This op-ed piece from today’s New York Times is so good it needs to be repeated in full in this blog.

The Doctor Will See You for Exactly Seven Minutes
By PETER SALGO

WHEN politicians speak of America’s health care needs, they often miss an important point: the doctor-patient relationship has become frayed. Patients aren’t unhappy just because health care costs too much (though they would certainly like it to be more affordable). Rather, people sense a malaise within the system that has eroded the respect they feel patients deserve.

Here is an editorial from Wausau Daily Hearld Wisconsin, the county seat in my home county in the Northwoods.

A sample:

Now legislators have pulled another number from thin air and set it as the cap after hearing tales of horror and woe from the state’s physicians. You likely heard or saw some of their ads. They said that without a cap, doctors would flee the state for fear of being sued, or that health care costs would skyrocket to compensate doctors for increasing insurance premiums.

The death of Natalee Holloway is a tragedy in every sense of the word. It is a tragedy compounded by screaming skulls (as opposed to talking heads) like Nancy Grace, a pseudo-journalist who has successfully managed to purge any gray matter she might have of anything she was supposed to learn in law school about the Bill of Rights. Nancy Grace is a poster child for what is wrong with cable “news” shows.

Back to Natalee. Her parents have filed a wrongful death lawsuit against Joran Van Der Sloot and Paulus Van Der Sloot. Under the law in every state, they certainly have a right to do so, i.e. they have a right to prove in the civil justice system what the criminal justice system has not been able to prove.

The Van Der Sloots have been sued in New York. Natalee’s parents are asking Alabama law to apply to that case.

The Supreme Court denied cert in a cigarette case yesterday, letting a $50,000,000 punitive damages award stand against Phillip Morris. The compensatory damages in the case were $5,500,000.

This will be an encouragement to the plaintiff in the Oregon tobacco case; recall that the Oregon Supreme Court affirmed a $79.5 million punitive damage verdict for that plaintiff recently.

Read more here.

Yesterday I wrote about Carpenter v. Klepper and its discussion about the locality rule. The last third of that opinion is worth reading, too – it addresses the level of specificity required when seeking discretionary costs under Tennessee Rule of Civil Procedure 54.04(2). Read it for some insight on how these issues should be addressed via post-trial motion.

The locality rule in medical malpractice cases is absolutely ridiculous. It is designed to create an artifical barrier to recovery, to protect doctors and hospitals, particularly those in rural areas, from malpractice suits. It pretends that there is a difference in the standard of care given the size of the community, as if people from smaller towns are entitled to less quality of care than those of bigger towns.

(Don’t get me wrong – there are some services that hospitals in rural towns that are not and should not be provided and there are some doctors in rural areas who lack the practical experience of taking care of some types of patients. The patients who need this help need to referred to a place where such help is routinely given.)

Well, a doctor and his group in Clarksville just got bit by their own dog. A medical malpractice verdict for the plaintiff was reversed because the Court of Appeals found that the defendents’ experts did not meet the qualifications of the locality rule.

The “smoking gun” document does not do you any good unless you can find a way to get it introduced in to evidence. You have to determine what foundation must be established to introduce the document into evidence, call the witness or witnesses necessary to establish that foundation, and be able to link the document to your theory of the case as set forth in the complaint (to establish that it is relevant).

Here is an article by Leslie O’Tool and Wendy Sexton, two defense lawyers, which explains how your opponents intend to try to keep that smoking gun document out of evidence.

The article appeared in the Fall, 2005 edition of FDCC Quarterly, PDF page 79.

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