Physician Responses to the Malpractice Crisis: From Defense to Offense

Studdert D. M. Mello M. M. Brennan T. A. , “Medical Malpractice,” N. Engl. J. Med. 350, no. 3 (2004): 283–292.

AMA: Medical Liability Reform, at <http://www.ama-assn.org/ama/pub/category/9255.html> (last visited May 27, 2005).

Mohr J. C. , “American Medical Malpractice Litigation in Historical Perspective,” JAMA 283, no. 13 (2000): 1731–1737.

See Studdert , supra note 1; Thorpe K. E. , The Medical Malpractice “Crisis”: Recent Trends and the Impact of State Tort Reforms , January 21, 2004, at <http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w4.20vl> (last visited May 26, 2005).

See Studdert , supra note 1.

Zuger A. , “Dissatisfaction with Medical Practice,” N. Engl. J. Med. 350, no. 1 (2004): 69–75; Mello M. M. Studdert D. M. DesRoches C. M. , “Caring for Patients in a Malpractice Crisis: Physician Satisfaction and Quality of Care,” Health Affairs 23, no. 4 (2004): 42–53.

Page Keeton W. , Prosser and Keeton on The Law of Torts (St. Paul, MN: West Publishing Company, 1984); Kessler D. P. McClellan M. B. , “Medical Malpractice: External Influences and Controls: The Effects of Malpractice Pressure and Liability Reforms on Physicians' Perceptions of Medical Care,” Journal of Law and Contemporary Problems 60 (1997): 81–106.

Brennan T. A. Leape L. L. Laird N. M. , “Incidence of Adverse Events and Negligence in Hospitalized Patients: Results of the Harvard Medical Practice Study I,” N. Engl. J. Med. 324, no. 6 (1991): 370–376; Thomas E. J. Studdert D. M. Burstin H. R. , “Incidence and Types of Adverse Events and Negligent Care in Utah and Colorado,” Medical Care 38, no. 3 (2000): 261–271; Localio A. R. Lawthers A. G. Brennan T. A. , “Relation Between Malpractice Claims and Adverse Events Due to Negligence: Results of the Harvard Medical Practice Study III,” N. Engl. J. Med. 325, no. 4 (1991): 245–251.

Lawthers A. G. Localio A. R. Laird N. M. Lipsitz S. Hebert L. Brennan T. A. , “Physicians' Perceptions of the Risk of Being Sued,” Journal of Health, Politics, and Policy Law 17, no. 3 (1992): 463–482.

See Localio , supra note 8; Brennan T. A. Sox C. M. Burstin H. R. , “Relation Between Negligent Adverse Events and the Outcomes of Medical-Malpractice Litigation,” N. Engl. J. Med. 335, no. 26 (1996): 1963–1967.

Mello M. M. Brennan T. A. , “What We Know and Do Not Know About the Impact of Civil Justice on the American Economy and Policy: Deterrence of Medical Errors: Theory and Evidence for Malpractice Reform,” Texas Law Review 80 (2002): 1595–1637.

Danzon P. M. Pauly M. V. Kington R. S. , “The Effects of Malpractice Litigation on Physicians' Fees and Incomes,” American Economic Review 80 (1990): 122–127; Gunnar W. P. , “Is There an Acceptable Answer to Rising Malpractice Premiums?” Annals of Health Law 13 (2004): 465–500.

Kletke P. R. Emmons D. W. Gillis K. D. , “Current Trends in Physicians' Practice Arrangements: From Owners to Employees,” JAMA 276, no. 7 (1996): 555–560.

See Mello , supra note 6; Charles S. C. , “Malpractice Suits: Their Effect on Physicians, Patients, and Families,” Journal of the Medical Association of Georgia 76 (1987): 171–172; Charles S. C. Wilbert J. R. Franke K. J. , “Sued and Nonsued Physicians' Self-Reported Reactions to Malpractice Litigation? American Journal of Psychiatry 142, no. 4 (1985): 437–440.

See Mohr , supra note 3.

DeVille K. A. , Medical Malpractice in Nineteenth-Century America: Origins and Legacy (New York: New York University Press, 1990).

See AMA, supra note 2.

See Studdert, supra note 1.

See Studdert, supra note 1; See Thorpe , supra note 4; Lauter D. , “Controlling Malpractice Recovery; 9 States Set Limits; 21 Others Have Strict Procedures,” National Law Journal, August 15, 1983, at 10; Glassman A. D. , “The Imposition of Federal Caps in Medical Malpractice Liability Actions: Will They Cure the Current Crisis in Health Care?” Akron Law Review 37 (2004): 417–468.

Studdert D. M. Yang Y. T. Mello M. M. , “Are Damages Caps Regressive? A Study of Malpractice Jury Verdicts in California,” Health Affairs 23, no. 4 (2004): 54–67.

See Studdert, supra note 20.

See Gunnar, supra note 12; See Glassman, supra note 19.

Studdert D. M. Mello M. M. Sage W. M. , “Defensive Medicine Among High-Risk Specialist Physicians in a Volatile Malpractice Crisis,” JAMA 293, no. 21 (2005): 2609–2617

See Studdert , supra note 23.

Bush G. W. , “Ensuring Access to Health Care: The Bush Plan,” JAMA 292, no. 16 (2004): 2010–2011.

Liability Survey: OB/Gyns Quitting Obstetrics, at <http://www.ama-assn.org/ama/pub/article/9255–8713.html> (last visited May 26, 2005); Austin M. , “Malpractice Insurance Rates Send Doctors Fleeing to Colorado.” Denver Post , March 4, 2004, at A1; Maguire P. , “As the Malpractice Crisis Enters Year Two, Doctors and Insurers Flee Some Markets,” ACP-ASIM Observer, April, 2002; Worland G. , “Doctors Flee Insurance Costs, State; Saying Malpractice Insurance Premiums Have Soared, They Relocate to Wisconsin or Indiana,” Chicago Tribune, March 12, 2004, at C1.

National Physician Survey on Professional Medical Liability, at <http://www.ama-assn.org/ama/pub/category/7800.html> (last visited May 26, 2005).

Stein R. , “Increase in Physician's Insurance Hurts Care; Services are Being Pared, and Clinics are Closing,” Washington Post, January 5, 2003, at A1; Cole B. , “When Doctors Start Leaving Town; A City Decides to Take Extraordinary Steps to Regulate Medical Malpractice Suits by Enacting Caps on Non-Economic Damages,” Chicago Tribune, July 13, 2004, at C19.

General Accounting Office, Medical Malpractice: Implications of Rising Premiums on Access to Health Care, Washington, D.C. 2003. GAO-03-836.

See General Accounting Office, supra note 29.

Brooks R. G. Menachemi N. Hughes C. Clawson A. , “Impact of the Medical Professional Liability Insurance Crisis on Access to Care in Florida,” Archives of Internal Medicine 164, no. 20 (2004): 2217–2222.

Pennachio D. , “The Target of a ‘Shotgun’ Suit Fires Back,” Medical Economics 80, no. 7 (2003): 43; Silverman R. E. , “Doctors Take the Offensive,” Wall Street Journal, March 23, 2004, at D3; Sokol D. J. , “The Current Status of Medical Malpractice Countersuits,” American Journal of Law & Medicine 10 (1985): 439–457; Silverman J. , “Physicians Fight Against ‘Frivolous’ Lawsuits: Will It Hurt Doctor-Patient Relationship,” Family Practice News, May 15, 2004, at 72.

See Silverman R. E. supra note 32; See Silverman J. supra note 32.

Pennsylvania Medical Society: Society's Projects to Deter Frivolous Lawsuits, Disreputable Expert Witnesses, at <http://www.pamedsoe.org/Template.cfm?Section=Home&template=/ContentManagement/ContentDisplay.cfm&ContentID=7854> (last visited May 26, 2005).

See Keeton , supra note 7; Raine v. Drasin, 621 S.W.2d 895 (KY, 1981); See Sokol , supra note 32.

See Sokol , supra note 32.

See Keeton , supra note 7; See Sokol , supra note 32.

See Keeton , supra note 7; See Sokol , supra note 32.

AMA Code of Ethics, at <http://www.ama-assn.org/ama/pub/category/8314.html> (last visited May 26, 2005).

“One Doctor's Tort Reform: Stop Caring for Lawyers,” Modern Healthcare (2004): 36.

Rovner J. , “Election Day Approaches and Both Candidates Focus on Health Care,” National Public Radio (NPR), October 22, 2004.

Doctors for Medical Liability Reform, at <http://www.protect-patientsnow.org> (last visited May 26, 2005).

Fryer A. , “Doctors Group Targets State in Fight Over Malpractice Insurance Rates,” Seattle Times, February 23, 2004, at B1.

See Mohr , supra note 3; Dixon M. G. , “‘Going Bare’ May Be Hazardous to Your Fiscal Health,” Journal of Legal Medicine 4, no. 10 (1976): 23–24.

Ramos M. R. , “Legal Malpractice: The Profession's Dirty Little Secret,” Vanderbilt Law Review 47 (1994): 1657–1734.

Lewin T. , “The Liability Insurance Spiral,” New York Times, March 8, 1986, at 35.

See Dixon , supra note 44; Constantine R. P. Jr. Tinnon S. E. , “The Bare Facts About Going Naked,” Journal of the Medical Association of Georgia 75, no. 11 (1986): 680–682.

Borfitz D. , “Malpractice: Is Going Bare the Only Option?” Medical Economics 80, no. 6 (2003): 97–98, 104–106; Page L. , “Indecent Exposure; Physicians Throw Caution to the Wind as Malpractice Premiums Skyrocket,” Modern Physician April 1, 2002, at 3.

MSNBC News: Doctors Going Without Malpractice Insurance. Physicians Fed Up With Skyrocketing Premiums, at <http://www.msnbc.msn.com/id/5234637/> (last visited May 26, 2005).

Johnson L. J. , “Go Bankrupt? Go Bare? Malpractice Consult,” Medical Economics 80, no, 11 (2003): 106.

Chin A. Peterson M. A. , Deep Pockets, Empty Pockets: Who Wins in Cook County Jury Trials (RAND, 1985): R-3249; Rustad M. , “The Incidence, Scope, and Purpose of Punitive Damages: Unraveling Punitive Damages, Current Data and Further Inquiry” Wisconsin Law Review 1 (1998): 15–68.

Lowes R. , “Protect Your Assets Before You're Sued,” Medical Economics 80, no. 4 (2003): 82–86.

See Borfitz , supra note 48.

Goldenberg v. Sawczak, 791 So. 2d 1078 (FL, 2001); Fla. Stat. § 458.320 (2004).

Silverman R. E. , “So Sue Me: Doctors Without Insurance,” Wall Street Journal, January 28, 2004, at D1; Cline R. E. Pepine C. J. , “Medical Malpractice Crisis: Florida's Recent Experience,” Circulation 109, no. 24 (2004): 2936–2938.

Dorschner J. , “Doctor: Bills Could Be a ‘Death Blow,’” Miami Herald, April 1, 2005, at <http://www.miami.com/mld/miamiherald/business/11282273.htm>.

AMA Code of Ethics: Opinions on the Patient-Physician Relationship, at <http://www.ama-assn.org/apps/pf_new/pf_online?f_n=browse&doc=policyfiles/E-10.00.HTM&&s_t=&st_p=&nth=1&prev_pol=policyfiles/HnE/H-525.998.HTM&nxt_pol=policyfiles/HnE/E-0.01.HTM&> (last visited May 26, 2005).

Mehlman M. J. , “Fiduciary Contracting: Limitations on Bargaining Between Patients and Health Care Providers,” University of Pittsburgh Law Review 51 (1990): 365–417.

See Keeton , supra note 7.

See Mohr , supra note 3.

See Goldenberg , supra note 56.

Spencer J. , “Signing Away Your Right to Sue,” Wall Street Journal, October 1, 2003, at DI; Carlson B. , “First Business, Now Health Care: Signing Away One's Right to Sue,” Managed Care 11, no. 6 (2002): 28–31, 35.

Sternlight J. R. , “The Rise and Spread of Mandatory Arbitration as a Substitution for the Jury Trial,” University of San Francisco Law Review 38 (2003): 17–38.

Galle K. K. , “The Appearance of Impropriety: Making Agreements to Arbitrate in Health Care Contacts More Palatable,” William Mitchell Law Review 30 (2004): 969–999.

See Carlson , supra note 65.

General Accounting Office, Medical Malpractice: Alternatives of Litigation (Washington, D.C. 1992). GAO/HRD-92-28. Cal. Civ. Proc. Code § 1295 (2004); NY. Pub. Health Law § 4406-a (Consol 2004).

Engalla v. Permanente Medical Group, 938 P.2d 903 (CA, 1997); Buraczynski v. Eyring, 919 S.W.2d 314 (TN. 1996).

See Buraczynski , supra note 70.

See Broemmer v. Abortion Services of Phoenix Ltd., 840 P.2d 1013 (AZ, 1992); William F. Robinson, M.D. Ltd. v. Pepper, 693 P.2d 1259 (NV, 1985); Beynon v. Garden Grove Medical Group, 161 Cal.Rptr. 146 (Cal. App. 1980); Leong v. Kaiser Foundation Hospital, 788 P.2d 164 (HI, 1990).

See Engalla, supra note 70.

See Silverman supra note 32.

Schutkowski v. Carey, 725 P.2d 1057 (WY, 1986).

Havighurst C. C. , Health Care Choices: Private Contracts as Instruments of Health Reform (Washington, DC: AEI Press, 1995); Ash v. New York University Dental Center, 164 A.D.2d 366 (NY, 1990); Olson v. Molzen, 558 S.W.2d 429 (TN, 1977); Cudnik v. William Beaumont Hospital, 207 N.W.2d 378 (MI. Ct. App. 1994).

See Mehlman , supra note 61.

“New Jersey Doctors Hold Back Services In Insurance Protest,” New York Times, February 4, 2003, at A2.

Frangos A. , “The Doctor is Out … On Strike,” Wall Street Journal, May 8, 2003, at D1.

Miller A. C. , “Surgeons in W.Va. Strike Over Costs of Malpractice,” Los Angeles Times, January 2, 2003, at 1.

Baer N. , “Despite Some PR Fallout, Proponents Say MD walkouts Increase Awareness and May Improve Health Care,” Canadian Medical Association Journal 157, no. 9 (1997): 1268–1271; Turone F. , “Italian Doctors Strike Over Threat to Break Up State Health Service,” British Medical Journal 328, no. 7446 (2004): 976; Dorozynski A. , “French Healthcare System Beset by Strikes,” British Medical Journal 324, no. 7332 (2002): 258c.

Anawis M. , “The Ethics of Physician Unionization: What Will Happen if Your Doctor Becomes a Teamster,” DePaul Journal of Health Care Law 6 (2002): 83–110; American College of Physicians-American Society of Internal Medicine, “Physicians and Joint Negotiations,” Annals of Internal Medicine 134 (2001): 787–792.

See Baer , supra note 81; Fiester A. , “Physicians and Strikes: Can a Walkout over the Malpractice Crisis be Ethically Justified?” American Journal of Bioethics 4, no. 1 (2004): 12–16.

Goldman J. J. , “N. J. Doctors Stage Walkout; Supporters Rally as Thousands of Physicians Stop Treating All But Emergency Cases to Protest Soaring Rates for Malpractice,” Los Angeles Times, February 4, 2003, at 10; Newman M. , “New Jersey Doctors Find Unity in Fight to Limit Malpractice Awards,” New York Times, February 1, 2003, at B1.

Jaspen B. , “Healthy Staffing Seen During Protest; Hospitals Say They're Ready for Malpractice Strike,” Chicago Tribune, February 25, 2003, at N2.

AMA Policy Finder. E-9.025 Collective Action and Patient Advocacy, at <http://www.ama-assn.org/apps/pf_new/pf_online?f_n=browse&doc=policyfiles/HnE/E-9.025.HTM&&s_t=&st_p=&nth=1&prev_pol=policyfiles/HnE/E-8.21.HTM&nxt_pol=policyfiles/HnE/E-9.01.HTM&> (last visited May 26, 2005).

Miller A. C. , “Surgeons in W.Va. Strike Over Costs of Malpractice,” Los Angeles Times, January 2, 2003, at 1.

New Jersey Division of Consumer Affairs: Medical Malpractice Liability Insurance Premium Assistance Fund (MMLIPA), at <http://www.njconsumeraffairs.gov/mmlipa.htm> (last visited May 26, 2005); Salganik W. , “Doctors Seek Showdown on Malpractice,” Baltimore Sun, December 26, 2004, at 1A.

Andrews M. , “Making Malpractice Harder to Prove,” New York Times, December 21, 2003, at 8.

Grow B. , “Expert Witnesses Under Examinations,” Chicago Tribune, July 20, 2003, at C1; Liptak A. , “Doctor's Testimony Lead to a Complex Legal Fight,” New York Times, June 20, 2004, at 18.

Austin v. Am.Ass'n of Neurological Surgs, 253 F.3d 967, 972 (7th Cir. 2001).

Rice B. , “Malpractice: Who Should Judge the Experts?” Medical Economics 81, issue 20 (2004): 21–28.

Medical Justice: Benefits of Membership, at <http://www.medicaljustice.com/carrier-insurance-malpractice.asp> (last visited May 26, 2005).

See Pennsylvania Medical Society: Society's Projects to Deter Frivolous Lawsuits, Disreputable Expert Witnesses, supra note 34.

See Grow , supra note 90.

Romano M. , “Paying the Price; Practices Consider Surcharges to Combat High Cost of Malpractice Insurance,” Modern Healthcare, June 28, 2004, at 18; Salzman A. , “Pushing Insurance Reform with a $500 Surcharge,” New York Times, May 22, 2004, at B5; Boodman S. , “Insuring Controversy; When Malpractice Premiums Jump, Some Docs Ask Patients to ‘Donate’ to the Cause,” Washington Post, September 21, 2004, at F1.

See Romano , supra note 96; See Salzman , supra note 96.

Costello D. , “Asking Patients to Help Shoulder Malpractice Costs; Some Doctors are Adding Fees to Help Defray the High Price of Insurance. Others Call the Practice and Undue Burden on the Poor,” Los Angeles Times, October 25, 2004, at 1; Brook R. Ware J. Rogers W. , “Does Free Care Improve Adults' Health? Results From a Randomized Controlled Trial,” N. Engl. J. Med 309, no. 23 (1983): 1426–1434; J. P. Newhouse and the Insurance Experiment Group, Free for All? Lessons from the RAND Health Insurance Experiment (Cambridge, MA: Harvard University Press, 1993); Newhouse J. P. , “Consumer-Directed Health Plans and the RAND Health Insurance Experiment,” Health Affairs 23, no. 6 (2004): 107–113.

See Costello , supra note 98.

See Romano , supra note 96.

Blumenthal R. , “In Texas, Hire a Lawyer, Forget About a Doctor?” New York Times, March 5, 2004, at A12; Silverman R. E. , “Database for Doctors Tracks Litigious Patients,” Wall Street Journal, March 5, 2004, at A10.

Blumenthal R. , “Texas Company Removes Web List of Malpractice Plaintiffs,” New York Times, March 11, 2004, at A14.