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.