by chiram97 » Tue Dec 20, 2011 6:41 am
Understand, tort reform advocates do not advocate some kind of immunity from lawsuit. They advocate a system to weed out the firvolous lawsuits from the good ones. Something like 'loser pays' where the loser of a tort would have to pay legal costs for the winner. This would encourage insurance companies to not settle when they think they can win, and create a powerful incentive for plaintiff lawyers to pick their cases more carefully.
When a sugeon sews his watch into a patient, that's malpractice. But alot of medical lawsuits...ALOT of them...end up being situations where a patient enduring the natural risk of a medical procedure is simply unlucky and things go wrong. The surgeon or doctor may have done his job perfectly and it can still go badly. People aren't as easy to fix as cars. The thing is, even when a plaintiff has a bad case, it is STILL cheaper to settle out of court than to fight the frivolous suit. This becomes a virtual extortion racket. One that is making lawyers VERY rich. And those rich lawyers donate heavily to Democrats to keep Tort reform from happening.
Because the doctor fears malpractice, he will pay for malpractice insurance. The more frivolous lawsuits there are the higher those fees, even if he is a good doctor. There are many anecdotal stories out there now where older doctors who would like to still work (at least part time) feel that the cost of malpractice insurance has made it not worth their time. It's alot of work to be a doctor. It's like having a difficult day job and then going home and studying for night class because you are ALWAYS reading the latest journals and developments.
Also, doctors have become so paranoid that they often order tests that they know are EXTREMELY unlikely to indicate the problem. However, if there is even a slight chance that it might, and that turns out to be the issue, they'll be sued. So they play cover-your-a$$, and order extra tests. Now, what happens when demand increases? Yup, prices rise more.
Now your concern about creating and incentive to avoid mistakes is valid. If tort reform went TO FAR in the other direction that would be bad. But realize that stat licensing board in the US are actually OVER-strict. We tend to have a dcotor population that is over-qualified, not under-qualified. That doesn't mean that bad doctors aren't out there or don't slip through, but this country is not on the verge of some malpractice epidemic. Indeed, one can argue that this is bad. It means fewer doctors, and economic 101 tells us that when the supply is kept lower, prices rise.
Now let's understand, Tort Reform in and of itself is not a silver bullet. It doesn't solve the biggest cost problem which is that an aging population is consuming more medical services while the supply of doctors is relatively inelastic. But it will help.