I know that Kimberli Cox knows this but I want to make sure that all the students and residents know it too. We all pay for malpractice insurance even if we don't sign the checks. If your employer pays it they are paying it with money that could otherwise be used to increase your pay. If your residency pays it they are paying it with funds that could go to train more residents or provide more salary, books, conferences, etc. to the existing residents. That money comes from somewhere.