<WASHINGTON - The Supreme Court yesterday shielded insurers from big-money malpractice suits, ruling that patients can't sue HMOs in state courts when their refusal to pay for recommended care results in medical catastrophes.
"This is a sad day for America's patients and the physicians who care for them," said John C. Nelson, president of the American Medical Association. "The decision eliminates state legal accountability for managed-care plans that alter, delay or deny a physician-recommended course of treatment."
The case has a political wrinkle as well. As a presidential candidate in 2000, George W. Bush praised the Texas law as a model for a national bill of rights. But the Bush administration's Justice Department joined insurers and employers in opposing the suits brought in this case.
Yesterday, Democratic presidential hopeful John Kerry pledged support for a national law that would "ensure that Americans are protected from HMO misconduct.">
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