10-20-2005, 10:29 AM | #1 | |||
The boy who cried Trout
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OT: House votes to ban obesity lawsuits
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While these types of bills can be dangerous, I think this is an exception to the rule. |
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10-20-2005, 10:33 AM | #2 |
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You've gotta eat. However, you don't have to eat at a fast food chain. Just because someone decides that they want to eat massive amounts of unhealthy food, why should the rest of us pay?
Hell, look at the medical industry. All those million dollar lawsuits for malpractice, that cost just gets passed on to the rest of us. |
10-20-2005, 10:36 AM | #3 | |
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Personally, I'd rather pay an extra 1% (which is more than malpractice costs amount to) on my health care bills to deter a doctor from leaving a Junior Mint inside of me. But maybe that's just me.
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10-20-2005, 10:39 AM | #4 |
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It passed 306-120. I guess I don't see the need for the first line to say Republican controlled house. I usually roll my eyes when people talk about the bias in the media, but this line seemed so out of place. It would have made sense if every Republican and Democrat voted along party lines, but they didn't.
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10-20-2005, 10:44 AM | #5 | |
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I'm not a big fan of Junior Mints either. |
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10-20-2005, 10:46 AM | #6 | |
The boy who cried Trout
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Maybe they did it to give them kudos? |
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10-20-2005, 10:48 AM | #7 | |
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That's why I'm against a national health care system! That way I can control the doctor I see! That's beside the point though. In any of these cases where there is a class action lawsuit, the insurance premiums increase or the company is out of pocket that amount. What does any company do to ease the burden? Increase rates. Let's look at doctors. They get hit with a malpractice suit. The doctor loses in court. The court issues a large penalty. The doctor's malpractice insurance covers the cost. However, it then raises the premium of 5 or 6 other doctors who have to charge their patients more to cover the extra cost. This isn't the sole factor at work here, but it certainly doesn't help! |
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10-20-2005, 10:50 AM | #8 | |
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All together, it still amounts to less than 1% of total health care costs. That is more than worth it to deter bad actions by doctors.
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10-20-2005, 10:52 AM | #9 | |
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You DID read where John told you that lawsuits are only 1% of the total malpractice premium cost, right? And add to that, premiums rising significantly even in states with malpractice caps, and those lawsuits really don't do much to the price.
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10-20-2005, 10:57 AM | #10 | |
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If you ask me, revoking their medical license and making that applicable in all 50 states would be better. Then, reduce the amount of the fine, and figure out a way to make it payable from the doctor's funds (in other words, try to figure out how to cut the insurance company out of the equation). This does a few things: 1) It puts the doctor on the hook for the money rather than the insurance company. 2) This does not affect other doctors because you have removed the insurance company from the equation. 3) Since the doctor has to pay from his own funds, the settlement will be much less. 4) The lawyers don't get as much money (always a good thing in my book. I feel they are half the problem since most are paid a % of the settlement.) 5) Any doctor guilty of malpractice no longer practices medicine, so he can't screw anyone else over. |
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10-20-2005, 10:58 AM | #11 |
Head Coach
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None of these lawsuits were going anywhere anyway. Despite what the media had people believe, there was no epidemic of "cheeseburger lawsuits." They have all been dismissed at the early stages of litigation, as they should be, IMO. This is mainly symbolic.
The only thing that I was worried about was language in the bill that would shield these companies from lawsuits for actual negligence (i.e. spoiled meat, etc.). That langauge seems to have not made it into the bill--so no harm no foul. The big loser here are people who beleive in states rights and a limited federal government. |
10-20-2005, 10:59 AM | #12 | |
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Um... isn't that EXACTLY what insurance is meant to cover? Why take the insurance companies off the hook? They offer the coverage. Shouldn't they be the slightest bit responsible? Why do so many people want to give the insurance companies such a pass?
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10-20-2005, 11:04 AM | #13 | |
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So the victim of malpractice who had their leg accidently cutoff gets less/no compensation just to protect the insurance companies? I'll take my 1% cost increase, thank you. BTW, this wouldn't protect insurance companies - it would hurt them. It essentially makes malpractice insurance pointless and they make a lot of money off of that.
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10-20-2005, 11:04 AM | #14 | |
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But they do reach across all states. The states with the caps are not going to have a major impact if the majority of claims are in states without caps. It helps alleviate it somewhat, but not much. The way insurance companies work is they base everything on risk. So yes, the insurance premiums for doctors in a state with caps should be lower, if there are a number of cases that result in large settlements in a state with no cap, everyone's premiums are going up, regardless of the state you are in. The insurance companies are going to ensure that they don't lose money. I also question where this 1% comes from. From the doctors I have talked to it is a much higher cost than that. |
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10-20-2005, 11:05 AM | #15 | |
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I would have been happier if they would have still allowed injunctive relief. I find nothing wrong with forcing companies to be more forthcoming with nutrition information. People with allergies and those trying to diet should really have better access to information from restaurants.
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10-20-2005, 11:07 AM | #16 | |
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10-20-2005, 11:08 AM | #17 | |
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http://www.insurance-reform.org/pr/AIRhealthcosts.pdf That is from an advocacy group, but you can find the numbers many places.
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10-20-2005, 11:10 AM | #18 | |
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Insurance companies are heavily regulated and must issue policies for each state. They do not issue a policy in a capped state for a higher price to make up for another state without a cap - that is illegal.
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10-20-2005, 11:11 AM | #19 | |
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*SIGH* OK, here goes... In my rosy world, doctors have printed fees. You go in for X, you pay X. Every other vendor - customer relationship I can think of, you know how much you are going to pay before you get the service or good. But this doesn't happen when you go to see the doctor, why? I have several ideas, but don't really want to get into that. To answer your question, you're right, insurance is supposed to cover malpractice suits, etc. However, do you see speeding insurance? Company profit insurance? I fucked up my price to my customer insurance? No. Just because someone screws up at the office does not mean their should be an insurance company to back them up and make them whole. That is the whole point of the punitive damages! If you have an insurance company making the doctor whole, what is the point of the damages then? |
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10-20-2005, 11:12 AM | #20 | |
Coordinator
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Says the guy who has consistently voted to ban abortions and gay marriage. |
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10-20-2005, 11:16 AM | #21 | |
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Understood, that is not what I am saying... State X (no cap) State Y (cap) $1000/month $500/month (please take note, I am just pulling numbers out of my ass) Now, after a year in which there were several large settlements across the country, the insurance company raises premiums. State X (no cap) State Y (cap) $1200/month $600/month The state with the cap is still paying less for their premiums, but their rates were raised the same amount (the insurance companies need to make their money). |
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10-20-2005, 11:17 AM | #22 | |
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There is liability insurance in almost every major industry in the country. Doctors, like lawyers, like corporations, like small businesses, have liability insurance. Insurance exists because people want to pool risks. To avoid the massive payout which does them in, they share that risk with people in similar situations. It is an economically efficient way for the market to handle risk. The insurance companies profit, the doctors avoid the killer lawsuit, patients are better protected, and costs are insignificant. I can't imagine a problem with that.
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10-20-2005, 11:19 AM | #23 | |
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You are missing the point. The cost of malpractice suits is SOOO low in the big picture, that the difference in costs to a doctor or hospital aren't significantly different in states with caps and those without. There are even states with caps with higher rates than those without. It just doesn't matter that much.
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10-20-2005, 11:21 AM | #24 |
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First, I question whether or not those figures are fact or fiction. There is no supporting evidence, I can throw something up and say the same thing.
HOWEVER, I agree with their goal, get insurance companies out of medicine. |
10-20-2005, 11:31 AM | #25 | |
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Agreed. But there is a big difference between liability and a simple screw up. For acts of God, I understand insurance. If my house burns down because a bolt of lightning strikes a tree, which ignites, falls on my house, which then catches on fire, I understand. If someone screws up driving their car, and hits mine, I can understand that as well because there is no contract between the drivers. The insurance makes both people whole. But, in the case of, I screwed up and left the forceps in the patient is a completely different story. If I price something wrong to a customer, I am obligated to accept the order at that price! The customer can take me to court, and would win if I failed to honor the price. That's why most prices have that whole "prices subject to change without notice" blurb on them. For a salesman, how is this any different than a doctor's screw up during an operation? Do I get reimbursed for my screw up? No. Should the doctor be reimbursed for his screw up? No. |
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10-20-2005, 11:32 AM | #26 | |
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I know it is hard for you when facts get in the way of your argument. It is much easier to just dismiss them.
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10-20-2005, 11:34 AM | #27 | |
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You are comparing apples to oranges and not really making a lot of sense. When a company screws with its accounting books, it gets sued by shareholders, and has insurance for that eventuality. When a lawyer screws up, he or she gets sued by their client, and has insurance for that eventuality. Those are comparable cases - your examples aren't.
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10-20-2005, 12:02 PM | #28 |
lolzcat
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Awesome. More grandstanding from those do-nothing jackasses down the road from me.
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10-20-2005, 12:09 PM | #29 |
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Warhammer--
You are right in that one cannot insure against intentional conduct. I cannot get insurance to cover me if I intentionally smash into your car. But the theory behind malpractice is that it is negligence. The doctor did not intentionally leave the milk duds in the paitent. (If he did, he would be facing criminal assault and possibly attempted murder charges). The doctor made an honest mistake. Just like I make an honest mistake when I stop paying attention to the road and rear end the guy in front of me. Your argument is premised on the idea that medical malpractice is done with intent to harm paitents and should therefore not be insured. It's not. It's just mistakes. |
10-20-2005, 12:14 PM | #30 | |
lolzcat
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I am not really involvd in this argument, but I find this assertion very interesting (and counter to what I would have guessed to be true). In my state, like lots of places, we have had a much-belabored medmal "crisis" and are flooded with stories of doctors going out of business because of skyrocketing malpractice premiums. This whole "1% of total costs" argument certainly makes it seem like that's just nonsense. As it is, no doubt, intended to be. Can anyone help mw get this straight in some sense? Is the medmal problem (of out-of-control premiums) really just affecting certain types of practices, like ob/gyn (the examples I hear most often)? Is it really true that medmal premiums are only 1% of total health care costs -- or is that a comparison that has some element of apples and oranges? I'm in public policy, but this isn't an area I work in, but I do find it fairly interesting. Anywhere I can go to see some explanation of this stuff? |
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10-20-2005, 12:23 PM | #31 | |
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I believe the med/mal crisis is largely fiction. What the real "crisis" is, if there is one, is achieving profitability for individual practitioners. Less than 1% of medical costs are due to malpractice insurance and payouts. From a consumer perspective, that is not a significant amount. For certain doctors, the margins of profitability are tight enough where 1% is significant. For doctors with especially high premiums (ie anesthesiologists), the costs can hurt them significantly. Before managed care, the increasing premium costs were passed onto the consumer since it really wasn't that much of a difference. However, now with insurance companies pinching on the other end, certain doctors have had their profitability substantially eroded. Med/Mal is just the area that has been targetted, but truthfully, the 1% loss of revenue could be picked up from any cost or benefit area - it doesn't matter. Med/Mal, however, is an easy political target and allows doctors and insurance companies to avoid coming to a reckoning about their disputes. It is a cause that unites them, but doesn't really accomplish much for the consumer. My concern is that over the long, it is actually worse for the consumer because of the decrease deterrence. I'm not sure of a good place to read more on this. I'll see if I can find a link or two.
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10-20-2005, 01:13 PM | #32 | |
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Yep, and in addition, the people who get screwed over cannot get the money they deserve, WHILE insurance premiums still continue to rise at the same rate they have been.
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10-20-2005, 01:14 PM | #33 |
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I'm surprised this hasn't morphed into a discussion of the passage of the Protection of Lawful Commerce in Arms Act, which also passed the House today. Unlike the cheeseburger bill, it's also already passed the Senate, and now heads to the President's desk.
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10-20-2005, 01:19 PM | #34 |
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Another fine bill such that the NRA can sell assault rifles to people Cam ?
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10-20-2005, 01:33 PM | #35 | |
Stadium Announcer
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Well, the NRA doesn't typically sell guns, and I'm not sure what you mean by assault rifle... Basically, it's the cheeseburger bill for firearms. You can't sure a gun dealer or manufacturer to try and hold them accountable for the third party actions of criminals.
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10-20-2005, 01:36 PM | #36 | |
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That kinda surprised me too.
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10-20-2005, 01:43 PM | #37 | |
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But the question is can a criminal sue a gun manufacturer if the gun explodes and injures him during the crime? |
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10-20-2005, 01:45 PM | #38 | |
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yeah, read the bill - seems reasonable, though I think there's a difference between cheeseburghers (self choice to kill) to guns (which exist, you know, to kill if used) . |
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10-20-2005, 01:46 PM | #39 |
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But how could we when there's such other important news in the world.
CNN is reporting on their front page the more important news that Jennifer Aniston is photographed kissing Vince Vaughn, the upside down airplane stamps sold for over $2M, and that there's some kids missing in San Fran which is somehow more than a local story. Fox, on the other hand, feels the need to inform us of Mickey D's and Coke's earnings on their front page, a baby got auctioned on Chinese ebay, and they're also covering the local San Fran story. SI
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10-20-2005, 01:50 PM | #40 | |
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No my example was taken from my occupation. If a customer of mine, calls me up and says I need a price on X. I send him a quote, and let's say I drop a zero off the end of the price (its happened). If he comes back and says that he'll buy it, I legally cannot change my price. That is changing the terms of the contract. Bait and switch if you will. This does happen, and when this goes to court, I would have to honor the quote. Do they take you to court every day? No, but it does happen. Typically, if it is a regular customer they will not hold your feet to the fire, as they would realize it is a mistake. However, if this is a bid to specifications project, all bets are off. People have taken vendors to court and won on these issues. That is the same thing as malpractice, an innocent mistake. However, companies do not have insurance against this sort of thing. Why is that? I think John Galt's examples are apples and oranges per your test. In his, you have a company willfully cooking the books, and getting sued by the shareholders. In my opinion, there should not be insurance for any breach of the law. His second example, the malpractice is not a willful attempt to harm anyone. It is an innocent mistake, just like my example above. |
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10-20-2005, 01:52 PM | #41 | |
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Dude, you've done the same thing to me before. I am not dismissing them out of hand, all I said is I find it is hard to believe and cited that they did not have any supporting documentation. Most of the time, when you see a flyer of this type, they have a source of their information listed. An advocacy group, with an agenda, has a reason for skewing data to suit their purposes. As I said before, I AGREE with the goals of this group. I just would like a source for their data. |
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10-20-2005, 01:58 PM | #42 | |
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So, if a doctor accidentally leaves a sponge in your body, you're entitled to millions of dollars? If a oil change place doesn't put the oil plug back in correctly and your engine burns up, what do you get? A new engine and maybe the cost of the rental while your car is being repaired. If the doctor removes the sponge and performs any subsequent, related procedures free of charge, how are you not made whole? Now granted, I am not talking about a doctor amputating the wrong leg or anything like that. But even there, how do we arrive at these astronomical figures except as punitive damages. And if they are punitive damages, why should those damages necessarily go to the patient? My solution would cut the insurance companies out altogether so they can't get the higher premiums. Again, I understand why they exist for some things. But why should this insurance exist, and other companies that make similar "innocent" mistakes not have access to any? |
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10-20-2005, 02:38 PM | #43 | |
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I'm not familiar with the details of the bill. I'm OK with it as long as there's nothing stupid in there such as protections for gun dealers who fail to check for IDs/permits (where applicable) when selling firearms. |
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10-20-2005, 02:42 PM | #44 |
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I'm with flere on this. As long as the dealers are obeying the current laws on the books, that's just fine. Gun shops shouldn't be responsible for how someone uses a gun unless they look the other way with background checks, sell illegal kits, or something else to get around the laws.
SI
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Houston Hippopotami, III.3: 20th Anniversary Thread - All former HT players are encouraged to check it out! Janos: "Only America could produce an imbecile of your caliber!" Freakazoid: "That's because we make lots of things better than other people!" Last edited by sterlingice : 10-20-2005 at 02:42 PM. |
10-20-2005, 03:01 PM | #45 | |
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10-20-2005, 03:03 PM | #46 | |
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Sure a patient should get thousands of dollars if he leaves a sponge in your body (How many of those who were awarded 'millions of dollars' in district court actually got even a quarter of that on appeal?)! Punitive damages are to punish the doctor. He shouldn't be leaving sponges in you... especially since it would cause severe adverse effects. And the money should go to the patient, because the patient is the one who did all the legwork. And actually, if a oil change place doesn't put the plug in place and your engine burns up, and possibly causes you harm, you better believe there will be punitives. This insurance exists because the insurance companies are willing to insure people. I love how the argument against malpractice suits is that insurance is getting so high that doctors are leaving the profession. For God's sake?! What do you think making doctors pay for their own mistakes is going to do? Good luck trying to find a doctor then.
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10-20-2005, 03:49 PM | #47 | |||
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A lot of the time the award is reduced because the original penalty was excessive. I agree that punitive damages are to punish the doctor, but I don't think a patient is entitled to a quarter of millions because he did some legwork and had the good luck to have the doctor leave the sponge in him. Talk about hitting the lottery, especially because not all of those things cause adverse effects. Now granted, a pair of clamps or a scalpel is something different... Quote:
I'm not so sure. I knew some folks some years back that had this happen, and they basically just received what I described. Quote:
Again, take the insurance company out of the equation. The doctors that are worried about the malpractice suits are those that probably shouldn't be a doctor anyway. With insurance companies out of the equation, costs are lowered. Additionally, doctors paying for their own mistakes is exactly what should happen. If I supply a poor product, and have to cover warranties, that hits my bottom line. It should affect the doctor the same way. A doctor is not some privileged person. He is basically a mechanic that works on people. When the machine is broken (sickness, disease), he tries to fix it. Granted, they have additional training, but that is no different than many other professions. I fail to see why they are a protected profession. The whole reason why insurance got involved in the medical industry is due to malpractice suits and juries that would award unreasonable sums of money to the patient. In some cases, the doctors were unjustly convicted and forced to pay. That forces them to pool their resources in case they are the unlucky ones who get hit with a lawsuit. I think all of this stinks to high heaven! |
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10-20-2005, 03:59 PM | #48 | |||||
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And yes, since they did the legwork, they should get all the money. What's the point in, say, giving the state a portion when they didn't do jack. Quote:
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The government isn't mandating malpractice insurance. You don't have to be annointed by Congress to be able to be covered by insurance. Quote:
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"A prayer for the wild at heart, kept in cages" -Tennessee Williams Last edited by ISiddiqui : 10-20-2005 at 04:02 PM. |
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10-20-2005, 04:26 PM | #49 | |
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Well, you didn't read some of my previous posts. I think I specifically mentioned amputating the wrong limb would be justified in receiving a hefty award. I make no claim to determine reasonableness. I am no more qualified than you. You feel the juries are justified in levying exorbitant fines. I do not feel they are justified. I do not think the juries are qualified to determine penalties because they are not versed in the medical field. My basic stance is in a situation where the patient's care resulted in a new serious medical condition or changed his way of life, a substantial fine is justified. However, if the mistake is minor (easily remedied), and can be cleared up easily, then a large fine is not justified. |
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10-20-2005, 04:29 PM | #50 | |
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Astonishing. That is how tort law actually works (as opposed to your bizarre, unsubstantiated version of reality).
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