Wednesday, September 2, 2009

Health Care Reform Goes Hand in Hand with Tort Reform

As politicians head back to Washington and start reviewing and debating the latest version of what will be the Kennedy Healthcare Act or some version thereof, I thought it would be good to look at something this bill is guaranteed to miss, tort reform.

It’s one of those political, Washington sounding phrases that basically means we need to get a hold of the trial lawyers who troll around outside doctor’s offices waiting for them to make a mistake. Don’t get me wrong; just like anything that has been abused, there are legitimate cases against irresponsible doctors. The system should be set up to deal reasonably with those and discourage and weed out the vampires that bleed the system.

These frivolous lawsuits cost you money and drive up the over all cost of healthcare. Malpractice insurance isn’t cheap! It varies by region and the type of practice you have, but it can easily run into the six figure range for an annual premium, especially for more high risk type specialties like OBs and nuerosurgeons. But the costs aren’t all direct. Every time a doctor meets with a patient they not only have to focus on treating a condition, or finding the cause of a problem, they have to think about what tests they need to run just to cover their backside in case of a lawsuit. The costs for people in rural areas are even more significant because many times a doctor can’t make enough money with a rural practice to cover his costs, so many communities don’t have a doctor, forcing them to commute to the doctor’s office. Sound familiar?

Now lets look at the scenario that occurred in Texas.

According to an Op-ed by the Texas Governor, Rick Perry, they were faced with a serious issue six years ago. Doctors were leaving the state in droves. 13 out of 17 liability insurers (providing malpractice insurance) left the state. Costs to doctors were going through the roof, which elevates the costs to the patients. 24 counties had no primary care doctors at all. 2/3 of the counties had no practicing obstetricians and 6/10 had no pediatricians.

Sounds like a mess doesn’t it?

So they reformed it, capping non-economic damages and put and end to law suits dragging on for years that do nothing but rack up lawyer’s fees.

And the market responded.

Ten insurance companies came into the state and malpractice insurance costs plummeted by an average of 27%. Over 14,000 doctors have come back to, or started up their practices in Texas in the first five years since the reforms. More OBs, pediatricians, and general practitioners are moving into areas that have never had these services in their communities.

In all fairness, there is one group that is very unhappy with the changes; the trial lawyers.

So why doesn’t the President’s healthcare reform plan include tort reform?

Take a look at this list of donations of trial lawyers to politicians, then take a look at the fact that lawyers/law firms gave over $178 million dollars to Democrats during the last election cycle ($54 million to Republicans). $eem$ like a pretty $trait forward an$wer to me.

Tell your reps you don’t want ANY healthcare reform without TORT reform. Let’s fix the system.

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