Report Card on States With Caps On Damages

 

One of the more popular arguments among those who wish to either severely curtail or entirely eliminate the rights of patients is that if the states make it difficult for injured patients to sue doctors who make mistakes, then ultimately the quality of care will go up. This argument is made with particular fire when it comes to emergency medicine.

We can certainly understand how emergency medicine became the focal point. Emergency rooms are where serious cases are brought in, and the environment is usually chaotic. It can be difficult for emergency room physicians to make the right decision every time. But it is our contention that all medicine can be stressful and chaotic, and the fact that a medical professional is working in an emergency room or facility does not absolve this person of any responsibility when they make preventable errors.

Yet in Texas, emergency room workers are given immunity in all but name when it comes to liability for any mistakes that they might make. In order for someone who has been injured due to an emergency room mistake to be able to claim any damages in court, it must be proven that the emergency room worker meant to harm the patient. Since the odds are slim to none that any emergency room worker would admit to doing so, victims of emergency room medical malpractice in Texas now have no real recourse for malpractice injuries.

So if the argument that “less liability = more and better care” holds up, then Texas should be a prime example of high quality emergency care, right? For that matter, any state that has caps on damages and restrictions on how patients can sue doctors should have better emergency care facilities than states which have no restrictions, right?

 

Believe it or not, it seems that the truth is the exact opposite of that claim. We are getting this information from a study that was published in 2006 by the American College of Emergency Physicians. While we realize that the study is five years old, what makes this study important is that it gives grades in two categories. The first would be quality and availability of care, and the second is what is called “liability environment.” “Liability environment” means the extent to which emergency room physicians are legally liable for damages. If there are caps and other restrictions in place in that particular state, the state is more likely to get an A or a B. If there are few or no restrictions, the state is likely to get a D or an F.

So here are some interesting results from the two-category grading system used by ACEP:

                                            Access to Care                          Liability Environment

District of Columbia                    A+                                                     F

Pennsylvania                               A                                                        F

Massachusetts                             A                                                        D

Maine                                          A                                                        D

Rhode Island                               A                                                        F

Ohio                                            A-                                                       D

Connecticut                                 A-                                                       F

As you can see, all of these states have a liability grade of either D or F. As far as the ACEP is concerned, these states are terrible places to practice medicine. There are either no caps on damages or the caps are on the higher end of the spectrum. There are no so-called “good Samaritan laws” or any other form of immunity for emergency room workers. Yet when you look over at the Access to Care categories, where you would expect to see equivalent bad grades, all you can see are a row of A’s. This means that there are plenty of emergency room workers, low waiting times and a high quality of care received. This goes directly against the standard argument of tort-reformers and insurance companies. There has been no exodus of emergency room physicians due to their fear of being sued.

So what do you think happens if you take a look at the other end of the spectrum? What is the quality of care like when the doctors (and insurance companies) are protected by caps and immunities?

                                            Access to Care                          Liability Environment

Texas                                          D+                                                    A+

California                                   C                                                       A+

Montana                                    C+                                                      A

Nevada                                       D+                                                     A

South Carolina                           C                                                       B+

Georgia                                      D+                                                     B

Colorado                                    C+                                                     B-

Again, we see the exact opposite of what tort reformers and insurance companies expect you to see. No fear of lawsuits, but no real spike in the amount of doctors or the quality of medical care.

Since we very much doubt that any of the tort reformers will give any sort of explanation for these findings, we would like to venture one. Medical malpractice lawsuits do not exist simply to make people money. They exist to help people who have been injured by the mistakes of doctors receive some sort of compensation. They also exist to help keep doctors on top of their game. If there are no consequences for bad medicine, bad medicine will thrive. Look at the doctors in Texas. They have no fear of being sued, so why bother going that extra mile? Why bother double checking? Why bother taking a second to make sure that the diagnosis is correct? What’s the worst that could happen?

Nothing will happen to the doctors, so the patients are on their own.

Greenberg and Bederman is a Maryland-based Medical Malpractice law firm. Our main office in Silver Spring allows us to serve the entire Washington, D.C. area, as well as Baltimore, Maryland. If you or a loved one in Washington, D.C, Virginia or Maryland has been injured due to the actions of a doctor, contact Greenberg & Bederman for a free legal consultation today.

$5M Won't Cover Indianna Collapsed Stage Fair Injuries

 

Even though we live in a media environment where many events are forgotten almost immediately after they occur, we think it will be a long time before anyone forgets the disaster that happened at the Indiana State Fair.

Thousands of people turned up to see a band called Sugarland, who are quite popular. Before the show even started, wind gusts began to develop. The stage, which was not properly anchored, collapsed onto the first few rows of spectators. Forty-five people were injured, and seven were killed.

Not surprisingly, many of the victims and loved ones of the deceased began to contact attorneys about legal representation. It would be hard to imagine why they wouldn’t do so. This tragedy occurred on the site of the Indiana State Fair, which means the state was ultimately responsible for making sure that everything was secure and safe. As you can see from the video evidence, everything most certainly was not secure and safe.

With Indiana being quite a long way away from Maryland or D.C, we don’t have all the facts in front of us. But upon giving the case a passing glance, it seems that a reasonable argument could be made for a wrongful death claim for the seven victims who died, with negligence claims being made for all the injury victims. And from what we read in the papers, it appears that almost everyone involved in the accident is involved in a legal claim against the state of Indiana. Unfortunately, it doesn’t appear that it will do them much good.

 

Indiana is one of those states with “caps” in place on the amount of damages that a plaintiff can receive in a case. And in the event that someone wants to sue Indiana, the limit that they can get is $5 million. That seems like a lot, except we don’t mean $5 million per person. We mean $5 million per incident.

With seven people dead and forty-five people injured (many of them seriously,) a hard ceiling of $5 million will not be enough to cover the medical bills of the survivors, or to compensate the families of those who died. If you don’t count the seven deaths and consider just the forty-five injured, divvying up $5 million would give each injury victim around $111,111, but that’s assuming that the state will be willing to go all the way up to the limit of $5 million. And if you only count the seven deaths and not the forty-five injured, the family of each victim would get around $714,000, again assuming that the state will allow the maximum payment to be made. Or perhaps they will figure it out some other way. Maybe the people who survived but are injured will get a little bit of money, and maybe they will give more of the share to the families of the people who died, or maybe they should do it vice versa.

Do you see the sickening sort of arithmetic that has to take place once there are damage caps in place? Rather than allowing each case to be determined on its merits and centered on the needs of the victims or their loved ones, Indiana has forced all of these victims of negligence to scratch and scrape for inadequate funds. The severely injured will be left with overwhelming medical bills and will probably have to turn to Indiana for aid anyway, or they will have to apply for Social Security Disability payments or Medicaid.

To us, this appears to be the same old story. Everyone in a state is sold on the idea that there is a plague of frivolous lawsuits, they agree to caps on what plaintiffs can be awarded, and then due to an accident, negligence or simply any unforeseen event, they find out the hard way what these caps really mean. People in Indiana are learning this lesson now, and unfortunately so are the victims of the State Fair stage collapse.

Greenberg and Bederman is a personal injury law firm located in Silver Spring, Maryland. We are currently offering legal assistance to victims of car accidents, medical malpractice, negligence or defective prescription drugs. If you or a loved one in Maryland, Washington, D.C. or Virginia has been injured in an accident, contact Greenberg & Bederman for a free consultation today.

Hot Coffee Documentary Teaches About Consumer Rights

 

Have you ever wondered why it is that so many people are so eager to embrace limitations on their own Constitutional rights?

We don’t think it is because Americans are unintelligent, or because they enjoy having things taken away from them, or because they enjoy being ripped off. We think it’s because they have been systematically misinformed for so long that they have developed a worldview that is completely backwards. Up is down. Black is white. North is south. Hot is cold.

Whenever you see news coverage about the Constitution, you mostly read about cases involving the First Amendment (say, a case on flag burning or a case about corporate campaign donations), or the Second Amendment (assault weapons regulations or handgun bans.) But for some reason the rest of the Amendments of the Constitution never really come up. And one particular amendment that has been steadily eroded over the years is the Seventh Amendment.

 

Here is the text:

In Suits at common law, where the value in controversy shall exceed twenty dollars, the right of trial by jury shall be preserved, and no fact tried by a jury, shall be otherwise re-examined in any Court of the United States, than according to the rules of the common law.

What this means is that if you feel that you have been wronged or injured due to the actions of someone else, you have the right to have your case heard in court. This is an important facet of our society. In the first place, it prevents us from deteriorating into the law of the jungle, and secondly, it keeps people from ripping you off, taking advantage of you or hurting people with no consequences whatsoever.

Many large corporations find the Seventh Amendment decidedly inconvenient, at least when it comes to people suing them. They are big fans of the Seventh Amendment as long as they are on the “plaintiff” side of the lawsuit. So many corporations have found all sorts of interesting ways to get past the hassle of the rights of Americans. For instance, one of them happens to be what is called “the mandatory arbitration clause.”

This usually exists in the fine print of contracts, and we can almost guarantee you that you have signed one without even knowing it. Many cell phone companies have them in the small print of your service contract. What this means is that even in the event of a cell phone-related catastrophe that causes serious injury that is undeniably the fault of the cell phone company, you have signed away your Seventh Amendment rights without knowing it, and therefore cannot file a lawsuit against the company. Instead you get a hearing in front of an “arbitrator,” which is someone who makes a decision that has the full weight of the law behind it. The problem is that the arbitrator is hired by the cell phone company. There is nothing impartial about this process.

Many employers also have mandatory arbitration clauses in their employee contracts. So, again, no matter what happens, you cannot sue. You have to go through mandatory arbitration, with someone who is hired by your employer making the final decision. One particularly notorious example of this was Jamie Leigh Jones, an employee of Kellogg Brown and Root who claimed that she suffered a particularly awful case of sexual assault when she was employed in Iraq. There was some doubt as to whether rape occurred or not, but thanks to KBR’s mandatory arbitration clause, it took her three years to get her day in court, which she had to fight for every step of the way.

On top of mandatory arbitration, other methods have been used to circumvent the Seventh Amendment rights of Americans. One in particular is called “caps” on damages, which place a limit on the amount of non-economic damages that a plaintiff can win in court. Tort reform advocates would argue that they aren’t preventing Americans from going to court, but rather simply placing a limit on how much they can win. But since it often costs more to try a case in court than a plaintiff could win with many of these damage caps in place, it often amounts to the same thing.

So how did we agree to all of this? Effective public relations are certainly a big part of it. And perhaps the biggest tool that corporations use is yet another circumvention of a constitutional amendment. In this case it is the First Amendment.

There are occasions where corporations simply get caught red-handed, and in order to minimize the damage they agree to a settlement. What this means is that there isn’t a judgment involved. The defendant agrees to pay a certain amount of money to the plaintiff, and the matter is considered dropped. But quite often, these settlements come with strings attached, and the most common string that is used is called a gag order.

Gag orders prevent you from speaking publically about the terms or the amount of your settlement. And quite often, they only go one way. So while you would be unable to speak about the lawsuit or what caused you to sue in the first place, nothing prevents them from saying whatever they want.

You may have noticed that in the annual list of “frivolous lawsuits” that many tort reform organizations go into great detail about how ridiculous certain court cases are. These examples are picked up by the media, talk radio hosts, newspaper editorials and magazines, and everyone reads them and thinks it’s a crying shame, and as a result they don’t think twice about agreeing to more and more restrictions on their Seventh Amendment rights. But if you look carefully at these “frivolous” cases, you never hear from the plaintiff. You only hear one side of the story. The defendant can make things up, or the defendant can leave out crucial information and the defendant can minimize the extent of the injuries or harm done, and the plaintiff will not be able to correct the record at all, because if he or she does, they will lose the settlement.

So please, the next time you take a look at one of those “examples of ridiculous lawsuits,” please consider the source, or rather consider the source that you aren’t hearing. It might alter your thinking quite a bit.

Greenberg and Bederman is an injury law firm located in Silver Spring, Maryland. We are currently offering legal assistance to anyone who has been injured due to the actions of someone else. This includes victims of car accidents, medical malpractice or injuries due to defective drugs or products. Please call or email ourpersonal injury lawyers for an evulation of your case.If you or a loved one has been injured in an accident, contact Greenberg & Bederman for a free consultation.

Understanding Damages In Personal Injury Law

 

Contrary to what many corporations, insurance companies and tort reform groups would like you to believe, people do not file injury lawsuits for recreational purposes. Nor do they file them because they want to “get rich.” Injury lawsuits are filed because injury victims have lost something that is valuable to them.

This is the premise of practically any lawsuit, injury or otherwise. Corporation A will routinely file a lawsuit against Corporation B because they believe that the actions of Corporation B cost them money. This happens all the time. In fact, if you look at your average court docket, you will see that most of the lawsuits involve contract disputes rather than tort or injury cases.

While many contract disputes center around the loss of money, injury cases center around the loss of other things. They involve the loss of mobility, the loss of the ability to work or the loss of a loved one. And unfortunately, since many of these losses don’t have strict price tags on them, many states have decided to do that for us in the form of “caps” on certain types of damages.

What this means is that in many states, there are limits to the amount that you can be compensated, no matter how grievous the damage to yourself, your loved ones or your property.

What follows is a breakdown of the types of damages that can be claimed in a personal injury case, as well as notations on which types are “capped” in some states.

 

Broadly speaking, there are two categories of damages that an injury victim can receive in the event that his or her case is successful. The first category is compensatory damages, while the other is punitive damages. Compensatory damages are meant to both restore your finances after the expenses of your injury and to provide you with monetary compensation for non-material losses. We’ll get more specific in a moment. Punitive damages are meant as a financial penalty against the person, persons, group or corporation that was responsible for the injury. Punitive damages are somewhat rare.

Getting more specific, here are the sorts of damages that fall under the compensatory column, but please bear in mind that just because you could win some or all of these damages doesn’t mean that you will win all of these damages, or that you will even win at all. There are absolutely no guarantees in a courtroom.

Monetary: These are for the obvious costs to you due to your injury. It means medical expenses (including any future care or rehabilitation that you might need,) as well as any costs that might occur due to your getting accustomed to a disability. Learning to live with any disability costs money, whether it’s training and rehabilitation or completely altering the way you live. For instance, someone newly confined to a wheelchair shouldn’t have to bear the costs of making his home wheelchair accessible if someone else was responsible for his injury.

You should also be able to recover your lost wages. That doesn’t only mean the money you lost when you weren’t at work. It could also mean the amount of money that you would have earned at that job had you not been injured. You should also be able to recover the value of any damaged or destroyed property.

If this was a particularly bad accident, you should also be able to recover the funeral costs of burying your loved ones.

Non-Monetary: These are the sort of damages for which there was no material loss. In other words, these damages aren’t paying for any money that you might have lost or any costs that you had to bear due to your injury. These damages are meant to compensate you for any pain that you went through, either physical or emotional.

These damages are commonly known as “Pain and Suffering,” which is supposed to compensate you for exactly that. In the event that the suit is being filed by widows or widowers rather than victims (in other words, if the incident involved death rather than injury), either the husband or wife could receive what are called “Loss of Consortium” damages. “Loss of Consortium” is basically compensation for the loss of companionship, affection, or any of the immeasurable emotional losses that occur when someone loses a spouse.

An important thing to remember about the non-monetary damages is that they are the sort that fall under “caps” in many states. For instance, Texas has a limit of $250,000 in non-monetary damages that can be awarded in medical malpractice cases. For a list of which states carry caps on non-economic damages, please follow this link.

A case illustrating how an individual is harmed through damage caps is that of Mrs. Connie Spears. According to the NY Times, Mrs. Spears suffered as a result of a medical malpractice in the state of Texas. She went to the emergency room with pain in her legs. Pain she’s felt before. They sent her home. Now she is in a wheelchair as a double leg amputee due to a misdiagnosis at the emergency room. “For Mrs. Spears, the double amputee, the double amputee, the frustration- and the humiliation- is daily. She used to cook, clean and care for her elderly mother, but now she needs help to go to the bathroom, to shower, to get around. “I’m dead weight”, Mrs. Spears said. “And the more I peive things together, the more angry I get.” Due to the damage caps in Texas, Mrs. Spears cannot find a lawyer to help her.

We would like to re-iterate that should you decide to move forward with a personal injury case, there is no guarantee about receiving any of these forms of compensation, nor of winning your case. However, the lawyers at Greenberg and Bederman have been fighting for the legal protections of the injured in Maryland, Virginia and Washington, D.C. for over twenty-five years now, and we will fight for our clients. If you or a loved one has been injured in an accident, contact Greenberg & Bederman for a free consultation.

New Texas Medical Malpractice Laws

 

For the sake of argument, let’s say that you are employed in a place where there are absolutely no consequences for doing a bad job. Let’s say that it doesn’t matter how bad you screw up. It doesn’t matter if you get everything wrong; it doesn’t matter if you deliver terrible customer service and it doesn’t matter if you show up three hours late every day or don’t show up at all. It doesn’t matter if you are incompetent. It doesn’t matter if you don’t know what you are doing. Nothing that you do or don’t do will cause you to get fired. You won’t even get reprimanded. Would those parameters affect how you did your job? Many of you would probably say that you would do your best, just out of principle. But could you say the same for all of your co-workers?

If this hypothetical place of employment was a restaurant, or an accounting firm, or even a law firm, the performance issue would most assuredly be solved by what are called “market forces.” In other words, if your business delivers a bad product, no matter what it is, then people will simply stop patronizing your business and take their dollars elsewhere. But what if your business happens to be a hospital? What if the line of business is helping the sick, injured or wounded? And what if all the businesses in the area were run under the same “no consequences” guidelines? What if there was no “elsewhere” to take your dollars to?

 

Believe it or not, this is what’s happening in Texas right now.

Depending on your perspective, Texas is either a “great” or “terrifying” place in which to receive medical care. If you happen to be a doctor or insurance company, it’s great. If you happen to be a patient, it most certainly is not the best. Under the guise of “tort reform,” people in Texas who seek emergency room treatment have essentially no legal recourse if the doctor treating them makes an error. The fine print of the 2003 tort reform law in Texas states that unless an emergency room physician acted with “willful and wanton negligence,” no victim of emergency room malpractice is eligible for civil damages at all. This means that it has to be proven that an emergency room physician meant to make a mistake, which is about the biggest legal oxymoron we have ever seen. On top of that, the main thrust of the 2003 tort reform capped non-economic damages at $250,000 for medical liability, which might seem like a lot, but is actually about what it costs to get a medical malpractice case through the court system in the event that a malpractice insurance company wants to settle. (They very rarely do.) So what you have in Texas is a system where people who have been clearly injured due to medical negligence are unable to bring their cases to court, either because they were injured in the emergency room and are therefore ineligible for civil damages, or because the restrictions on compensation make it financially impossible for plaintiff’s attorneys to take the case.

This has made life great for insurance companies in Texas. It has also made life great for doctors, who have had their chances of being brought to court dramatically reduced, even if they have committed medical malpractice. By limiting the options of what victims of medical malpractice can do after they have been hurt, doctors are free to practice their profession without the fear of being sued, and malpractice insurance companies are free to insure doctors without the fear of having to pay malpractice claims.

So now that Texas has essentially no consequences for medical professionals who make mistakes, guess what happens? The standard of care drops, for starters. And doctors, nurses and administrators start taking advantage of the legal protections in new and clever ways.

From the Associated Press:

The federal government said after an inspection at Parkland Memorial Hospital found conditions that were a "serious threat" to patient safety, the public hospital will not be able to participate in the Medicare program without coming up with correction plans.

Among the reasons for this potential removal of Medicare money are violations of infection prevention protocol, as well as a practice of moving the majority of patients to the emergency room to be screened, regardless of whether their condition required urgent care or not. The reason for that is probably to cover all the bases in the event that someone screws up. Remember, emergency room equals no liability. So if you check into a hospital in Texas with a manageable and minor ailment, don’t be surprised if they make you go down to the emergency room first.

So what do the patients in Texas get out of all of these protections for doctors and insurance companies? Not much. Rather than focusing on actual instances of malpractice, Texas decided to focus on restricting or removing the legal options of people after they have been hurt, which will do nothing to lower the rate of medical malpractice, wrong diagnoses, surgical errors, prescription errors or hospital infections. If anything, it would allow doctors, surgeons and nurses to practice with less care and concern, mainly because the consequences for negligent or sloppy medical care have been removed.

The next study that needs to be performed is to learn whether the cap on medical damages has resulted in lower medical malpractice premiums for Texas doctors and healthcare providers.

This is something to keep in mind in the event that any legislators in Virginia or Maryland point to Texas as an example of the “good” that tort reform can do.

Greenberg and Bederman is a medical malpractice injury firm located in the Washington, D.C. area. We are currently offering legal assistance to those who have been injured due to surgical errors, wrong diagnoses, hospital infections or other preventable forms of medical malpractice. If you or a loved one in Maryland, Virginia or D.C. has been injured due to the negligence of a doctor or medical professional, contact Greenberg & Bederman for a free consultation today. 

Frivolous Lawsuits in Texas

 

From the Office of Texas Governor Rick Perry:

Gov. Rick Perry ceremonially signed House Bill 274, which brings important lawsuit reforms to Texas courts, including implementing a loser pays system for frivolous lawsuits in the state. The governor designated this issue as an emergency item for this legislative session. Gov. Perry was joined by Rep. Brandon Creighton and Sen. Joan Huffman for the signing ceremony.

"HB 274 provides defendants and judges with a variety of tools that will cut down on frivolous claims in Texas," Gov. Perry said. "This important legislation will help make Texas that much more attractive to employers seeking to expand or relocate from countries all over the world by allowing them to spend less time in court and more time creating jobs."

It is very possible to “create jobs” without gutting the legal protection of the average citizen, but apparently our friends in Texas don’t see it that way. “Loser pays” is not about “frivolous lawsuits.” It’s about lawsuits in general.

 

For instance, let’s say you are a public school teacher and get severely injured due to the actions of an enormous corporation. Would you like to run the risk of paying the law firm that this corporation hires to defend itself in the event that you end up losing your case? Aside from the fact that there is no such thing as a “slam dunk” lawsuit, corporations often drag cases out in order to make lowball settlement offers more appealing. Do you have any idea how much that would cost? Probably a lot more than it would cost to make you whole after your injury.

It is already difficult enough for people in Texas to access the courts in the first place. Tort reform laws for medical malpractice have essentially made it impossible for low income individuals to enter the courtroom. With strict damage limits on non-economic damages, malpractice lawyers (most of whom operate on a contingency fee basis) can’t afford to bring these cases to court. After court costs, hiring expert witnesses, and the general labor of bringing a case to trial, most attorneys would end up losing money on the case. And a cap on non-economic damages might not bother you if you happen to play first base for the Washington Nationals, but if you are like the vast majority of the rest of us, non-economic damages are a crucial part of an injury case. Plus, if you happen to get injured due to the actions of emergency room personnel, the only way they can be found guilty in Texas is if they admit that they meant to hurt you. And who in their right minds would do that?

So now that doctors (and their insurance companies) are squared away and protected in ways that don’t extend to their patients, Governor Perry has decided to make sure that the rest of the folks who need the least protection get the most of it. The code word is “small businesses,” which is actually just short hand for “large businesses.” Basically, it doesn’t matter how much damage they do. There are now a series of safety nets in Texas that allows businesses to do whatever they want, regardless of the consequences. I mean, what are you going to do if you get hurt? Sue them? Are you sure you want to do that? What if you lose? And if you win? You might be able to maybe keep your house with the winnings. But it will be back to business as usual for them.

It’s worth mentioning that in the press release, there is plenty of talk of judges and defendants, and how this new legislation will make everything easier for them. But there is not one mention of the rights of plaintiffs, injury victims or victims of medical malpractice. Mentioning injury victims wouldn’t be very popular with this bill.

Greenberg and Bederman is a personal injury law firm located in Silver Spring, Maryland. We are currently offering legal assistance to victims of medical malpractice in Maryland, Virginia and Washington, D.C. If you or a loved one has been a victim of a surgical error, wrong diagnosis, prescription error or any other form of medical malpractice, contact Greenberg & Bederman for a free consultation. 

Jackpot Settlement

 

What would you do if you got a check in the mail for $1 million?

We don’t mean one of those Nigerian Prince scams or one of those fake checks that turns out to be nothing more than a solicitation for one charity or another. We mean a real, genuine, and honest to goodness check worth $1 million.

Let us further suppose that there was some fine print with the check, which stated that if you cashed in that $1 million, you would be contractually obligated to seek no other form of income for the rest of your life. All of a sudden, cashing that check doesn’t seem like such a good idea, does it?

$1 million is certainly a lot of money, but if that’s about all the money you are going to get for the rest of your life, it isn’t very much at all. For many people who have been severely injured in states where there are so-called “caps” on non-economic damages, this scenario is not hypothetical at all. If a person is severely injured and needs constant care, a $1 million settlement likely won’t cover the costs for that. This problem is compounded if the injury victim happens to be young.

The Knoxville News-Sentinel recently had an article about just such an injury victim. A woman named Shauna Heath suffered a severe spinal injury when she was only 16 years old, and has since been unable to walk or feed herself. She is now in her mid-thirties. Her injury was caused by a defective seat belt, and she received a multi-million dollar settlement from the company that manufactured the car. But despite that settlement, she still is unable to afford to hire a full time nurse. When you have an injury that requires full time care, even multi-million dollar settlements have a tendency to dwindle fast.

There is the initial treatment, which is certainly expensive enough. Then there is the ongoing care and medication, and there are certainly going to be plenty of things that insurance companies will refuse to pay for. Even people who suffer from minor injuries or illnesses will have to deal with claim denial. And in the case of Ms. Heath, who received the injury in her teens and can still expect to live for quite some time, the constant needs of her condition will completely eclipse the settlement that she received, if they haven’t done so already.

 

The overall premise of the article in the News-Sentinel is that even though Ms. Heath received a multi-million dollar settlement, she is still struggling to make ends meet. Tort reform organizations like to refer to multi-million dollar settlements like Ms. Heath’s as “jackpot justice” or “winning the lawsuit lottery,” but from our perspective (and certainly Ms. Heath’s,) it doesn’t seem like she could consider herself a “winner” of much of anything. What she received for her injuries was enough to cover some of her medical issues, but certainly not all of them, and this will last only as long as the money from the settlement does. There are no mansions, sports cars or trips to Bermuda in the equation here.

Also mentioned in the article is a piece of legislation that passed the State Judiciary Committee in Tennessee last week:

“Last week the House Judiciary Committee approved a bill proposed by Gov. Bill Haslam that would cap damages at $1 million in cases involving serious spinal cord injuries, severe burns or the death of a parent of minor children.”

If Ms. Heath is barely able to keep her head above water after a multi-million dollar settlement, how do you think those who have suffered severe spinal cord injuries are going to do on $1 million or less? You can also consider that many settlements don’t come all at once. They come in payments often spread out over ten or twenty years. If it’s a million dollars spread out over twenty years, that’s $50,000 a year before taxes, and significantly less after. This would be manageable if you happen to be a healthy person, but what if you happen to be confined to a wheelchair and are in a more or less constant precarious state of health? How does your financial picture look now?

For that matter, how do you think things are going for injury victims who live in states where the damage cap is $250,000? How do you think those “justice jackpot winners” are able to pay for their needed care with $250,000? We would guess that they aren’t doing so well.

On the other side of the coin, all of those insurance companies that benefit from damage caps are doing quite well. So what we are seeing put into place all over the country is help for those who don’t need it and punishment for those who do need it. To us, that makes absolutely no sense at all.

Greenberg and Bederman is apersonal injury law firm located in Silver Spring, Maryland. We are currently offering legal assistance to people who have been injured due to no fault of their own. This includes people who have been injured in car accidents, injuries due to medical malpractice or surgical errors, pedestrian and bicycle accidents and injuries on public transit. If you or a loved one has been injured due to the negligence of others, contact Greenberg & Bederman for a free legal consultation today.

 

H.R. 5 Bill on Medical Malpractice Caps

 

The House Subcommittee on Health had a hearing on Capitol Hill this morning. The official name of the hearing is “The Cost of the Medical Liability System Proposals for Reform, including H.R. 5, the Help Efficient, Accessible, Low-cost, Timely Healthcare (HEALTH) Act of 2011.” For those of you who don’t know, H.R. 5 is a bill that was placed into consideration early in the legislative term. The bill has quite a few ambitions, but the main thrust of this legislation is to place a cap of $250,000 on non-economic damages in medical malpractice cases.

This is nothing new. Proponents of tort reform have turned caps on damages into the cure all for any and all problems that exist in our health care system. The idea here is that if you put a limit on the amount of damages that a plaintiff can receive in a medical malpractice case, then this would allow medical malpractice insurance companies to lower their rates. Proponents of this theory also state that these caps would allow doctors and surgeons to work without the fear of being sued.

 

There are quite a few things wrong with these assumptions. In the first place, we have yet to see medical malpractice insurance companies dramatically lower their rates in states where these caps have been put in place. Nor have patients who have been injured by their doctors suddenly stopped filing lawsuits. It seems to us that the only people who are helped by caps on damages in medical malpractice cases are the medical malpractice insurance companies, and considering that malpractice insurers are more profitable than 99% of all Fortune 500 companies, it doesn’t seem like they need much help at all.

Another troubling element about these caps is that they seem to favor those who are financially well off but completely disregards the suffering of those who are not. Economic damages basically compensate you for the amount of money that you lost due to the negligent actions of your doctor or surgeon. This can be a significant amount if you happen to be a stock broker, airline pilot, or if you happen to be a doctor yourself. That amount can be even more if the actions of the doctor or surgeon prevent you from returning to your job. But if you happen to be a retail worker or if you happen to work in a restaurant, the amount of compensation won’t amount to much, particularly once your insurance company goes through its usual round of claim rejections. So for those of us who don’t make millions of dollars a year, non-economic compensation is particularly important. Ultimately, what these caps do is make it incredibly hard for malpractice injury victims to collect for damages suffered as a result of negligence. Plaintiffs have to hire attorneys if they’ve been wrongfully injured, and these attorneys work on a contingency basis. Often expensive expert witnesses have to be hired. If there is a strict cap on non-economic damages, quite often the process of bringing a malpractice case to court becomes financially impossible. So while this legislation would not specifically make it illegal to file a medical malpractice case, it might certainly make it impossible financially. A malpractice suit would become the equivalent of buying a Lamborghini. Theoretically, anyone is able to buy one. But there are very few of us who can actually afford to do so.

The memorandum for today’s hearing gives us the inevitable mention of “frivolous lawsuits,” which to us is simply corporate-speak for “lawsuits that do not benefit us directly.” Coincidentally, today we also read a story from Northern Virginia Daily which gives a little more perspective on the sort of cases that would essentially no longer exist in America if H.R. 5 were to become law.

A 29 year old woman in Winchester, Virginia was suffering from persistent diarrhea and went to see a doctor. The doctor decided to perform a colonoscopy. When she was given a preparation medication before the colonoscopy took place, she had a great deal of difficulty handling it. She was suffering from nausea, abdominal pain and cramping. Rather than ascertain the cause of this pain, the doctor simply gave her Demoral and went ahead with the colonoscopy. The end result of this was that the woman had her colon perforated, which only added to her already existing medical problems. The woman came very close to dying.

If the allegations in the official complaint are correct, the doctor failed the patient in a number of ways, and her injuries are extensive. But let’s say that these medical malpractice caps are put into place. What are her options? She could still sue the doctor, of course. But what does she do for a living? Does she manage a bank? Is she an executive with Lockheed Martin? Is she a housewife? Is she a waitress? With H.R. 5 as established law of the land, that could matter more than the extent of her injuries,whether or not the doctor was guilty of negligence.

Greenberg and Bederman is a medical malpractice law firm located in Silver Spring, Maryland. We are currently offering legal assistance to those who have been injured due to the negligence or incompetence of a medical professional. We have helped hundreds of medical malpractice victims in Maryland, D.C. and Virginia receive fair treatment from the court system. If you or a loved one has been injured due to an instance of medical malpractice,  contact Greenberg & Bederman for a free medical malpractice legal consultation.

 

 

Medical Malpractice Caps in Texas

We’ve always disagreed with the reasoning for caps on damages for medical malpractice cases. It’s been our contention that they are unfair, arbitrary, and don’t accomplish much of anything except offer unnecessary protections to insurance companies.

Texas has some particularly harsh restrictions. Awhile back we wrote a piece on how caps on medical malpractice damages aren’t doing anything but pricing victims out of the courtroom. And while that aspect of the law is bad enough, there is also another element of the law down there that is keeping victims of medical malpractice from getting to court at all.

For the sake of argument, let’s say you hire a plumber to fix a leaky pipe. Let’s  say that he doesn’t do his job well, and his shoddy work causes other leaks in your house, with the end result being tens of thousands of dollars in water damage. You take this plumber to court. The plumber’s entire argument in his defense is that he “didn’t mean to” cause all of that damage. Based on this argument, the judge rules in his favor.

This sounds like a completely bizarre argument.  A drunk driver certainly “didn’t mean to” cause an accident with fatalities, but he did anyway. A teenager texting while driving “didn’t mean to” hit a pedestrian in a crosswalk, but he did anyway. There is no conceivable way that “I didn’t mean to” should be a valid excuse in court of law.

But it absolutely is in Texas. If you get treated by an emergency room doctor down there, and he makes a critical mistake, essentially all he has to do is say “I didn’t mean to,” and that keeps the victim of that mistake from collecting any damages, regardless of how bad the damage is.

The fine print in the law that capped non-economic damages at $250,000 had special protections for emergency room doctors, each of whom are now protected from penalties in court unless it can be proven that their negligence was “willful and wanton.” That phrase essentially means that whatever you did, you did so knowing that it would harm other people. And you are more likely to find Bigfoot riding a unicorn than any doctor anywhere who will admit to that.

Here is a real life example as to how this protection has further victimized people who have been injured by doctor’s mistakes. A woman with a history of blood clotting went to the emergency room of a San Antonio hospital because of leg pain. The ER doctor there sent her home with a diagnosis of “bilateral leg pain,” and advised her to follow up with her primary care physician. Three days later, she was in a different hospital, this time with tissue death in her legs and kidney failure. A filter that she had had placed in one of the veins in her heart was clogged up, which led to incredibly bad clotting.  Doctors had to amputate both of her legs.

Ultimately, the doctor who initially saw her and told her to follow up with her primary care physician must bear some responsibility. He didn’t ask the right questions, or he didn’t take the time to look into her case as thoroughly as he should have, and as a result this woman is a double amputee. But since he didn’t do any of these things on purpose, he gets a pass.

When you read about this case and others like it in Texas, you almost want to scream to the heavens. “Of COURSE he didn’t do it on purpose! He’s not a monster! He’s simplynegligent!” Medical malpractice suits aren’t filed because lawyers hate doctors. Medical malpractice suits are filed because sometimes doctors make easily preventable mistakes, and these mistakes have serious consequences. No lawyer would make the argument that a doctor gave the wrong diagnosis just to be mean. The argument is not “Did he mean to do it?” The argument is “Could have this been prevented if reasonable standards and practices had been used?” But the fine print in the laws of Texas essentially shifts all of the arguments into unwinnable territory for anyone who walks into an emergency room and is the victim of a doctor’s mistake.

These laws were not put into place to make things better for doctors or patients. They were put into place so malpractice insurance companies could continue to have profitable years. Call us crazy, but we think the financial health of an insurer should be the last thing on the list of priorities when you walk into a hospital.

Greenberg and Bederman is a medical malpractice law firm located in Silver Spring, Maryland. We are currently offering legal assistance to people in Maryland, Virginia and Washington, D.C. who have been injured due to the negligence or incompetence of doctors or surgeons. If you have been injured due to the actions of a doctor, contact a medical malpractice attorney for a free malpractice legal consultation today.

Tort Reform and Punitive Damages

Tort reform advocates have many bones to pick with our judicial system. By now we have all heard about “lawsuit lotteries,”“judicial hellholes,” and the miracles that non-economic damage caps are supposed to provide.  We have plenty of evidence (both anecdotal and concrete) that lawsuits are not lotteries, most of the “judicial hellholes” are simply places where corporations are not given special treatment, and that non-economic damage caps don’t help doctors or patients as much as they help medical malpractice insurance companies, who actually don’t need much help at all.

Obviously, medical malpractice insurance companies are big fans of these legal protections, and regular insurance companies and huge corporations everywhere are clamoring for protections of their own. These protections would limit the amount of punitive damages that a corporation would be forced to pay in the event that they are found guilty of gross negligence.

For those of you who don’t know, punitive damages are financial penalties assessed by the court that don’t have anything to do with the financial losses that the plaintiff suffered. In civil court cases, these damages are levied by the court when a corporation or commercial enterprise acts when the defendants’ harmful actions were considered either grossly negligent or intentional. Obviously, insurance companies and corporations do not like them, neither does the tort reform organizations. So they are working diligently, both through legislation and litigation, to have the same sort of caps put on punitive damages as there already are on non-economic damages in medical malpractice cases.

The way that these corporations are going about it is essentially the same way that malpractice insurance companies went about getting their protections. In 8 easy steps, here is the process:

1.       Drastically raise rates or prices on your products or services with the cooperation of your direct competitiors. “We’re sorry, but we have to charge you twice as much this month.”

2.       Blame the price hike on lawyers. “We get sued so much that the only way we can stay solvent as a business is to increase our rates!”

3.       Find overblown examples of lawsuits and present them as an everyday occurrence. “Remember that Judge who sued the dry cleaner for $50 million? That happens every single day.”

4.       Focus on an aspect of the judicial system that is not advantageous to you and pretend that this aspect affects everyone much more than it actually does. “Innocent, hardworking Americans all live under the threat of runaway, out of control punitive damages.”

5.        Claim that our judicial system is “in crisis,” utilize public relations, media outlets and lobbyists to hammer home the idea that something has to be done. “The National Lawsuit Crisis is making it impossible for hard working Americans to do anything. You can’t go get the newspaper without somebody suing you for punitive damages these days.”

6.       Lobby pro-business politicians for a legislative fix: “America cannot survive unless we enact strict limits on punitive damages.”

7.       Get caps on damages legislation pushed through sympathetic state assemblies. “The Americans for Liberty, Justice and Freedom Act has saved the country from utter ruin.”

8.        Celebrate the protections this legislation has provided your business by reducing your rates by about half of the amount you increased them initially. “See? Our rates have dropped! The system works!”

This is not an exaggeration. Medical malpractice companies pulled this stunt in the early 2000’s almost to perfection, and to this day there are still non-economic damage caps in multiple states. And while the rates have gone down, in many cases they haven’t dropped down to pre-“crisis” levels.

Before you start believing the tales of woe and horror of innocent, hard working businessmen driven to ruin due to punitive damages, here are a few things you should know.

In the first place, punitive damages are a fairly rare occurrence. It is very difficult to prove that a corporation (or even a person) did something grossly negligent on purpose. For instance, in the current Toyota recall cases, Toyota’s defense will be that they had absolutely no idea that so many of their cars were defective, and the burden of proving that will be on the prosecution. Secondly, in tort cases (injury cases,) only 3% of the tens of thousands of cases that happen every year involve punitive damages.

Nor is every punitive damage verdict an automatic seven figures in the bank account of the plaintiff. Most punitive damages are significantly less. In fact, the median punitive damage award is around $55,000. To be sure, that is a great deal of money if the defendant is a small business owner or private citizen, but when the plaintiff is a multi-billion dollar corporation, it is difficult to muster the sort of sympathy that the tort reform organizations seem to require of you.

So if the average monetary amount of punitive damages is so low, and punitive damages happen so rarely, why is it that corporations and insurers and tort reform organizations are trying to put lids on them? Probably because they know all too well that occasionally, there will be an Exxon Valdez. There will be a BP oil well leak. There will be a Dalkon Shield, or a Vioxx, or a Phen Fen. All of these corporations know that there will inevitably be a faulty product or an easily preventable disaster, but they don’t know when it will happen. So rather than face the music eventually, it’s better to fix the system now.

To understand the nature of punitive damages, you simply have to look at the word. “Punitive” means “to punish.” The most effective way to hurt a corporation is by attacking its wallets. A massive chemical conglomerate may come to the realization that there is a right way and a wrong way to do business if their actions cost them millions of dollars. If there is a “cap” on punitive damages, that cap can simply be factored in to whatever they choose to do. Punitive damages should not be written off as simply a cost of doing business. The amount should not be capped, nor should it be predictable. They exist to remind companies and corporations that their actions have consequences.

Greenberg and Bederman is a Maryland injury law firm. We are currently offering legal help to people who have been injured due to no fault of their own. That includes people in Virginia, Maryland and Washington, D.C. who have been injured in car accidents, injured due to medical malpractice, injured due to environmental or groundwater pollution, or injured due to dangerous and defective pharmaceutical drugs. If you or a loved one has been injured in an accident, contact Greenberg & Bederman for a free legal consultation today.

BP Oil Spill Crushing Local Businesses

We’ve all seen the BP oil spill footage by now. We’ve seen the boats frantically trying to douse the flames that erupted on the Deepwater Horizon as it burst into flames, killing eleven oil workers. We saw a parade of British Petroleum executives claim that they had everything under control, when in fact they most certainly did not. We’ve seen so-called “top hats” and “junk shots” fail to stop the thousands of gallons of oil that is gushing uncontrollably into the Gulf Coast. We’ve seen the government take private enterprise at its word, if only to placate those in the same government who would howl bloody murder about communist takeovers of private enterprise, and then have those same people howl bloody murder about the government not doing enough. We have seen the results of the entirely too cozy relationship between the oil companies and the Minerals and Management Service. We have seen lax or non-existent oil rig inspections, “meetings” that were simply parties, and an institutional policy of “Do Whatever You Want” put into place. The “emergency measures” that BP had in place were simply cardboard cutouts that were outdated and unsuited to the monumental task. This catastrophic oil leak is the result of years of letting the oil companies do what they want, when they want and how they want, with barely any thought to the consequences.

 In all probability, an entire way of life down in the Gulf Coast is gone. People who run fishing and shrimp boats and the crews who man them will be out of work. People who offer tours into our now ruined marshlands will have to find another line of business. Restaurants all over the country that specialize in that wonderful regional seafood will have to either drastically alter their menus or go out of business. So will the wholesalers who deliver the seafood to them. Those who specialize in the tourist trade will be taking a beating, too. We can’t imagine that anyone would want to take their families to beaches that are covered in crude oil. So you can say goodbye to beachfront resorts in Alabama and Texas, as well as the smaller hotels and motels. Plus the rental home market is probably going to be nonexistent for the next few years.

The Federal Government recently secured a promise of $20 billion dollars from British Petroleum in order to help expedite the claims process for workers, business owners and property owners who will be adversely affected by the BP Deepwater Horizon oil spill. But if the spill continues (and there is no indication that it will stop any time soon,) $20 billion could be a mere fraction of what the overall damages could be. And we have a sneaking suspicion that getting fair value for your damaged property or ruined business will require a lot of paperwork and legal acumen. It is because of this that Greenberg and Bederman is currently offering legal assistance to people who live in the Maryland, Washington, D.C. and Virginia areas who have legitimate claims of damages down in the Gulf Coast.

Greenberg and Bederman is an injury law firm based in Silver Spring, Maryland. We have helped injury victims and people who have suffered real financial damages due to the negligence or incompetence of others. Over the next few months, we will be reaching out to victims all over the country to see if we can help them receive the sort of compensation that they both deserve and are entitled to. The explosion of the Deepwater Horizon and the subsequent oil blowout certainly qualifies as negligence and incompetence on the grandest scale imaginable.

If you or a loved one has suffered a serious financial loss due to the Deepwater Horizon explosion and subsequent oil leak, contact Greenberg & Bederman for a free consultation.