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'They Can Sue, But They Can't Hide'

An anonymous reader writes "The New York Times (free reg's yada, yada) has this article about Texas doctors running an online blacklist of patients who have sued. The searchable database is at doctorsknow.us. Nice to know that you can get blacklisted for suing the doctor that caused massive brain damage to your kid (and winning)." To add a plaintiff to the database, membership was not always required.

46 of 1,212 comments (clear)

  1. On the other hand... by rasafras · · Score: 5, Insightful

    I personally know a few doctors, and malpractice lawsuits have gotten out of hand. Insurance for doctors has skyrocketed to an incredible rate. Somehow there must be a balance between the two - let them sue, but not too much?

    1. Re:On the other hand... by Anonymous Coward · · Score: 5, Insightful

      I'm not sure many people realize doctor's aren't that rich anymore. My dad is a doctor. He's never been sued and everyone goes out of their way to tell me how wonderful he is. Yet malpractice insurance goes up and up. I used to go to private school but now I am going to public school because there isn't enough money. Insurance companies pay doctors whatever they want. And they decrease the pay without telling you. My dad says he loses 50% of the cost of a shot most of the time because the insurance company pays less than what it costs to buy the shot. Don't forget about overhead like electricity and rent. A friend of mine's dad is a doctor too. A patient begged and begged to be released from the hospital. Finally the doctor explained the risk of that and signed him out. He died soon after and now they are moving to a smaller house. I know that there is a lot of deserved malpractice suits. When I was born my mom kept saying she couldn't feel below her shoulders and the doctor kept giving her more and more anesthesia for the cesarean. Eventually she couldn't breathe anymore but obviously I survived. There needs to be some malpractice. The problem is the law doesn't distinguish between this and other more understandable mistakes. People need to realize medicine is a field of probabilities. Doctors improve your probability of surving. Occasionally they do something wrong but you can't always blame them if something bad happens. As it is now my dad is struggling to stay in business as lawyer and insurance companies profit off it as well as eager to sue patients. Something has to happen

  2. Puh-lease by mr100percent · · Score: 5, Insightful
    Oh come on, can we leave the editorials out of the submissions?

    IN real life, there ARE patients who wind up sueing every doctor in town. There are patients who try to scam painkillers off of doctors, there are patients who try to forge perscriptions for Morphine at pharmacies.

    Yes, some patients do have real legitimate cases, but if they wind up sueing more than 2 doctors, do you want to take them in as your patient? Why don't you pay thousands a month in malpractice insurance, and let me know what you will do. (No, I'm not a doctor, they're just in my family).

    This all depends on the doctor. I'm sure he'll call up his friend Dr. Phil and ask why the lady was sueing him. If she was stepping on every word he said in his own office, then I'm sure the doctor won't take the case, as is his prerogative. You can't sue for abandonment if the doctor won't even take your case. Besides, the lawsuit record has been availible for some time, I could go online and search the plaintiff lists to see if my neighbor sued anyone recently. So can landlords and the rest of the world.

    1. Re:Puh-lease by Davak · · Score: 5, Insightful

      MD (not yet been sued) here...

      The simple fact is that people abuse the system.

      Some doctors abuse the system, get caught, get sued, and get punished. If it happens too often, his/her license is removed.

      Some patients abuse the system, too. They use a shotgun approach and attempt to sue and sue and sue. By using lawyers that only collect fees for winning, these patients hurt the doctor and the lawyer side of "medicine."

      Does this type of system leave a foul taste in my mouth? Hell, yeah. The guys that are making money off of this are almost as bad as those habitual plantiffs.

      However, I say this with the bias that I have never been sued by one of these rabid money grabbers.

      The old system of doctor and patient loving and respecting one another is leaving... and that's part of the problem.

      As I was reading this thread a patient called me at home. He's a very difficult case, and his family are salt of the earth people. I care for them... so I let them call me directly, on a weekend, when I am not on call. I gave them potential life-or-death advice on the phone tonight... if I am wrong, they could easily sue me.

      However, they never would. Because we have a true patient-doctor relationship that is so rare these days. I care for them... and they respect me--with my knowledge and my faults.

      Yeah, the system is screwed--on both sides of the equation.

      Davak

  3. This is absurd by dartmouth05 · · Score: 5, Insightful
    This database is very infuriating, especially given the many states where official reprimands of doctors are not made public.

    Two weeks ago, the MA legislature passed a bill called Taylor's Law, that orginally called for putting reprimands of doctors online. The doctor lobby got that provision shot down, arguing that it might stop doctors from freely talking to the board.

    If patients in MA can't find out who the problem doctors are, I don't see why doctors should be able to see the names of patients who sued.

    Furthermore, membership should definitely be required to add people to the list, otherwise, any quack who gets justifiably sued can easily add his or her patients to the list out of spite.

  4. 2 sides to every story by -=[Dr.+AJAX]=- · · Score: 5, Insightful

    The problem is that both sides have bad apples. Sure you have some bad doctors that really shouldn't be practicing. But you also have some people who want easy money from malpractice insurance companies who are most likely to settle that to fight it out in court. The idea of lawsuits as a source of incoming isn't patented by SCO as yet.

  5. Lawyers by LittleLebowskiUrbanA · · Score: 5, Insightful

    So basically both the patients and the doctor get screwed and the lawyers come out on top.

    1. Re:Lawyers by gujo-odori · · Score: 5, Insightful

      On the other side of the coin, let me relate my experiences with being hit by geniuses who don't get simple concepts like "Stop sign" + "Line of card" = "Pressing break pedal good idea." That was the first one. The second one was a genius who thought backing his truck at a stoplight on Broadway in downtown San Diego was a good idea. He didn't get the simple concept that there is pretty much guaranteed to be a vehicle behind you. He didn't get the concept of a horn blowing behind you means you'd better stop, either.

      The second of those, which was a relatively minor accident, happened less than a month after I'd finished a one-year course of treatment for injuries sustained in the first accident, which as a 30 - 40 MPH no-brakes rear impact.

      In both cases, I had to retain a lawyer and sue. Why? Well, in the first case, the guy's insurance company simply didn't want to pay. The claim was open and shut, their client rear-ended my car at a stop sign without even touching his breaks (he was driving a lifted mini-truck that was so high the bottom of his bumper guards cut through the spoiler on the hatchback of my Mustang GT as the rear of the car was rolled up all the way to the backs of the doors). You couldn't ask for anything more clear-cut. The guy even admitted, right there on the spot, that it was his fault, and I had a witness who heard him say it.

      Still, his insurance company was going to try and stiff for both medical bills and car repair. I wasn't even asking for anything beyond that. However, their refusal to even meet their obligation forced me to retain a lawyer and sue. When it was just about to go to court, they settled. They knew they didn't have a leg to stand on at trial. I got my car fixed. I got my body fixed, mostly. I still have lingering neck problem that will never completely go away. I have Advil for that. The lawyer got his cut above and beyond the cost of fixing me and my car. My attorney was, among other things, a personal injury lawyer, and he struck me as being an upstanding guy. He wasn't trying to cheat anyone, and all I was after was for the guy's insurance company to meet its legal obligation. If they had just done so at the outset, they would have saved themselves thousands of dollars in legal fees. That cost gets passed straight on to their policy holders, so if your insurance is too expensive, insurance company actions like that are one of the reasons why.

      The second time I had to sue was because after the bright spark backed his truck up into my car and I went to file a claim with the trucking company's insurance company for the damage to my vehicle (medical wasn't too bad, but it did aggravate my neck condition a bit), they turned out to be an offshore insurance company in the Caribbean and they quite simply weren't going to pay. In fact, they had apparently never paid a claim to anyone, ever. It was basically a scam. So I had to sue the trucking company itself. What I eventually wound up doing, on my lawyer's advice, was to use my own collision coverage and uninsured motorist coverage to pay for my vehicle damage and medical expenses, and let my insurance company go after the trucking company for recovery.

      So, while there are certainly sleazy ambulance-chaser PI lawyers out there, personal injury nevertheless remains an important area of law. Without a PI lawyer, I would have wound up paying at least the medical out of my own pocked in the first of those incidents, and it would have been very difficult to afford.

  6. Bad checks on the wall..... by nebenfun · · Score: 5, Insightful

    This kinda of reminds me of going into a store and seeing people's bad checks on the wall....

    People sue at the drop of the hat nowadays....and the lawyers are waiting in the shadows.

    A person will NOT be denied life threatening health care...
    but what if someone with a history of lawsuits(frivilous or not) wants high risk surgery from you? Would you be willing to bet your career and finanicial well being on them?

    Information is freedom, right?

  7. Re:Difficult? by jkabbe · · Score: 5, Insightful

    Imagine how you'll be treated when your chart has you labeled as "malpractice lawsuit plaintiff." The doctor won't even come into the room.

    Think that's bad? Imagine how you would be treated as a lawyer! Once they find out you're a lawyer many doctors will run ten times as many tests as they otherwise would. It pays to keep your mouth shut (or even lie) about your profession.

  8. Re:Difficult? by Cosmik · · Score: 5, Funny

    Speaking about Seinfeld and doctors, I'll take a vet over an MD any day. I already go to the vet to get checked up. I find it's cheaper, the queue is shorter, and I get my coat brushed to a glossy shine after every visit.

  9. Then don't file frivolous malpractice lawsuits. by sulli · · Score: 5, Insightful
    Come on, how stupid are people? If you and your ambulance-chaser treat doctors' insurers as your own private ATM, why be surprised when there is some accountability?

    Lawsuits are, and have always been, a matter of public record. Perhaps people who abuse the system should consider this fact.

    Sorry, no sympathy for those on the blacklist.

    --

    sulli
    RTFJ.
    1. Re:Then don't file frivolous malpractice lawsuits. by DAldredge · · Score: 5, Interesting

      The Doctors records of misconduct and related board actions are private. Doctors want this info on others, but they do not want others to have the same level of detail on them.

    2. Re:Then don't file frivolous malpractice lawsuits. by wmspringer · · Score: 5, Insightful

      And if the lawsuit isn't frivolous? Should you refrain from suing an incompetant doctor because if you do you won't be able to get health care in the future?

    3. Re:Then don't file frivolous malpractice lawsuits. by JCMay · · Score: 5, Insightful
      The Doctors records of misconduct and related board actions are private. Doctors want this info on others, but they do not want others to have the same level of detail on them.


      No, the previous post said that lawsuits are matters of public record. If a doctor is sued, no matter what the outcome, anyone can go down to the courthouse and view the transcript.

      Now, if you're saying that it's not fair that there's no web-searchable list of doctors that have had malpractise suits brought against them, why don't you start one?
    4. Re:Then don't file frivolous malpractice lawsuits. by DAldredge · · Score: 5, Insightful

      I am talking about complaints to their license board. Those are secret and the doctors orgs fight tooth and nail to keep them that way.

  10. You can't see the same info about them... by DAldredge · · Score: 5, Insightful

    If doctors think this is a good idea why are they so opposed to keeping their own legal/discipline records away from the public?

  11. non-economic by way2trivial · · Score: 5, Insightful

    Do you know what that part means?
    if malpractice is real, the lifetime 'costs' of taking care of the incident is covered, plus a maximum of 250k for pain and suffering..

    --
    every day http://en.wikipedia.org/wiki/Special:Random
  12. Re:Difficult? by TykeClone · · Score: 5, Funny

    Doctors are just vets who flunked out of vet school - could only handle one species.

    --
    A fine is a tax you pay for doing wrong and a tax is a fine you pay for doing all right.
  13. even better.... by ecalkin · · Score: 5, Interesting

    i have heard of cases where ob/gyns would not accept patients that were lawyers that has pursued malpractice actions. while it was interesting to hear women lawyers bitch about having to leave their county to find a doctor, it was *more* interesting to find out how many people felt no sorrow for them.

    eric

    1. Re:even better.... by Lucidwray · · Score: 5, Interesting

      My girlfriend works for an OB/Gyn doctor and i have personally talked to the doctors about this type of subject before. I am totaly and completely on the side of the doctors on this one.

      99% of these lawsuits that people file against doctors that supposedly caused 'brain damage' to children when they were born are completly bogus. The fact that you child was born with down syndrome has just about as much to do with the doctor that delivered him\her as the sex of that child does.

      The total crap part is that you can sue ANYTIME after birth and claim that the doctor that delivered you caused any problems that you have now. I personally talked to a doctor that is being sued by some parents because their child didnt get into the college they were planning on, so they sued the doctor for causing long lasting brain damage 18 years after the birth. The really sad part is the doctor lost the lawsuit and is now repsonsible for paying millions of dollars of damages to the family. And let me say, this is a totaly normal kid who simply didnt get high enough grades on his entrance exams to a college, not some highly deformed retarded human being.

      Its really sad when doctors are sued so often and so frequently that they have been driven to do this type of blacklisting.

      Insurance costs and lawsuits have gotten totaly out of hand in this country. it has driven medical costs through the roof and something has to give.

      If youll remember, a couple years ago somewhere on the east coast, a extremly large group of doctors in virginia I believe went on strike because of sky high malpratice insurance costs. things get much worse and you will see many more strikes like that.

      --
      My sig can beat up your sig.
    2. Re:even better.... by penguinbrat · · Score: 5, Insightful

      I would agree that there is extreme BS on both sides, it seems that human nature has partly evolved into blaming what ever on someone else.

      However, in the case you spoke about - my first guess is that the Doc's attorney did not put much into the case thinking it was blatant BS just like we do, but the plantiff's attorney didn't take that stance and probably bind sided the defense's attorney with stuff he did not expect...

      There has to be some kind of plausable reason for something as dumb as this being victorious.

    3. Re:even better.... by Webhund · · Score: 5, Insightful

      If you can prove either of these 2 statements in your post, I'll put my own name on the list of black-balled attorneys:

      1. "99% of these lawsuits that people file against doctors that supposedly caused 'brain damage' to children when they were born are completly bogus." OR
      2. "The total crap part is that you can sue ANYTIME after birth and claim that the doctor that delivered you caused any problems that you have now."

      The fact is that profit and greed by insurance companies have driven medical costs through the roof in this country, not lawsuits. There is not a single state in the U.S. where medical malpractice OR health insurance premiums have come down by $0.01 since the introduction of any tort "reform" measure.

      The next time some doctor or insurance hack tells you some supposed horror story about having to pay millions of dollars because of what he/she considers to be a bogus "frivolous" lawsuit, ask him/her the following:

      1. If you had a pay all this money, why didn't you go to trial and prove your case?

      2. If they answer, "my insurance company made me settle," then ask them why they rolled over on their principles because some faceless insurance company told them to.

      Then, when they get done bad-mouthing everyone they've seen in the last 20 years, ask them for the name of the case and the court it was in. Then, take an hour of YOUR time, go down to the courthouse and look through the case file for the true picture.

      Don't take my word for it; go look for yourself. That's the beauty of our Constitution here in the U.S.A. and I would be extremely suspect of anyone who advocates a system that wants to take away your constitutional right to a jury trial, the right of access to the court system, and your right to a fair and impartial decision maker.

    4. Re:even better.... by fupeg · · Score: 5, Interesting
      99% of these lawsuits that people file against doctors that supposedly caused 'brain damage' to children when they were born are completly bogus.
      I don't know what's worse here, the 99% or the "completely bogus." What a ridiculous generalization, clearly showing your complete lack of knowledge on the subject.
      The really sad part is the doctor lost the lawsuit and is now repsonsible for paying millions of dollars of damages to the family.
      Yeah it's so easy to win lawsuits, but Injured malpractice plaintiffs win before juries in only 23% of cases, and only 1.1% of medical malpractice plaintiffs who prevail at trial are awarded punitive damages.
      Insurance costs and lawsuits have gotten totaly out of hand in this country. it has driven medical costs through the roof and something has to give.
      This is what rich doctors would have you believe, when actually it's their anti-compettive practices that have driven prices up. They keep the number of doctors artificially low, so as to keep demand high. They also use licensure to force people to purchase mundane services from them instead of having the choice of cheaper alternatives. For example, you have to pay a dentist to clean your teeth, even if they don't do the cleaning themselves, their nurse does it. You talk about OBs, well if you've ever had a baby you would know that the doctor is usually only present for a couple of minutes, the nurses do everything. Guess who gets the bulk of the pay though...
    5. Re:even better.... by Webhund · · Score: 5, Informative

      I'd get your facts straight about Nevada first:

      Before a patient victimized by medical malpractice may file a lawsuit in Nevada District Court, the patient must submit a claim to the Medical Dental Screening Panel, consisting of six professionals - three doctors and three attorneys.

      Before a patient victimized by medical malpractice may file a claim, another doctor must sign an affidavit under oath that medical malpractice occurred and caused injury to the patient.

      In medical malpractice claims, Nevada has a loser pays system. If a patient victimized by medical malpractice loses at the screening panel, proceeds to court and loses at trial, the victim must pay the doctors attorneys fees and costs. Recent examples include awards against victims in excess of $100,000.

      Nevada has over 4,000 doctors, 16,000 Registered Nurses, and more than 2,000 Licensed Practical Nurses. Every day, thousands of procedures (e.g., surgery, blood transfusions, medication administration, diagnoses) are performed in Nevada. In 2001, 219 claims were filed at the screening panel, 181 of which were filed in Clark County.

      Finally, let's put this all into perspective:

      The St. Paul insurance company paid out about $19.6 million in Nevada malpractice claims in the same year that it lost over $108 Million related to Enron: http://www.ntla.org/medmal/Exhibita.pdf

      Last time I checked, St. Paul hasn't stopped insuring other businesses or pushed for caps on claims made by fraudulent businesses like Enron whose entire business plan was the corporate equivalent of supposed ambulance-chasing malpractice victims. That wouldn't go over too well in the boardroom; it's a heckuva lot easier to conjure up some smoke-and-mirror "crisis" targeted against individual claimants who have neither the corporate nor financial wherewithal to mount a unified front to defeat such nonsense.

    6. Re:even better.... by Wwolmack · · Score: 5, Informative

      I know an AC (a troll) who once posted a complete lie...

      Good Samaritan Laws (enacted in every state in the USA) protect people who perform CPR and emergency care from lawsuits over injuries sustained during the care.

      So if you are CPR-certified, and crack a heart attack victim's ribs after they consent* for you to perform CPR on them, they can't sue you for the cracked ribs.

      Good Samaritan laws do not obligate anybody to help somebody in an emergency. Not helping somebody in an emergency is perfectly legal.

      Btw, I am a law student, and CPR-certified.


      *: You can obtain regular consent or implied consent. Implied consent is when a person is unable to consent (usually due to being unconcious) but a reasonable person would likely consent. Handy if somebody is choking on food but won't consent to the heimlich, because as soon as they pass out, you can perform rescue breathing/unconcious choking care on them.

  14. Re:Difficult? by Billly+Gates · · Score: 5, Interesting

    In all seriousness lawyers have lots of problems with renting and buying property.

    Owners are afraid of being sued.

    3 out of my 4 last apartments I lived at had a clause I had to sign making sure I am not a lawyer and that I would not sue them, etc.

    This is a big problem in larger cities like New York, LA, and San Fransisco where there are more potential tenents then apartments or homes available. These are where the tenants and owners can weed lawyers out.

    If you owned a place would you rent to a lawyer? I surely would not.

  15. Re:Difficult? by CuriHP · · Score: 5, Insightful

    I suppose it wouldn't matter to you that it would be a massive waste of time and money that would be driving everyone's insurance premiums up?

    --
    If it's not on fire, it's a software problem.
  16. Funny how stats don't back up doctors arguments by rtilghman · · Score: 5, Informative


    I've had arguments with doctors I know who take a highly visceral reaction to malpractice suits and jury awards. Nearly every one of them rails against what they perceive as a litigious US culture, and speaks with unquestioned confidence about how lawsuits are:

    - driving up insurance costs
    - unfairly assuming medical perfection
    - making it unattractive or impossible to practice medicing in the US

    What I find amazing is the fact that NONE of the statistics support any of these positions. According to two recent studies - one by the AMA and the other by the Harvard Public Policy school (?, I believe the Harvard Medical Practice Study) - both found that:

    - malpractice, at least as defined by negligence, is fairly common
    - of those with valid claims, only about 1% actually bring suit against a doctor
    - of those who bring suit, only 1% are successful

    This means that 1/100 of a percent of incidents of malpractice actually result in an award. Then you have the fact that the review committees in every case are made up of doctors and professionals, the act that an attorney who doesn't think a case is worth his effort or will reach an award won't even bother PURSUING the case, etc.

    I'm also reminded of another study conducted in NY a few years back. If I remember correctly the study found that of all malpractice claims in the state less that 10 doctors were responsible for nearly 50% of the cases. Why were they practicing? Because the medical review boards hed declined to suspend their licenses for the incidents. These are people like the guy who operated on the wrong side of his patients skull, the guy who carved his initials into his patients abdomens etc.

    You would think that after 30 years of schooling doctors - SCIENCISTS - would be intelligent enough to seek actual EVIDENCE to support their absurd claims; even the AMA disagrees with them! You'd think that GOOD doctors (and there are many) would be tired of paying exorbitant fees to subsidize the negligence of their incapable colleagues. You'd also think they'd be intelligent enough to bother examining the various mergers in the insurance industry and price increases in the face of decreased competition before leaping to absurd claims regarding jury awards and civil suits.

    Bottom line: I'd like to see a comparable database of every doctor in the United States with every incident of potential malpractice, lawsuits, complaints, or peer review comprehensivlely outlined and available to the public. I'd like to see doctors held to a national standard of quality, put on suspension when there actions merit it, and suspended when they cross a threshold like ANY OTHER PROFESSION (say hello to the Bar). Will we see these things in the near future? No, because doctors have no interest in policing themselves and facing up to the truth of the situation.

    The whole thing just makes me ill.

    -rt

  17. Doctors need some protection by Geancanach · · Score: 5, Insightful

    If you want doctors to perform high-risk procedures (like delivering babies, certain surgeries, etc), you have to protect them from lawsuits. Many obstetricians have decided to stop delivering babies in certain states because getting malpractice insurance is too expensive - over $200,000 a year in some cases. This is largely due to the fact that if *anything* goes wrong in the delivery room, even things that no one could prevent, the parents often sue.

    It is nice to say that a doctor should treat everyone and not discriminate against lawsuit-happy patients, but that is just not possible. A physician will not be able to stay in business if he or she picks up too many patients like that.

    Another thing - If doctors can't pay for malpractice insurance, they can simply stop performing risky procedures or treating patients who have uncertain prognoses. But then who will care for the patients who only have a small chance of recovery? Will a doctor want to risk having the patient die and then having the family sue?

  18. Blame the Doctor by Aexia · · Score: 5, Informative

    He diagosed you wrong? That happens. Get over it.

    My mom was misdiagnosed with cancer. She had chemotherapy and a hysterectomy(no more kids), but she's always suspected she was misdiagnosed. Now, 25 years later, she's have numerous and serious health problems related to the treatment that have nearly cost her life.

    And while it pissed her off, she was willing to just 'get over it'.

    Until she found the same doctor misdiagnosed DOZENS of women and had them undergo the same treatment. And nearly all of them are having the same health problems my mom is having now.

    But hey, I guess that sort of thing just 'happens.'

  19. Re:Difficult? by c1ay · · Score: 5, Funny

    Darl's a lawsuit-happy kind of guy, I wonder if he's been a plaintiff in any medical suits too? Why don't you all email him and ask?

    --

  20. Re:Cause of high insurance rates by Davak · · Score: 5, Insightful

    To be honest... I think insurance rates have increased mainly from the increasing cost of practicing medicine as a whole.

    Working in an ICU, I can spend hundreds of thousands of dollars a day on tests that were not even available 20 years ago. I can spend an equal amount of money on medicines that were not around 2 years ago.

    Although I would love to blame increasing insurance rates on the lawsuits, it is really that our society demands that people receive the best possible medicial care -- and that best possible medical care gets more and more expensive everyday.

    Davak

  21. Re:Cause of high insurance rates by Davak · · Score: 5, Insightful

    Sorry to reply to my own message... but I left out a couple of other factors that are causing everybody's insurance rates to increase.

    - The average person is older. Older people need more medical care -> more money.

    - The average person is fatter. Fatter people meed more medical care -> more money.

    - People that used to die from severe disease (HIV, pulmonary hypertension) can now be kept alive using expensive medications and treatments -> more money.

    We can't just blame the damn lawyers for everything...

    Davak

  22. I have a friend that.... by bombadillo · · Score: 5, Interesting

    Lets look at some statistics... www.medical-malpractice-lawyers-attorneys.com The two statistics that caught my eye were:
    1. From 1996 through 1999, Florida hospitals reported 19,885 incidents but only 3,177 medical malpractice claims. In other words, for every 6 medical errors only 1 claim is filed.
    2. Malpractice insurance costs amount to only 3.2 percent of the average physician's revenues according to the Medicare Payment Advisory Commission (MedPAC)
    or this link: Citizen.org:
    "10.6 percent of the state's doctors have paid two or more malpractice awards to patientsThese repeat offender doctors are responsible for 84 percent of all payments. Even more surprising, only 4.7 percent of Pennsylvania 's doctors (1,838), each of whom has paid three or more malpractice claims, are responsible for 51.4 percent of all payments. "

    Frivolis lawsuits really aren't that much of a problem. I am much more concerned about the increasing privitazation and high price of Prescription drugs in this country.

  23. Re:Difficult? by Lord+Ender · · Score: 5, Insightful

    Imagine how it feels to be a doctor! If you make one mistake (and who here has NEVER made a mistake at work? Especially ER doc who can get called in a 4am) you can be personally sued, ruining your life and your entire family's life, stopping you from ever working again, and thus not being able to get a chance to save more lives. Oops, your bankrupt because you just lost a suit for $2billion while your malpractice only covered you up to $500million. Now your kids can't go to college, you have to sell all of your posessions, no insurance company will cover you so you can't work now--all because, after dedicating your life to saving lives, there is one thing you didn't think of while trying to save another life. And AFTER THE FACT, some lawyer makes a very emotional argument to a jury of weak-mided suckers. I am sure if a doc in the emergency room had as much time to waste analyzing everything as the lawyer took, there would be far fewer mistakes. But when someone is wheeled in bleeding, you have to think FAST. You can't always be perfect.

    --
    A slashdotter who didn't build his own computer is like a Jedi who didn't build his own lightsaber.
  24. Sounds like an insurance company line by www.sorehands.com · · Score: 5, Informative
    The question is how many of the lawsuits are valid. In many states, before a malpractice lawsuit is filed the plaintiff must have a statement from another doctor that the lawsuit has merit. One of the popular mythes is that the McDonald's coffee lawsuit is baseless.
    • For years McDonalds served their coffee up to 40 degrees hotter than other fast-food restaurants. In this way, they could get more coffee per pound of beans and increase their profits by a few cents per cup.
    • McDonald's coffee was so hot that, if spilled, it could cause third degree burns, which would burn through skin and down to the muscle in less than three seconds.
    • McDonald's has had over 700 previous claims related to serious burns from their coffee to their customers, many of whom had been injured in the genital area, inner thighs, and buttocks areas. Yet, McDonald's refused to lower the temperature of their coffee.

    • The injured (burned) plaintiff in this case, 79 year old Stella Lieback, was not driving her car. She was seated as the passenger in her grandson's parked car, holding the coffee cup between her legs while removing the plastic lid. The cup tipped over and poured the scalding hot coffee into her lap causing third degree burns.
    • Lieback required eight days of hospitalization and multiple surgeries, including skin grafts as a result of being scalded by McDonald's coffee.
    • Mrs. Lieback only took legal action against McDonald's after they repeatedly refused to reimburse her for her medical expenses.
    • The jury was so outraged at the arrogance and callousness of McDonald's that they awarded punitive damages, to punish McDonald's and to deter McDonald's from such conduct in the future. They awarded $2.7 million.
    • The day after the verdict, McDonald's reduced the temperature of their coffee.
    • The trial judge thought the verdict was too high and reduced the verdict to about $400,000 at McDonald's request. (This is one fact that the insurance lawyers and McDonald's corporate lawyers never mention.)

    Before claiming something is baseless, first look at all the facts.
    1. Re:Sounds like an insurance company line by Photon+Ghoul · · Score: 5, Insightful

      Add twelve people not smart enough to get out of jury duty and you have yet another millionaire malpractice attorney in the making

      It may be the case that some people believe serving on jury *duty* fulfills one of their obligations to society. If that's difficult to comprehend, think of it this way: those smart people who feel strongly that the typical juror is of inferior intelligence and excessively gullible should, if they are the smart ones, sit on a jury so that the decisions turn out according to their enlightened notion of justice. Isn't that what the smart people do?

    2. Re:Sounds like an insurance company line by GreyPoopon · · Score: 5, Informative
      I know a guy who had a heart attack. They rushed him to the hospital and while there he got a staph infection.

      How can you blame the doctor for this? The hospital and its procedures are usually to blame for these kinds of infections. If you've ever had any experience in a hospital, you'll know that outside of surgery, you see the doctor for a total of about 2 minutes during your entire stay, whereas the nurses, orderlies and residents disturbing you can drive you bonkers. Although its possible to be infected during surgery, I think its more likely to be infected by bacteria entering after surgery from the skin through the operative site. The instrumentation used during surgery is thoroughly sterilized and any hospital caught violating this procedure would be shut down by JCAHO immediately.

      Also, us patients are as much to blame for the virulent staph infections. Staphylococcus Aureus is an extremely common bacteria, is frequently present on the surface of the skin, and is responsible for many common skin ailments such as boils, sties, abscesses and folliculitis (infected hair follical). What causes such a problem in hospitals is that the strains found there frequently don't respond to the standard round of antibiotics, and thus become extremely dangerous to high-risk patients (like heart-attack victims). The reason for these antibiotic-resistant strains? Primarily improper use of antibiotics. There are some basic simple rules about antibiotic usage that a huge section of society can't seem to follow:

      1. Follow all directions given by the doctor and pharmacy exactly (that includes dosage schedules).
      2. Take ALL of the antibiotics prescribed, even if you feel better
      3. Never save leftover antibiotics for later use
      4. Never take anyone elses prescription
      These are not difficult rules to follow, but you'd be surpised at how many people refuse to do so. My own (extended) family members insist on taking antibiotics just until they feel better, and then saving the remainder for "next time." Time and again, I've explained that if they don't completely erradicate the bacteria, these antibiotics won't be very effective the next time. They just dismiss what I say as coming from a young "know it all." These same family members also tell us to go get antibiotics when one of our children has a cold. I've also tried to patiently explain that antibiotics do nothing to get rid of a virus, and that it doesn't make sense to treat for a potential secondary infection unless the patient has a history of such. They don't believe me.

      So, back to the guy who got the staph infection. Sue the hospital and not the doctor. Although keep in mind that it is just as likely he carried his own infection in with him, and that the infection only became serious due to his weakened condition.

      I also hope that the doctors all lose their license and live a life of abject poverty and suffering.

      It's also possible that doctors will just stop practicing medicine because of people with a chip on their shoulder like yours. How is that going to make you feel when you need a doctor and can't find one anywhere? Do you enjoy paying such high rates for medical insurance in part because of escalating malpractice costs?

      You want to blame somebody for what happened? Fine. But unless you know EXACTLY where the infection came from and how, you have to consider it just as likely that this guy already had the infection when he came into the hospital, and it got much worse because his body could no longer fight it off.

      --

      GreyPoopon
      --
      Why is it I can write insightful comments but can't come up with a clever signature?

  25. Re:Difficult? by Alan+Hicks · · Score: 5, Interesting
    I'll take a vet over an MD any day

    Funny? Hell I'll take a vet over an MD most any time too. As it is, I doctor myself up with veternary supplies. They're simply cheaper. I can legally buy my own general purpose antibiotics and knock out most anything. Wounds I coat down with Blu-Kote wound treatment (typically used for cows and horses of which I have a few). Mammals are mammals for the most part, and if you're not doing surgery, it ain't that big a difference.

    Of course I cannot reccomend anyone else do this, but it has worked for me all my years. I am not a doctor nor a veterination, just an old farm hand with a bit of knowledge about critters, of which humans are one.

    --
    Slackware, what else when it must be secure, stable, and easy?
  26. This is what they want you to think by gad_zuki! · · Score: 5, Insightful

    >Now your kids can't go to college, you have to sell all of your posessions, no insurance company will cover you

    Right now there's a big battle between doctors and trial lawyers in regards to putting caps on damages regardless of how grossly negligent the doctor was.

    Simply put, they want you to pick a side and this website and rhetoric about 'poor doctors' is a ploy to win the caps battle. Personaly, I refuse to take sides as both sides are losing propositions. A real solution would require regulating both doctors and lawyers and neither party wants that because that means less profit, thus little war of attrition.

    The doctors (AMA) want me to give up my essential rights to sue for damages because they supposedly can't afford insurance.

    The lawyers still want to be able to collect 1/3rd of my damages.

    I think this situation shows a larger problem: people getting the shaft from two well organized and powerful lobbies. I'd rather see lawyers unable to collect so much from me and see medicine socialized/single-payment/regulated so I can actually see a doctor now and again. In the meantime its the wealthy vs the wealthy at the expense of you and me.

  27. I don't blame them by BiggerIsBetter · · Score: 5, Interesting

    I've lived with lawyers, and they were the most pedanticaly anal assholes I've ever had the mispleasure of sharing a house with. Sure enough, when the flats dissolved, they were writing letters and making demands and generally pissing everyone outside of their clique off (obviously I was one of those on the receiving end). They don't seem to understand that notion of "give and take" that lets people get along smoothly. I can only imagine what landlords have to go through when things get difficult. Give me a flat with laid-back pot-smoking geeks anyday. /generalizing, but that's my experience anyway...

    --
    Forget thrust, drag, lift and weight. Airplanes fly because of money.
  28. OFFTOPIC rely to sig. by gaijin99 · · Score: 5, Insightful
    Offtopic here, but I want to reply to your sig. Specifically the article referenced by your sig. The author of the article has made one of the classic "mistakes" in tax analysis (I put "mistakes" in quotation marks becuase usually the people who write about taxes have enough knowledge on the topic that it cannot be a mistake but rather deliberate attempt to decieve their audience).

    Income tax is not the sum total of all taxes. His statistics are valid enough for income tax, but that's hardly the whole story. The average working stiff pays almost nothing in income taxes; perfecly true. However this does *not* mean that the average working stiff pays no taxes. Most people pay the vast majority of their taxes in the form of payroll taxes. Social Security, Medicare/Medicaid, FICA, etc. Those are only the Federal taxes, of course. Local taxes (sales tax, property tax, telephone tax, electricity tax, gas (both methane and petrol) taxes, etc) are a hefty bite as well. Social Security alone accounts for a huge bite out of the average person's paycheck and is also one of the most regressive taxes in existance. Only the first $86,000 a person makes are subject to Social Security tax, which means that 100% of my income gets hit with Social Security tax, but less than .001% of Bill Gates' income is subject to SS tax. A politician who proposed leveling SS taxes would get my vote immediately and without reservation.

    The upper 1% of the population pays around 33% of all tax money that goes to Washington. Yup, absolutely true. The thing is that the upper 1% has around 33% of the money. On a dollar for dollar basis they actually pay slightly less than the lower 50% do. Far from being overtaxed, the upper 1% are (assuming that everyone should pay an equal percentage of their wealth) slightly under taxed.

    As for the writer's conclusion that we ought to consider limiting the franchise to people who pay X dollars in (watch his language here) *income*taxes* it sounds like he's just dying to establish a classic plutocracy. Those in power, now possessing exclusive voting franchise could quite easily define "income tax" to exclude incredibly large portions of society while increasing the various non-"income taxes" with impunity. Taxation without representation anyone?

    On a practical note, I will point out that every single member of the elected Federal government, as well as every single member of the past 5 president's Cabinets, falls into the upper 1%. Most fall into the upper 1/10th of 1%. The economic elite are hardly underrepresented in government; quite the opposite really (side note: I refer to their income prior to becoming a member of government here). I personally would like to see just *one* person in the Federal government who falls into the "lower" 70%. I will observe that the Federal government (under past administrations as well as the current administration) seems quite content to emplace policies that primarially benefit the economic elite, while occasionally tossing a bone to the rest of the nation. What baffles me is that people keep voting for government by, of, and for millionares...

    History has shown us that while voting requirements often sound good on paper they never really work in practice. Just like Communism, or lassie-faire capitalism, its an idea that simply does not work in the real world. Inevitably the best intentioned voter requirements become nothing more than a tool of oppression. In my own ideal fantasy world you couldn't vote unless you displayed a knowledge of the *facts* in current affairs. The difference between me and the person who wrote the article you reference is that I'm mature enough to know that my fantasy won't work in reality; he doesn't seem to have reached that point yet.

    --
    "Mission Accomplished" -- George W. Bush May 1, 2003
  29. well by Agrippa · · Score: 5, Interesting

    My father is a well respected doctor in my hometown. He's on the board of the Foundation For Othrodonic Research, which is the premier organization for advances in orthodontics.

    My father pays more in medical malpractice insurance than I made last year. He gets sued regularily by people who don't understand basic principals of taking care of their braces. For instance, one of his younger patients decided chowing down on ice cubes was a prudent thing to do. He promptly ripped off one of his braces, which then cut into his lip. His mother sued my father for malpractice.

    Another case my father faced was when a teen didn't want his braces and manually removed them from his teeth. The smart lad stripped off most of the enamel on his teeth as well. My father was sued because the teen lied to his parents and only later in court was it proved my father wasn't at fault.

    It's bogus cases like that drive up malpractice costs. These doctors aren't being greedy. They are trying to save their practices. It's almost no different than blacklisting spammers.

    .agrippa.

  30. Re:Difficult? by Smitedogg · · Score: 5, Interesting

    It's good to see that as a doctor you're will to help anyone who needs help....however I have a true first-hand story coming up.

    There is a lawyer in a town in Colorado (Canon City) named Anna Owen. She's not a very good lawyer, btw. She is, however, the primary guardian of my roommates neice. About 5 or 6 months ago she had two anuerisms [sp?], and was rushed to the hospital in Pueblo CO

    The second she got in, she started telling everyone how she was a lawyer, and making demands, refusing to sign forms, etc. Frankly, how she was able to be a bitch with two anuerisms is beyond me.

    The doctors, not being idiots, or as nice as you perhaps, refused to take care of her, and I can see why. Imagine the lawsuits from her being permanantly brain damaged. They thusly sent her to Denver for treatment, and she was treated quite well. Now here's the kick in the balls.

    She, after recovering, is able to work, and does. However, she is now suing the hospital in Denver for causing her undue harm, or some such thing. I wish I had the specifics of the suit at hand. The way I look at it, she had two veins in her head blow up and she's still able to do EVERYTHING she did before, that to me is a miracle in itself, and a testament to the treatment the doctors gave her.

    It's good to treat everyone equally, but it turns out the two self-protective doctors here in Pueblo are the winners in this case. But you seem nice, so I hope YMMV.

  31. Lawyers by Lershac · · Score: 5, Interesting

    I have several lawyers for clients. The personal injury ones are all just freaking scumbags. Their main complaint that I hear over and over is that the people who get hurt and they sue on behalf of do not go to the doctor often enough, or as often as the lawyer tells them to.

    Does that just not make you want to scream? I go to the doctor when I hurt or when I have a difficulty that warrants it. If I dont WANT to go to the doctor, my complaint is probably not bad enough to warrant chasing down some insurance company over.

    In addition, its just all about the deep pockets. Personal Injury attorneys I have come in contact with regularly screen and only take cases where the defendant has a large insurance policy they can rape.

    --
    Chuck