"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
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
@BertDecker multiples of 37 - trivial - any factor of 111 would factor into the others. The key here is that 37 * 3 = 111March 7, 2010 9:00
RT @dmrind: Meta-analysis and New Knowledge http://bit.ly/awMtmT important and well statedMarch 7, 2010 12:10
@autolycos while books need no batteries - they are expensive to produce and use resourcesMarch 6, 2010 3:02
@langdon count me in - and contact @medpedshospMarch 6, 2010 2:20
First, thanks to Roaring Remy for the “heads up”. I had to search to find a news story – hopefully others will pick up on this story soon – it is HUGE!!
Lawyers won amendments to give the public more information about doctors’ mistakes and to take away the medical license of doctors who make several medical errors.
Doctors won with an amendment limiting the percentage of winnings that lawyers can claim as payment in malpractice court cases.
Florida is one of four states where the contentious issue of malpractice was on the ballot.
So now Florida has a 3 strikes and you’re out rule.
It will take some reflection to better understand the implications of these votes. More later.
my recent calls have been horrible , I admitted 4 very ill people …all patients i never met before…one to ICU on neo drip and on ventilator. all admissions came between 11:00 pm and 4:00 am…. three nights later I again was on call and admitted three people after 11:00pm.
Fatigue is a frequent cause for mistakes. thus I suggest no one ever work beyond 6:00pm.
less mistakes mean we are better doc’s. Too bad I can’t cancel my office hours whenever i have to work at night (my call is 1 night in 5…every fifth weekend)
Here is the latest on the two amendments passed and sponsored by the trial bar.
The Florida Hospital Association is pursuing its legal challenges to the two amendments, including a motion for injunction to keep the laws from taking immediate effect. The hospital association counsel said he wants this injunction so hospitals can seek guidance from the state Legislature on how to implement the laws.
There is a pervasive feeling in the medical community that these two amendments would chill peer reviews, violate federal privacy laws, and make it virtually impossible for high-risk specialists like neurosurgeons and obstetricians to stay in Florida, or come here from elsewhere, under an atmosphere of intimidation created by the passage of these amendments. The retroactive nature of the “three-strikes” amendment also can catch a number of physicians who have had malpractice judgments in the past.
The Florida trial bar has not made any attempt to challenge the physician-sponsored amendment to limit attorneys’ contingency fees, although that will be expected soon. The lawyers, before the election, have promised they would mount a legal challenge should it pass, which it did overwhelmingly.
It is too soon at this time to make out anything from these three amendments, pending these court challenges. But we will keep you posted.
The good citizens of Florida may well soon learn the price of their exercise of freedom. Already the costs of liability insurance in that state is among the highest in the nation. What have the voters done to make the situation for doctors there one bit more attractive than it was before the election? I can’t see the limit on trial lawyers’ contingency fees having any immediate effect on premiums, yet a retroactive amendment to place doctors who have lost judgments that much closer to loss of licensure (too bad they didn’t do the same thing to lawyers who have been censured or sued). Is this democracy in its classical and pejorative sense? There will be a price to be paid; they won’t be able to vote themselves a supply of high-risk specialists when they discover there aren’t any left in Florida.
Physicians in Florida decided to pass that amendment to address a long-standing imbalance in our tort system where trial lawyers get 40 to 50% of malpractice awards, which can make them instant millionaires, at the expense of injured patients who deserve more of that money.
The high contingency fees have fostered a culture of lottery mentality, resulting in a substantial number of suits (70 to 80%)that are meritless and frivolous. These suits are expensive to defend, adding to the already high costs of malpractice premiums.
I know there is a lot of skepticism about the rationale for an amendment like this that strikes at the heart of a fee arrangement that has been deemed unethical in the rest of civilized world. The answer is simple: The state legislature, because of the influence of trial lawyers, failed to pass a bill last year which was predicated on caps to non-economic damages, modeled partly after the MICRA
in California. Florida physicians currently are paying two to three times as much as those in California.
As I said in my previous rant, there is not much that we can paint in the aftermath of the passage of these three amendments until the legal challenges are heard. The MICRA also caps lawyers’ fees, so this is nothing new.
Why is tort reform on the national agenda at a time when insurance-industry profits rose 997% in 2003, tort filings declined, only 2% of injured people sued for compensation, punitive damages were rarely awarded, liability-insurance costs for businesses were minuscule, medical-malpractice insurance and claims were less than 1% of all health care costs and premium-gouging underwriting practices were widely exposed?
According to a review of Medicare records by HealthGrades, a health care ranking group, there were 195,000 deaths annually from avoidable medical errors, twice the number estimated by the Institute of Medicine study.
Insurers have refused to lower malpractice insurance premiums after caps and other tort reforms have been enacted. States that have enacted legal restrictions have seen their insurance rates shoot up.
Legislation to place limits on medical malpractice liability hurts patients by restricting their rights to hold physicians, hospitals, insurance companies, HMOs, and drug and medical-device manufacturers accountable for injuries or death resulting from negligent care.
As for the claim of ever-climbing jury awards, studies of verdicts are skewed by what study sponsors leave in or leave out. The medical associations looked only at reported jury verdicts. The trial lawyers tracked all verdicts, including nonjury verdicts, through appeals, settlements, and court-ordered reductions.
Limits on the rights of people hurt by medical malpractice will victimize them and their families further while helping neither patients nor doctors. The real beneficiaries will be insurance companies, including the doctor-owned malpractice insurers.
Be honest, RGL. The goal had nothing to do with justice, and everything to do with diminishing the economic returns for the largest, most serious medical malpractice cases. Like “damages caps”, the “reform” was again aimed at the most seriously injured victims of medical malpractice.
Why isn’t our host, who continuously whinges about any interference with the “free market” in the context of the provision of medical care, up in arms about this interference with the free market? Or do we get a great big, hypocritical “that’s different”, because of personal animus toward trial lawyers and indifference toward victims of medical malpractice?
8 Responses to Malpractice reform – Florida voters support physicians and lawyers
pj
November 4th, 2004 at 1:11 am
my recent calls have been horrible , I admitted 4 very ill people …all patients i never met before…one to ICU on neo drip and on ventilator. all admissions came between 11:00 pm and 4:00 am…. three nights later I again was on call and admitted three people after 11:00pm.
Fatigue is a frequent cause for mistakes. thus I suggest no one ever work beyond 6:00pm.
less mistakes mean we are better doc’s. Too bad I can’t cancel my office hours whenever i have to work at night (my call is 1 night in 5…every fifth weekend)
RGL
November 4th, 2004 at 6:10 am
Here is the latest on the two amendments passed and sponsored by the trial bar.
The Florida Hospital Association is pursuing its legal challenges to the two amendments, including a motion for injunction to keep the laws from taking immediate effect. The hospital association counsel said he wants this injunction so hospitals can seek guidance from the state Legislature on how to implement the laws.
There is a pervasive feeling in the medical community that these two amendments would chill peer reviews, violate federal privacy laws, and make it virtually impossible for high-risk specialists like neurosurgeons and obstetricians to stay in Florida, or come here from elsewhere, under an atmosphere of intimidation created by the passage of these amendments. The retroactive nature of the “three-strikes” amendment also can catch a number of physicians who have had malpractice judgments in the past.
The Florida trial bar has not made any attempt to challenge the physician-sponsored amendment to limit attorneys’ contingency fees, although that will be expected soon. The lawyers, before the election, have promised they would mount a legal challenge should it pass, which it did overwhelmingly.
It is too soon at this time to make out anything from these three amendments, pending these court challenges. But we will keep you posted.
CHenry
November 4th, 2004 at 6:29 am
The good citizens of Florida may well soon learn the price of their exercise of freedom. Already the costs of liability insurance in that state is among the highest in the nation. What have the voters done to make the situation for doctors there one bit more attractive than it was before the election? I can’t see the limit on trial lawyers’ contingency fees having any immediate effect on premiums, yet a retroactive amendment to place doctors who have lost judgments that much closer to loss of licensure (too bad they didn’t do the same thing to lawyers who have been censured or sued). Is this democracy in its classical and pejorative sense? There will be a price to be paid; they won’t be able to vote themselves a supply of high-risk specialists when they discover there aren’t any left in Florida.
RGL
November 4th, 2004 at 8:49 am
To CHenry:
Physicians in Florida decided to pass that amendment to address a long-standing imbalance in our tort system where trial lawyers get 40 to 50% of malpractice awards, which can make them instant millionaires, at the expense of injured patients who deserve more of that money.
The high contingency fees have fostered a culture of lottery mentality, resulting in a substantial number of suits (70 to 80%)that are meritless and frivolous. These suits are expensive to defend, adding to the already high costs of malpractice premiums.
I know there is a lot of skepticism about the rationale for an amendment like this that strikes at the heart of a fee arrangement that has been deemed unethical in the rest of civilized world. The answer is simple: The state legislature, because of the influence of trial lawyers, failed to pass a bill last year which was predicated on caps to non-economic damages, modeled partly after the MICRA
in California. Florida physicians currently are paying two to three times as much as those in California.
As I said in my previous rant, there is not much that we can paint in the aftermath of the passage of these three amendments until the legal challenges are heard. The MICRA also caps lawyers’ fees, so this is nothing new.
arf
November 4th, 2004 at 11:06 am
Tired docs make more mistakes. We now have a study proving this.
Dead doctors, however, make zero mistakes.
Doctors are starting to become “better” by refusing more high-risk work.
The ER docs can testify to that when they look for someone to admit their patients or provide high-risk surgical care.
The docs decreased their “malpractice” by doing less “practice”.
pj
November 8th, 2004 at 8:29 pm
a lot of doc’s refuse complicated cases.
fewer doc’s are providing comprehensive care.
Primary care doc’s are dwindling every year by the thousands when compared to 10 years ago.
welcome to the era of legalism.
Gregory D. Pawelski
November 13th, 2004 at 12:18 pm
Why is tort reform on the national agenda at a time when insurance-industry profits rose 997% in 2003, tort filings declined, only 2% of injured people sued for compensation, punitive damages were rarely awarded, liability-insurance costs for businesses were minuscule, medical-malpractice insurance and claims were less than 1% of all health care costs and premium-gouging underwriting practices were widely exposed?
According to a review of Medicare records by HealthGrades, a health care ranking group, there were 195,000 deaths annually from avoidable medical errors, twice the number estimated by the Institute of Medicine study.
Insurers have refused to lower malpractice insurance premiums after caps and other tort reforms have been enacted. States that have enacted legal restrictions have seen their insurance rates shoot up.
Legislation to place limits on medical malpractice liability hurts patients by restricting their rights to hold physicians, hospitals, insurance companies, HMOs, and drug and medical-device manufacturers accountable for injuries or death resulting from negligent care.
As for the claim of ever-climbing jury awards, studies of verdicts are skewed by what study sponsors leave in or leave out. The medical associations looked only at reported jury verdicts. The trial lawyers tracked all verdicts, including nonjury verdicts, through appeals, settlements, and court-ordered reductions.
Limits on the rights of people hurt by medical malpractice will victimize them and their families further while helping neither patients nor doctors. The real beneficiaries will be insurance companies, including the doctor-owned malpractice insurers.
Talk about a smoking gun document: http://www.consumerwatchdog.org/insurance/rp/rp004689.pdf
Aaron
November 17th, 2004 at 10:27 am
Be honest, RGL. The goal had nothing to do with justice, and everything to do with diminishing the economic returns for the largest, most serious medical malpractice cases. Like “damages caps”, the “reform” was again aimed at the most seriously injured victims of medical malpractice.
Why isn’t our host, who continuously whinges about any interference with the “free market” in the context of the provision of medical care, up in arms about this interference with the free market? Or do we get a great big, hypocritical “that’s different”, because of personal animus toward trial lawyers and indifference toward victims of medical malpractice?