"For every complex problem, there is a solution that is simple, neat, and wrong." - HL Mencken
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"I hear and I forget. I see and I remember. I do and I understand." - Confucius
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"The good physician treats the disease; the great physician treats the patient who has the disease" - Sir William Osler
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" The best test of a person's character is how he or she treats those with less power." - Bob Sutton
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"Those are my principles, and if you don't like them - well, I have others." - Groucho Marx
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"The difference between genius and stupidity is that genius has its limits." - Albert Einstein
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"It is hard enough to remember my opinions, without also remembering my reasons for them" - Friedrich Nietzsche
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"Anyone can make the simple complicated. Creativity is making the complicated simple." - Charles Mingus
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"Not everything that can be counted counts, and not everything that counts can be counted." - Albert Einstein
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"A foolish consistency is the hobgoblin of little minds, adored by little statesman and philosophers and divines. With consistency a great soul has simply nothing to do." - Ralph Waldo Emerson
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"This ain't no party, this ain't no disco, this ain't no fooling around." - Talking Heads, Life During Wartime
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"What is hateful to you, do not do to your neighbour. This is the whole Torah; all the rest is commentary. Go and learn it." - Hillel, Talmud, Shabbath 31a
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"You will never understand bureaucracies until you understand that for bureaucrats procedure is everything and outcomes are nothing." - Thomas Sowell
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"An idealist is one who, on noticing that a rose smells better than a cabbage, concludes that it will also make better soup." - HL Mencken
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"If you only have a hammer, you tend to see every problem as a nail." - Abraham Maslow
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"A great teacher is one who realizes that he himself is also a student and whose goal is not to dictate the answers, but to stimulate his students creativity enough so that they go out and find the answers themselves." - Herbie Hancock
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"There are no facts, only interpretations." - Nietzsche
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"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you do know and what you don't." - Anatole France
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"In character, in manner, in style, in all things, the supreme excellence is simplicity." - Henry Wadsworth Longfellow
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Workouts by month - Goal 200 from 11/1/09 through 10/31/10
The ACP Advocate Blog by Bob Doherty: "There once was a man named O'Bama ..." http://ow.ly/1nUH3 - HCR limericks and a cold one for BobMarch 18, 2010 5:24
http://ow.ly/1mYi7 - ABIM MOC program - two differing viewpoints - you can guess my voteMarch 16, 2010 5:06
RT @yejnes: My thoughts on the annual exam, etc., final letter ACP Internist, March 2010 http://bit.ly/9FNcXn wel-stated & importantMarch 15, 2010 12:47
A note to the professors, from the "real" world, on the use of ICDs in a fee for service community... http://ow.ly/1jaPy - great postMarch 13, 2010 2:19
RT @paulinechen: New "Doctor and Patient"; Learning to Keep Patients Safe in a Culture of Fear http://nyti.ms/bYA14V - blog post comingMarch 12, 2010 1:35
RT @tom_peters: @kevinmd Spoken like an MD. - true primary care is very complex - it is not simple care -March 11, 2010 12:43
RT @efalchuk: Seriously, what is Nancy Pelosi Talking About? http://bit.ly/9sHSc2 #healthreform #hcr #healthcare think Dazed and ConfusedMarch 10, 2010 7:53
Obama Says Health Overhaul Should Trump Politics - http://nyti.ms/bwKRyo - and he is correctMarch 8, 2010 7:28
Flanked by a half-dozen doctors in white coats and scrubs from the Anne Arundel Medical Center in Annapolis, Ehrlich (R) called for a special summer meeting of the legislature to address a looming 40 percent rate increase by the insurance company that covers most Maryland doctors.
“In my view, the legislature needs to act now,” Ehrlich said. “They need to sit down and work this out now. The crisis is affecting citizens now. There needs to be a special session now.”
Maryland joins dozens of states and the District in trying to respond to the troubles posed by rising malpractice insurance rates, which some state officials say are the result of a mounting number of lawsuits and costly judgments for patients who have had bad outcomes.
The issue ranks among the most contentious before Maryland leaders this summer, rivaling the dispute over slot machines in terms of lobbying clout. Three powerful political constituencies — doctors, insurance companies and trial lawyers — have been locked in conflict over how best to resolve the issue.
Shades of what happened in Florida and 19 other states last year.
Physicians need to stand firm and unrelenting in their efforts to battle this malpractice curse.
Liberals, abetted by their fawning columnists of the same persuasion, have been spreading false information to make it appear the insurance companies are all behnid this crisis. What they don’t tell the public is an obscene tort system that has gone out of control, with most of those malpractice premiums going to the pockets of a few trial lawyers.
The failure to find a sensible solution will only aggravate a rapidly escalating problem. When that day comes when women can no longer find obstetricians to deliver their babies, when patients can no longer find access to high-risk specialists, it may be too late to salvage a system that has served the interests of America well.
In West Virginia, in Nevada, New Jersey, I don’t know how many other states, doctors dropped the ball on tort reform when they chose to show “good faith” to people who wouldn’t know what good faith was if it bit them in the arse. The second the docs walk away, the politicos will say the crisis is over and do presicely NOTHING.
I hope doctors don’t make the same mistake in Maryland.
Of COURSE limits on noneconomic damages ‘works’. When favored corporations are protected from living up to their responsibilities it ALWAYS saves them money. Great, they can save up to buy a senator or a judge.
The ‘we-know-who-the-culprits-are’ argument smells like the ‘few-bad-apples’ argument.
As long as you allow bizniz to run medicine and healthcare, its purpose will be perverted towards the bottom line.
Fix the system – stop trying to bail a sinking ship.
Right now the “favored corporation” is government.
My state medical school and hospital has TOTAL liability limited, by statute, to far less than the proposed limit on NONECONOMIC damages in all tort reform schemes proposed and enacted.
Now this “corporation” consists of ME. No one else. I am a solo physician. I would like at least as much protection as our medical school. You know them, the people who provide much better medical care. Oh, and the private religious-affiliated hospitals nearby provide more charity care, in case you were thinking about going there with the argument. The state’s rural hospitals do more government-entitlement medical care (Medicare and Medicaid) on a percentage basis of total medical care delivered. I have a hard time referring my Medicaid patients to our medical center. Gotta prove no one else nearby will accept it.
When we say that tort reform “works” we mean not only studies by the General Accounting Office, Health and Human Services, the state of Florida, among other studies. We mean not only studies that were commissioned by people against tort reform, only to find results contrary to their outlook (the GAO study and Senator Durbin of Illinois).
We mean “proved” by over 20 years experience in states that have had tort reform. California and Indiana come to mind.
We mean “proved” in that we now have seen several states that have had tort reform passed, in effect for years, overturned on legal challenge, and reinstated after several more years. The malpractice insurance rates, as well as availability of insurance and the medical services that go with it, roller-coaster up and down with the state’s tort law.
The states that have tort reform, the patients still get their day in court. Economic damages continue to be paid, and noneconomic damages are being paid in something more closely resembling reason. Egregious malpractice is still dealt with by punitive damages.
California’s experience shows MORE lawsuits than my state, but for smaller noneconomic damages. This leaves more money in the system for economic damages.
So more people get money from medical error. Isn’t that what you would want, or are you more interested in a windfall in the trial lawyer’s pocket?
I for one am your basic solo doc. I’m a “coprporation” as in a professional corporation. Not much different from how your lawyer or accountant or dentist incorporate.
As usual for the cheap shot artists, you call us “corporations” trying to lump us in with Enron or something. Buy off a judge or senator? That’s beneath contempt.
OK, arf’s a good apple. But he seems to think that bizniz doesn’t control health care in the USA. Ah – to live in such innocence.
And he’s also right about Bill Frist being ‘beneath contempt’:
“Frist valued his HCA holdings at more than $13 million when he first ran for the Senate. . . . Frist has championed . . . a bill backed by most Republicans that would cap damage awards in medical malpractice suits . . . . Health Care Indemnity, which it described as a wholly owned subsidiary of HCA, is the nation’s sixth-largest medical malpractice insurance company, with $260 million in premiums annually.” http://www.washingtonpost.com/ac2/wp-dyn?pagename=article&contentId=A55869-2004Apr6¬Found=true
BTW, California also capped the amount the insurance companies could charge docs. What does that prove?
Ah, machi, if I’m living in innocence, you are living in ignorance.
You want to cap malpractice rates, fine. The reason there are any malpractice insurers in California at all is the cap, to the extent it is effective, was preceded by tort reform.
If you tried to cap insurance rates in states that don’t have tort reform, the insurance companies would disappear in a second.
I say IGNORANCE, once again, because, despite saying it again, and again, and again, and again………it doesn’t sink in, does it?
Large business entities ALREADY have tort reform. My states’ medical school and hospital limit their TOTAL liability, let alone the pain and suffering advocated in all tort reform proposals. Many other states do the same thing.
Big business insulates itself from malpractice exposure via ERISA. You want to get rid of that, fine, I’d LOVE to see ERISA eliminated. Or at least kept away from health insurance…..maybe there was some usefulness to that law when applied to retirement plans, as I recall, that was the original intent.
I am fully aware of business control of medicine, thank you very much. If you think it’s a good idea to have business in control of medicines, keep the status quo. The tort environment will kill off the independent physician, while big business entities and government will insulate themselves from liability. They will then offer the independent physicians shelter from the storm that government and business created in the first place.
Somehow, I wonder if forcing physicians into government employ is what you want after all.
Bill Frist’s holdings are of no concern to me. He put the holdings in a blind trust when he was elected, to stay away from any conflict-of-interest charges. Apparently that’s not good enough for you. Frankly, I don’t care if he owns HCA and affiliates and subsidiaries, has interest in those businesses, or has the proceeds of that business in trust. The idea remains valid.
Study after study after study may be found, and cited ad nauseam.
Do you even have the slightest interest in reading them?
(Frist has thirteen mil? Is that all? John Kerry could buy a six-pack of Frists)
Thank you arf. It drives me crazy when people rant against “big business” as if they weren’t all part of the same system. Got a job?—you work for “an evil corporation”. If you are a lone attorney “crusading” against business you are out of your mind; not just ignorant.
It sure is weird how three-fourths of insurance companies providing malpractice insurance have done so in the last five years. In fact, 43% of physicians are now insured by physicians’ groups out of necessity, not by big business. In the worst places such as Las Vegas (where the medical school almost had to close because they couldn’t find insurance and the only trauma center in NV closed for two weeks for the same reason), the Miss. delta, and South Florida many can’t fine insurance at all. I wonder if the insurance cos were making TOO MUCH money?
9 Responses to Malpractice crisis in Maryland
RGL
June 26th, 2004 at 12:31 pm
Shades of what happened in Florida and 19 other states last year.
Physicians need to stand firm and unrelenting in their efforts to battle this malpractice curse.
Liberals, abetted by their fawning columnists of the same persuasion, have been spreading false information to make it appear the insurance companies are all behnid this crisis. What they don’t tell the public is an obscene tort system that has gone out of control, with most of those malpractice premiums going to the pockets of a few trial lawyers.
The failure to find a sensible solution will only aggravate a rapidly escalating problem. When that day comes when women can no longer find obstetricians to deliver their babies, when patients can no longer find access to high-risk specialists, it may be too late to salvage a system that has served the interests of America well.
We all know, of course, who the culprits are!
arf
June 26th, 2004 at 1:39 pm
Agreed.
Limits on noneconomic damages works. Period.
In West Virginia, in Nevada, New Jersey, I don’t know how many other states, doctors dropped the ball on tort reform when they chose to show “good faith” to people who wouldn’t know what good faith was if it bit them in the arse. The second the docs walk away, the politicos will say the crisis is over and do presicely NOTHING.
I hope doctors don’t make the same mistake in Maryland.
machi
June 27th, 2004 at 11:39 am
Get out of the Box, Docs
Of COURSE limits on noneconomic damages ‘works’. When favored corporations are protected from living up to their responsibilities it ALWAYS saves them money. Great, they can save up to buy a senator or a judge.
The ‘we-know-who-the-culprits-are’ argument smells like the ‘few-bad-apples’ argument.
As long as you allow bizniz to run medicine and healthcare, its purpose will be perverted towards the bottom line.
Fix the system – stop trying to bail a sinking ship.
arf
June 27th, 2004 at 4:40 pm
Right now the “favored corporation” is government.
My state medical school and hospital has TOTAL liability limited, by statute, to far less than the proposed limit on NONECONOMIC damages in all tort reform schemes proposed and enacted.
Now this “corporation” consists of ME. No one else. I am a solo physician. I would like at least as much protection as our medical school. You know them, the people who provide much better medical care. Oh, and the private religious-affiliated hospitals nearby provide more charity care, in case you were thinking about going there with the argument. The state’s rural hospitals do more government-entitlement medical care (Medicare and Medicaid) on a percentage basis of total medical care delivered. I have a hard time referring my Medicaid patients to our medical center. Gotta prove no one else nearby will accept it.
When we say that tort reform “works” we mean not only studies by the General Accounting Office, Health and Human Services, the state of Florida, among other studies. We mean not only studies that were commissioned by people against tort reform, only to find results contrary to their outlook (the GAO study and Senator Durbin of Illinois).
We mean “proved” by over 20 years experience in states that have had tort reform. California and Indiana come to mind.
We mean “proved” in that we now have seen several states that have had tort reform passed, in effect for years, overturned on legal challenge, and reinstated after several more years. The malpractice insurance rates, as well as availability of insurance and the medical services that go with it, roller-coaster up and down with the state’s tort law.
The states that have tort reform, the patients still get their day in court. Economic damages continue to be paid, and noneconomic damages are being paid in something more closely resembling reason. Egregious malpractice is still dealt with by punitive damages.
California’s experience shows MORE lawsuits than my state, but for smaller noneconomic damages. This leaves more money in the system for economic damages.
So more people get money from medical error. Isn’t that what you would want, or are you more interested in a windfall in the trial lawyer’s pocket?
I for one am your basic solo doc. I’m a “coprporation” as in a professional corporation. Not much different from how your lawyer or accountant or dentist incorporate.
As usual for the cheap shot artists, you call us “corporations” trying to lump us in with Enron or something. Buy off a judge or senator? That’s beneath contempt.
m
June 27th, 2004 at 9:14 pm
if tort reform fails in Maryland, then what ?
what concrete action can physicians do to stop this non-sense.?
machi
June 28th, 2004 at 9:10 am
OK, arf’s a good apple. But he seems to think that bizniz doesn’t control health care in the USA. Ah – to live in such innocence.
And he’s also right about Bill Frist being ‘beneath contempt’:
“Frist valued his HCA holdings at more than $13 million when he first ran for the Senate. . . . Frist has championed . . . a bill backed by most Republicans that would cap damage awards in medical malpractice suits . . . . Health Care Indemnity, which it described as a wholly owned subsidiary of HCA, is the nation’s sixth-largest medical malpractice insurance company, with $260 million in premiums annually.”
http://www.washingtonpost.com/ac2/wp-dyn?pagename=article&contentId=A55869-2004Apr6¬Found=true
BTW, California also capped the amount the insurance companies could charge docs. What does that prove?
arf
June 28th, 2004 at 12:11 pm
Ah, machi, if I’m living in innocence, you are living in ignorance.
You want to cap malpractice rates, fine. The reason there are any malpractice insurers in California at all is the cap, to the extent it is effective, was preceded by tort reform.
If you tried to cap insurance rates in states that don’t have tort reform, the insurance companies would disappear in a second.
I say IGNORANCE, once again, because, despite saying it again, and again, and again, and again………it doesn’t sink in, does it?
Large business entities ALREADY have tort reform. My states’ medical school and hospital limit their TOTAL liability, let alone the pain and suffering advocated in all tort reform proposals. Many other states do the same thing.
Big business insulates itself from malpractice exposure via ERISA. You want to get rid of that, fine, I’d LOVE to see ERISA eliminated. Or at least kept away from health insurance…..maybe there was some usefulness to that law when applied to retirement plans, as I recall, that was the original intent.
I am fully aware of business control of medicine, thank you very much. If you think it’s a good idea to have business in control of medicines, keep the status quo. The tort environment will kill off the independent physician, while big business entities and government will insulate themselves from liability. They will then offer the independent physicians shelter from the storm that government and business created in the first place.
Somehow, I wonder if forcing physicians into government employ is what you want after all.
Bill Frist’s holdings are of no concern to me. He put the holdings in a blind trust when he was elected, to stay away from any conflict-of-interest charges. Apparently that’s not good enough for you. Frankly, I don’t care if he owns HCA and affiliates and subsidiaries, has interest in those businesses, or has the proceeds of that business in trust. The idea remains valid.
Study after study after study may be found, and cited ad nauseam.
Do you even have the slightest interest in reading them?
(Frist has thirteen mil? Is that all? John Kerry could buy a six-pack of Frists)
Daybrother
June 30th, 2004 at 6:08 pm
Thank you arf. It drives me crazy when people rant against “big business” as if they weren’t all part of the same system. Got a job?—you work for “an evil corporation”. If you are a lone attorney “crusading” against business you are out of your mind; not just ignorant.
Aporkalypse
July 10th, 2004 at 3:17 am
It sure is weird how three-fourths of insurance companies providing malpractice insurance have done so in the last five years. In fact, 43% of physicians are now insured by physicians’ groups out of necessity, not by big business. In the worst places such as Las Vegas (where the medical school almost had to close because they couldn’t find insurance and the only trauma center in NV closed for two weeks for the same reason), the Miss. delta, and South Florida many can’t fine insurance at all. I wonder if the insurance cos were making TOO MUCH money?
What a crock.