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	<title>Comments on: &quot;We&#8217;re losing a war that we didn&#8217;t realize we were fighting&quot;</title>
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		<title>By: michael i</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-72261</link>
		<dc:creator>michael i</dc:creator>
		<pubDate>Tue, 27 Feb 2007 04:29:00 +0000</pubDate>
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		<description>A necessary reform...&lt;br/&gt;&lt;br/&gt;Cases of lawyer malpractice should be tried by physicians.&lt;br/&gt;&lt;br/&gt;&lt;i&gt;In anticipation of a flood of ad hominem attacks, I&#039;ll admit I&#039;m neither a doctor nor lawyer but on occasion a customer of both.&lt;/i&gt;&lt;br/&gt;&#160;</description>
		<content:encoded><![CDATA[<p>A necessary reform&#8230;</p>
<p>Cases of lawyer malpractice should be tried by physicians.</p>
<p><i>In anticipation of a flood of ad hominem attacks, I&#8217;ll admit I&#8217;m neither a doctor nor lawyer but on occasion a customer of both.</i><br />&nbsp;</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-72259</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 27 Feb 2007 03:40:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/were-losing-a-war-that-we-didnt-realize-we-were-fighting.html#comment-72259</guid>
		<description>&quot;Poor doctor was sued and . . . the system worked . . . she won, but - boo hoo - she is changed forever. . . defensive medicine. . . 12 lay-people and 2 lawyers . . .I am doctor . . . I went to med-school . . . how could they understand. . . I am a victim. . . boo-frickin&#039;-hoo.&quot;&lt;br/&gt;&lt;br/&gt;Is this a lawyer who said this?  If so, I&#039;m ashamed.  &lt;br/&gt;&lt;br/&gt;The fact that a fellow lawyer took this case and sued under these circumstances makes me sick. I have nothing but compassion for this doctor.</description>
		<content:encoded><![CDATA[<p>&#8220;Poor doctor was sued and . . . the system worked . . . she won, but &#8211; boo hoo &#8211; she is changed forever. . . defensive medicine. . . 12 lay-people and 2 lawyers . . .I am doctor . . . I went to med-school . . . how could they understand. . . I am a victim. . . boo-frickin&#8217;-hoo.&#8221;</p>
<p>Is this a lawyer who said this?  If so, I&#8217;m ashamed.  </p>
<p>The fact that a fellow lawyer took this case and sued under these circumstances makes me sick. I have nothing but compassion for this doctor.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-72023</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 20 Feb 2007 12:50:00 +0000</pubDate>
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		<description>&quot;Please explain. Does the loser reimburse the doctor, the doctor&#039;s lawyer, and the court?&lt;br/&gt;&lt;br/&gt;Must be CJD, with all his lost credibility, spewing his &quot;facts&quot; again. &quot;&lt;br/&gt;&lt;br/&gt;I&#039;m sure with your ample knowledge of the law, you at one time knew this but forgot, but nearly every state has a loser pays mechanism in their Rules of Civil Procedure.  &lt;br/&gt;&lt;br/&gt;Why would the court be reimbursed?  Its expenses would exist whether that one case was there or not?  &lt;br/&gt;&lt;br/&gt;I know you can&#039;t tell the difference between facts and opinions or speculation, but do try and at least have a basic understanding of what you speak of.</description>
		<content:encoded><![CDATA[<p>&#8220;Please explain. Does the loser reimburse the doctor, the doctor&#8217;s lawyer, and the court?</p>
<p>Must be CJD, with all his lost credibility, spewing his &#8220;facts&#8221; again. &#8220;</p>
<p>I&#8217;m sure with your ample knowledge of the law, you at one time knew this but forgot, but nearly every state has a loser pays mechanism in their Rules of Civil Procedure.  </p>
<p>Why would the court be reimbursed?  Its expenses would exist whether that one case was there or not?  </p>
<p>I know you can&#8217;t tell the difference between facts and opinions or speculation, but do try and at least have a basic understanding of what you speak of.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-72022</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 20 Feb 2007 12:48:00 +0000</pubDate>
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		<description>If the defense rarely invokes something that is readily available to them, whose fault is that?</description>
		<content:encoded><![CDATA[<p>If the defense rarely invokes something that is readily available to them, whose fault is that?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-72019</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 20 Feb 2007 12:10:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/were-losing-a-war-that-we-didnt-realize-we-were-fighting.html#comment-72019</guid>
		<description>&quot;They should be forced to pay the doctor punitive damages for their misconduct. Big time.&quot;&lt;br/&gt;&lt;br/&gt;But will they....no of course not.&lt;br/&gt;&lt;br/&gt;Just like &quot;loser pays&quot;. In reality little more than a fanciful farce that is rarely invoked.</description>
		<content:encoded><![CDATA[<p>&#8220;They should be forced to pay the doctor punitive damages for their misconduct. Big time.&#8221;</p>
<p>But will they&#8230;.no of course not.</p>
<p>Just like &#8220;loser pays&#8221;. In reality little more than a fanciful farce that is rarely invoked.</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-72018</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Tue, 20 Feb 2007 11:37:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/were-losing-a-war-that-we-didnt-realize-we-were-fighting.html#comment-72018</guid>
		<description>Anonymous: If the losing lawyer or the judge has deviated from professional standards of due care, as attested to by expert&#039;s certificate of merit, then the lawyer and judge must pay the doctor for the damages done by their carelessness. &lt;br/&gt;&lt;br/&gt;No lawyer or judge should retain any immunity or barrier to tort claims. Laws are needed to end all lawyer and judge self-dealt immunities. These are unconscionable. To deter. &lt;br/&gt;&lt;br/&gt;In this case, the lawyer violated a rule of evidence. The judge failed to stop it or to call a mistrial and assign all legal cost to the careless plaintiff attorney. They should be forced to pay the doctor punitive damages for their misconduct. Big time.</description>
		<content:encoded><![CDATA[<p>Anonymous: If the losing lawyer or the judge has deviated from professional standards of due care, as attested to by expert&#8217;s certificate of merit, then the lawyer and judge must pay the doctor for the damages done by their carelessness. </p>
<p>No lawyer or judge should retain any immunity or barrier to tort claims. Laws are needed to end all lawyer and judge self-dealt immunities. These are unconscionable. To deter. </p>
<p>In this case, the lawyer violated a rule of evidence. The judge failed to stop it or to call a mistrial and assign all legal cost to the careless plaintiff attorney. They should be forced to pay the doctor punitive damages for their misconduct. Big time.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-72014</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 20 Feb 2007 05:39:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/were-losing-a-war-that-we-didnt-realize-we-were-fighting.html#comment-72014</guid>
		<description>1. We already have loser pays.&lt;br/&gt;&lt;br/&gt;&lt;br/&gt;Please explain.  Does the loser reimburse the doctor, the doctor&#039;s lawyer, and the court?&lt;br/&gt;&lt;br/&gt;Must be CJD, with all his lost credibility, spewing his &quot;facts&quot; again.</description>
		<content:encoded><![CDATA[<p>1. We already have loser pays.</p>
<p>Please explain.  Does the loser reimburse the doctor, the doctor&#8217;s lawyer, and the court?</p>
<p>Must be CJD, with all his lost credibility, spewing his &#8220;facts&#8221; again.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-71992</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 19 Feb 2007 21:56:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/were-losing-a-war-that-we-didnt-realize-we-were-fighting.html#comment-71992</guid>
		<description>Facts to consider:&lt;br/&gt;&lt;br/&gt;1.  We already have loser pays.&lt;br/&gt;&lt;br/&gt;2.  No one knows how much or how little defensive medicine costs.&lt;br/&gt;&lt;br/&gt;3.  As a result of #2, you can&#039;t claim defensive medicine is the reason costs are &quot;soaring&quot;.</description>
		<content:encoded><![CDATA[<p>Facts to consider:</p>
<p>1.  We already have loser pays.</p>
<p>2.  No one knows how much or how little defensive medicine costs.</p>
<p>3.  As a result of #2, you can&#8217;t claim defensive medicine is the reason costs are &#8220;soaring&#8221;.</p>
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		<title>By: abg</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-71987</link>
		<dc:creator>abg</dc:creator>
		<pubDate>Mon, 19 Feb 2007 19:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/were-losing-a-war-that-we-didnt-realize-we-were-fighting.html#comment-71987</guid>
		<description>May be as physicians we fetishise a lot about the medical malpractice issue but the bottomline is that it does and can put many circumscribed cohorts of people , who are sued most often and always at the receiving end. They would not definitely see it in a lawyer’s perspective.&lt;br/&gt;&lt;br/&gt;the dirty little secret of an  American legal system is that anyone who feels wronged, or wants to feel wronged, for any reason, is protected from any risks you might think exist in bringing a lawsuit against another individual , that everyone is a victim at some point in time, and every circumstance has a victor and victim. Sure, frivolous  cases may be thrown out fairly quickly(Although it didn’t in this particular case ) but that&#039;s not the point. The point is you vindicated yourself by forcing your enemy to part with quite a bit of money. It&#039;s a frightening amount of completely unchecked power the average citizen has .We can just wish strings of responsibility would be attached to this ‘power’ ,but that doesn’t seem to be the case. This notion that a losing plaintiff never has to pay flies in the face of the entire concept of a justice procedure which supposedly can assess a monetary loss caused by any action, and if necessary, require an offending party to compensate the &quot;victimized&quot; party for that loss.&lt;br/&gt;&lt;br/&gt;We wish the bottom dwellers of any profession including medicine be priced out from the market . And Medical establishment doesn’t do that due to host of reasons including “lawsuits” , are appaling, but it can never legitimize that if almost every Obstetrician and almost half of the surgeons found to be sued  and its corollary that somehow we are infested with butchers , the recourse  is a lawyer like this cunning ‘return of the king’ baby, who would never be disciplined as well.&lt;br/&gt;&lt;br/&gt;These common wisdom has been allowed to congeal based on a faulty assumption  that if you threaten someone, they will improve their behavior, That might be true if someone is deliberately acting badly (we already know it doesn’t even work in criminal cases) ,but there are already enough professional and personal reasons for trying the  best to help someone, no threat like that can  improve anyone’s behavior. People who are trying their best are not made better by holding the “ Sword of Damocleis” of a lawsuit over them , What you do is you reduce their ability to concentrate at the task at hand and they actually perform worse .&lt;br/&gt;&lt;br/&gt;Any enterprise as complicated as medicine is bound to have errors How hard one may try . I prefer to focus my wrath on a system that, in my opinion, does more to enrich the middlemen than help those who suffer from those errors or reduce future errors&lt;br/&gt;&lt;br/&gt;loser pays, A good place to start  not ,as someone once said “thousand of lawyers at the bottom of the sea”</description>
		<content:encoded><![CDATA[<p>May be as physicians we fetishise a lot about the medical malpractice issue but the bottomline is that it does and can put many circumscribed cohorts of people , who are sued most often and always at the receiving end. They would not definitely see it in a lawyer’s perspective.</p>
<p>the dirty little secret of an  American legal system is that anyone who feels wronged, or wants to feel wronged, for any reason, is protected from any risks you might think exist in bringing a lawsuit against another individual , that everyone is a victim at some point in time, and every circumstance has a victor and victim. Sure, frivolous  cases may be thrown out fairly quickly(Although it didn’t in this particular case ) but that&#8217;s not the point. The point is you vindicated yourself by forcing your enemy to part with quite a bit of money. It&#8217;s a frightening amount of completely unchecked power the average citizen has .We can just wish strings of responsibility would be attached to this ‘power’ ,but that doesn’t seem to be the case. This notion that a losing plaintiff never has to pay flies in the face of the entire concept of a justice procedure which supposedly can assess a monetary loss caused by any action, and if necessary, require an offending party to compensate the &#8220;victimized&#8221; party for that loss.</p>
<p>We wish the bottom dwellers of any profession including medicine be priced out from the market . And Medical establishment doesn’t do that due to host of reasons including “lawsuits” , are appaling, but it can never legitimize that if almost every Obstetrician and almost half of the surgeons found to be sued  and its corollary that somehow we are infested with butchers , the recourse  is a lawyer like this cunning ‘return of the king’ baby, who would never be disciplined as well.</p>
<p>These common wisdom has been allowed to congeal based on a faulty assumption  that if you threaten someone, they will improve their behavior, That might be true if someone is deliberately acting badly (we already know it doesn’t even work in criminal cases) ,but there are already enough professional and personal reasons for trying the  best to help someone, no threat like that can  improve anyone’s behavior. People who are trying their best are not made better by holding the “ Sword of Damocleis” of a lawsuit over them , What you do is you reduce their ability to concentrate at the task at hand and they actually perform worse .</p>
<p>Any enterprise as complicated as medicine is bound to have errors How hard one may try . I prefer to focus my wrath on a system that, in my opinion, does more to enrich the middlemen than help those who suffer from those errors or reduce future errors</p>
<p>loser pays, A good place to start  not ,as someone once said “thousand of lawyers at the bottom of the sea”</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/02/dont-settle-if-youre-right.html/comment-page-1#comment-71981</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 19 Feb 2007 17:09:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/02/were-losing-a-war-that-we-didnt-realize-we-were-fighting.html#comment-71981</guid>
		<description>Though not as lamentable as - say - when someone is falsely accused of murder (meloldramatics aside), being falsely accused of medical malpractice is understandably traumatic and not in the interest of anyone.  &lt;br/&gt;&lt;br/&gt;It certainly is not an efficient use of resources, and I certainly would support changes: (a) pre-trial screening panels; (b) even special courts; and/or (c) switching to a standard of avoidability or preventability instead of a standard of negligence. &lt;br/&gt;&lt;br/&gt;At the end of the day, the ultimate vindication may have to come at trial because no system will be perfect.   &lt;br/&gt;&lt;br/&gt;Ultimately, if doctors would regulate themselves better, rather than circling the wagons, everyone would be better off.  &lt;br/&gt;&lt;br/&gt;Reform (or even dialogue) is very difficult when doctors reflexively react like petulant children whenever the topic is malpractice and liability (stupid lawyers telling us how to do our job).  &lt;br/&gt;&lt;br/&gt;One step would be for doctors to take action against the small proportion of doctors with multiple judgments against them, who drive up the cost of insurance, and who do a disservice to the integrity of their profession.&lt;br/&gt;&lt;br/&gt;Apply basic risk management techniques and empirical risk analysis, like anestheiology.  The first step is to stop blaming malpractice itself on trial lawyers or uneducated layfolk.  &lt;br/&gt;&lt;br/&gt;Yes, medical intervention is inherently variable and the most appropriate course of action is seldom balck-and-white.  But preventable mistakes and blatant professional sloppiness are simply unacceptable and much more common and costly (in health and dollars) than &quot;lawsuit abuse.&quot;</description>
		<content:encoded><![CDATA[<p>Though not as lamentable as &#8211; say &#8211; when someone is falsely accused of murder (meloldramatics aside), being falsely accused of medical malpractice is understandably traumatic and not in the interest of anyone.  </p>
<p>It certainly is not an efficient use of resources, and I certainly would support changes: (a) pre-trial screening panels; (b) even special courts; and/or (c) switching to a standard of avoidability or preventability instead of a standard of negligence. </p>
<p>At the end of the day, the ultimate vindication may have to come at trial because no system will be perfect.   </p>
<p>Ultimately, if doctors would regulate themselves better, rather than circling the wagons, everyone would be better off.  </p>
<p>Reform (or even dialogue) is very difficult when doctors reflexively react like petulant children whenever the topic is malpractice and liability (stupid lawyers telling us how to do our job).  </p>
<p>One step would be for doctors to take action against the small proportion of doctors with multiple judgments against them, who drive up the cost of insurance, and who do a disservice to the integrity of their profession.</p>
<p>Apply basic risk management techniques and empirical risk analysis, like anestheiology.  The first step is to stop blaming malpractice itself on trial lawyers or uneducated layfolk.  </p>
<p>Yes, medical intervention is inherently variable and the most appropriate course of action is seldom balck-and-white.  But preventable mistakes and blatant professional sloppiness are simply unacceptable and much more common and costly (in health and dollars) than &#8220;lawsuit abuse.&#8221;</p>
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