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Why would a reform bill cut doctors pay but not mention anything about tort reform at all?

Lobbyists perhaps?
The cost of malpractice insurance is a major driver in health care cost.

You must be a lawyer
States were forced to pass tort reform because the doctors MOVED.

Washington state had all but about 3 pediatricians in the state say they were leaving unless it was passed. There was a huge shortage and what do you do when they say no more patients?

Asked By: C B - 9/3/2009
Best Answer - Chosen by Asker
Think a minute. What profession of people dominate congress? Answer: lawyers.

* 41 Senators and 140 Representatives are attorneys. In total 120 Democrats and 64 Republicans

They are protecting their own.
****edit


How Tort Reform Works

TEXAS: Tort Reform Spurs Economic Growth; Aids Access to Healthcare

In 2003, the Texas state Legislature passed H.B. 4 to further reform the state's civil justice system. The bill addressed issues such as: limits on noneconomic damages; product liability reform; punitive damages; medical liability reform joint and several liability; and class action reform. Voters also approved a constitutional amendment, Proposition 12, in 2003, which eliminates potential court challenges to the law that limited noneconomic damages to $750,000. Since the enactment of H.B. 4 and the subsequent passage of Proposition 12, Texas has made great strides in growing its economy and providing jobs and accessible healthcare to its citizens.

Success in the business community:

* Texas was awarded the 2004 Governor's Cup award for the largest number of job creation announcements (Site Selection Magazine, 3/05).
* Texas also was selected as the state with the best business climate in the nation by Site Selection Magazine (Site Selection Magazine, 3/05).

Successes in the medical community:

* The American Medical Association dropped Texas from its list of states in medical liability crisis (Houston Chronicle, 5/17/05).
* Malpractice claims are down and physician recruitment and retention are up, particularly in high risk specialties (Houston Chronicle, 5/17/05).
* The five largest Texas insurers cut rates, which will save doctors about $50 million, according to the AMA (Houston Chronicle, 5/17/05).
* Malpractice lawsuits in Harris County have dropped to about half of what they were in 2001 and 2002. There were 204 cases filed in 2004, compared with 441 in 2001 and 550 in 2002. There were 1,154 lawsuits filed in 2003, attributed to attorneys trying to file before the new law took effect (Houston Chronicle, 5/17/05).
* Harris County has seen a net gain of 689 physicians, an 8.4 percent increase, according to the Texas State Board of Medical Examiners (Houston Chronicle, 5/17/05).
* Texas Medical Liability Trust, the state's largest liability carrier, reduced its premiums by 17 percent (Houston Chronicle, 5/17/05).
* Fifteen new insurance companies have entered the Texas market (Associated Press, 2/16/05).
* Health Care Indemnity, the state's largest carrier for hospitals, cut rates by 15 percent in 2004 (Associated Press, 2/16/05).
* American Physicians Insurance Exchange and The Doctor's Company also reduced premiums (Associated Press, 2/16/05).
* The American Physicians Insurance Exchange saw a $3.5 million reduction in premiums for Texas physicians in 2005. In addition, beginning May 1, 2005, 2,2000 of the 3,500 physicians insured by the company would see an average drop of 5 percent in their premiums (The Heartland Institute, 5/1/05).

Texas: Tort Reform Spurs Economic Growth

In 1995 the Texas Legislature passed a series of bills to reform the state's civil justice system. These bills addressed: limits on punitive damages, joint and several liability, sanctions for filing frivolous suits, limits on venue shopping and out-of-state filings, modifications to deceptive trade practices and medical malpractice reform.

According to the study, The Impact of Judicial Reforms on Economic Activity in Texas, the total cost of the Texas tort system in 2000 was $15.482 billion. Without reforms, it is estimated that the total cost would have been $25.889 billion. Of the $10.407 billion in total direct savings, approximately $2.777 billion may be attributed to improvements at the national level while $7.630 billion in savings were from reforms in Texas. Of the total savings, $2.542 billion went directly to benefit consumers.

The Perryman Group. The Impact of Judicial Reforms on Economic Activity in Texas Overall Economic Impact on State's Economy. (August 2000)

Facts to Consider: Benefits to Consumers

It is estimated that reforms enacted in 1995 resulted in savings of $2.542 billion that directly benefits consumers.

$1.796 billion in annual cost savings from reduced inflation ($216 per household)

$7.056 billion in annual total personal growth income ($862 per household)

The net result was a savings of $1,078 per year to the typical Texas household.

The Perryman Group. The Impact of Judicial Reforms on Economic Activity in Texas Overall Economic Impact on State's Economy. (August 2000)

MISSISSIPPI: Tort Reform Already Achieving Desired Results

In a 2004 legislative special session called by Governor Haley Barbour, the Mississippi Legislature passed H.B. 13, which included reforms relating to: product liability; joint and several liability; jury service; medical liability; and noneconomic damages. Improvements in the state's economy and healthcare system already are being demonstrated since the law took effect on Sept. 1, 2004.

Successes in the business community:

Businesses have made new investments in the state starting in 2004. These include:

* $35 million investment by Textron
* $3.5 million payroll by Winchester Ammunition
* $1.8 billion expansion by Fed Ex Ground
* $20 million investment by Kingsford Charcoal (The Clarion-Ledger, 2/27/05).

Successes in the medical community:

* The Medical Assurance Company of Mississippi (MACM), which provides medical malpractice insurance to about 70 percent of doctors in the state, announced a 5-percent decrease in premiums for 2006 (The Natchez Democrat, 10/19/05). MACM did not raise base premiums in 2004 or 2005, and previously had been raising rates annually up to 20 percent (Associated Press, 9/24/04).
* Mass Mutual Insurance Group, St. Paul Travelers, World Insurance Company, and Equitable Life Insurance Company are returning to Mississippi (The Clarion-Ledger, 2/27/05).

TORT REFORM AT A GLANCE: Other States Begin to Make Strides

Missouri

Expansion Management, a monthly business magazine, ranked Missouri as one of the leading states in the nation for having a business friendly climate that attracts industry and new jobs. Missouri, along with Ohio and Virginia, each had five metro areas earning top honors (Jefferson City News Tribune, 6/23/05).

New Jersey

In 1995, the state legislature passed the Affidavit of Merit Statute. The law provides that in any suit alleging professional malpractice or negligence, 'the plaintiff shall, within 60 days following the date of the filing of the answer to the complaint by the defendant, provide each defendant with an affidavit of an appropriate licensed person that there exists a reasonable probability that the care, skill or knowledge exercised or exhibited in the treatment, practice or work that is the subject of the complaint fell outside acceptable professional or occupational standards or treatment practicerthes.'

Enactment of the law coincides with a measured drop in the number of medical malpractice suits filed. In 2004, 1,493 medical malpractice suits were filed, a 24 percent decrease from 1997 when 1,971 suits were filed. 1997 is the earliest year for which data is available from the state Administrative Office of the Court (New Jersey Law Journal, 6/13/05).

West Virginia

After passing tort reform measures in 2003 that included a $250,000 cap on noneconomic damages, West Virginia has seen an increase in the number of new physicians in the state. According to the West Virginia Board of Medicine, 377 new physicians were licensed to the state in 2004, the most since 391 were licensed in 1999. The state previously had hit a low point with 305 new licenses in 2000 (The Heartland Institute, 5/1/05).

West Virginia Physician's Mutual, the states largest medical malpractice insurer has added 100 new doctors who had previously left West Virginia to its membership rolls. In addition, the company has applied in 2005 for a 5 percent reduction in premiums physicians pay for malpractice coverage. The president credits the reduced premiums and the addition of doctors to medical malpractice reforms that have been passed since 2001 (Charleston Gazette, 8/20/05).

Woodbrook Casualty Insurance, the state's largest private malpractice coverage provider serving about 250 doctors, sought a 3.9 percent rate decrease in 2005. The request must go to the state Insurance Commission for approval (Charleston Gazette, 8/20/05).

STUDIES: Noneconomic Damages Caps Led to Greater Percentage of Physicians

According to a study conducted by senior economists from the Center for Delivery, Organization, and Markets Agency for Healthcare Research and Quality, states where noneconomic damages are limited in medical malpractice cases have more physicians per capita than states without limits. The study found that:

* Counties in states with limits had 2.2 percent more physicians per capita
* Rural counties in states with limits had 3.2 percent more physicians per capita
* Rural counties in states with a $250,000 cap had 5.4 percent more OB-GYNs and 5.5 percent more surgical specialists per capita than rural counties in states with a cap above $250,000 (Health Tracking, 5/31/05).

According to a study in the Journal of the American Medical Association (JAMA), the adoption of direct medical malpractice reforms that limit the size of awards led to a greater growth in the overall supply of physicians. Three years after adoption of reforms, the study found that the physician supply increased by 3.3 percent. The direct reforms had a larger effect on:

* The supply of nongroup vs. group physicians
* The supply of most specialties with high malpractice insurance premiums
* States with high levels
Answered By: Libertarian is crushing ACORNs - 9/3/2009
Additional Answers ()
We don't need tort reform.
Answered By: Bush Lied Millions Died - 9/3/2009
Thank goodness that practicing protective medicine doesn't add billions of cost a year to all of our tabs.
Is it coincidence that the majority of politicians and lobbyists are lawyers...tort reform won't happen until Americans demand it.
Answered By: blissdds - 9/3/2009
You're right the Lobbyists in the Health Care Profession have been paying our Lawmakers to get Elected or Re-Elected they are in the Business of making Money.

Knowing Capitalism works Reform doesn't.
Answered By: tfoley5000 - 9/3/2009
95 ?f Democratic politicians are lawyers
Answered By: Ryde-On - 9/3/2009
Those poor lawyers. We need them. Why would you want to punish them.

Texas tort reform passes - next year medical lawsuits down 70?
Answered By: Teguci - 9/3/2009
Quit trolling. you know dang well that the Democratic party is in the pocket of the trail lawyers -- their second biggest campaign gravy train after the unions.

self-employed doctors, however, like to make large incomes and so are seen as likely Republicans. or as "rich".

tell that to the new physician who owes $160,000 in student loans.
Answered By: Spock (rhp) - 9/3/2009
WE DO NEED TORT REFORM! Do libs want retards like John Edwards and other lawyers to keep filing these frivolous lawsuits and penalizing doctors and hospitals? What will happen if we do not put a cap and the rerwards for these tort cases is health care costs will keep rising UNCHECKED and no matter what we do, eventually, it will be to expensive for ANYONE to provide insurance coverage - INCLUDING THE GOVERNMENT.
Republicans have repeatedly introduced ammendments that would reform the tort system and have been rebuffed by the libs in committee and on the floor at every turn. It is not in the libs (most of whom are lawyers and support lib pols) best interest to do anything that will upset the lawyers.
Answered By: cadcommando2003 - 9/3/2009
95?f the money donated to politicians by tort lawyers goes to Democrats...Democrats won't bite the hand that feeds them the same way Democrats are owned by unions and thats why the UAW now owns 40?f GM.
Answered By: William S - 9/3/2009
Because 95?f malpractice cases are filed in STATE courts not FEDERAL and so it is a state level issue not federal. This is why Texas, Florida and other states do Tort Reform at the state level.

Federal laws have no impact on state courts and cannot set limits on damage claims in the state courts.

So that's why...

Here are the stats that show that almost all cases are filed in STATE courts:

http://www.cbo.gov/doc.cfm?index=4641&type=0&sequence=3

Here is an inteview with John Martin, who was very involved with passing the Texas state legislation...note that he says that Tort Reform is better done at the state level to be effective...

http://www.metrocorpcounsel.com/current.php?artType=view&artMonth=September&artYear=2009&EntryNo=10072
Answered By: JW B - 9/3/2009
This has been the debate....Why?, why?, why?. The bill is sooo ridiculous, absurd and open ended that it is not a bill on reform, as it is a license to do as they wish....I was hospitalized for one week not to long ago...Every nurse I spoke to was for the reform.....by the time I was released not a single nurse or health care person was for the bill...They had not taken the time to read..One nurse said that Dr's make too much anyway. I said if they cut your doctors income, what do you think will happen to yours ...A light went off.... The bill sez what will get you to like it...not what needs to be done!!!!
Answered By: Grandma - 9/3/2009
Democrats drafted it, and it won't work.
Answered By: Soylent Obama - 9/3/2009
Some states did institute tort reform, they haven't seen any benefits.
Its just not a major driver in health care costs, although the insurance companies would like to not have to worry about the quality of care its responsible for, its a cost borne by doctors, and passed on to patients, but its just not the major factor in patient costs that its supposed to be.

I'm beginning to realize that knowledge of what common insurance practices are is quite limited. For instance, when a doctor agrees to take on an insurance company he is counting on increased patients to make up the difference between what he charges an uninsured patient and what he charges the insurance company for their patient.
In other words the doctor takes less pay for each insured patient now.
Lawyers, in fact large legal staffs are kept by insurers as a matter of course. So asking patients to support tort reform is something like asking them to cut their own tonsils out. Its not a good idea.
Answered By: justagrandma - 9/3/2009
We're heading for quite a shortage of doctors. Who wants to get into a profession that requires 7-10+ years of expensive education and then pays $50,000 per year? Meanwhile $150,000 per year for malpractice insurance (for a single doctor) is fine and dandy?

People in government seem to have this completely backwards. Or, more likely, it's because 80?f government consists of trial lawyers and the other 20?re other forms of lawyers.
Answered By: kpk02 - 9/3/2009
First, tort reform would address a very small problem. Yes it is needed but it won't do much in the way of fixing the health care problems we are having right now. It will help doctors make more money but it won't affect health care.

Second, Obama is open to tort reform ((http://www.nytimes.com/2009/06/15/health/policy/15health.html).
Answered By: Bob Loblaw - 9/3/2009
Lobbyists AND Congress...many of our Congress members are lawyers. They don't want to touch it. And let's think about this...

Even if we are in Lollipop and Sunshine land thinking that costs will be driven down by this bill (pffffft), if no tort reform is included, NOW when people sue, it will be the government. The government will have to pay up. Guess what? The "government" means you and I, the taxpayer. I know you are aware of that--but for some it still needs to be mentioned.
Answered By: §§pecial Unicorn™ - 9/3/2009
"Tort reform" is a Republican Trojan Horse term that actually means removing consumer protections in case they become victims of malpractice. Corporate-friendly Republicans have used this "tort reform" terminology before to limit punitive damage awards in accident cases and to put a lid on the amount that can be recovered, so when my daughter was in two horrible accidents as a passenger (one caused by a Hyannis police car chasing a teen at 130 mph in a 30mph residential zone), she received only $10,000 and was required by the "tort reform" Republicans pushed through to file within a year after the accident (many injuries don't even show up by then), but her medical bills totaled more than $300,000, eventually resulting in her wrongful death in 2002---all to favor the richest offenders at the expense of those injured by these offenders (sort of a longstanding pattern for the cult-evangelical GOP it seems).

The word "frivolous" has been ruled to be too ambiguous in the law when attempts where pushed to "limit frivolous lawsuits" in the past. The judge who tried to sue for millions over a single pair of pants lost by a dry cleaner I would be willing to call frivolous---he was not physically harmed, but was just throwing a hissy fit, so replacement costs should have sufficed. But if a patient is irreparably injured due to medical malpractice, this is NOT frivolous and some considerations have to be made for the quality of life lost both long- and short-term when assessing damages overall. I would agree that national standards should be set perhaps which would establish a spectrum within which to assess monetary values, but I would NOT agree that punitives should be sacrificed---that would be as bad for this nation and health care recipients as was deregulating our banks proved to be for our economy.
Answered By: Armchair Goddess - 9/3/2009
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Six Ways to Make a Recruiter Hate You
If you want to blow your chances with recruiters -- and, by extension, with the companies they work for -- here are six perfect ways to do so.

Resumes & Cover Letters

Rev Up Your Resume to Relocate
Hoping to relocate? Get the ball rolling on landing the right job in the right location with these expert resume and cover letter tips.

Interviewing

100 Potential Interview Questions
Interview questions can run the gamut. You probably won't face all 100 of these, but you should still be prepared to answer at least some of them.

Salary & Benefits

10 Questions to Ask When Negotiating Salary
Most of us aren't natural negotiators, but asking these 10 questions during salary negotiations can help you get everything you deserve.

Employee Sourcing

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