American Justice Partnership

Opinions/Editorials on the Case for Legal Reform

 
 

 

Shuttering of obstetric units

is symptom of a deeper crisis

Dan Pero

President

American Justice Partnership

June 6, 2007

As Appeared in The Philadelphia Inquirer

After more than 50 years of bringing new life into the world, the labor and delivery unit at Jeanes Hospital in Northeast Philadelphia closed for good May 31. From now on, expectant mothers will have to give birth somewhere else, no matter how far the drive or how dangerous the wait.

Chalk up another "victory" for personal-injury lawyers and the medical-liability crisis they have visited upon Pennsylvania.

CBS Evening News Highlights Medical Liability Crisis in PA

Click Here for Video

Jeanes is just the latest Pennsylvania hospital to end obstetric care due in large part to medical-liability concerns. During the last 10 years, an astounding 33 hospital obstetric units have closed across the state, including 13 in the Philadelphia region.

Because physicians today work under the constant threat of a lawsuit, insurance premiums for medical malpractice have skyrocketed to as much as $200,000 for some obstetricians in the state. The result: One doctor after another is fleeing the commonwealth - and leaving mothers and their children without the care they need.

The problem lies with Pennsylvania's law of joint-and-several liability, which allowsa defendant to be held responsible for 100 percent of the damages even if he or she is found only 1 percent liable for the harm. If you think delivering babies is difficult and demanding, imagine doing it with a figurative team of trial lawyers always hovering nearby - knowing that the least error, even if it's not yours, can lead to financial ruin.

Other states have faced the same problem, and many have found solutions with commonsense reforms that protect good doctors from predatory lawsuits.

That would have happened in Pennsylvania, too, had Gov. Rendell not vetoed medical-liability reform legislation last year.

Under the bill vetoed by the governor, courts would have assigned comparative responsibility, requiring defendants to pay their share of the liability - but not more than their share. Forty-four states have already adopted such measures. In each case, state leaders put the interests of patients and doctors above the interests of the politically powerful trial bar. And in each case, the results speak for themselves.

In Texas, for example, the state medical board minted 2,446 new physicians in 2001. In 2006, that number jumped nearly 65 percent to 4,026. The main difference? In 2003, the Texas legislature adopted - and the governor signed - sensible reform legislation to curb medical-liability lawsuit abuse.

The story in Pennsylvania is far different. According to one group, the Politically Active Physicians Association, 3,000 doctors have left Pennsylvania, curtailed their services, or retired early during the last four years. Pennsylvania has ranked among the lowest in the nation for practicing doctors under 35. In 2004, less than 8 percent of Pennsylvania's doctors-in-training decided to stay in the state after completing their residencies, compared with more than 50 percent in 1994.

Every citizen of Pennsylvania, young and old, is entitled to expect that capable physicians will be there when they are needed. Yet one by one, they are moving away or limiting their practices because bad laws have made the state inhospitable to doctors. So now mothers-to-be in Northeast Philadelphia are forced to go elsewhere, sometimes at great risk to their own children.

It's time for Gov. Rendell to get his priorities straight, stand up to the trial bar, and act in the interests of patients and their doctors across the state.

Columnist:

   

Dan Pero

President

American Justice Partnership

600 South Walnut

Lansing, MI 48933

517-371-7276

dperoajp@aol.com

 

 

 

 

 

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