Administrative Compensation of Medical Injuries

A Hardy Perennial Blooms Again

By: Barringer PJ, Studdert DM, Kachalia AB and Mello MM

In: Journal of Health Politics, Policy and Law, 33(4), pp.725-760

Publisher: Duke University Press

Published: August 2008

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The rising cost of personal injury litigation and medical liability insurance has provoked calls over the years from insurers and health care providers for a reform of the tort system. The proposed reforms have primarily focused on limiting access to the courts and restricting amounts plaintiffs may be awarded in damages. This article considers the historical experience of administrative medical injury compensation proposals and examines why such initiatives have succeeded for certain injuries, such as neurological damage to newborns, as well as occupational, automobile, and vaccine-related injuries, yet failed for medical ones.

The authors describe how certain conditions need to be in place for system changes to be adopted. They suggest that compensation initiatives failed in the 1970s, 1980s and 1990s because the stakeholders had differing perceptions of the existing liability scheme and different visions for its future. For instance, health care providers and attorneys disagreed on the flaws inherent in the existing system. The authors discuss the more recent reform proposals in this field, in particular in light of the recent emphasis in health care reform on patient safety. In addition, the article highlights how the trial bar’s opposition to reform continues to be a barrier to change.


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Listed below is one grant that supported this project.

Grant Awarded to Amount
Designing a reliable system of medical justice Common Good Institute Inc. (New York, NY)
ID#: 58662

http://www.commongood.org
Approved award: $994,560
Actual award: $976,172
February 2007 to September 2009
This grant has ended.

RWJF may have supported this project with other grants that are not listed.

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