As most of you all know there are a bunch of differing ideas on how to lower malpractice premiums. The lawyers say we should have higher standards for doctors so that there are fewer screw ups, the republicans blame the high trial awards and the lawyers for providing the vehicle for patients to sue at the drop of the hat and the democrats blame the insurance companies for making such a profit from the malpractice premiums.
IMHO I think that things will not get better until each side realizes that the other has a genuine point.
Higher Standards
Stricter guidelines and punishments for clearly negligent doctors will no doubt limit the number of truly negligent malpractice cases. It will also make the public trust their doctor more leading to fewer cases. No doctor wants to be punished (in high malpractice premiums) for the incompetent doc in the next OR who is allowed to continue practicing and jacks up everyone elses premiums.
Insurance Companies
If the doctors were to band together and create their own 'insurance company' that wasn't 'for profit' we would be able to save all of the money that make up the profits of the insurance companies. Even though awards from malpractice cases have remained constant over the past years, premiums have continued to rise. Where is the extra money going if the awards have remained constant?
Tort reform, besides capping the award amount, there are a few ways deal with this this.
How can a jury made up of common people make an acurate decision as to whether a doctor was negligent? They can't. Having 2 'expert witnesses' completely disagree on what should have been the doctor's course of action won't help the medically-ignorant jury find the truth. Also, let's not forget the impact of emotion on a jury. To fix this, I think we should have a panel made up of both lawyers and doctors to act as the jury for malpractice cases. The doctors would understand the limitations of medicine as well as the correct course of action in certain cases. The lawyers would be there to interpret the law and also to act as a check and balance for the doctors. The doctors should have practiced for at least 10 years so that they have real world experience and can make decision about things that happened in the real world.
From this you would truely be able to separate negligent actions from frivalent cases. Also, you would get less variability in the outcomes. Juries of normal people may judge a case differently based on who makes up the jury. Are there a bunch of people who fall for the emotion and decide based on that, is there one person who pushes the rest around and gets his/her way? A set jury of lawyers and doctors would do away with such variability.
Next, lawyers who consistently bring frivolous cases before a court should be harshly fined. Here is a parallel: Let's stay you could steal cars and sell them to a chop-shop for $40,000 a piece. Everytime you got caught the only punishment was that you wasted your time and didn't get the 40 grand. What would keep you from continuing to steal cars? Nothing. There was no punishment. Same thing goes for ambulance-chasers. For those who bring lots of frivolous charges, a few very harsh fines should make them be more choosy about which cases they take. This will begin to unclog our justice system and will limit the number of cases brought to court. Insurance companies have to pay for the doctor's lawyer whether he is guilty or not. Fewer cases mean fewer lawyer bills and lower premiums. A lawyer should understand what a case with merit is and act as the first barrier to frivolous cases. A little social responsibility goes a long way. And hey, this may mean fewer lawyer jokes.
Anyone else have something to add?