New Directions in Medical Liability Reform

Document Type

Book Section

Publication Date

9-2004

ISBN

978-1-58829-389-3

DOI

10.1007/978-1-59259-845-8_17

Abstract

Medical malpractice is the “Rip van Winkle” issue in American health care. However, its periodic awakenings depart from those of its fictional counterpart in an important respect. Neither the participants in the medical malpractice system nor outside observers seem aware that the context for minimizing medical errors, improving legal dispute resolution, and keeping liability insurance available and affordable has changed. This chapter explains why the public policy of medical malpractice is so poorly connected to overall health policy. It examines three aspects of health system change since the 1970s—medical progress, industrialization, and cost containment—that have exposed serious weaknesses in the medical liability system. It suggests ways to convert liability into a general health policy issue, including having the federal government implement a system of error identification, fair compensation, and efficient dispute resolution that would apply to Medicare and Medicaid patients.

First Page

247

Last Page

278

Num Pages

32

Publisher

Humana Press

Editor

Richard E. Anderson

Book Title

Medical Malpractice: A Physician's Sourcebook

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