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	<title>Comments on: The Trial of a WhiteCoat &#8211; Part 18</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/</link>
	<description>A blog from inside the emergency department</description>
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		<title>By: A. J. Campbell</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-11069</link>
		<dc:creator>A. J. Campbell</dc:creator>
		<pubDate>Tue, 04 Aug 2009 14:45:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-11069</guid>
		<description>That astonished me, too. I suppose there might be some tactical reason why the lead trial attorney wouldn&#039;t do the direct exam of his own client, but not to warn you beforehand? That&#039;s just wrong. Plus, Louise was handling her own tension so poorly, there was a good chance she&#039;d make you more uncertain and jumpy than you already were.</description>
		<content:encoded><![CDATA[<p>That astonished me, too. I suppose there might be some tactical reason why the lead trial attorney wouldn&#8217;t do the direct exam of his own client, but not to warn you beforehand? That&#8217;s just wrong. Plus, Louise was handling her own tension so poorly, there was a good chance she&#8217;d make you more uncertain and jumpy than you already were.</p>
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		<title>By: A. J. Campbell</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-11067</link>
		<dc:creator>A. J. Campbell</dc:creator>
		<pubDate>Tue, 04 Aug 2009 14:28:47 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-11067</guid>
		<description>Well, that non-response to my questions reinforces my suspicion that the flesh and blood person who types the Supremacy Claus comments has little or no experience with actual malpractice trials, and little interest in how they are conducted in the real world. Apparently the purpose of his sweeping pronouncements is to recruit converts to his dark fantasy universe, where he has unilaterally determined that whole classes of people deserve shunning, hostage-taking, and now beheading.</description>
		<content:encoded><![CDATA[<p>Well, that non-response to my questions reinforces my suspicion that the flesh and blood person who types the Supremacy Claus comments has little or no experience with actual malpractice trials, and little interest in how they are conducted in the real world. Apparently the purpose of his sweeping pronouncements is to recruit converts to his dark fantasy universe, where he has unilaterally determined that whole classes of people deserve shunning, hostage-taking, and now beheading.</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-11029</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Mon, 03 Aug 2009 18:35:45 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-11029</guid>
		<description>Doesn&#039;t your tortured logic also apply to the criminal prosecution, where 97% of cases are plea bargained, again, a far higher fraction than any you can come up with? That means, that in 97% of criminal cases, the defendant has chosen to accept a plea. That means the standard of professional practice is even stronger than at trial compared to that in medmal. 

Again, I am comparing your track record to that of the standard set by the criminal prosecutor, despite all the disadvantages of that law practice. 

Why don&#039;t you try to meet the standard set by 25 year olds, just out of law school, paid $80K, instead of $800K, with a load of 200 cases, not 20? 

The answer? The judge is paid off by both medmal bars to churn litigation, profiting both sides at the expense of the doctor. In the criminal law, there is no money to be made from the lawsuit lotto. So, there is no lawsuit lotto.</description>
		<content:encoded><![CDATA[<p>Doesn&#8217;t your tortured logic also apply to the criminal prosecution, where 97% of cases are plea bargained, again, a far higher fraction than any you can come up with? That means, that in 97% of criminal cases, the defendant has chosen to accept a plea. That means the standard of professional practice is even stronger than at trial compared to that in medmal. </p>
<p>Again, I am comparing your track record to that of the standard set by the criminal prosecutor, despite all the disadvantages of that law practice. </p>
<p>Why don&#8217;t you try to meet the standard set by 25 year olds, just out of law school, paid $80K, instead of $800K, with a load of 200 cases, not 20? </p>
<p>The answer? The judge is paid off by both medmal bars to churn litigation, profiting both sides at the expense of the doctor. In the criminal law, there is no money to be made from the lawsuit lotto. So, there is no lawsuit lotto.</p>
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		<title>By: jb</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-11008</link>
		<dc:creator>jb</dc:creator>
		<pubDate>Mon, 03 Aug 2009 14:12:29 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-11008</guid>
		<description>Hurry up to part 19!!!!</description>
		<content:encoded><![CDATA[<p>Hurry up to part 19!!!!</p>
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		<title>By: Max Kennerly</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-11002</link>
		<dc:creator>Max Kennerly</dc:creator>
		<pubDate>Mon, 03 Aug 2009 13:48:30 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-11002</guid>
		<description>I don&#039;t think you understand what those numbers mean.

If 81% of trials result in defense verdicts, and 81% of claims are resolved without payment, then precisely 0% of cases are settled before trial.

I think you&#039;ll agree with me that&#039;s not the case. 

The part you&#039;re missing is how &quot;claim&quot; is defined in the context of third-party insurance. Every time a doctor says someone threatened to sue them, every time a doctor believes they committed malpractice, every time there is any communication with the insurer at all about potential liability, there&#039;s a &quot;claim.&quot; Moreover, every single defendant in a lawsuit has a &quot;claim&quot; opened against them. If a plaintiff later recovers against some, but not all, of the parties, the parties dismissed are listed as &quot;claim with no payment,&quot; even though the plaintiff &quot;won&quot; the case overall.

Your &quot;80%&quot; claims number thus means a lot less than you think it does. 

Similarly, the success rate at trial means little, since it&#039;s more a factor of how the insurance company views the case than the merits of cases overall. The insurers generally settle strong cases and makes weaker cases go to trial, hence a bias in the sample of cases going to trial for weaker ones. 

I, like most plaintiff&#039;s attorneys, reject more than 90% of the cases that come my way. I then win or settle far more than 20% of the ones I do take.</description>
		<content:encoded><![CDATA[<p>I don&#8217;t think you understand what those numbers mean.</p>
<p>If 81% of trials result in defense verdicts, and 81% of claims are resolved without payment, then precisely 0% of cases are settled before trial.</p>
<p>I think you&#8217;ll agree with me that&#8217;s not the case. </p>
<p>The part you&#8217;re missing is how &#8220;claim&#8221; is defined in the context of third-party insurance. Every time a doctor says someone threatened to sue them, every time a doctor believes they committed malpractice, every time there is any communication with the insurer at all about potential liability, there&#8217;s a &#8220;claim.&#8221; Moreover, every single defendant in a lawsuit has a &#8220;claim&#8221; opened against them. If a plaintiff later recovers against some, but not all, of the parties, the parties dismissed are listed as &#8220;claim with no payment,&#8221; even though the plaintiff &#8220;won&#8221; the case overall.</p>
<p>Your &#8220;80%&#8221; claims number thus means a lot less than you think it does. </p>
<p>Similarly, the success rate at trial means little, since it&#8217;s more a factor of how the insurance company views the case than the merits of cases overall. The insurers generally settle strong cases and makes weaker cases go to trial, hence a bias in the sample of cases going to trial for weaker ones. </p>
<p>I, like most plaintiff&#8217;s attorneys, reject more than 90% of the cases that come my way. I then win or settle far more than 20% of the ones I do take.</p>
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		<title>By: Supremacy Claus</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-10958</link>
		<dc:creator>Supremacy Claus</dc:creator>
		<pubDate>Sun, 02 Aug 2009 21:17:42 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-10958</guid>
		<description>The insurance company statistics in your state, go to p. 9 for the 81% claims closed with no payment:

http://www.pmslic.com/assets/downloads/pmslic_annual_report_2008.pdf

The Pennsylvania Supreme Court statistics on verdicts in medmal. Defense verdicts? 81.4. Those in that judicial hellhole, Philadelphia? 67.7%

http://www.aopc.org/NR/rdonlyres/4CA576C5-8401-4446-A6B5-22BB212E76B2/0/JuryVerdicts2008.pdf</description>
		<content:encoded><![CDATA[<p>The insurance company statistics in your state, go to p. 9 for the 81% claims closed with no payment:</p>
<p><a href="http://www.pmslic.com/assets/downloads/pmslic_annual_report_2008.pdf" rel="nofollow">http://www.pmslic.com/assets/downloads/pmslic_annual_report_2008.pdf</a></p>
<p>The Pennsylvania Supreme Court statistics on verdicts in medmal. Defense verdicts? 81.4. Those in that judicial hellhole, Philadelphia? 67.7%</p>
<p><a href="http://www.aopc.org/NR/rdonlyres/4CA576C5-8401-4446-A6B5-22BB212E76B2/0/JuryVerdicts2008.pdf" rel="nofollow">http://www.aopc.org/NR/rdonlyres/4CA576C5-8401-4446-A6B5-22BB212E76B2/0/JuryVerdicts2008.pdf</a></p>
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		<title>By: Max Kennerly</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-10953</link>
		<dc:creator>Max Kennerly</dc:creator>
		<pubDate>Sun, 02 Aug 2009 20:08:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-10953</guid>
		<description>I don&#039;t know of any plaintiff&#039;s lawyers with an 80% loss rate in malpractice cases. Anyone who has that rate quickly realizes they&#039;re losing money and moves on to other areas.

So, no, not embarrassed by your fictional numbers. Not sure what relevance they&#039;d have anyway -- if your &quot;80%&quot; number was right, it&#039;d be an argument in favor of contingent fees of well over 50% of the recovery. It wouldn&#039;t mean much about a &quot;lotto.&quot;</description>
		<content:encoded><![CDATA[<p>I don&#8217;t know of any plaintiff&#8217;s lawyers with an 80% loss rate in malpractice cases. Anyone who has that rate quickly realizes they&#8217;re losing money and moves on to other areas.</p>
<p>So, no, not embarrassed by your fictional numbers. Not sure what relevance they&#8217;d have anyway &#8212; if your &#8220;80%&#8221; number was right, it&#8217;d be an argument in favor of contingent fees of well over 50% of the recovery. It wouldn&#8217;t mean much about a &#8220;lotto.&#8221;</p>
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		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-10930</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Sun, 02 Aug 2009 02:44:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-10930</guid>
		<description>Fry your talent for inept comparisons hasn&#039;t left you.</description>
		<content:encoded><![CDATA[<p>Fry your talent for inept comparisons hasn&#8217;t left you.</p>
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		<title>By: Fyrdoc</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-10923</link>
		<dc:creator>Fyrdoc</dc:creator>
		<pubDate>Sun, 02 Aug 2009 00:41:59 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-10923</guid>
		<description>&quot;I wouldn’t base my opinion on a whole system on the take of those who don’t like/understand it in the first place.&quot;

Yeah - that would be like juries deciding a medical malpractice case.  I swear to goodness Matt, you seem to make SC appear more sane by the day.</description>
		<content:encoded><![CDATA[<p>&#8220;I wouldn’t base my opinion on a whole system on the take of those who don’t like/understand it in the first place.&#8221;</p>
<p>Yeah &#8211; that would be like juries deciding a medical malpractice case.  I swear to goodness Matt, you seem to make SC appear more sane by the day.</p>
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		<title>By: Marilyn</title>
		<link>http://www.epmonthly.com/whitecoat/2009/07/the-trial-of-a-whitecoat-part-18/#comment-10912</link>
		<dc:creator>Marilyn</dc:creator>
		<pubDate>Sat, 01 Aug 2009 19:14:41 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=3115#comment-10912</guid>
		<description>Sorry...meant to say the emotion part of the brain was most active.</description>
		<content:encoded><![CDATA[<p>Sorry&#8230;meant to say the emotion part of the brain was most active.</p>
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