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1、Randall R. Bovbjerg, J.D.(B - berg)The Urban Institute Standard disclaimer appliesBovbjerg # 1Bovbjerg # 2Bovbjerg # 3Bovbjerg # 4Bovbjerg # 5Bovbjerg # 6Source: CBO analysis of Med Liabil Mon surveysBovbjerg # 7Bovbjerg # 8Underlying trend in “true” claims and other costsSuperimposed price fluctuat

2、ion from competitive cycle$ $ $TimeBovbjerg # 9Bovbjerg # 100.05.010.015.020.025.030.0197519771979198119831985198719891991199319951997199920012003TotalPhysiciansSource: Tillinghast (2004)$ billionsBovbjerg # 11Bovbjerg # 12Bovbjerg # 13Bovbjerg # 14MICRA = Medical Injury Compensation Reform Act of 1

3、975Federal, HR 4600 & successors, administration proposalsN.B. Federal bill would alter traditional Federal/State roles in this fieldBovbjerg # 15Bovbjerg # 16Bovbjerg # 17Bovbjerg # 18“Its a treasure map”Bovbjerg # 19“Its from my attorney.”Bovbjerg # 20Bovbjerg # 21Bovbjerg # 22Bovbjerg # 23Bovbjer

4、g # 24Bovbjerg # 25Bovbjerg # 26Bovbjerg # 27“We would like to request a change in venue to an entirely different legal system.”Bovbjerg # 28Bovbjerg # 29Bovbjerg # 30Bovbjerg # 31Bovbjerg # 32Bovbjerg # 33Bovbjerg # 34Bovbjerg # 35Ideally, caregivers would tell patients and families when problems o

5、ccur. Reasonable compensation would follow for avoidable injuries, and safety management would constantly be informed by experience. Patients treated decently are mainly grateful, not vengeful. Practitioners need to worry more about patient outcomes than legal outcomes, and systems of accountability need to make it easier for caregivers and medical institutions to do the right thing.Bovbjerg # 36Bovbjerg # 37$MinorSevereLevel of injuryMinorSevereSliding Scale in Lieu of