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	<title>Comments on: The Trial Of A WhiteCoat &#8211; Part 2</title>
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	<link>http://www.epmonthly.com/whitecoat/2009/06/2745/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: trenchRN</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-21183</link>
		<dc:creator>trenchRN</dc:creator>
		<pubDate>Sun, 23 May 2010 01:25:53 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-21183</guid>
		<description>Thankyou! I agree 110%! I don&#039;t know how you people do it... I thought my career choice was a special hell.. you people are victimized. I truly believe that.</description>
		<content:encoded><![CDATA[<p>Thankyou! I agree 110%! I don&#8217;t know how you people do it&#8230; I thought my career choice was a special hell.. you people are victimized. I truly believe that.</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-9217</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 23 Jun 2009 13:20:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-9217</guid>
		<description>It never ceases to amaze me that people who are so careful in reaching conclusions in something they know a lot about, medicine, are so loose in reaching conclusions about things they don&#039;t know a lot about.  Quick primer:

1.  Perfection is not now and has never been the standard of care.  You can be an absolute disaster in your treatment but if there is no adverse outcome causing damages there is no malpractice case.  What&#039;s more, PHYSICIANS set the standard of care, and in no state is that standard &quot;perfection&quot;.  Lawyers turn down hundreds of med mal cases, and juries don&#039;t expect perfection either.  

2.  You&#039;re right physicians do wonderful things.  But be honest, you&#039;ve seen cases of malpractice among your colleagues, and you&#039;ve never said a word to anyone, especially the victim.  There&#039;s lawyers I wouldn&#039;t hire, and there are doctors you  wouldn&#039;t let treat your family.  But you wouldn&#039;t tell the public that.

3.  Tort reform is a law - how does that benefit lawyers?  Medical malpractice is a common law action that predates the founding of this country.  All the laws that have been enacted by legislatures relating to med mal have mostly been favorable to physicians.  Stop being silly and learn the facts before you make a diagnosis.</description>
		<content:encoded><![CDATA[<p>It never ceases to amaze me that people who are so careful in reaching conclusions in something they know a lot about, medicine, are so loose in reaching conclusions about things they don&#8217;t know a lot about.  Quick primer:</p>
<p>1.  Perfection is not now and has never been the standard of care.  You can be an absolute disaster in your treatment but if there is no adverse outcome causing damages there is no malpractice case.  What&#8217;s more, PHYSICIANS set the standard of care, and in no state is that standard &#8220;perfection&#8221;.  Lawyers turn down hundreds of med mal cases, and juries don&#8217;t expect perfection either.  </p>
<p>2.  You&#8217;re right physicians do wonderful things.  But be honest, you&#8217;ve seen cases of malpractice among your colleagues, and you&#8217;ve never said a word to anyone, especially the victim.  There&#8217;s lawyers I wouldn&#8217;t hire, and there are doctors you  wouldn&#8217;t let treat your family.  But you wouldn&#8217;t tell the public that.</p>
<p>3.  Tort reform is a law &#8211; how does that benefit lawyers?  Medical malpractice is a common law action that predates the founding of this country.  All the laws that have been enacted by legislatures relating to med mal have mostly been favorable to physicians.  Stop being silly and learn the facts before you make a diagnosis.</p>
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		<title>By: EmrgncyMD</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-9211</link>
		<dc:creator>EmrgncyMD</dc:creator>
		<pubDate>Tue, 23 Jun 2009 02:47:50 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-9211</guid>
		<description>Matt, as a attorney, can&#039;t conceive of the unfairness of a system that holds a physician to an impossible standard of care- perfection.  And I don&#039;t want to hear that doctors hold themselves to be perfect.  Every physician I know is painfully aware of their own shortcomings, but despite that, have the courage to try to help every patient-even if it is for free and a bad risk. Definitely not something an attorney can understand.  Laws are made by lawyers, not people.  Therefore, laws benefit lawyers. They are definitely not morally superior-far from it.  They are just unethical enough to place themselves in a position of advantage and hell with everyone else.</description>
		<content:encoded><![CDATA[<p>Matt, as a attorney, can&#8217;t conceive of the unfairness of a system that holds a physician to an impossible standard of care- perfection.  And I don&#8217;t want to hear that doctors hold themselves to be perfect.  Every physician I know is painfully aware of their own shortcomings, but despite that, have the courage to try to help every patient-even if it is for free and a bad risk. Definitely not something an attorney can understand.  Laws are made by lawyers, not people.  Therefore, laws benefit lawyers. They are definitely not morally superior-far from it.  They are just unethical enough to place themselves in a position of advantage and hell with everyone else.</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-8879</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 10 Jun 2009 17:18:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-8879</guid>
		<description>Well if that data isn&#039;t compiled, how exactly can we take much from your anecdotal stories of 4 physicians, who presumably are still gainfully employed.  Are you supporting policy making by anecdote?  Do you know how many reports they had on there?  If they had 2 or more, is this a bad thing?

&quot;If they aren’t reported to the NPDB, they’ll probably be swept under the carpet or subject to confidentiality clauses.&quot;

If there is a no fault deal as part of national healthcare, the government will keep track as it will be paying the bills.  You know that.

&quot;Actually, quite a bit. You just don’t know the name under which I’m doing it.&quot;

Why would you want to keep legislation you&#039;re working on a secret?  If you believe in it, why hide it?  Doesn&#039;t make much sense.  If you want to discuss the merits of a workers comp style system, by all means lets do so.  Let&#039;s start with cost.

&quot;So are you actively campaigning to establish trial by jury for tax courts and admiralty courts now?&quot;

You need to read the amendment in question.  It refers to suits at common law.  Both of those you cite are purely statutory creations not subject to that Amendment, ie. there is no common law basis for them.  Although with tax courts I&#039;m not sure what you&#039;re referring to because if you&#039;re charged with a crime for federal tax violations you get a jury. 

I&#039;m not shaking it in your face - it&#039;s a fact that I&#039;m sharing with you.  Again, I didn&#039;t write it, so I don&#039;t know why you&#039;re upset with me about it.  Perhaps you&#039;d be better served to consider WHY the Founders thought it was so important that it was referred to as one of the reasons for the Declaration of Independence and then enshrined in the Bill of Rights.</description>
		<content:encoded><![CDATA[<p>Well if that data isn&#8217;t compiled, how exactly can we take much from your anecdotal stories of 4 physicians, who presumably are still gainfully employed.  Are you supporting policy making by anecdote?  Do you know how many reports they had on there?  If they had 2 or more, is this a bad thing?</p>
<p>&#8220;If they aren’t reported to the NPDB, they’ll probably be swept under the carpet or subject to confidentiality clauses.&#8221;</p>
<p>If there is a no fault deal as part of national healthcare, the government will keep track as it will be paying the bills.  You know that.</p>
<p>&#8220;Actually, quite a bit. You just don’t know the name under which I’m doing it.&#8221;</p>
<p>Why would you want to keep legislation you&#8217;re working on a secret?  If you believe in it, why hide it?  Doesn&#8217;t make much sense.  If you want to discuss the merits of a workers comp style system, by all means lets do so.  Let&#8217;s start with cost.</p>
<p>&#8220;So are you actively campaigning to establish trial by jury for tax courts and admiralty courts now?&#8221;</p>
<p>You need to read the amendment in question.  It refers to suits at common law.  Both of those you cite are purely statutory creations not subject to that Amendment, ie. there is no common law basis for them.  Although with tax courts I&#8217;m not sure what you&#8217;re referring to because if you&#8217;re charged with a crime for federal tax violations you get a jury. </p>
<p>I&#8217;m not shaking it in your face &#8211; it&#8217;s a fact that I&#8217;m sharing with you.  Again, I didn&#8217;t write it, so I don&#8217;t know why you&#8217;re upset with me about it.  Perhaps you&#8217;d be better served to consider WHY the Founders thought it was so important that it was referred to as one of the reasons for the Declaration of Independence and then enshrined in the Bill of Rights.</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-8878</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Wed, 10 Jun 2009 16:45:34 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-8878</guid>
		<description>&quot;How many physicians have been prevented from getting jobs as a result of unjustified listings on the NPDB?&quot; 
You know as well as I do that data like this isn&#039;t compiled. Personally I know of at least 4 physicians who either couldn&#039;t get privileges or couldn&#039;t get insurance due to NDPB reports and could probably find many more if I asked around. 

&quot;Do you think a bunch of bad outcomes that get paid regardless of fault won’t affect you as much?&quot;
Depends. If they aren&#039;t reported to the NPDB, they&#039;ll probably be swept under the carpet or subject to confidentiality clauses. 

&quot;So what have YOU done, besides accuse other people of not doing enough?&quot; 
Actually, quite a bit. You just don&#039;t know the name under which I&#039;m doing it. 

&quot;I’m sorry you don’t like the Constitution - I’m not the one who guaranteed the right to trial by jury. For some crazy reason, people with experience in that sort of thing thought it was a good idea!&quot;
So are you actively campaigning to establish trial by jury for tax courts and admiralty courts now? Neither of those court systems has a trial by jury. Or do you only shake the Constitution in people&#039;s faces for issues that financially benefit you?</description>
		<content:encoded><![CDATA[<p>&#8220;How many physicians have been prevented from getting jobs as a result of unjustified listings on the NPDB?&#8221;<br />
You know as well as I do that data like this isn&#8217;t compiled. Personally I know of at least 4 physicians who either couldn&#8217;t get privileges or couldn&#8217;t get insurance due to NDPB reports and could probably find many more if I asked around. </p>
<p>&#8220;Do you think a bunch of bad outcomes that get paid regardless of fault won’t affect you as much?&#8221;<br />
Depends. If they aren&#8217;t reported to the NPDB, they&#8217;ll probably be swept under the carpet or subject to confidentiality clauses. </p>
<p>&#8220;So what have YOU done, besides accuse other people of not doing enough?&#8221;<br />
Actually, quite a bit. You just don&#8217;t know the name under which I&#8217;m doing it. </p>
<p>&#8220;I’m sorry you don’t like the Constitution &#8211; I’m not the one who guaranteed the right to trial by jury. For some crazy reason, people with experience in that sort of thing thought it was a good idea!&#8221;<br />
So are you actively campaigning to establish trial by jury for tax courts and admiralty courts now? Neither of those court systems has a trial by jury. Or do you only shake the Constitution in people&#8217;s faces for issues that financially benefit you?</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-8876</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 10 Jun 2009 16:23:17 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-8876</guid>
		<description>&quot;Your response assumes that all bad outcomes are due to medical negligence, which is decidedly not the case.&quot;

My response assumes no such thing - in fact I explicitly said &quot;commits malpractice&quot; not &quot;when a bad thing happens&quot;.  

&quot;What about the National Practitioner Data Bank to which all malpractice payouts get reported.&quot;

What about it?  Is that justification for then NOT owning up to your mistakes and paying for the harm you cause?  And it&#039;s nothing like attorneys getting sanctioned for each case they lose.  It&#039;s like attorneys getting sanctioned for each case they lose AS A RESULT OF MALPRACTICE.  How many physicians have been prevented from getting jobs as a result of unjustified listings on the NPDB.  Surely you know if you&#039;re citing this as this horrible sanction.

&quot;If you want a system where everyone gets fair compensation, lets go to the workers compensation model. Quick and reliable payouts for injuries that occur. No exorbitant legal fees.&quot;

You want to blame the lack of this being enacted on plaintiff&#039;s attorneys?  Really?  Can you point me to where any physicians have proposed legislation for this?  Or any insurers?  How about you - where is the proposal that you&#039;re backing for this change?  You do understand that Workers Comp is no-fault, right?  You get injured on the job, you get paid (you personally have no idea whether the amounts are fair, but whatever).  Do you think a bunch of bad outcomes that get paid regardless of fault won&#039;t affect you as much as the NPDB listings where at least you have the chance to defend yourself that it wasn&#039;t malpractice?  

You&#039;re casting about for reasons to blame other people, but if you want workers comp style no-fault payments for all bad outcomes, you need to act on it.  So what have YOU done, besides accuse other people of not doing enough?  Personally, I think that will be part of a nationalized health care system, but that&#039;s just me.

I&#039;m sorry you don&#039;t like the Constitution - I&#039;m not the one who guaranteed the right to trial by jury.  For some crazy reason, people with experience in that sort of thing thought it was a good idea!</description>
		<content:encoded><![CDATA[<p>&#8220;Your response assumes that all bad outcomes are due to medical negligence, which is decidedly not the case.&#8221;</p>
<p>My response assumes no such thing &#8211; in fact I explicitly said &#8220;commits malpractice&#8221; not &#8220;when a bad thing happens&#8221;.  </p>
<p>&#8220;What about the National Practitioner Data Bank to which all malpractice payouts get reported.&#8221;</p>
<p>What about it?  Is that justification for then NOT owning up to your mistakes and paying for the harm you cause?  And it&#8217;s nothing like attorneys getting sanctioned for each case they lose.  It&#8217;s like attorneys getting sanctioned for each case they lose AS A RESULT OF MALPRACTICE.  How many physicians have been prevented from getting jobs as a result of unjustified listings on the NPDB.  Surely you know if you&#8217;re citing this as this horrible sanction.</p>
<p>&#8220;If you want a system where everyone gets fair compensation, lets go to the workers compensation model. Quick and reliable payouts for injuries that occur. No exorbitant legal fees.&#8221;</p>
<p>You want to blame the lack of this being enacted on plaintiff&#8217;s attorneys?  Really?  Can you point me to where any physicians have proposed legislation for this?  Or any insurers?  How about you &#8211; where is the proposal that you&#8217;re backing for this change?  You do understand that Workers Comp is no-fault, right?  You get injured on the job, you get paid (you personally have no idea whether the amounts are fair, but whatever).  Do you think a bunch of bad outcomes that get paid regardless of fault won&#8217;t affect you as much as the NPDB listings where at least you have the chance to defend yourself that it wasn&#8217;t malpractice?  </p>
<p>You&#8217;re casting about for reasons to blame other people, but if you want workers comp style no-fault payments for all bad outcomes, you need to act on it.  So what have YOU done, besides accuse other people of not doing enough?  Personally, I think that will be part of a nationalized health care system, but that&#8217;s just me.</p>
<p>I&#8217;m sorry you don&#8217;t like the Constitution &#8211; I&#8217;m not the one who guaranteed the right to trial by jury.  For some crazy reason, people with experience in that sort of thing thought it was a good idea!</p>
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		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-8875</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Wed, 10 Jun 2009 15:59:37 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-8875</guid>
		<description>Your response assumes that all bad outcomes are due to medical negligence, which is decidedly not the case. 
Your response also assumes that the only detriment to &quot;admitting malpractice&quot; is monetary loss. What about the National Practitioner Data Bank to which all malpractice payouts get reported. A few listings on the NPDB can make it difficult or impossible to get malpractice insurance or hospital privileges. Kind of like attorneys getting sanctioned for each case they lose. 
If you want a system where everyone gets fair compensation, lets go to the workers compensation model. Quick and reliable payouts for injuries that occur. No exorbitant legal fees. 
Then again, most plaintiff attorneys argue against such a system, stating that it &quot;takes away the right to a trial by jury.&quot; Wonder why that is ...</description>
		<content:encoded><![CDATA[<p>Your response assumes that all bad outcomes are due to medical negligence, which is decidedly not the case.<br />
Your response also assumes that the only detriment to &#8220;admitting malpractice&#8221; is monetary loss. What about the National Practitioner Data Bank to which all malpractice payouts get reported. A few listings on the NPDB can make it difficult or impossible to get malpractice insurance or hospital privileges. Kind of like attorneys getting sanctioned for each case they lose.<br />
If you want a system where everyone gets fair compensation, lets go to the workers compensation model. Quick and reliable payouts for injuries that occur. No exorbitant legal fees.<br />
Then again, most plaintiff attorneys argue against such a system, stating that it &#8220;takes away the right to a trial by jury.&#8221; Wonder why that is &#8230;</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-8872</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 10 Jun 2009 14:01:33 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-8872</guid>
		<description>Which lawyers have malpractice advertising budgets in the millions?  I&#039;m guessing that&#039;s another made up &quot;fact&quot;, right?

Hey, if you don&#039;t want lawyers to make money in malpractice, here&#039;s an idea:  When you or one of your colleagues commits malpractice, admit it.  Step up, figure out what it&#039;s going to cost this person to pay their medical bills, their lost income, and a number based on their lost quality of life, and you pay it.  Or make your insurer pay it.  It&#039;s that simple.

What&#039;s that?  You can&#039;t?  Won&#039;t?  Then quit whining because someone has to help a victim of malpractice make you.</description>
		<content:encoded><![CDATA[<p>Which lawyers have malpractice advertising budgets in the millions?  I&#8217;m guessing that&#8217;s another made up &#8220;fact&#8221;, right?</p>
<p>Hey, if you don&#8217;t want lawyers to make money in malpractice, here&#8217;s an idea:  When you or one of your colleagues commits malpractice, admit it.  Step up, figure out what it&#8217;s going to cost this person to pay their medical bills, their lost income, and a number based on their lost quality of life, and you pay it.  Or make your insurer pay it.  It&#8217;s that simple.</p>
<p>What&#8217;s that?  You can&#8217;t?  Won&#8217;t?  Then quit whining because someone has to help a victim of malpractice make you.</p>
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		<title>By: thales</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-8865</link>
		<dc:creator>thales</dc:creator>
		<pubDate>Tue, 09 Jun 2009 21:15:04 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-8865</guid>
		<description>&quot;Few are the people that make a lot of money in a malpractice claims.&quot;

Among them are the trial lawyers whose advertising budgets are reckoned in the millions of dollars. 

Go Matt!</description>
		<content:encoded><![CDATA[<p>&#8220;Few are the people that make a lot of money in a malpractice claims.&#8221;</p>
<p>Among them are the trial lawyers whose advertising budgets are reckoned in the millions of dollars. </p>
<p>Go Matt!</p>
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		<title>By: Linkworthy (Jamie Spotzz, Old Jews Telling Jokes, and more) &#171; Stuff Erika Dislikes</title>
		<link>http://www.epmonthly.com/whitecoat/2009/06/2745/#comment-8857</link>
		<dc:creator>Linkworthy (Jamie Spotzz, Old Jews Telling Jokes, and more) &#171; Stuff Erika Dislikes</dc:creator>
		<pubDate>Tue, 09 Jun 2009 05:22:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=2745#comment-8857</guid>
		<description>[...] defendant, puts up his 2nd post on the subject, this one dealing with the retention of experts. A snippet to get you interested: [My defense lawyer&#039;s] firm and the insurance company contacted me with the name of an expert that [...]</description>
		<content:encoded><![CDATA[<p>[...] defendant, puts up his 2nd post on the subject, this one dealing with the retention of experts. A snippet to get you interested: [My defense lawyer's] firm and the insurance company contacted me with the name of an expert that [...]</p>
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