ.com   So, on the one hand, 40,000 to 80,000 people die every year because doctors aren’t ordering enough tests.&#160; But on the other hand, 91% of physicians say that doctors are ordering too many tests.&#160; It makes me wonder just how many people would die every year if doctors weren’t ordering all those “unnecessary diagnostic tests.”&#160; Here’s a survey question I’d love to ask doctors: “Have you ever ordered a test only because you were afraid of being sued and ended up getting a result that you did not expect?”]]></description>
         <link>http://www.tortdeform.com/archives/2010/09/contradictory_evidence_regardi.html</link>
         <guid>http://www.tortdeform.com/archives/2010/09/contradictory_evidence_regardi.html</guid>
         <category>Medical Malpractice</category>
         <pubDate>Tue, 28 Sep 2010 10:23:12 -0500</pubDate>
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