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Archive for the ‘Medical Malpractice Reforms’ Category

Connecticut Senate Passes Medical Malpractice Bill To Reform Prior Reforms

Sunday, April 29th, 2012

On April 27, 2012, the Connecticut Senate passed by a margin of 32 to 3 a medical malpractice bill that would reform Connecticut’s medical malpractice reforms enacted in 2005. In particular, the proposed bill would revise the requirement that medical malpractice plaintiffs obtain a written report called a certificate of merit from a “similar” health care provider that sets forth how the medical malpractice defendant deviated from the standard of care, adding an alternate method to comply with the law by obtaining a written report from a ”qualified” health care provider.

The stated purpose behind the 2005 reforms as well as this most recent reform attempt is to prevent frivolous medical malpractice lawsuits from being filed that result in increasing medical malpractice insurance costs. It is thought that by requiring a sufficient written report that sets forth the alleged medical negligence and the alleged breaches of the standard of care, frivolous medical malpractice claims will not be filed.

The reason for the proposed change is that the “similar” health care provider requirement resulted in harsh consequences in some cases such as the dismissal of a medical malpractice lawsuit filed against an emergency room physician because the certifying expert was a practicing trauma surgeon and even though he spent most of his professional time in the emergency room, he was not a “similar” health care provider as to the defendant.

A “qualified” expert is a health care provider who the court determines to be an appropriate certifying expert based on the court’s review of the contents of the written report that details the expert’s sufficient training, knowledge, and experience in the specific care, treatment or diagnosis at issue in the medical malpractice complaint within the five-year period before the incident giving rise in the complaint so as to be able to testify as an expert as to the standard of care as to each defendant to whom the expert has issued an opinion.

The original Senate bill would have completely replaced the “similar” health care provider requirement with the less restrictive “qualified” health care provider provision but the strong opposition from medical providers resulted in a compromise.

The amended Senate bill now goes to the Connecticut House for its consideration.

Source

If you may be the victim of medical malpractice in Connecticut or in another state in the United States, you may wish to consult with a local medical malpractice attorney to investigate your possible medical malpractice case for you.

Click here to visit our website to be connected with medical malpractice lawyers in your state who may be able to represent you in a medical malpractice case against the negligent medical providers. If you prefer, you may also reach us toll free at 800-295-3959.

Turn to us when you don’t know where to turn.

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Oklahoma Nursing Home Abuse: What A Hidden Camera Revealed

Friday, April 20th, 2012

In a disgusting and very disturbing case of nursing home abuse caught on camera, two Oklahoma nursing home caregivers responsible for the care of a 96-year-old resident were allegedly caught on video abusing the woman: one was seen hitting the woman in the face with rubber gloves and placing the gloves in the woman’s mouth while the other stood idly by without intervening to stop the abuse or to protect the elderly resident. Both women have been arrested as a result of the alleged abuse.

The woman’s family suspected that someone was stealing from their relative. They placed a hidden camera in the resident’s nursing home room, believing that they may catch a thief. Instead, they were horrified to see on video the two nursing home employees abusing the helpless woman.

The nursing home said through a representative that it was shocked to find out about the alleged abusive incident. The same nursing home had been cited the month before for failing to do a required background check on one of its nursing aides.

Source

Federal statistics from the General Accounting Office indicate that more than one in four nursing homes in the United States have deficiencies so bad that they cause actual harm to their residents or pose a risk of serious injury or death for their residents. Many of the nursing homes that were cited for deficiencies make temporary changes that are often not in effect the next time the nursing homes are subject to an inspection, re-inspection, or survey.

A Case Study: An Unsuccessful Effort To Allow Cameras In Maryland Nursing Homes

A bill introduced in the Maryland Legislature in 2009 (HB557) that was not enacted into law would have permitted nursing home residents with the right to place video cameras in their nursing home rooms to detect and prevent abuse. The preamble to the bill stated its purpose and summarized its intent as follows:

FOR the purpose of creating an exception to the prohibition against willfully intercepting a wire or electronic communication for a person who intercepts wire, oral, or electronic communications in a related institution under certain circumstances; requiring a related institution to allow a resident or a resident’s legal representative to monitor the resident through the use of video cameras or other electronic monitoring devices; requiring a resident who shares a room with another resident to obtain written consent before beginning electronic monitoring; requiring the related institution to provide power sources and mounting space to set up electronic monitoring devices; prohibiting a related institution from refusing to admit an individual to the related institution or removing a resident from the related institution because of a request to install an electronic monitoring device; prohibiting electronic monitoring from being conducted in the bathroom of a resident; establishing certain penalties for violators; requiring that tapes created from electronic monitoring be admissible in criminal and civil actions brought in Maryland courts, subject to the Maryland Rules of Evidence; requiring that certain tapes and recordings created from electronic monitoring be made available to the Department of Health and Mental Hygiene for a certain purpose; and generally relating to electronic monitoring in related institutions.

HB557 from the 2009 Maryland Legislative Session was re-introduced during the 2010 Maryland Legislative Session as HB1019, but was never enacted into law.

While it may be legal in Oklahoma and some other states to place cameras in nursing home residents’ rooms, other states forbid the placement and use of such cameras. In light of the recent incident in an Oklahoma nursing home, and similar incidents in nursing homes throughout the United States, we urge the state legislatures in those U.S. states that do not permit nursing home cameras in residents’  rooms to re-consider their positions and to enact laws that allow the use of cameras that are intended to detect and prevent nursing home abuse (that is, act as a deterrent to possible abuse) that affects some of the most vulnerable and captive victims of abuse (that is, the elderly and other residents of nursing homes), and to insure that nursing home residents are receiving the required level of care and attention.

If you suspect that someone you know has become the victim of nursing home abuse or nursing home neglect, the advice from a medical malpractice attorney may help you learn about your rights and responsibilities with regard to the situation and to assist you in enforcing those rights.

Click here to visit our website to be connected with medical malpractice lawyers in your state who may be able to investigate your possible claim against a nursing home for nursing home abuse or nursing home negligence and to file a claim on your behalf, if appropriate. You may us reach us by toll free call to 800-295-3959.

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Massachusetts Report Discusses Possible Benefits Of Medical Malpractice Reforms

Thursday, April 19th, 2012

On April 18, 2012, a coalition of seven Massachusetts hospitals, physician groups, and patient groups released a report describing their initiative to address their proposed medical malpractice reform measures in Massachusetts. Their report, entitled “A Roadmap for Removing Barriers to Disclosure, Apology and Offer in Massachusetts,” discusses their proposals that they hope will increase the reporting of medical mistakes and reduce medical malpractice litigation that adds to health care costs in Massachusetts.

The so-called “DA&O” approach (disclosure, apology, and offer) has as its goals the prompt disclosure of unanticipated medical outcomes to patients coupled with prompt investigations of claims, a system to avoid similar unanticipated outcomes in the future that would improve patient safety, apologies to patients regarding the avoidable injuries sustained by them, and a prompt and fair offer of monetary compensation to patients who suffered unintended medical outcomes without resorting to lengthy and expensive medical malpractice litigation.

As stated in “A Roadmap,” the Massachusetts initiative has four aims: “1) to identify the barriers to implementation of a DA&O model in Massachusetts, 2) to develop strategies for overcoming these barriers, 3) to design a roadmap for DA&O program implementation in this state, and 4) to assess applicability of the roadmap to other states.”

Twelve barriers were identified in “A Roadmap” with regard to implementing the DA&O approach in Massachusetts:

1. Fairness and Accountability — medical malpractice victims and medical malpractice lawyers may be suspicious of  the DA&O approach including the fear of under-compensating victims of medical malpractice, while physicians and other medical providers may have concerns regarding the legal protections (confidentiality) provided in the peer review process that examines the unintended medical outcomes in detail.

2. Physician discomfort with disclosure — doctors dislike publicly admitting their mistakes and may also have difficulty and are not trained in apologizing to their patients for unintended medical outcomes.

3. Concern for increased liability — the DA&O approach may alert patients to medical mistakes and injuries that they were unaware of, the disclosure of medical mistakes may result in medical malpractice claims that would not otherwise have been made, and patients who were injured may have heightened expectations regarding the compensation they may receive as a result of the unintended medical outcomes.

4. Physician name-based reporting — physicians fear the required reporting to the National Practitioner Data Bank of medical malpractice payouts and the potential harm to their personal/professional reputations.

5. Charitable immunity law – many hospitals and health care organizations in Massachusetts have limited financial responsibility for medical malpractice under current law and therefore fear that the DA&O approach will cost them more.

6. Difficulty coordinating insurers — if all of the defendants and their medical malpractice insurers in a medical malpractice claim do not participate in the DA&O approach, then some of them may attempt to manipulate the system to their advantage.

7. Opposition by liability insurers — medical malpractice insurance companies, like all liability insurance companies, are uncomfortable with change — they are used to and comfortable with the present medical malpractice system and the predictable costs associated with medical malpractice claims.

8. Concern that the DA&O model may not be replicable in certain settings — smaller hospitals and health care organizations, especially in rural areas, and situations where the physicians are not employed by the hospitals or the health care organizations may make it difficult and costly to fully and successfully integrate and implement a DA&O model.

9. Attorneys’ interest in maintaining the status quo — both plaintiffs’ attorneys and defendants’ attorneys have a financial interest in maintaining the present medical malpractice system, and there are concerns that the DA&O system would negatively impact patients’ rights.

10. Difficulty of getting supporting legislation passed — whenever there is a proposed change in the law, those opposing the change will make their opposition known to those who are in the position to change the law.

11. Forces of inertia — the fear of change, and those who have a stake in maintaining the medical malpractice system in its present form, will make it difficult to change to the DA&O approach.

12. Insufficient evidence that the DA&O approach works — there is little evidence from other U.S. states involving the benefits of a DA&O approach to medical malpractice claims.

One of the most discussed benefits of a DA&O approach to medical malpractice claims is the possible benefit to patient safety — including better communications between physicians and other health care providers and their patients, potentially less hostility between health care providers and their patients, and benefits associated with better and more complete reporting of unintended medical outcomes that lead to patient safety improvements and that can help avoid similar events in the future (that is, learning from one’s mistakes (and from the mistakes of others)).

Source

Whether you are a resident of Massachusetts or you live in another U.S. state, if you are the victim of possible medical negligence, you should promptly consult with a medical malpractice attorney in your state to learn about your rights.

Click here to visit our website or telephone us toll free at 800-295-3959 to be connected with medical malpractice lawyers in your state who may be able to investigate your possible medical malpractice claim for you and represent you with regard to your medical malpractice claim, if appropriate.

Turn to us when you don’t know where to turn.

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Proposed Change To Maryland Medical Malpractice Law Fails

Thursday, April 12th, 2012

One major complaint about medical malpractice litigation in Maryland and in other states in the U.S. is the costs associated with litigation. And the largest category of expenses related to medical malpractice litigation is the costs of medical experts’ services on both sides of the medical malpractice case — both the medical malpractice plaintiffs and the medical malpractice defendants typically pay exorbitant fees to experts to review the medical records and other relevant documents, to research and prepare their expert opinions, to provide testimony during depositions, and to appear and provide testimony during the medical malpractice case if the case is not settled or resolved before trial.

Medical Experts And The Fees They Charge

A major source of income for a growing number of physicians and other medical professionals who have seen their Medicare and health insurance reimbursements for their clinical practices shrink to low, unsustainable levels at the whim of the powerful health insurance industry is their provision of medical expert services for their patients and others (subsequent treating physicians in medical malpractice cases can charge practically any amount they desire for their expert services because their agreement to act as experts on their patients’ behalf may be necessary in order for the medical malpractice claimants to proceed).

Medical experts charge varying fees for their expert services. Generally, the more specialized the expert’s medical field, the greater the hourly rate charged. While some physicians may charge as low as $200 per hour for their professional expert services in medical malpractice cases, specialists such as neurosurgeons typically charge much higher hourly rates (some charge as much as $2,500 per hour or more).

With the costs for medical experts in medical malpractice cases being so high, the greater the number of medical experts designated by the medical malpractice litigants, the much greater the expenses incurred by the parties to the litigation. Typically, it is the medical malpractice defendants who designate multiple medical experts in each medical field relevant to the medical malpractice issues raised in the claim, thereby attempting (in part) to intimidate medical malpractice plaintiffs from bringing medical malpractice claims due to the enormous investment of litigation costs required to have a medical malpractice jury decide the case.

This is one major reason why medical malpractice attorneys do not file “frivolous medical malpractice claims” — the huge costs associated with medical malpractice litigation that must be advanced by medical malpractice lawyers are a major disincentive to filing all but the strongest medical malpractice claims.

How Did Maryland Recently Attempt To Address The Costs Of Medical Malpractice Experts?

In the most recent Legislative Session in Maryland that ended on April 9, 2012, a bill was considered that would have limited the number of experts in medical malpractice cases that the parties could designate in any given medical field to two. Maryland Senate Bill 924 provided, “A party may not present testimony from more than two experts in a designated specialty, unless the court, for good cause shown, permits additional experts.” Unfortunately, a Maryland Senate committee did not permit the bill to be considered by the entire Senate and the bill was withdrawn from further consideration.

If you or someone you know were the victim of medical malpractice in Maryland or in another U.S. state, the prompt advice of a medical malpractice attorney in Maryland or in another U.S. state is essential to protecting and exercising your medical malpractice rights.

Click here to visit our website to be connected with medical malpractice lawyers in Maryland or in your state who may be able to investigate your possible medical malpractice claim for you and file a medical malpractice case on your behalf, if appropriate. You may also reach us toll free at 800-295-3959.

Turn to us when you don’t know where to turn.

You can follow us on Facebook, Twitter, Google+, and LinkedIn as well!

We’re Celebrating One Full Year Of Daily Blog Postings!

Sunday, March 4th, 2012

Well, we have reached a significant milestone — one complete year of our daily blog postings (we started daily posting in our Blog on March 5, 2011 and have posted every day since). When we first started to blog, we thought that it might be difficult to find relevant, interesting information to discuss on a daily basis, but our concern was misplaced (fortunately). In fact, we have thoroughly enjoyed, learned from, and looked forward to researching  matters for our postings.

Without our constant research into medical malpractice issues and other medically-related matters, we would not have become aware of the facts behind the constant onslaught of attacks against medical malpractice victims’ rights and the increasing elevation of medical malpractice wrongdoers’ financial interest over their innocent victims’ right to be fully compensated for their permanent injuries, for their life-long and constant pain and suffering, and the unending devastating effect on their families and loved ones.

In the last six months alone, we have posted many blogs that have addressed critical issues regarding medical care and medical malpractice in the United States, including:

We discussed the West Virginia orthopedic surgeon who had 124 medical malpractice claims filed against him resulting from only 7 months of medical practice in a West Virginia hospital, which cost the hospital’s corporate owner approximately $100 million in medical malpractice payments (see our Blog posting for February 20, 2012).

We brought light to the fact that nearly 4.5 hospital acquired infections occur for every 100 hospital admissions in the United States each year, costing the healthcare system between $5.7 billion and $6.8 billion per year (figures for 2007). And that hospital acquired infections are among the leading causes of preventable death in the United States, effecting 1 in 20 hospitalized patients and accounting for 1.7 million infections and 99,000 deaths (figures for 2002). (See our Blog posting for February 28, 2012).

We tried to dispel misperceptions such as the belief that poor patients sue for medical malpractice more often than others (see our Blog posting for March 2, 2012).

We reported on the $285 million settlement of approximately 120 product liability lawsuits brought against a giant international pharmaceutical company for claims that it sold over-sized vials of generic propofol to endoscopy clinics in Nevada while allegedly knowing that the vials were being used for multiple patients that allowed the spread of hepatitis C and other blood-borne infections despite the markings on the vials that they be used for single-use only. (See the Blog posting for February 23, 2012).

We cited official statistics regarding medical malpractice claims in the United States (“One in three Americans have reported that they or a family member had been a victim of medical malpractice. One in five reported that a medical error caused serious health problems or death….a report released by the U.S. government in 2010 found that one in seven Medicare patients are injured during hospital stays and that adverse events contribute to 180,000 deaths each year, costing the U.S. government $4.4 billion per year. One survey found that 70% of patients who suffered from a medical error were not informed about the error. Studies have shown that most medical malpractice claims are meritorious and that 97% involved medical injury and 80% involved serious disability or death.”) See our Blog posting for September 19, 2011.

We provided additional statistics regarding medical malpractice in the United States: “An often-repeated statistic is that medical malpractice (preventable medical errors) in the United States causes approximately 98,000 deaths per year and is the sixth leading cause of death in the United States. Despite these statistics, there are very few medical malpractice claims filed relative to the number of potential claims. Research has found that the vast majority of medical malpractice claims filed are meritorious. Almost one-half of physicians admit that they have not reported their medical errors or incompetence. About six percent of physicians are responsible for almost sixty percent of medical malpractice claims in the United States.”

Further statistics regarding medical malpractice in the U.S. are: ”The costs of medical malpractice claims is less than two percent of all health care costs in the United States. Completely restricting medical malpractice claims would lower health care costs by less than one-half of one percent. The number of medical malpractice claims have remained relatively stable over the last several decades but medical malpractice insurance premiums charged by medical malpractice insurance companies during that time increased quickly, resulting in high premium surpluses enjoyed by the insurance companies. Health care costs have not been reduced in states that have enacted caps on damages in medical malpractice cases but hospitals and medical malpractice companies have enjoyed earnings in the tens of millions of dollars without reducing their charges to patients and physicians in those states. The number of physicians in the United States is increasing and outpacing the rate of population growth in the United States. There are twice as many physicians per 100,000 population in the United States now than in the 1960s. The ratio of physicians to 100,000 population is highest in those states that do not have caps on medical malpractice damages. Two-thirds of physicians who have had ten or more medical malpractice payments have never been subject to disciplinary action (almost one-half of hospitals have never reported a disciplinary action to the National Practitioner Data Bank).” From our Blog posting for September 18, 2011.

We have discussed many drug issues as well, such as:

– a warning regarding a counterfeit version of the cancer medication Avastin (Blog posting on February 21, 2012);

–  the abuse of prescription painkillers  (“The sale of prescription painkillers in the United States has more than tripled since 1999. Over 36,000 people died from drug overdoses in the United States in 2008, which included over 20,000 who died from prescription drug overdoses.” Blog posting on February 26, 2012);

– the safety of generic versions of brand-name drugs (see our Blog posting on February 13, 2012);

– companies that overcharge for drugs (“A recently filed federal lawsuit claims that the largest drugstore chain, Walgreens, and a generic drug manufacturer, Par Pharmaceuticals Cos., overcharged insurance companies, union health and welfare funds, and self-insured employers for generic versions of Prozac, Zantac, and generic versions of other common prescription medications manufactured by Par by providing and billing for higher-priced capsules of the drugs rather than the tablets prescribed by physicians.” Our Blog posting for January 16, 2012);

– critical drug shortages in the United States (“The GAO reported that drug shortages have increased each year from 2006 through 2010, with a record number of drug shortages in 2010 and the pace of drug shortages in 2011 that is expected to surpass 2010. There were a total of 1,190 drug shortages reported from January 1, 2001 through June 20, 2011, and 65% of the shortages involved drugs that were in short supply more than once. The average drug shortage lasts more than 9 months (286 days).” As reported in our December 17, 2011 Blog posting);

–  additional statistics regarding drug shortages in the U.S.: ”The shortage of sterile injectables represented 74% of the drug shortages during 2010: 54% of the shortages in sterile injectables during 2010 were due to contamination, particulates, and impurities; 21% were due to delays or manufacturing capacities; 11% due to discontinuation; 5% due to raw materials issues; 4% due to an increase in demand due to another shortage; 3% due to the loss of a manufacturing site; and, 2% due to component problems or shortages. Only 7 manufacturers make up a large portion of the manufacturers of sterile injectables, which are often less attractive economically to produce.” As reported in our October 1, 12011 Blog posting;

– the manner in which large drug manufacturers are preventing lower cost generic drugs from becoming available to the public (“The U.S. Federal Trade Commission (“FTC”) has reported that name-brand drug manufacturers will cost U.S. taxpayers billions of dollars over a 10 year period by paying generic drug manufacturers to delay their introduction of lower-cost generic alternatives to brand-name drugs. The FTC found that for the period from October 1, 2010 through September 30, 2011 (Fiscal Year 2011), drug companies entered into 28 potential pay-for-delay deals (there were a record 31 such deals in the prior fiscal year). The deals involved 25 different name-brand pharmaceutical products with combined U.S. annual sales greater than $9 billion.” See our Blog posting for October 27, 2011).

We noted research that found that most medical malpractice events go unreported (“A new report regarding a study of Medicare patients who were injured in hospitals found that only one in seven hospital errors were reported.”) See our Blog posting for January 14, 2012).

We reported on the egregious failure to discipline doctors who commit medical malpractice in the United States (“…the Medical Board’s failure to discipline 710 California doctors who were subject to discipline for wrongdoing by California hospitals and other health care organizations between September 1990 and December 31, 2009…102 of the 710 doctors had been determined by peer reviewers to be an immediate threat to the health or safety of patients…35% of the 710 doctors were repeat offenders…Of the 220 doctors in the United States found to be an immediate threat to health or safety of patients, almost half were California doctors.”) Read our Blog for January 3, 2012.

We brought to light the fact that medical malpractice insurance companies enjoy huge profits while at the same time raising the premiums they charge doctors and complaining about “frivolous medical malpractice lawsuits” (“The largest medical malpractice insurance company for medical malpractice claims against physicians and surgeons in the United States is The Doctors Company. The Doctors Company had 71,572 members, $4,060,651,000 in assets, and $1,228,237,000 in member surplus for 2010. The Doctors Company is so profitable that in 2011, it announced a $23 million dividend for its members. Since 1976, it has paid over $207 million in dividends, including over $100 million in the last five years alone. The Doctors Company reports that it pays damages in only 18% of the medical malpractice claims made against its members.”) Read our Blog for November 13, 2011.

We cited a report in our November 14, 2011 Blog that found that “Caps on noneconomic damages do not have any effect on the medical malpractice insurance premiums charged doctors. (In 2009, the average medical malpractice insurance premium was 1.8 times what it had been in 2001, both in states with caps and in states without caps.) Medical malpractice companies in all states in the United States have experienced increased profits. Medical malpractice companies in states that have caps (limits) on the amount that medical malpractice victims can recover experienced increasing profits at an even higher rate (24% higher) than the medical malpractice companies in states without caps (if medical malpractice insurance companies pay out less, they keep more profits). And the rate at which profits are increasing is greater in states with caps than states without caps.”

We reviewed the statistics regarding the effect of medical malpractice claims and the effect of caps (limits) on non-economic damages on doctors in the United States (“How have medical malpractice claims really affected doctors? For one thing, doctors are not packing their medical bags and becoming taxi drivers. A survey of high-risk medical specialists found that 43% stated that they would restrict or eliminate services because of medical malpractice claims but only 3% actually did what they said they would do. In 2009, there were a record 972,376 doctors in the United States, which was nearly 18,000 more than in 2008. In 2009, there were 317 doctors for every 100,000 in population – a record proportion. Has the imposition of caps (limits) on noneconomic damages in medical malpractice cases by some states resulted in more doctors practicing in those states than in states that don’t have the caps? The number of doctors per 100,000 population is 21% higher in those states without caps (349) than those states with caps (288). The average medical malpractice insurance premium is higher in those states with caps than for those states without caps (the average rate of profit for medical malpractice insurance companies in those states with caps is 25% higher than for those in states without caps). Recent increases in medical malpractice premiums were based on diminishing investment values and lower interest rates as opposed to medical malpractice claims payments – there is little if any correlation between medical malpractice payments and medical malpractice premiums.”) Read our September 20, 2011 Blog posting.

We invite you to visit our Blog by clicking here, where you can read today’s daily blog posting, sign up for our daily blog postings to be sent automatically to your email every day, and/or to search by word or phrase our database of blog postings to find the information that you need or that you are seeking.

If you or a loved one have been injured as a result of medical malpractice in any state of the United States, the prompt advice of a medical malpractice attorney is essential to protecting your rights.

Click here to visit our website  or call us toll free at 800-295-3959 to be connected with medical malpractice lawyers in your state who may be willing to investigate your possible medical malpractice claim and represent you in a medical malpractice case, if appropriate.

Turn to us when you don’t know where to turn.

You can follow us on Facebook, Twitter, Google+, and LinkedIn as well!

Utah Supreme Court Upholds Healthcare Providers’ Duty To Nonpatients When Prescribing Medications

Saturday, March 3rd, 2012

In our blog posting for January  15, 2012 (“Did Utah Medical Malpractice Lead To Murder?”), we discussed the medical malpractice case filed on behalf of two very young children against the medical providers who prescribed medications to their father that allegedly caused a chemical change in his brain that led him to murder their mother. In response, the medical malpractice defendants filed a motion to dismiss, which the district court judge granted, stating that no duty of care extended from the medical malpractice defendants to the two children because “no patient-health care provider relationship existed, at the time of the underlying events, between the plaintiffs…and the defendants.”

An appeal of the dismissal of their medical malpractice case was filed on behalf of the children to the Supreme Court of Utah (“Supreme Court”). In  its decision  filed on February 28, 2012, the Supreme Court described the issue before it as follows: ”In this case we are asked to determine whether a physician owes nonpatients a duty to exercise reasonable care in the affirmative act of prescribing medications that pose a risk of injury to third parties.”

In deciding the issue, the Supreme Court’s opinion set forth an important distinction between negligent acts and negligent omissions:

[T]he distinction between acts and omissions is central to assessing whether a duty is owed [to] a plaintiff. In almost every instance, an act carries with it a potential duty and resulting legal accountability for that act. By contrast, an omission or failure to act can generally give rise to liability only in the presence of some external circumstance — a special relationship…Special relationships arise when one assumes responsibility for another’s safety or deprives another of his or her normal opportunities for self-protection…

After discussing the underlying facts of the case and the arguments of the parties to the appeal in its written opinion, the Supreme Court stated, “we affirm the existence of a duty on the part of healthcare providers to exercise reasonable care in prescribing medications that pose a risk of injury to third parties.” The Supreme Court noted that “Physicians — not third parties — are in a position to exercise ordinary care in prescribing medications so that patients do not pose an unreasonable risk of injury to others. As a medical expert, the prescribing physician can take into account the propensities of the drug, as well as the susceptibilities of his patient.”

The Supreme Court noted, however, that “A plaintiff must not only demonstrate that the provider‘s conduct fell outside the standard of professional care, but prove that the prescription was the proximate cause of a patient‘s harmful conduct.”

The Supreme Court’s decision concluded by stating, “Healthcare providers perform a societal function of undoubted social utility. But they are not entitled to an elevated status in tort law that would categorically immunize them from liability when their negligent prescriptions cause physical injury to nonpatients. We uphold a duty of healthcare providers to nonpatients in the affirmative act of prescribing medication, and reverse the district court‘s conclusion to the contrary.”

The case is captioned as Jeffs v. West,  2012 UT 11.  Click here  to read the Supreme Court’s opinion in full.

If you or a family member suffered ill-effects from a prescription medication,  you may be entitled to compensation for your injuries and losses. The prompt advice of a medical malpractice attorney may be essential to protecting your legal rights.

Click here to visit our website  to be connected with medical malpractice lawyers in your local area who may be able to assist you with your possible medical malpractice claim. You may also reach us toll free at 800-295-3959.

Turn to us when you don’t know where to turn.

You can follow us on Facebook, Twitter, Google+, and LinkedIn as well!

Proposed Changes To Florida’s Medical Malpractice Law Harms Malpractice Victims

Saturday, February 18th, 2012

The Republican-led Florida Legislature is considering amendments to Florida’s medical malpractice law to make it more difficult for victims of medical malpractice to win their medical malpractice cases and would also allow medical malpractice defendants’ lawyers to speak with the victims’ doctors one-on-one and without their patients’ permission.

Proposed Stricter Burden Of Proof  For Medical Malpractice Victims

A proposed change in the law would substantially raise the level of proof that medical malpractice victims must meet in order to recover damages for their injuries if due to the alleged failure to order supplemental diagnostic medical tests. The proposed change reads as follows: In an action for damages based on death or personal injury which alleges that such death or injury resulted from the failure of a health care provider to order, perform, or administer supplemental diagnostic tests, the claimant has the burden of proving by clear and convincing evidence that the alleged actions of the health care provider represented a breach of the prevailing professional standard of care. Source

The Florida Supreme Court defines the proposed standard of proof known as “clear and convincing evidence” as “evidence that is precise, explicit, lacking in confusion, and of such weight that it produces a firm belief or conviction, without hesitation, about the issue.“ Florida Standard Jury Instructions — Civil Cases, Standard Instruction 405.4.

The existing standard of proof in Florida medical malpractice cases is known as “greater weight of  the evidence” which the Florida Supreme Court has defined as evidence that has “the more persuasive and convincing force and effect of the entire evidence in the case.” Florida Standard Jury Instructions — Civil Cases, Standard Instruction 405.3.

Obviously, the proposed stricter requirement for proof by evidence that is “precise, explicit…that it produces a firm belief or conviction” is a much higher burden than evidence that is “more persuasive.” If the proposed change becomes the medical malpractice law in Florida, it will be much more difficult for Florida medical malpractice victims to recover for their injuries resulting from medical malpractice committed by Florida doctors when the basis of the medical malpractice claim is the negligent failure of the doctor to order and obtain supplemental diagnostic tests, such as mammograms in failure to diagnose breast cancer cases.

Proposed Change: No Patient-Doctor Confidentiality For Medical Malpractice Victims

The other significant, major proposed change to Florida’s medical malpractice law would allow the attorneys for medical malpractice defendants and the medical malpractice defendants themselves to meet alone in private with all of the treating doctors of medical malpractice victims, without any restrictions whatsoever.

The proposed change in the law reads as follows: “A prospective defendant or his or her legal representative may interview the claimant’s treating health care providers without the presence of the claimant or the claimant’s legal representative.” Source

The proposed change in the law does not limit the extent or the subject matter of the discussions between the medical malpractice defendants, their attorneys, and the medical malpractice victims’ doctors; the proposed change in the law does not limit the extent or the subject of the disclosures by the victims’ treating doctors; and, the proposed change in the law does not restrict the doctors who would be violating the previously sacrosanct patient-doctor confidentiality to only those who treated the medical malpractice victims for the injuries caused by the alleged negligent care.

As the proposed change to the law is written, what would limit the defendants’ attorneys from discussing the sexual history of a medical malpractice victim with the victim’s treating gynecologist in a medical malpractice claim involving the failure to diagnose breast cancer in a timely fashion, or from discussing the results of their findings with others such as health insurance companies, sexual partners or family members of the medical malpractice victims, the medical malpractice defendants themselves, or anyone and everyone in the defendants’ attorneys’ law firms?

The nation’s laws are supposed to protect victims, not victimize them further. As we see it, the proposed changes to Florida’s medical malpractice laws would unfairly, inequitably, and unjustly protect and benefit a special class of people (medical malpractice defendants) at the expense of the enormous harm and detriment to innocent victims of medical malpractice.

If you or a loved one were injured or suffered serious losses as a result of medical malpractice in Florida or in any other U.S. state, click here to visit our website to be connected with medical malpractice lawyers in your local area who may be able to assist you with your medical malpractice claim. You may also reach us at our toll free number 800-295-3959.

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Rick Santorum’s View Of Medical Malpractice Claims — Good For His Wife But Bad For You

Friday, February 17th, 2012

 

The Republicans running for President of the United States agree that you should not be fully compensated for your injuries and losses suffered as a result of medical malpractice. They want to put a cap (limit) on the amount that a jury can compensate you after the jury has heard all the testimony, reviewed all of the evidence, and has come to a consensus as to the value of your losses due to medical malpractice.

Rick Santorum, like the other Republican candidates for President, desires to change our laws for a select but very powerful and very limited category of people (that is, negligent medical providers) so that they are provided special and unjustified protections and benefits unavailable to all other people. They want to stack the judicial deck in favor of medical providers who provide their patients with substandard medical care so that the unwitting and innocent victims of their medical negligence are at a legal disadvantage and will never receive the justice that our laws were intended to provide. They want to replace equal protection under our laws with laws that provide unequal protection.

But has Rick Santorum’s view of the need for medical malpractice “reforms” always been this severe and sinister? The answer may surprise you.

In 1999, Rick Santorum’s wife, Karen, filed a medical malpractice claim against her chiropractor, seeking $500,000 in compensatory damages (which was twice the amount of Rick Santorum’s 1994 legislative proposal for a medical malpractice cap) for her alleged permanent back injury that she claimed would require a lifetime of medication for a lifetime of pain and restricted mobility, allegedly due to the chiropractor’s medical treatment of her. The medical malpractice claim alleged that Karen Santorum suffered back pain following the 1996 delivery of her premature fourth child (who tragically died the same day). She sought out the treatment by the chiropractor for her lower back pain. The medical malpractice claim alleged that the chiropractor’s manipulation of her spine (a standard chiropractic procedure) caused a disk herniation that required surgical removal of the disk one week later. Her total medical bills were just over $18,000.

Rick Santorum testified during his wife’s medical malpractice trial regarding the emotional and physical damages allegedly suffered by his wife that he said would justify a large monetary award for pain and suffering (the same category of damages that Rick Santorum and other Republican candidates for President of the U.S. now seek to severely limit). Rick Santorum testified at trial that his wife’s pain made her unable to exercise and stay fit and thus she did “not have the confidence” to assist him with his public campaign events. The jury awarded $350,000, which was reduced by the trial judge to $175,000 (the judge called the jury award “excessive” and based on “undue sympathy.” The trial judge stated, ”The subjective testimony of Mrs. Santorum and her husband is belied to some degree by the fact that Mrs. Santorum sought virtually no medical treatment following the operation.”)

Source

It would appear that Rick Santorum does not want his wife to be subject to the same pain and suffering damage cap that he would impose on the rest of the country. If you are not Rick Santorum’s wife, or if it is important to you that the laws that protect the innocent victims of medical malpractice should not be changed in order to heavily favor the wrongdoers at the expense of their victims’ destroyed lives, then you may wish to take that into consideration when it is time to cast your vote for President of the United States in November, 2012.

If you have been injured as a result of medical malpractice, you may wish to seek the advice of a medical malpractice attorney to protect your right to seek compensation for your losses.

Visit our website  or telephone us toll free at 800-295-3959 to be connected with medical malpractice lawyers in your state who may be able to help you with your medical malpractice claim.

Turn to us when you don’t know where to turn.

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Pennsylvania Supreme Court Expands Medical Malpractice Recoveries

Friday, February 10th, 2012

On December 22, 2011, the Supreme Court of Pennsylvania issued a decision in a medical malpractice case in which it considered “whether a cause of action for negligent infliction of emotional distress, hereinafter NIED, exists where the emotional distress results from a “negligent breach of a contractual or fiduciary duty,” absent physical impact or injury.”

The Supreme Court of Pennsylvania concluded, ”After review of the development of the tort of NIED under Pennsylvania law and that of our sister states, we conclude that it is appropriate to extend liability for the infliction of emotional distress to a limited species of cases. As more fully defined below, we would hold that NIED is not available in garden-variety “breach of contractual or fiduciary duty” cases, but only in those cases where there exists a special relationship where it is foreseeable that a breach of the relevant duty would result in emotional harm so extreme that a reasonable person should not be expected to endure the resulting distress. We further conclude that recovery for NIED claims does not require a physical impact.”

The Underlying Facts Of This Case

In this case before the Supreme Court of Pennsylvania, a pregnant woman had a pelvic ultrasound on March 3, 2003, which the medical malpractice Defendants interpreted and reported to the expectant mother as normal. When the woman  gave birth on July 3, 2003, the baby had profound physical abnormalities (including the absence of all four extremities below the elbow or knee joint). The woman suffered severe shock when she observed her baby’s physical abnormalities at the time of birth that she claimed that she would not have suffered had the ultrasound been correctly interpreted and reported to her so that she could have prepared herself for seeing her son’s physical abnormalities at the time of his birth.

Prior Pennsylvania Law

The Supreme Court of Pennsylvania in its earliest cases involving NIED claims had determined that the wrongdoer was required to impact the victim physically in order for the victim to recover damages, which was the requirement until 1970 (known as the “impact rule”). In 1970, the Supreme Court of Pennsylvania expanded the requirement to allow a NIED claim if the victim was in close proximity of the physical impact (known as “zone of impact liability”). In 1979, the Supreme Court of Pennsylvania further expanded the law to permit recovery if the victim personally witnessed a wrongdoer physically impact a close relative (known as “bystander liability”).

The present Supreme Court of Pennsylvania case expanded NIED claims to include claims where the alleged wrongdoer has a particular contractual or fiduciary relationship with a victim and it is foreseeable that the wrongdoer’s carelessness could cause severe emotional harm to the victim and that harm occurs (a “contractual or fiduciary duty” not to inflict foreseeable emotional distress upon a victim).

In expanding liability in NIED claims, the Supreme Court of Pennsylvania stated in this case, “we find it prudent to limit the reach of this NIED claim to preexisting relationships involving duties that obviously and objectively hold the potential of deep emotional harm in the event of breach….the special relationships must encompass an implied duty to care for the plaintiff’s emotional wellbeing. The potential emotional harm must not be the type that a reasonable person is expected to bear….we would hold that some relationships, including some doctor-patient relationships, will involve an implied duty to care for the plaintiff’s emotional well-being that, if breached, has the potential to cause emotional distress resulting in physical harm.”

Hereafter, No Requirement For A Physical Impact

The Supreme Court of Pennsylvania concluded, “we conclude that the physical impact requirement is a flawed tool to distinguish between true emotional distress deserving recovery and the trivial or fraudulent emotional distress claims that should not result in liability. The existence of a physical impact or the fear of such impact may certainly result in emotional distress as we have seen on repeated occasions. However, we acknowledge that severe emotional distress can arise equally from situations without any physical impact. Accordingly, we would hold that NIED claims do not require a physical impact as an element of the tort. A plaintiff asserting a special relationship NIED cause of action absent physical injury, however, must still demonstrate the genuineness of the alleged emotional distress, in part, by proving the element of causation. Unlike cases involving a physical impact, a plaintiff in a non-impact case faces a more difficult task of convincing a court of the legitimacy of the emotional distress and the causal nexus between the negligent action at issue and alleged distress.”

Source

If you are the victim of medical malpractice in Pennsylvania or in any other U.S. state, visit our website  to be connected with medical malpractice lawyers in your state who may be able to assist you with filing a medical malpractice claim, or call us toll free at 800-295-3959.

Turn to us when you don’t know where to turn.

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Report On Vermont’s Medical Malpractice Proposed Reforms

Saturday, February 4th, 2012

On January 30, 2012, the ”Medical Malpractice Reforms Report and Proposal of the [Vermont] Secretary of Administration” (“Report”) was forwarded to the Vermont Legislature to address medical malpractice reform issues/proposals in Vermont.

First, Some Vermont Medical Malpractice Statistics

The Report noted that Vermont’s medical malpractice payouts were among the lowest in the United States (in 2003, Vermont’s median medical malpractice payment was 50% of the national median malpractice payment and Vermont ranked 48th nationally; in 2006, Vermont ranked 51st (D.C. is included in the national figures)).

Vermont’s total medical malpractice liability premiums in 2004 were $25.6 million, which was less than 1% of total health expenditures in Vermont.

The number of medical malpractice claims in Vermont are very low – the total number of medical malpractice claims paid in Vermont between 1996 and 2003 ranged from a low of 19 to a high of 49 (the average medical malpractice claims paid per year was 30).

The medical malpractice liability insurance premiums in Vermont were the lowest in New England in 2003.

The Effects Of “Defensive Medicine”

The Report notes that there is more than one definition of “defensive medicine.” The Report cites one common definition of defensive medicine: defensive medicine occurs when “doctors order tests, procedures, or visits, or avoid high-risk patients or procedures, primarily (but not necessarily solely) to reduce their exposure to malpractice liability.”  However, this definition fails to take into account the potentially substantial benefits to patients from the greater use of medical services.

The Report states, “studies that document an association between medical malpractice costs and health care spending without also tracking the associated patient outcomes don’t necessarily tell us about the desirability of those costs from a patient-care perspective. A finding that a more robust (and by inference higher cost) medical malpractice system is associated with more intensive medical treatment and higher health care costs (or avoidance of higher-risk patients or procedures) could signal that pressures flowing from the medical malpractice system are distorting health care decisions and causing providers to provide more expensive care than optimal to many patients, and less care than optimal to others. The same finding could signal that the medical malpractice system is working exactly as it’s supposed to – incentivizing providers to provide an optimal level of care to promote patient health, and to avoid unreasonable risks in treating patients.”

The Report quotes one British researcher’s observation regarding the increasing utilization of diagnostic testing that, “One doctor’s defensive medicine may be another doctor’s good practice.”

With regard to the Report’s conclusions as to defensive medicine in Vermont, the Report states, “On a basis of a review of the empirical studies relating to medical malpractice laws or premiums on the one hand, and health care expenditures on the other, we cannot conclude that defensive medicine motivated by fear of medical malpractice claims leads to substantial unwarranted health care costs; nor can we confidently rule out the possibility.”

Vermont “Defensive Medicine”

A 2005 survey conducted by the Vermont Medical Society found that most physicians in Vermont reported practicing defensive medicine due to medical malpractice liability concerns. However, the Report concluded, “The upshot of these surveys is that the usefulness of physician survey data in  predicting the impact, if any, of changes to the medical malpractice system is limited.

Report Recommendation: Vermont’s “Certificate of Merit” Proposal

As stated in the Report, “In order to avoid subjecting physicians to lawsuits by plaintiffs who have no evidence to support their cases, many states have passed laws requiring that plaintiffs filing malpractice claims file “certificates of merit” or “affidavits of merit” at the outset of litigation. Approximately 25 states have some sort of requirement that fits under this general heading.”

The Report recommends that Vermont institute a certificate of merit requirement that:

1) Requires the certification simultaneous with filing a malpractice claim, rather than after, so that the “screening” of unsupported claims occurs before a plaintiff actually files a case against a physician;

2) Requires that counsel certify to receiving information from a qualified expert meeting the requisite standard;

3) Requires that the expert meet the standards of expertise (to be determined by the Advisory Committee on Vermont’s Rules of Evidence); and

4) Is limited to the medical malpractice context.

Report Recommendation: Early Disclosure Of Medical Malpractice Events

The Report found that “early disclosure, apology and resolution programs have the potential to a) reduce the costs of malpractice claims; b) increase patient satisfaction; c) improve patient safety by generating data about medical errors; and d) improve quality of life for physicians.”

However, the Report notes that in Vermont, while physicians have an ethical obligation of disclosure, Vermont does not statutorily require that doctors disclose their medical errors to their patients. But Vermont law does provide a safe harbor for expressions of regret, apologies, and explanations of how medical errors occurred so that such communications, if made within 30 days of when the provider or facility knew or should have known of the consequences of the error, cannot be used in deposition, trial, or other legal proceedings relating to the medical error.

Report Recommendation: Confidential Pre-Suit Mediation

The Report stated that “mandatory, confidential, non-binding pre-suit mediation offers the possibility of a win-win-win. Providers and patients win because meritorious claims can be identified and resolved before reaching litigation. Everyone benefits from dramatic reductions in systemic malpractice-related costs. And nobody is required to forfeit legal rights or remedies. Instead, the savings to the system and the benefits to the participants derive from the administrative costs excised from the process— attorney fees, expert costs, court costs, etc. This kind of reform—offering a realistic and very substantial reduction in malpractice liability-related costs without compromising anyone’s legal right and remedies (the patient’s right to seek redress in court, and the provider’s right to deny and defend a claim) dovetails comfortably with the overall spirit of Vermont’s health care reform—designed to deliver better care while controlling costs.”

The Report recommends “a program of voluntary pre-suit mediation. Both parties would be required to provide disclosure to one another—the plaintiff of his or her medical records to the extent they are relevant, and the defendant of complete medical records associated with the incident at issue. As a practical matter, both parties will find that it is to their advantage to cooperate in broader pre-suit exchange of information in order to maximize the chances of a successful mediation program.”

Report Recommendation With Regard To A Proposed “No-Fault” System For Medical Malpractice Claims

The Reports defines a medical liability “no-fault” system as one in which “patients who suffer injuries as a result of medical treatment are eligible for compensation regardless of whether the medical provider was negligent. As long as the patient can establish that the injury was caused by medical treatment, he or she is eligible to recover for that injury. However, any given patient’s right to recover is limited in some way. In other words, in theory, in a no-fault system, more patients would be expected to recover for injuries sustained during medical treatment but the maximum recovery, even for those injured as a result of medical error, would be severely limited relative to a traditional tort-system, negligence-based recovery.”

Hence, in a no-fault system, causation and not fault is the critical issue with regard to whether someone can recover for a medical injury.

The Report concluded with regard to instituting a no-fault system for medical malpractice claims in Vermont, “On balance, we conclude it is not the best direction for reform. A no-fault system could improve the quality of life for some doctors—a benefit that is not insubstantial, and could allow for compensation to a broader pool of injured patients than our existing system. However, on balance, we conclude that the disadvantages to a no-fault system outweigh these benefits. The disadvantages of unfair compensation to patients injured by medical negligence, increased systemic costs, or both, are quite substantial.”

The Report’s Overall Recommendation

“We conclude that the…proposals for early disclosure and settlement of claims offer even greater administrative and overall systemic savings, the possibility of improved quality-of-life for physicians, and the prospect of greater patient satisfaction without compromising the legal remedies available in our current system, and without creating a new government agency.”

Source

If you may be the victim of medical malpractice in your state, visit our website  or call us toll free at 800-295-3959 to be connected with local medical malpractice lawyers who may be able to investigate your potential medical malpractice claim for you and file a medical malpractice claim on your behalf, if appropriate.

Turn to us when you don’t know where to turn.

You can follow us on Facebook, Twitter, Google+, and LinkedIn as well!