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We don't have a malpractice problem, we have an insurance problem.

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flamin lib Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:21 PM
Original message
We don't have a malpractice problem, we have an insurance problem.
The US Senate votes today on S.22 and S.23, The Medical Care and Access Protection Act of 2006. What a crock of $#it. It’s patterned after the tort reform act that Bush passed in Texas when he was governor. Start dialing your Representative and Senator as soon as you read this.

Among other things this bill limits awards to economic damages only. Economic damages are those actual costs associated with missing work, the difference in potential income due to a forced change in career or the amount of income lost to dependents in the event of death.

So, if you make $30,000 a year and die twenty years before your expected life span because a doctor left medical instruments inside you all your family can get is $600,000. Of course if it were your baby, there are no economic damages.

Ah, you say, what about punitive damages--you know, the famous “pain and suffering”?

They will effectively no longer exist. Your family will only be able to sue for punitive damages if they can prove that the Doctor acted in a malicious and malevolent manner. In other words your family must prove that the Doctor woke up in the morning and decided to leave surgical instruments inside you to intentionally make you die of sepsis. Then, assuming they could prove that, the damages are capped at $250,000. A best case total of $850,000.

Well, shucks, your family could just put that into a 20 year annuity at 4% and collect $62,000 a year for a total of $1.25 million, right? Nope. The new law allows the insurance companies to pay out damages over time. They put the $850,000 in the annuity and pay your family 240 equal monthly payments. In other words the insurance company makes $400,000 off your settlement.

Republicans tell us it’s worth the pain to cut down on medical costs. More unmitigated bull $#it. The UT Austin Law school did research into medical malpractice in the years since the Bush tort deformity. They found:

The number of large paid claims (>$25,000 in 1988 dollars) per year was roughly constant. The number of small paid claims (<$25,000 in 1988 dollars) declined sharply.

Mean and median payouts per large paid claim were $528,000 and $200,000, respectively, in 2002 and were roughly constant over time.

Roughly 5% of paid claims involved payments over $1 million, with little annual variation.

In 2000–2002, there was an average of 4.6 paid claims per 100 practicing Texas physicians per year, down from 6.4 paid claims per 100 practicing physicians per year in 1990–1992.

The total number of closed claim files averaged 25 per 100 practicing Texas physicians per year in 2000–2002. Of these, about 80% involved no payout.

In 2002, payouts to patients were about $515 million and Texas health care spending was about $93 billion, meaning that malpractice payouts equaled 0.6% of health care spending.

Mean and median jury verdicts in trials won by patients were $889,951 and $300,593, respectively, in 2002 and showed no significant upward or downward trend.

The sum of payouts and defense cost rose by about 1% per year. Defense costs, which grew 4.4% annually, drove this increase.

Complete report here:
http://www.utexas.edu/law/academics/centers/clcjm/project2.html

So, here in Texas the above scenario already applies and NOTHING CHANGED except the Insurance companies’ profit margin.
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bullimiami Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:24 PM
Response to Original message
1. the insurance industry has been allowed to rape this country.
from autos to property to business to healthcare.

total corruption.
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AndyA Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:30 PM
Response to Reply #1
5. Yes, they have. Just like the credit industry, the oil companies,
the big corporations.

Under the Bush Administration, the definition of American is the big business interests. The people of America are actually an intrusion, especially if you're poor or sick.

Big business in America right now, under the direction and guidance of the Bush Administration and the Republican-led Congress is a license to rape. No condom. No kiss. No thank you.
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ChairmanAgnostic Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:25 PM
Response to Original message
2. nothing new here. They require insurance, then
they find ways of not paying off.

the docs have gotten used to huge premiums (not to mention the scare tactics used in PR campaigns against big verdicts) but they rarely mention the profit margins of med mal carriers.

They are doing to medmal what they did to auto insurance - get the state to require it, then make it a no fault state that limits payouts, but they never lower the price of ins.
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MadHound Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:30 PM
Response to Original message
3. We have had something like this passed in Missouri,
And like your situation in Texas, not a damn thing has changed. Malpractice rates are still skyhigh, doctors are still doing boneheaded things, and people are still dying from completely preventable mistakes. Only difference now is that the insurance companies are now making even more obscene profits than before.

Insurance in this country is a huge scam, which is mostly unregulated. The vast majority of insurance industry profits don't come from payments made to insurance companies, oh no, the vast majority of insurance industry profits come from investments that they make with your money. That's the real reason that insurance rates started getting jacked up six years ago, insurance companies got their ass handed to them by the drop in stocks, and they had to make it up one way or the other. Now, with laws that have been either weakened or eliminated during the past ten years, insurance companies are able to legally dabble in all sorts of financial fiascos. Mark my words, we're going to wake up one of these days to find a major insurance company crashing and burning overnight in spectacular Enron style.
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texastoast Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:30 PM
Response to Original message
4. Take a lesson from Texas
Edited on Tue May-02-06 12:31 PM by texastoast
The insurance industry's tort reform Proposition 12 passed in 2004 which capped malpractice awards, limited the scope within which a malpractice claim can be brought, and several other provisions which limit the rights of patients. This proposition was heralded by doctors as the measure that would allow them to stay in business and afford their malpractice insurace premiums.

All you Texas doctors, please jump in and tell me how much your premiums have gone down since Prop 12. I'm under the impression your answer will be "nada."
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Horse with no Name Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:46 PM
Response to Reply #4
9. No surprise that the Docs were lied to
They expected their malpractice rates to go down because lawsuits were down.
It didn't happen.
Many Docs supported this legislation to get some relief out of their own pocket.
They never saw it--in fact, in most instances, their premiums went up.
They were hoodwinked as well.
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lavenderdiva Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 02:02 PM
Response to Reply #4
11. when this bill came up, my MIL
Edited on Tue May-02-06 02:03 PM by lavenderdiva
(extreme right-wing repub, who STILL loves *- :puke: ) anyway, she was ALL for it, and trying to twist Mr. LD's arm to vote for it. I successfully untwisted her reasoning for him, and showed him how he would be voting to limit his own rights as a patient, but no luck with her. She insisted that we all had to vote FOR this bill, because all the doctors in Texas would leave because their premiums would be too high for them, and the lawyers who file these 'obscene' lawsuits are the ones making the money, not the patients. Somehow, and I haven't been able to figure it out yet, (but I'm working on it), her skewed logic has gotten her through in her life to her late 70's. Never worked in her life, except for 2 whole years, early on in her marriage, so she has no concept of how issues affect working people. She, and her husband, actually believe the crap that the repubs 'sell' her and her ilk. Mucho much Kool-aid drunk over the years, and she says 'Yummy'...
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NoAmericanTaliban Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:31 PM
Response to Original message
6. Its a scam by the insurance companies
to cut down on their costs. Instead of trying to get rid of bad doctors they are being protected and have been given a 007 license (license to kill). Also, what ever happended to getting gov't out of our lives or letting the market place decide things. The GOP is interfering more & more in our lives. Now they want to legislate us how much we are worth. A number of studies have shown that malpracice caps have not saved on medical or insurance cost for the doctors.
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w8liftinglady Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:32 PM
Response to Original message
7. excellent post-as a nurse,I have seen this in action..
patient care compromised because of unyielding insurance companies.
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flamin lib Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:57 PM
Response to Reply #7
10. An excerpt from the letter that cranked up to write the OP
Written my an attorney friend of mine to the Senators from Texas:
================
<edit>
I commonly represent elderly clients in estate planning and guardianship issues. Just two weeks ago a Dallas Hospital refused to provide care to an elderly woman because she had cancer and the medical staff thought she should just give up and die. The deprivation of food so harmed her that by the time she went to an Arlington Hospital they were unable to save her.

What is even worse the medical insurance and Medicare reimbursement structure encourages such decisions. Since she has no income other than Social Security there is no real option to seek damages for malpractice against the doctors and nurses.
<end edit>
=================

Bush's Texas reform makes it possible for hospital staff to make life and death decisions over the wishes of the patient and family. Culture of life my ass.
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redqueen Donating Member (1000+ posts) Send PM | Profile | Ignore Tue May-02-06 12:34 PM
Response to Original message
8. Thank you!
Edited on Tue May-02-06 12:35 PM by redqueen
Already contacted Hutchison... I'll get Cornyn after lunch.

Nice to be able to point out to them that the people of Texas are well aware of the history of the situation. Thanks for the link to the study, too!

:yourock:
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