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A good fight in the House over medical malpractice 'reform'.


The effort to limit plaintiffs' rights has intensified since 1995, when Newt Gingrich (R-Ga.) first served as Speaker of the House and attempted to usher in Verb 1. usher in - be a precursor of; "The fall of the Berlin Wall ushered in the post-Cold War period"
inaugurate, introduce

commence, lead off, start, begin - set in motion, cause to start; "The U.S.
 the legislative agenda outlined in the Contract with America In the historic 1994 midterm elections, Republicans won a majority in Congress for the first time in forty years, partly on the appeal of a platform called the Contract with America. Put forward by House Republicans, this sweeping ten-point plan promised to reshape government. . The House leadership had pledged that during the first 100 days of the 104th Congress, it would bring to the House floor the Common Sense Legal Reform Act.

That set of major preemptive pre·emp·tive or pre-emp·tive  
adj.
1. Of, relating to, or characteristic of preemption.

2. Having or granted by the right of preemption.

3.
a.
 tort-law changes opened the floodgates for all the tort "reform" proposals that have since become a staple of floor debate. Surprisingly, though, medical malpractice Improper, unskilled, or negligent treatment of a patient by a physician, dentist, nurse, pharmacist, or other health care professional.  was not debated as a stand-alone bill until last year, when the House considered limiting patients' rights The legal interests of persons who submit to medical treatment.

For many years, common medical practice meant that physicians made decisions for their patients. This paternalistic view has gradually been supplanted by one promoting patient autonomy, whereby patients and
 in H.R. 4600--the Help Efficient, Accessible, Low Cost, Timely Health Care (HEALTH) Act. Previously, it had simply been incorporated in broader, unsuccessful proposals and in amendments.

The bill narrowly passed the House by a vote of 217-203. That was one of the largest numbers of represenatives to vote against tort "reform" since the present majority leadership assumed control in 1995.

Soon after the 108th Congress convened, however, Rep. James Greenwood James Greenwood (b 1832 - d 1929) was a British social explorer, journalist and writer.

The Daily Telegraph on July 6, 1874, published an article written by James Greenwood, in which he reported on June 24, 1874 to have witnessed a human-baiting.
 (R-Pa.) introduced H.R. 5, a nearly identical HEALTH Act. This bill also narrowly passed, but not before opponents voiced serious concerns about the legislation's potential effect on patients who are injured or killed by preventable medical errors See also medical error

As a general acceptance, a medical error occurs when a health-care provider chose an inappropriate method of care or the health provider chose the right solution of care but carried it out incorrectly.
.

During the House floor debate on March 13, Rep. William Delahunt (D-Mass.) offered this characterization of H.R. 5:
   We are considering a bill that is bankrupt,
   because it is an act of special cruelty that is
   being perpetrated on the most vulnerable of
   victims of malpractice: stay-at-home
   mothers and children--children like Steven
   Olsen, who was left blind and brain-damaged
   after an HMO refused to give him an $800
   CT scan when he was two years old. A jury ...
   awarded him more than $7 million for his
   pain and suffering. But California has a cap
   on noneconomic damages, so the judge was
   forced to reduce the award to $250,000. That
   is $12 a day for the rest of [Steven's] normal
   life expectancy.


The proponents of H.R. 5 cited as its model California's Medical Injury Compensation Reform Act The Medical Injury Compensation Reform Act (MICRA) of 1975 was a California law designed lower medical malpractice premiums for Californians. Parts
Micra Consists of the following parts:

  • Damage Caps - non-econmic damages are limited to $250,000
  •  (MICRA). Rep. Billy Tauzin Wilbert Joseph Tauzin, II, usually known as Billy Tauzin, (born June 14 1943), American politician of Cajun descent, was a member of the United States House of Representatives from 1980 to 2005, representing Louisiana's 3rd congressional district.  (R-La.), chair of the House Energy and Commerce Committee, claimed that MICRA "has kept liability premiums in California at one-third the increase level which has been experienced across the country."

    Rep. Joseph Hoeffel (D-Pa.) countered that the California law California Law consists of 29 codes, covering various subject areas, the State Constitution and Statutes. See also
    • Statute
    • Bill (proposed law)
    • California State Legislature
    External links
    • http://www.leginfo.ca.
     can hardly be viewed as a model for lowering medical malpractice insurance premiums. "We need insurance reform," he said. "The law in California did not work to bring down premiums. When they put a $250,000 cap on damages, the premiums continued to rise until they passed insurance reform in 1988 and mandated a reduction in premiums. That is what we need to be doing here."

    Enhanced accountability

    Rep. Howard Berman Howard Lawrence "Howie" Berman (born April 15 1941) has been a Democratic member of the United States House of Representatives since 1983, representing the 28th District of California (map).  (D-Cal.), who served in the California legislature when it passed MICRA, disputed claims that H.R. 5 would federalize the state law. "This is a bald-faced effort to cherry-pick certain provisions of that law" and add others not included in the statute, he said.

    He noted that while both MICRA and H.R. 5 include a $250,000 noneconomic damages cap, the California statute also called for enhanced doctor accountability:
       We ... massively enhanced both the level of
       insurance industry regulation and the
       authority of the boards of medical quality
       assurance... to discipline those few physicians
       who were truly bad doctors, whose
       records of malpractice were astounding. We
       provided immunity to other physicians so
       that they would testify about the bad practices
       of those few doctors. We set up peer
       review committees in every area of [California]....
       None of that absolutely none of
       that--appears here.
    


    Although proponents of H.R. 5 argue that the bill will help reduce the cost of medical malpractice insurance, some lawmakers are skeptical, including Rep. Sherrod Brown Sherrod Campbell Brown (born November 9 1952) is the junior United States Senator from the state of Ohio, and a member of the Democratic Party. Before his election to the Senate in 2006, Brown served as a member of the House of Representatives from Ohio's 13th district and as  (D-Ohio). He said that if the authors of the bill were certain that it would reduce and stabilize medical malpractice premiums, then insurers should be "accountable for producing that result." Brown continued,
       During the medical malpractice debate in
       Ohio, insurers said they do not know
       whether premiums would come down.
       During a recent hearing in Pennsylvania,
       the actuary witness said he could not say
       whether premiums would come down. We
       are supposed to take it on faith, and trust
       that the insurance companies will pass
       along the savings. Apparently we cannot
       trust patients, cannot trust juries, cannot
       trust lawyers, but we can trust the
       insurance industry.
    


    Rep. Bart Stupak Bartholomew Thomas "Bart" Stupak (born February 29, 1952), American politician, has been a Democrat in the United States House of Representatives since 1993, representing Michigan's At-large congressional district (map).  (D-Mich.) was prepared to offer an amendment to the bill, but the Republican-controlled Rules Committee reported a "closed rule," prohibiting amendments on the floor and forcing the House into an up-or-down, take-it-or-leave-it vote. Stupak's amendment would have made insurance companies subject to government regulation and competition, as well as to the nation's antitrust laws antitrust laws n. acts adopted by Congress to outlaw or restrict business practices considered to be monopolistic or which restrain interstate commerce. The Sherman Antitrust Act of 1890 declared illegal "every contract, combination.... .

    H.R. 5 has been received in the Senate, where, at this writing, it had yet to be considered. A substantially similar bill-S. 607--was also pending at press time.

    Kristin Loiacono is associate director for media outreach and coalition development in ATLA's Media Relations department.
    COPYRIGHT 2003 American Association for Justice
    No portion of this article can be reproduced without the express written permission from the copyright holder.
    Copyright 2003, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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    Author:Loiacono, Kristin
    Publication:Trial
    Date:May 1, 2003
    Words:850
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