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	<title>Comments on: The Barbarity of our Medical Malpractice System</title>
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	<link>http://www.theexaminingroom.com/2009/12/the-barbarity-of-our-medical-malpractice-system/</link>
	<description>A physician&#039;s commentary on current issues in medicine, clinical research, health and wellness.</description>
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		<title>By: Michael Kirsch, M.D.</title>
		<link>http://www.theexaminingroom.com/2009/12/the-barbarity-of-our-medical-malpractice-system/comment-page-1/#comment-659</link>
		<dc:creator>Michael Kirsch, M.D.</dc:creator>
		<pubDate>Mon, 25 Jan 2010 22:14:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.theexaminingroom.com/?p=579#comment-659</guid>
		<description>I have been ensnared repeatedly and unfairly into the legal arena during my 20 years of practice.  My father used to sue physicians, so I know both sides of the issue well.  I have devoted considerable space on my blog to this issue, including a post from a plaintiff&#039;s attorney who sues physicians.  I invite you and readers to visit at www.MDWhistleblower.blogspot.com under Legal Quality.</description>
		<content:encoded><![CDATA[<p>I have been ensnared repeatedly and unfairly into the legal arena during my 20 years of practice.  My father used to sue physicians, so I know both sides of the issue well.  I have devoted considerable space on my blog to this issue, including a post from a plaintiff&#8217;s attorney who sues physicians.  I invite you and readers to visit at <a href="http://www.MDWhistleblower.blogspot.com" rel="nofollow">http://www.MDWhistleblower.blogspot.com</a> under Legal Quality.</p>
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		<title>By: Wren</title>
		<link>http://www.theexaminingroom.com/2009/12/the-barbarity-of-our-medical-malpractice-system/comment-page-1/#comment-614</link>
		<dc:creator>Wren</dc:creator>
		<pubDate>Tue, 05 Jan 2010 01:25:27 +0000</pubDate>
		<guid isPermaLink="false">http://www.theexaminingroom.com/?p=579#comment-614</guid>
		<description>This is just dreadful for everyone involved -- doctors, patients, and the families of both. The healthcare courts sound like a great idea. I hope someday we&#039;ll get them.</description>
		<content:encoded><![CDATA[<p>This is just dreadful for everyone involved &#8212; doctors, patients, and the families of both. The healthcare courts sound like a great idea. I hope someday we&#8217;ll get them.</p>
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		<title>By: Bob</title>
		<link>http://www.theexaminingroom.com/2009/12/the-barbarity-of-our-medical-malpractice-system/comment-page-1/#comment-601</link>
		<dc:creator>Bob</dc:creator>
		<pubDate>Fri, 01 Jan 2010 18:50:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.theexaminingroom.com/?p=579#comment-601</guid>
		<description>You are right, of course, about suits for inevitable bad outcomes.  Bad outcomes are not malpractice if the standard of care has been met, and malpractice claims in such circumstances are unwarranted.

But what about malpractice claims when the bad outcome really was the result of negligence or sub-standard care?  Until we get better at preventing negligence or poor care, we need to have a way to try to make whole patients who are injured or the families of patients who are killed.   We don&#039;t do a very good job at that either. The IOM estimates that there are about 100,000 malpractice deaths each year, but there were only 3,613 physician malpractice payments reported to the NPDB for deaths in 2008.  There were only 11,021 physician malpractice payments reported to the NPDB in 2008 for all causes.

It seems very likely that there are a lot more uncompensated cases of actual malpractice  than there are unwarranted malpractice claims against physicians.  Neither is acceptable.

&lt;strong&gt;drc - true.  Have you heard of &lt;a href=&quot;http://commongood.org/healthcare.html&quot; rel=&quot;nofollow&quot;&gt;specialized healthcare courts&lt;/a&gt;?  These seem like a more just means of doing all you&#039;ve described.  Thanks for the comment.&lt;/strong&gt;</description>
		<content:encoded><![CDATA[<p>You are right, of course, about suits for inevitable bad outcomes.  Bad outcomes are not malpractice if the standard of care has been met, and malpractice claims in such circumstances are unwarranted.</p>
<p>But what about malpractice claims when the bad outcome really was the result of negligence or sub-standard care?  Until we get better at preventing negligence or poor care, we need to have a way to try to make whole patients who are injured or the families of patients who are killed.   We don&#8217;t do a very good job at that either. The IOM estimates that there are about 100,000 malpractice deaths each year, but there were only 3,613 physician malpractice payments reported to the NPDB for deaths in 2008.  There were only 11,021 physician malpractice payments reported to the NPDB in 2008 for all causes.</p>
<p>It seems very likely that there are a lot more uncompensated cases of actual malpractice  than there are unwarranted malpractice claims against physicians.  Neither is acceptable.</p>
<p><strong>drc &#8211; true.  Have you heard of <a href="http://commongood.org/healthcare.html" rel="nofollow">specialized healthcare courts</a>?  These seem like a more just means of doing all you&#8217;ve described.  Thanks for the comment.</strong></p>
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