My Secret Life and Tort Reform


h1 Posted 3 years, 7 months ago around lunchtime by abogado

The rumors are true. My account wasn’t really “lost” and my hard drive didn’t “crash”. I have to admit it: I’ve actually been a paid operative for the Bush administration posting on liberal blogs under the pseudonym “ImNotaRepubISwear”. Yes, it is slimy, but they pay well and it’s probably what I would have been doing anyway.
It turns out The Onion and The Daily Show have been ahead of their time – fake news is the wave of the future.

On a more serious note: Tort Reform. I’m not really sure how “on the radar” this issue has been but even being surrounded by law students I haven’t heard it brought up often. In truth, the “Class Action Fairness Act” isn’t all that pernicious for a number of reasons , but if it leads to further reforms in medical malpractice and the like it could be a sign of impending disaster.

The tort system is designed to check and regulate actions that cause harm to people. It has been highly refined over the centuries to work in the overall American system. It has problems, many of them, but I think they are much less significant than the likely alternatives: increased government regulation of private activities through executive agencies or less overall enforcement of our environmental, safety and health standards. Combine Bush’s goal of tort reform with his stripping of regulatory agency power and you have a recipe for rampant corporate crime against people who have neither the resources or know-how to defend themselves.

If the purpose of the CAFA is to allow corporate defendants in class-actions suits to avoid lawsuits by exploiting technical loopholes procedural differences in the federal court system it will probably fail. I think judges will do what they can to allow class-action plaintiffs to bring a suit on the merits in line with the purpose of the Federal Rules of Civil Procedure. But, if that is indeed the purpose then it is indicative of the motives of those behind the tort reform movement to shield wrong-doing companies from answering questions before a court. Keeping in mind that judges (state and federal) already have the discretion and the power to throw out any cases that are merit-less and to sanction, monetarily or otherwise, lawyers and law firms (and even plaintiffs) that bring these suits, it seems that the purpose is to circumvent the system altogether, and that is exceedingly dangerous.

Bush wants to take the decision-making process out of the hands of the average person – the jury – and remove it from the system we have in place to protect our health, environment and safety – the courts. Ironically, it is his “confidence” in the same average person that leads him to conclude he “trusts” us with our retirement money. Clearly, the justification for these proposals are in conflict, but the parties that benefit are largely the same. I’m just sayin.



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  1. 1elenamaryNo Gravatar from United States says:

    thank you abogado. thank you, thank you, thank you.

  2. 2DDNo Gravatar from United States says:

    Yeah. I have been hearing the lawyers over here bitch about this……specifically the med mal and personal injury lawyers. I need to read up on this.

    From what I understand, Bush isn’t trying to take away rights……..it appears as if he is trying to push for “reasonable” monetary judgements, no?

    I will have to do more research on this. Again, in this market…..the lawyers who are doing the bitching are the personal injury types and so forth, you know?

  3. 3osoNo Gravatar from Mexico says:

    TheOrator.com looks like a great place for pleasure reading. Good to see that Hunter S. Thompson’s suicide didn’t inspire you to do anything stupid. Shame we lost Moreno though.

    Anyway, somehow they managed to pass this CAFA thing without asking me, so thanks for bringing it to my attention. I’m pretty sure conservatives will argue that tort reform places more responsibility on the individual. And that’s a really good point since maybe the paper mill is dumping chemicals in the local river, but you’re the one drinking the water aren’t you dummy?

    Would be nice if someone sent some tort down here. Anyone have any info on class action law suits in Mexico? Do they exist?

  4. 4BobboNo Gravatar from United States says:

    I completely agree. The legal system is one that works efficiently and ethically largely on its own. I am less trusting of politicians attempting tort reform than tort lawyers and judges attempting tort reform. It is also ironic that in arguing against “frivolous” medical malpractice suits, presumably in some capacity based on the fact that doctors know what they are doing and should/can be trusted, the professional occupation of the lawyer is put into question and they are not afforded the same ‘profession-based trust’ and autonomy as the medical profession.

    The tort liability system is not perfect, but that is a flaw inherent in the attempt to define a tort, especially an actionable one. Must there be physical contact? Must there be no contact necessary but some physical injury (for example, one brought on by emotional distress)? How do you monetarily quantify non-physical damages? Many of these questions remain either unanswered (at least not definitively) or disagreed upon. These are not easy questions, and they are not questions that can (or will) be put to rest by legislative “tort reform”. They must be worked through by the courts.

    Finally, people seem to forget that the judiciary is the third branch of the government, and we have a system of checks and balances in place for the express purpose of making sure that one branch of government doesn’t overstep its boundaries. Is the field of what constitutes a properly actionable tort in the sphere of the judiciary? Is it the place of the legislature or the executive to tell the courts how to rule? Perhaps, perhaps not. I’m not sure, but considering the fact that the judiciary is looked at to interpret the law, I’m willing to trust them to interpret tort law.

    Although, I WILL be a lawyer in a few years. So maybe I’m biased.

  5. 5DDNo Gravatar from United States says:

    Hmmmm. I asked my lawyer and other lawyers what their views are on tort reform.

    Here is my conclusion. It is good to eliminate frivolous lawsuits…….ones like these:

    http://www.atra.org/show/7859
    http://www.atra.org/show/7774
    http://www.atra.org/show/7837

    However, how can we control frivolous lawsuits?

    I agree to a point that we should not allow the class action lawsuits to be filed via the Supreme Court. I think this is somewhat of a bad idea because less lawyers are going to avoid taking these types of cases. The Supreme Court only takes…….what? About 87 cases per year? Or something like that?

    I see both arguments. I see how we should eliminate frivolous lawsuits, yet I see how requiring the Supreme Court to hear the ‘class action lawsuits’ can be a bad idea. I think class action lawsuits should be heard at the state level.

    Good topic. ;)

  6. 6AbogadoNo Gravatar from United States says:

    DD - thanks for your interest. Here are a few comments:

    Here is my conclusion. It is good to eliminate frivolous lawsuits…….ones like these:

    http://www.atra.org/show/7859
    http://www.atra.org/show/7774
    http://www.atra.org/show/7837

    Quite clearly, those lawsuits (compiled by the “American Tort Reform Association”) are ridiculous. More than likely if they make it to court they will be thrown out very early or at the latest on a motion for summary judgment but likely in an earlier procedural motion by the defendant. This will cost money as all court proceedings do. The judge may have the option to sanction the lawyer who brought the case or to make the frivolous plaintiff pay the defendant’s attorney fees. At any rate, how would you propose stopping these cases any earlier? Do we just block access to the courts to some people? Who would decide this and on what grounds? Essentially, we accept this as an inherent flaw in a system that is designed to grant access to each citizen.

    My point is, the courts have developed a system to deal with these cases as efficiently and fairly as possible. We read about these cases and we are angered because they are obviously silly, but they are a tiny minority of cases that are brought and the cost amounts to an even smaller fraction of the total costs of the system. My guess is that the ATRA doesn’t keep track of the countless frivolous appeals filed by defendants or the bad faith practices on the part of large corporate defendants in the discovery process whereby they “kitchen sink” plaintiffs with information to hide wrongdoing, or use various other “frivolous” procedural tactics to esacpe liability. It cuts both ways.

    I agree to a point that we should not allow the class action lawsuits to be filed via the Supreme Court. I think this is somewhat of a bad idea because less lawyers are going to avoid taking these types of cases. The Supreme Court only takes…….what? About 87 cases per year? Or something like that?

    Just to clarify, the class actions covered by the act would be brought in Federal Court, which does not mean the Supreme Court.

  7. 7DDNo Gravatar from United States says:

    Hi Abogado:

    Again I want to thank you for bringing this topic up. You forced me to look into this.

    “More than likely if they make it to court, they will be thrown out very early or at the latest on a motion for summary judgment but likely in an earlier procedural motion by the defendant.” –Abogado

    It is optimistic to believe that these cases are going to get thrown out early. It is a very high threshold to win an “early” 12 (b) (6) Motion. More than likely the case will proceed through discovery and then be thrown out at the summary judgement level. A summary judgement occurs following discovery which includes depositions, interrogatories, request for admissions, request for production of documents and things, etc. etc., etc.

    Prior to motion for summary judgement. The defense can file a motion to dismiss prior to filing an answer for a number of reasons. The most common is 12 (b) (6) which is a motion to dismiss for failure to state a claim upon which relief can be granted.

    “The judge may have the option of sanctioning the lawyer who brought the case or to make the frivolous plaintiff pay the defendant’s attorney fees.” – Abogado

    It is “rare” to believe that a court will sanction an attorney for a rule 11 violation with a good faith belief in the legitimacy of the claim. All the attorney has to do is articulate a basis for his belief that the law is on his client’s side or that the law “should” be on his client’s side.

    If you preclude the filing of frivolous lawsuits in some manner………this saves the defendants from needing to hire an attorney and spend a lot of money defending those types of merit less lawsuits.

    Attorneys and law students (by extension)….inherently do not want to see that happen, because that means less work coming to them.

    That is why the trial lawyers’ lobbyists do not wish to see tort reform, because let’s face it, someone who comes in with a lawsuit may have merit or may not have merit.

    The plaintiff’s attorney will file the suit in hopes of recovering at a minimum the nuisance value of the lawsuit. So, when you have a “deep pocket” defendant, they might pay out a sum of money to settle a meritless suit rather than spend more money hiring an attorney or spending more money in defending the lawsuit or going through trial or the summary judgement process. The point being……. the plaintiff’s attorney hopes to recover the nuisance value at a minimum and that’s the incentive for filing those types of cases. That amount of recovery is more money to the attorneys than they would have had…….had they not have filed.

    Somebody can go into a law office and claim they were traumatized by watching a rat eaten on NBC, the attorney will say, “I feel your pain,” and file a lawsuit. Figuring there will be some settlement.

    Somebody can legitimately have an injury or a claim, but must there be a disclaimer upon every activity in life?

    Do we just block access to the courts to some people?–Abogado

    No. You increase the level of scrutiny.

    You get a “kook” in small claims who files many, many frivolous lawsuits,. Many small claims jurisdictions will cap the number of small claims cases that can be filed in a given year. Any cases to be filed over that amount must be filed in district or regular court.

    This is good to take care of the “kooks,” but is not good for the legitimate business man or landlord who needs access to simplified court proceedings to take care of legitimate business needs.

    It’s a double-edged sword.

    “…but they are a tiny minority of cases that are brought and the cost amounts to an even smaller fraction of the total costs of the system.” –Abogado

    We don’t know what the percentage is of frivolous lawsuits……many cases are settled early for nuisance value, but that is still a cost to the defendants and regardless of whether it is a high number or not, each defendant who has to defend a frivolous lawsuit must bare the costs of doing so as to that defendant……this is a big issue.

    This has an effect on the economy, and corporations raise their prices to counter the legal expense….the nuisance suit expenses.

    Your argument is that this is a small problem. My suggestion is that we do not know if it is a big or small problem, but in any event, it is still a problem and one which ought to be dealt with.

    So how do we ensure that a case is going to get the proper scrutiny….and fair scrutiny? Should there be some sort of alternative dispute resolution perhaps?

    Bush eliminated……….. in essence forum-shopping. Restricting same to federal courts and in doing so, raised the criteria needed to satisfy the class action requirements. The hope is to eliminate some of these frivolous lawsuits.

    Bush has not taken any rights…..citizens still have access to the courts…………the standards were raised.

    “Just to clarify, the class actions covered by the act would be brought in Federal Court, which does not mean the Supreme Court.” — Abogado

    You are right, my bad. :oops:

    I think Bush ought to look at mediation avenues.

  8. 8osoNo Gravatar from Mexico says:

    You guys are learning me. Bobbo you say:

    people seem to forget that the judiciary is the third branch of the government, and we have a system of checks and balances in place for the express purpose of making sure that one branch of government doesn’t overstep its boundaries.

    I think that’s exactly the reasoning most pro-tort-reform people give: that the legislature needs to step in to create a check and balance against lawyers and judges whose careers are dependent on people suing people.

    This is a tangent, but it’s like how the Border Patrol Union is always against proposals which would actually stem the flow of illegal immigrants because their jobs are dependent on the people they are trying to keep out. Or even how the US military is always against peace because peace is a threat to their funding.

    Remember that dude on the back of every San Diego bus with the ridiculous smile asking if you’ve been hurt at work? Or while walking down the sidewalk? Or while combing your hair? That guy provides absolutely no service to society. But how do you keep shmucks like him out of the courthouse while ensuring that people who really are injured at work because of negligent management have access to all that they are entitled to and more importantly know what they are entitled to?

    I’m playing devil’s advocate here, but if you’re trying to convince people that tort reform is a bad idea, saying that it should be left up to wealthy lawyers who could potentially (and sometimes do) benefit from a corrupt system, is not the way to do it.

  9. 9AbogadoNo Gravatar from United States says:

    The thing is, this isn’t about frivolous lawsuits. This is about class actions that have a lot of merit and are going to win very large settlements. The whole idea is that they think Federal courts are less sympathetic to plaintiffs and will not give out (as) massive settlements when, for example, people’s hearts explode. But I guess I was the one who brought up future reform, so touche.

    Bobbo - I wouldn’t go your route because it is entirely within the constitutional limits of Congress to limit a court’s jurisdiction, so the whole separation of powers question is tough, unless you are making it on policy grounds, in which case I would largely agree with Oso. Why should tort lawyers make up tort rules? But, Oso I don’t see how judge’s careers really depend on the flow of frivolous cases. If you cut their caseload in half (which ending ALL frivolous [and non-frivolous for that matter] tort cases wouldn’t nearly do) they would still have plenty of job security and be plenty busy. On the other hand, many state judges are elected and may feel pressured to allow large settlements to get them reelected. But then, that doesn’t make sense based on the premise of toer reformers: that people don’t want large settlements. This premise would imply that state judges (who stand for reelection) would be more likely rather than less, to puch for lower awards to repond the the so-called will of the people. I think there is something else going on here.

    At any rate, I think the whole thing is ridiculously overblown. You read about the cases that DD linked to and you think “my god, I’m paying for this!” and suddenly ever lawyer is a villian reaching into your pocket and stealing your paycheck. The statistics, and there are many more that I will find when I have time, simply do not support the drastic measures that “tort reform” proponents advocate. They use rhetorical questions with no support and ridiculous scare tactics to create a false perception among the public largely based on this paranoic fear of lawyers. I will find more specific statistics against all this nonsense (I’ve read many of them) in the near future because I think there is a problem and it needs a response, but it is crucial that people understand the actual extent of the problem so we don’t throw the baby out with the bathwater - the consequences of which would be the loss of one of the most important tools in American life. period.

  10. 10DDNo Gravatar from United States says:

    Ok….

    I looked at the ’statistics’ that you provided and I don’t see a credible source within the article that is cited. :? Also, Richard Turbin is a Honolulu attorney and chairman-elect of the Tort and Insurance Section of the American Bar Association, with 35,000 members the largest organization of insurance and personal injury lawyers in the world. The information he provides is old….and it appears that he gave some supposed facts from the 80’s to the early 90’s.

    I will wait to get some more specific statistics from you. I think that might help me out a lil’ bit. It would be nice to have statistics in regards to the blue and red states’ judgements, but I don’t know if that information is out there.. I think that part of the tort reform that Bush implemented, in essence, eliminated forum shopping.

    Again, thanks……..I will be watching for more statistical data from you. :wink:

  11. 11ChrisNNo Gravatar from United States says:

    “Remember that dude on the back of every San Diego bus with the ridiculous smile asking if you’ve been hurt at work?”

    ¡¡ACCIDENTES!! 222-2222

  12. 12DDNo Gravatar from United States says:

    Dude on the back of every SD bus? :?

  13. 13osoNo Gravatar from Mexico says:

    Yeah, Chris totally nailed it. If anyone in SD would send me a picture of that ad, I’d be eternally grateful.

  14. 14AbogadoNo Gravatar from United States says:

    DD - you’re totally right about that article. I was in a hurry and just skimmed it as it was the first one I found. I will provide you more “objective” academic statistics from my casebook and the law review articles and studies they refer to and I will try to provide a better articulated critique of the statistics cited by the ATRA. Many of these studies are not “publicly” (in that they can’t just be googled) available to my knowledge as you need a subscription to Lexis or Westlaw. Since you are interested I will do a little legal research and see what I can find.

  15. 15DDNo Gravatar from United States says:

    Ok. Cool…..I didn’t even think about that. I have access Lexis and Westlaw. Great! :)

    I can’t wait to see your legal research. This is fun and I can’t wait.

  16. 16DDNo Gravatar from United States says:

    Testing…..1 - 2 - 3. Subscribing to comments.

  17. 17AbogadoNo Gravatar from United States says:

    Well, I guess there is no need to repeat what has already been researched more thoroughly than I could ever hope to do, so instead here are some excerpts of articles. I have edited this down a lot (believe it or not), but the citation is there for anyone with access to lexis or westlaw.

    First up, an article on caps on non-economic medical malpractice recovery:

    I’ve added the html in the footnotes. Some of the links provided are broken..

    53 EMORYLJ 1263
    Emory Law Journal
    THE HIDDEN VICTIMS OF TORT REFORM: WOMEN, CHILDREN, AND THE ELDERLY

    Lucinda M. Finley

    The tort reform movement and its agenda of caps on noneconomic loss damages have gained steam recently. In his January 2004 State of the Union address, President George W. Bush called for enacting caps on medical malpractice damages, and Senate Majority Leader Bill Frist, a physician, has declared this one of his legislative priorities. The call for caps on noneconomic loss damages has been propelled by doctors marching on state capitals, contending that such legislation will relieve them of onerous malpractice costs. With pro-tort reform Republicans in control of the White House and both chambers of Congress, the political prospects for widespread enactment of such caps are more favorable than at any previous time. If the Republicans gain a filibuster-proof majority in the Senate and maintain their advantage in the House, a federal law capping at least medical malpractice noneconomic damages– and perhaps all such tort damages–is sure to pass, trumping any contrary policy decisions by states. Thus, it is a particularly propitious time to contemplate the future of the tort system and access to civil justice in a world of nonindividualized, fixed amount payments for noneconomic loss.

    The litany of accusations against the tort system includes: too many frivolous lawsuits driven by greedy plaintiffs’ attorneys; skyrocketing damage awards that bear little or no relation to the actual harm; juries either too ignorant or too sympathetic to the plight of an injured person and too antagonistic to large deep pocket corporations to follow the facts or the law; varying recoveries, especially punitive awards, for similar injuries–which make the tort system seem more like a lottery than a means of fairly delivering compensation; litigation costs so excessive that corporations are financially threatened by even successfully defending the frivolous suits; doctors retiring or moving to other states because of skyrocketing premiums, with a consequent crisis in access to care in areas plagued by high tort verdicts; U.S. companies deterred from marketing safe and beneficial products because of liability fears; and U.S. companies facing global competitive disadvantages because of their litigation and insurance liability costs. Picking up on these claims, the media has fueled the controversy by publishing highly selective–and thus misleading–accounts of some large tort verdicts that seemed to lend truth to the criticisms. A prominent example is the large compensatory and punitive damage verdict a jury awarded to an elderly woman who suffered third degree burns when she spilled a cup of McDonald’s coffee in her lap.

    There is little empirical evidence to support the claims of the critics of the tort system. Indeed, most of the available empirical research refutes the criticisms. Tort filings as a percentage of civil case filings have been on a continual decline since 1990. [National Center for State Courts, Examining the Work of State Courts, 2003: A National Perspective from the Court Statistics Project 23 (2003), available here.] Overall tort case filings in the thirty-five most populous states declined 4% between 1993 and 2002. [Id.] When adjusted for increasing population, there was a median decline of 19% in tort cases from 1992 to 2001. [National Center for State Courts, Examining the Work of State Courts, 2002: A National Perspective from the Court Statistics Project 25 (2002), available here.] Texas, a state often mentioned as the epitome of a tort system run amok, had the largest decline in the nation, with a 40% drop in per capita tort filings during the ten year period from 1993 to 2002. [National Center for State Courts, supra note 11, at 24.]

    Medical malpractice case filings dropped 4% nationally from 1997 to 2000. [National Center for State Courts, Examining the Work of State Courts, 2002: A National Perspective from the Court Statistics Project 25 (2002)] There was an increase in medical malpractice case filings in 2001, but when adjusted for population increases there was an overall decline of 1% in medical malpractice case filings from 1992 to 2001. [Id.] Medical malpractice case filings rose again in 2002, for a total increase in filings for the five year period from 1998 to 2002 of 6%, which amounts to an average increase of just over 1% annually. [Id.] During this five-year period the U.S. population grew by 4.5%, [Id.] so the per capita increase in filings is negligible.

    Medical malpractice cases are a small percentage of all tort case filings– they represented 5% of the state court tort caseload in 2001, [National Center for State Courts, supra note 13, at 27.] and 4% of the caseload in 2002. [Id.] Furthermore, less than 5% of medical malpractice cases filed go to trial. While plaintiffs have never won a majority of these tried cases, juries have become increasingly skeptical of plaintiffs and more likely to rule for defendants. In 1992, plaintiffs won 30% of the tried cases; in 1996, the plaintiff win rate had declined to 23%. [Id.] The median jury award in 1992 in the seventy-five largest U.S. counties was $253,000; [U.S. Department of Justice, Medical Malpractice Trials and Verdicts in Large Counties (2001), Based on a sample of states, rather than counties, Caseload Highlights, supra note 22, reports the 1992 median as $201,000.] in 1996 the median medical malpractice jury verdict was $286,000. [National Center for State Courts, supra note 11, at 29.] In 2001, the median verdict increased to $431,000. [U.S. Department of Justice, supra note 23.] This is a 70% increase from the median ten years prior in 1992, but during this decade medical costs increased by 51.7%, and general inflation, which would drive up wage-based damage awards, was up 26.2%. [U.S. Department of Labor, Medical Care Inflation Continues to Rise, Monthly Labor Review, tbl. Annual Change in the Consumer Price Index for All Urban Consumers. Medical Care and All Items, 1991-2000, here (May 29, 2001).] In addition to inflation, this growth in median awards can also be explained by the fact that in 2001, 90% of medical malpractice trials involved plaintiffs who suffered the most severe injuries of death or permanent disability, and damage awards are the highest in these types of cases. [U.S. Department of Justice, supra note 23.] Punitive damage judgments in medical malpractice cases are extremely rare. From 1992 to 2001, the percentage of plaintiffs who received punitive damages ranged between 1% and 4%. [Id.] Punitive damages are equally rare in product liability suits, another area occasionally targeted by tort reformers, and cluster around a few notoriously lethal products with appalling evidence of corporate misconduct and cover-up, such as asbestos and the Dalkon Shield contraceptive device. [Thomas Koenig & Michael Rustag, His and Her Tort Reform: Gender Injustice in Disguise, 70 Wash. L. Rev. 1 (1995).]

    Far from the picture of overly generous, plaintiff friendly, “runaway” juries painted by tort reform proponents, the empirical reality of the tort system and medical malpractice cases is one of case filings holding steady with population increases, juries who skeptically assess plaintiffs’ cases, and juries who award damages commensurate with the seriousness of the injury and with medical inflation. [he consistency of jury damage awards with severity of injury is explored in Neil Vidmar et al., Jury Awards for Medical Malpractice and Post-Verdict Adjustments of Those Awards, 48 DePaul L. Rev. 265 (1998) and Randall Bovbjerg et al., Valuing Life and Limb in Tort: Scheduling and 'Pain and Suffering', 83 Nw. U. L. Rev. 908 (1989).] The empirical reality picture–that it is not the actions of injured plaintiffs that is driving the sharp increase in medical malpractice insurance premiums–does not change when overall claims filed with insurance companies are added to the canvas. Similar to the downward trend in court cases, the trend in overall malpractice claims is also down. The National Association of Insurance Commissioners reports a 4% decrease in claims between 1995 and 2000, from 90,212 claims filed in 1995 to 86,480 in 2000. [Public Citizen Congress Watch, Medical Misdiagnosis: Challenging the Malpractice Claims of the Doctors' Lobby 3 (2003), available here.] According to the federal government’s National Practitioner Data Bank, the median total physician payment to a malpractice claimant rose 35% from 1997 to 2001–the years that should have fueled the current crisis in rising insurance premiums–from $100,000 to $135,000. [Id. at 2.] This is less than the medical cost inflation rate. [See supra note 26 and accompanying text.]

    While total medical malpractice insurance costs have increased less than half the rate of medical cost inflation, premiums have increased at a much higher rate. [Public Citizen Congress Watch, supra note 31, at 2.] The rate of preventable medical error far exceeds the number of malpractice claims. Several research studies have estimated that for every six incidents of medical error, only one becomes a malpractice claim. [Id. at 1] The highly regarded Harvard Medical Practices Study noted that “most American doctors fervently believe that the present-day malpractice litigation is excessive and erratic . . . . [However,] the medical setting has provided the strongest evidence that the real tort crisis may consist in too few claims.” [Weiler et al., supra note 35, at 62.] The Institute of Medicine (”IOM”) estimated in 1999 that between 44,000 and 98,000 people die each year in U.S. hospitals from medical error, up to double the annual death toll from auto accidents. [Public Citizen Congress Watch, supra note 31, at 1; Institute of Medicine, To Err Is Human: Building a Safer Health System (2000).] Recent studies updating the IOM report suggest that medical errors are increasing. In July 2004, HealthGrades, a health care quality rating agency, released a study, based on Medicare data from all fifty states, estimating that an average of 195,000 people a year died from preventable medical errors in U.S. hospitals in 2000, 2001, and 2002. [Health Grades Quality Study, Patient Safety in American Hospitals (2004), available here.] The IOM estimated the annual societal cost of hospital medical error as between $17 billion and $29 billion–much greater than the total amount of $6.4 billion spent on malpractice insurance in 2000 by doctors as well as hospitals. [Public Citizen Congress Watch, supra note 31, at 1; Institute of Medicine, supra note 37.]

    Even as medical malpractice insurance premiums have started to rise dramatically in the past few years, the General Accounting Office (”GAO”) recently concluded that there has not been any documentable adverse affect on access to health care, except in some scattered, often rural areas, where factors other than malpractice premiums contribute to the access issues. [General Accounting Office, Medical Malpractice: Implications of Rising Premiums on Access to Health Care 16-19 (2003).] In several of the states trumpeted by the AMA as experiencing crises in the availability of doctors due to rising insurance costs, the number of physicians per capita has actually increased. [Id.]

    In sum, the empirical picture shows tort filings are down, medical malpractice case and claim filings are flat or declining per capita, median verdicts are increasing only marginally more than medical inflation and are commensurate with injury severity, median claims payouts are increasing less than the recent rates of increase in insurance premiums, and numbers of doctors are not declining in states hit hard by huge increases in insurance premiums. Given this picture, it is hard to understand why the interest groups clamoring for tort reform have been so successful in convincing legislatures that limiting damages for the few negligently injured people whose cases go to trial, win, and recover more in noneconomic damages than the amount of a damages cap, will alleviate the periodic cycles that afflict the liability insurance markets.

    more to come.

  18. 18DDNo Gravatar from United States says:

    Ok. I will mull this over.

    I am doing some research on Lexis so it might take me a bit to produce something in response to what you provided. I want to think about this because I would eventually like to form some sort of conclusion on this tort reform stuff.

    I’m a bit on the fence on this issue……and I can see both sides of the argument. :wink:

  19. 19DDNo Gravatar from United States says:

    Interesting read from Lucinda. That was good stuff, thanks. :) I am not William Frist’s biggest fan at the current time. In fact, ironically enough, I received a letter from him today. I made a complaint to his office in mid-November and just received a response this afternoon.

    Now, back to Lucinda…..Abogado, here in Kansas I know a few med mal and personal injury lawyers. (I participate on the Lawyer’s League Softball team, and I get to hear lots of good stuff :wink:), hee hee, anyhow, many of these personal injury and med mal lawyers attempt to issue letters and demands before even filing a complaint in district court. Many doctors and businesses will settle a complaint before the matter is taken to court in hopes of avoiding public embarrassment. If this happens here, how many times does it happen else where? You know?

    Why doesn’t Lucinda address that issue? The issue of how complaints get settled prior to the formal court proceedings. Many times, a confidentiality agreement is signed by both parties where they both wish to keep the complaint private before a final settlement is reached and before a case is even filed. Especially with doctors –doctors need to maintain a reputable practice in order to maintain trust when caring for their clients.

    These days, consumers are becoming increasingly informed, and smart consumers do their research on surgical doctors prior to allowing them to perform surgery. Doctors know this. It is imperative that they settle as many cases as they can in order to prevent a lawsuit being filed. The fewer cases that doctors have on record, the better.

    Why doesn’t Lucinda address this situation? I think it is possible that the med mal filings decreased due to complaints being settled before reaching the courts. These cases do not get reported, nor do we know or have any statistical data on same. This is a loop hole. This is what makes me uncomfortable and this is why I can see Bush’s concern.

    Smart “kooks” know that doctors need a good reputation……how many “kooks” abuse this?

    I did a Lexis search on Bush’s concerns in regards to tort reform and this is the concern that he has……..it seems fair, no?

    Public Papers of the Presidents
    February 21, 2005, Monday

    HEADLINE: Statement on House of Representatives Action on the Class Action Fairness Act of 2005

    BODY:

    February 17, 2005

    I commend the House for passing a class-action reform bill that will help protect people who are wrongfully harmed while reducing the frivolous lawsuits that clog our courts, hurt the economy, cost jobs, and burden American businesses. Junk lawsuits have helped drive the cost of America’s tort system to more than $240 billion a year, greater than any other major industrialized nation. This bill is an important step forward in our efforts to reform the litigation system and to continue creating jobs and growing our economy. I look forward to signing the bill into law.

    ******

    Finally….I wanted to know who Bush’s heaviest influence could be. Thanks to you and Lucinda……I think Frist might be W’s heaviest influence. Oddly enough, Bush needs Frist to stop blocking immigration reform. This is what I hate about politics. Too many of the “I will scratch your back if you scratch mine” attitude makes me nauseous. Real integrity can get lost in that — and I believe integrity is and will always be key in everything.

  20. 20AbogadoNo Gravatar from United States says:

    will help protect people who are wrongfully harmed while reducing the frivolous lawsuits that clog our courts, hurt the economy, cost jobs, and burden American businesses. Junk lawsuits have helped drive the cost of America’s tort system to more than $240 billion a year, greater than any other major industrialized nation.

    This is just typical political rhetoric that says a grand total of nothing about what the bill (CAFA) actually did. I don’t see at all how it will cut down on frivolous lawsuits since they will still be lawsuits, only they will be moved to federal court. Meanwhile, Bush and Congress are forcing the Federal Courts to cut jobs by reducing their budget. The State courts are arguably more capable of handling these cases than the Federal courts, so is he really worried about “clogging the courts?” Apparently not. From what I can tell, this does nothing to cut “junk lawsuits” either.

    In fact the statement right after the part you put in bold is far more telling:

    This bill is an important step forward in our efforts to reform the litigation system and to continue creating jobs and growing our economy.

    exactly. It’s simply a political “testing of the waters” to see what reaction will be like and to try to build momentum for much more sweeping (and damaging) change in the tort system.

  21. 21DDNo Gravatar from United States says:

    This is just typical political rhetoric that says a grand total of nothing about what the bill (CAFA) actually did. I don’t see at all how it will cut down on frivolous lawsuits since they will still be lawsuits, only they will be moved to federal court.

    A grand total of nothing? Aw come on, Abogado, that is a little extreme. There is some truth.

    Public Papers of the Presidents — April 26, 2004, Monday

    Excessive litigation is one of the biggest obstacles to economic growth. The tort system now costs America’s economy more than $230 billion a year, and no other country faces a greater burden from junk lawsuits. Our litigious society deters job creation and consumes billions of dollars that could be better spent on investment and expansion. Frivolous lawsuits put American workers at a competitive disadvantage in the global economy and have a devastating impact on the medical community. When Congress convenes next year, the House and Senate need to pass sound reforms on our medical liability, class action, and asbestos litigation systems.

    Do you not agree that American’s have become somewhat litigious? I’m curious…..have you worked for a law firm or clerked for a legal firm? It’s amazing how litigious our society has become.

    I reviewed the News Release you provided…….I supervised/worked for district court and I can tell you that some court administrators are instrumental in the purchasing decisions that they make. Instead of cutting jobs, court administrators can be creative with their budgets.

    Also, you would think that good ol’ W would propose a cap on some of these federally appointed ‘for life’ judges. Seriously, some of these judges are old farts and when you couple age with continuous pay increases. :? Ugh. Spells disaster and drain.

    exactly. It’s simply a political “testing of the waters” to see what reaction will be like and to try to build momentum for much more sweeping (and damaging) change in the tort system.

    What are you eluding to here? I wanna know, I wanna know! :)



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