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Let me give try and give you some "real world" insight on this, at least form the view of a physician. As a practicing Pediatrician in Illinois (one of the "crisis" states) things are not so bad for me. However, I am in a very low liability aspect of medicine. The "value" of my practice is significantly less than other medical fields.
The major issue that doctors face in the "lawsuit" world is the one of malpractice suits, but more burdensom is malpractice insurance. As noted in many of your links, physicians are seeing massive increases in insurance rates that do not seem to correlate to anything at all. I have friends who have been in practice for 20 years, have NEVER been involved in any lawsuits, and see annual increases of 20%-100% in their malpractice rates. (The 100% increase is not a joke. One of my mentors in a Pulmonologist and his malpractice when from $20,000 to $40,000 a year.) Not to mention the fact that many carriers are getting out of the Med/Mal business altogether.
One of the major problems is you cannot just leave your insurance carrier and shop around for better rates. The main barrier to doing this is what is called a "tail" policy. Basically, your new carrier is responsible to cover you for ALL previous patients that MIGHT sue you. This comes from the fact almost all policies are now "claims made", which is a term describing a policy that your CURRENT provider covers you for any lawsuit that is brough against you while you are under their policy, regardlss of the timing of the occurance that prompted the suit. This "tail" policy (for these previous patients) costs around 3 times your anual premium, and usually must be paid within 3 years of taking out a new policy.
In real world terms: Lets say you are an Ob/Gyn in private practice. You pay, on average, around $120,000 a year in malpractice insurance. You decide, for whatever reason, to move. To get a new insurance policy, in addition to the new preium, you would have to come up with $360,000 in equity to make the move.
Obviously, you have to be careful of everything you read on the internet...no matter if you agree with the politics behind it or not. The statement that in fact most doctors are not "fleeing" certian states is true, but is somewhat misleading. The fact of the matter is that physicians that are in high liability professions ARE leaving those states. Illinois does not have a neurosurgeon downstate. OB/Gyns are leaving to go to Indiana (has caps) and Wisconson (not sure) becuase by crossing the border their malpractice drops by up to 60%. The vast majority of physicians are general practice (Internal Medicine, Pediatrics, Family Practice), do not have deep pockets, do not have a lot of "high risk" procedures, and thus are not as effected by these issues. A population that can support 10-15 general practices, might only be able to support, say, one Cardiologist.
The majority of physicians discuss malpractice caps as the FIRST steps to decreasing malpractice insurance. Why? Becuase that is the line we are fed from the insurance companies that raise our rates, just like the trial lawyers fed everyone the "lawsuits are good" line to anyone that will listen. Because up until recently, no one else was offering any other ideas to help curb a "crisis" that the medical profession has seen coming for the past 4 years. Most importantly from a political prospective, it was what was being offered by the GOP, who also was the only party that was even talking about it in the last election. The Democratic Party in Illinois is so strongly funded by the Illinois Trial Lawyers Association, the majority of physicians I know do not even consider voting democratic on a local level.
As someone who has voted Democratic at a national level for my entire life, it was very trying for me this past election. Eventually Kerry/Edwards got my vote becuase I feel our President should be able to, at least, carry on a conversation in his native languagge. But to me and many other physicians, Edwards represents everything that is wrong in the legal system: A good attorney with no scientific training that goes after doctors because of the money.
If malpractice attornies were really interested in changing medicine, they would push for regulatory changes, and would never settle a case. And as far as the "there are really not that many lawsuits" claim: 94% of Ob/Gyns get have a lawsuit brought against them on average of every 4 years. Even if it never goes to trial it costs the physician time, money, stress, and often times leads to an increase in malpractice preiums. Do peoople really think 94% of Ob/Gyns are incompetent? Of course not. But a sick kid is a goldmine in front of a jury, and the lawyers know it.
So what is the answer? I am not sure. But at this point, most physicians see ANYTHING, even unproven malpractice caps, as an improvement.
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