|
Tort
reform isn’t the solution to health-care system’s problems
By David Van Gilder
Tort reform is yet another
dishonest diversion from the real needs of our nation. The claim
that there are frivolous lawsuits and that jury verdicts must be
reigned in is a lie perpetrated on simple-minded politicians, a
frustrated medical community and gullible citizenry. It is the
spawn of the insurance industry, which seeks nothing more than
increased profit at the expense of quality family health care.
Tort reform should be rejected.
Recently, the president of the
Fort Wayne Medical Society offered an opinion in The
Journal-Gazette in favor of tort reform. I noted a similar piece
in the Washington Post, and I’m sure many such articles have
been published nationwide. President Bush recently highlighted
this issue with trips to Missouri and Michigan, where he ignored
the real-life stories of victims of medical negligence and
asbestos-sickened workers in favor of the fairy tale of
corporate woe. This is all a shameful diversion from Bush’s
failure to lead our country in health-care reform that will show
true compassion for all citizens, not just those corporations
that support the Republican Party.
Here are the facts: Medical
malpractice costs are “less than 2 percent of overall
health-care spending. A reduction of 25 percent to
30 percent in malpractice costs would lower health-care
costs 0.4 percent to 0.5 percent, and the likely
effect on health insurance premiums would be small.” Source:
Congressional Budget Office, “Limiting Tort Liability for
Medical Malpractice,” Jan. 8, 2004.
Put another way, eliminate
damage awards for every case of medical wrongdoing and we’ll
save at most 2 percent of the national cost of medical
care. Doctors should be angry that their malpractice
insurance is too costly, but they need to focus anger on their
insurance companies, not injured persons and their lawyers.
Physicians should also focus on
the other end of the health-care spectrum, also controlled by
the insurance industry – reimbursement rates. Doctors
and hospitals are generally paid only a small part of the
charges for services because insurers second-guess both the
necessity for and reasonable cost of each service. Take a look
at any recent explanation of benefits report for your own family
(unless you are one of 44 million Americans without
insurance), and you will see how the insurance industry has too
much control over medical decision making and reimbursement
rates.
Insurance costs are not tied to
jury verdicts for persons injured by medical negligence. In the
states (like Indiana) that already have caps on non-economic
damages, doctors’ medical malpractice premiums continue to
rise, mainly because insurance companies seek to increase their
profits in the face of their own poor market investment
performance.
The strongest check on our
system of justice is the collective wisdom of jurors. If you are
injured by someone’s negligent act, a handful of fellow
citizens in your community are chosen to listen to all the
evidence of liability and damages and defenses under a set of
rules enforced by a dispassionate judge. These people, not the
lawyers, not the judge, not the doctor and not the insurance
company, decide how much money, if any, will fairly and
reasonably compensate for the loss.
The jury trial is a fundamental
right of each citizen, guaranteed by the constitutions of the
United States and each state. Make no mistake, President Bush
and the insurance industry are seeking to take away this right
at your expense and for their profit.
David
Van Gilder is an attorney who lives in Huntertown. He wrote
this for The Journal Gazette.
|