CQ Roll Call May 23, 2013 | Register

The Right Way to Do Medical Malpractice Reform

Peter Orszag argues that if we are looking to bend the health care cost curve and improve the long-term budget outlook, lawmakers should look at medical malpractice reform.

“Improving the criteria for what constitutes appropriate care could significantly change doctors’ behavior and also save money… a doctor can be considered guilty of malpractice if he or she fails to follow customary practice. This is a nebulous concept, however, that only pushes doctors to look around and mimic what their peers seem to be doing.”

“A slightly higher or lower liability limit in a given state doesn’t have that much effect because doctors are still influenced by customary practice. Yet the missing piece is… a safe harbor, under the medical- malpractice laws, for doctors who follow evidence-based guidelines published by medical associations… Basically, then, a patient would not be allowed to sue for malpractice if the doctor could show that he or she was following a best-practice guideline.”

  • dweasson

    I get the feeling this is like most ideas — a better mousetrap that will only be outmaneuvered by a better mouse.

    The way to deal with malpractice is to take the profit out of it, for both plaintiff and plaintiff’s council. The the plaintiff should get ONLY the portion of a settlement that reflects the actual economic loss, and the plaintiff’s council gets a percentage ONLY of that portion as well. Don’t stop/limit the penalty part, instead, make the punitive damages/’pain and suffering’ portion a negative tax credit (ie, an amount that has to be paid regardless of net profit or loss).

    If people (plaintiffs and council) stop seeing malpractice as a lottery ticket they’ll stop suing at the drop of a hat.

  • JEngdahlJ

    “One in two Americans are likely to need long-term-care services sometime in their lives.”
    http://www.healthcaretownhall.com/?p=4761

  • Georgia Sam

    I agree that medical malpractice needs reform. Though medical malpractice costs are not the only reason for rises in healthcare costs. Why don’t we consider the actual costs to us as patients? Where do they come from? This article explains it well: http://myadvocates.com/blog/must-read-times-special-report-on-hospital-bills-2. It also leads to a special report done by The Times.

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