<?xml version="1.0" encoding="UTF-8"?><rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
		>
<channel>
	<title>Comments on: Joanne Doroshow At It Again</title>
	<atom:link href="http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/feed/" rel="self" type="application/rss+xml" />
	<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/</link>
	<description>A blog from inside the emergency department</description>
	<lastBuildDate>Fri, 17 May 2013 16:11:18 +0000</lastBuildDate>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>http://wordpress.org/?v=3.5.1</generator>
	<item>
		<title>By: Dr. Theo</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85305</link>
		<dc:creator>Dr. Theo</dc:creator>
		<pubDate>Fri, 23 Mar 2012 18:46:26 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85305</guid>
		<description><![CDATA[Matt, you stated that &quot;Insurance money in part comes from premiums. But it also comes from, primarily from, investment income.&quot;

That makes no sense.  If they can make all that money in investments why put it at risk by selling insurance that then draws from that pot?

Why is it that insurance premiums are directly related to the pay-outs in a given state?  Since most of the money comes from &quot;investments,&quot; why should premiums be so closely tied to losses?  When I moved from Illinois to Indiana my insurance premium dropped by over 60% because of different tort laws and regulations.

What you are asserting would be like Microsoft getting into the malpractice insurance business and using its computer-related profits to pay claims.  Why would they do that?]]></description>
		<content:encoded><![CDATA[<p>Matt, you stated that &#8220;Insurance money in part comes from premiums. But it also comes from, primarily from, investment income.&#8221;</p>
<p>That makes no sense.  If they can make all that money in investments why put it at risk by selling insurance that then draws from that pot?</p>
<p>Why is it that insurance premiums are directly related to the pay-outs in a given state?  Since most of the money comes from &#8220;investments,&#8221; why should premiums be so closely tied to losses?  When I moved from Illinois to Indiana my insurance premium dropped by over 60% because of different tort laws and regulations.</p>
<p>What you are asserting would be like Microsoft getting into the malpractice insurance business and using its computer-related profits to pay claims.  Why would they do that?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85125</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 21 Mar 2012 16:01:05 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85125</guid>
		<description><![CDATA[My mistake. Missed your last line. Glad we agree that we need less government not more.]]></description>
		<content:encoded><![CDATA[<p>My mistake. Missed your last line. Glad we agree that we need less government not more.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85124</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 21 Mar 2012 15:58:58 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85124</guid>
		<description><![CDATA[Thanks for the Gingrey info. Always sad to see a Republican backing greater federal intrusion in state and local matters. Particularly a physician, who should be well acquainted with the perils of injecting more government into private business.]]></description>
		<content:encoded><![CDATA[<p>Thanks for the Gingrey info. Always sad to see a Republican backing greater federal intrusion in state and local matters. Particularly a physician, who should be well acquainted with the perils of injecting more government into private business.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85123</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 21 Mar 2012 15:55:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85123</guid>
		<description><![CDATA[You say judgments over a million aren&#039;t so uncommon anymore?  What does that mean?  How common are they compared to say, 5 years ago?  Anecdotes do not equal evidence, WC, which you as a scientist should know better than most. 

Given the rate of increase in the cost of care I have no doubt judgments are going up because much of that money goes back into the medical system or health insurance industry to pay for past and future care or subrogation.  But you&#039;ve given us no hard data regarding the number of million dollar malpractice judgments, or more importantly payouts.]]></description>
		<content:encoded><![CDATA[<p>You say judgments over a million aren&#8217;t so uncommon anymore?  What does that mean?  How common are they compared to say, 5 years ago?  Anecdotes do not equal evidence, WC, which you as a scientist should know better than most. </p>
<p>Given the rate of increase in the cost of care I have no doubt judgments are going up because much of that money goes back into the medical system or health insurance industry to pay for past and future care or subrogation.  But you&#8217;ve given us no hard data regarding the number of million dollar malpractice judgments, or more importantly payouts.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85122</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Wed, 21 Mar 2012 15:50:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85122</guid>
		<description><![CDATA[So the overall principles of federalism aren&#039;t an issue for you?  If you believe there should be limits on what the plaintiffs can privately pay their attorneys, do you also support a federal cap on what defendants can pay their counsel?

When does government involvement in private business end?

You implied those &quot;super judgments&quot; would bankrupt providers. You know that&#039;s misleading for a number of reasons. Not least of which is that the provider doesn&#039;t pay them. And also that the judgment awarded doesn&#039;t necessarily mean that&#039;s what&#039;s paid. You were being imprecise to make a political point. Which is just what you criticized Ms Doroshow for doing. 

Insurance money in part comes from premiums. But it also comes from, primarily from, investment income. You know this. But again you&#039;re being imprecise for political purposes. The pot is indeed black.]]></description>
		<content:encoded><![CDATA[<p>So the overall principles of federalism aren&#8217;t an issue for you?  If you believe there should be limits on what the plaintiffs can privately pay their attorneys, do you also support a federal cap on what defendants can pay their counsel?</p>
<p>When does government involvement in private business end?</p>
<p>You implied those &#8220;super judgments&#8221; would bankrupt providers. You know that&#8217;s misleading for a number of reasons. Not least of which is that the provider doesn&#8217;t pay them. And also that the judgment awarded doesn&#8217;t necessarily mean that&#8217;s what&#8217;s paid. You were being imprecise to make a political point. Which is just what you criticized Ms Doroshow for doing. </p>
<p>Insurance money in part comes from premiums. But it also comes from, primarily from, investment income. You know this. But again you&#8217;re being imprecise for political purposes. The pot is indeed black.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: doc99</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85113</link>
		<dc:creator>doc99</dc:creator>
		<pubDate>Wed, 21 Mar 2012 14:29:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85113</guid>
		<description><![CDATA[Matt, I find your participation in this forum constructive. To understand HR5, you need to know the history of Dr. Phil Gingrey - ObGyn. For Joanne Doroshow, it similarly seems personal as well.]]></description>
		<content:encoded><![CDATA[<p>Matt, I find your participation in this forum constructive. To understand HR5, you need to know the history of Dr. Phil Gingrey &#8211; ObGyn. For Joanne Doroshow, it similarly seems personal as well.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: WhiteCoat</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85070</link>
		<dc:creator>WhiteCoat</dc:creator>
		<pubDate>Wed, 21 Mar 2012 04:38:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85070</guid>
		<description><![CDATA[I think that the feds need to butt out of a lot of state issues, but unfortunately that&#039;s not the way government works in this country. 
Overall, the bill has good points and bad points. Periodic payments, doing away with joint and several liability, limiting contingency fees, and disclosing collateral source payments are good things. Hard caps of $250,000 are not. 
In principle, though, I don&#039;t think it is within the province of the government to regulate what is largely a state action. On that basis alone, I&#039;d oppose the bill. 

Your other assertion that malpractice losses aren&#039;t paid by providers is akin to asserting that patients don&#039;t pay for increased medical costs. Insurance companies may pay for both insurance payouts and for medical treatment, but ultimately much of the money the insurance company uses comes from those who are insured. 
And I agree with you that nursing home negligence cases aren&#039;t medical malpractice, but if you look at the multimillion dollar judgments I post every week in the Healthcare Update (and those are only a small portion of total cases), you&#039;d realize that judgments above the typical $1 million limits in an insurance policy are not so uncommon anymore.]]></description>
		<content:encoded><![CDATA[<p>I think that the feds need to butt out of a lot of state issues, but unfortunately that&#8217;s not the way government works in this country.<br />
Overall, the bill has good points and bad points. Periodic payments, doing away with joint and several liability, limiting contingency fees, and disclosing collateral source payments are good things. Hard caps of $250,000 are not.<br />
In principle, though, I don&#8217;t think it is within the province of the government to regulate what is largely a state action. On that basis alone, I&#8217;d oppose the bill. </p>
<p>Your other assertion that malpractice losses aren&#8217;t paid by providers is akin to asserting that patients don&#8217;t pay for increased medical costs. Insurance companies may pay for both insurance payouts and for medical treatment, but ultimately much of the money the insurance company uses comes from those who are insured.<br />
And I agree with you that nursing home negligence cases aren&#8217;t medical malpractice, but if you look at the multimillion dollar judgments I post every week in the Healthcare Update (and those are only a small portion of total cases), you&#8217;d realize that judgments above the typical $1 million limits in an insurance policy are not so uncommon anymore.</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85049</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 20 Mar 2012 19:49:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85049</guid>
		<description><![CDATA[WC, are you for or against this bill she&#039;s opposed to?  Do you believe it&#039;s the role of the Feds to be involved in state tort actions?]]></description>
		<content:encoded><![CDATA[<p>WC, are you for or against this bill she&#8217;s opposed to?  Do you believe it&#8217;s the role of the Feds to be involved in state tort actions?</p>
]]></content:encoded>
	</item>
	<item>
		<title>By: Matt</title>
		<link>http://www.epmonthly.com/whitecoat/2012/03/joanne-doroshow-at-it-again/#comment-85048</link>
		<dc:creator>Matt</dc:creator>
		<pubDate>Tue, 20 Mar 2012 19:37:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.epmonthly.com/whitecoat/?p=7920#comment-85048</guid>
		<description><![CDATA[Discriminate against men in noneconomic awards?  Huh?

She&#039;s a lobbyist and PR person here. Just like those you parrot. Fair and balanced isn&#039;t her or your bag. You shouldn&#039;t be surprised. 

Your &quot;super losses&quot; aren&#039;t paid by medical providers and the majority of the dollars in your link had nothing to do with malpractice. You know that, but it&#039;s just an example of you doing exactly what you&#039;re so incensed at her doing. I know, you&#039;re shocked to find gambling in this establishment!]]></description>
		<content:encoded><![CDATA[<p>Discriminate against men in noneconomic awards?  Huh?</p>
<p>She&#8217;s a lobbyist and PR person here. Just like those you parrot. Fair and balanced isn&#8217;t her or your bag. You shouldn&#8217;t be surprised. </p>
<p>Your &#8220;super losses&#8221; aren&#8217;t paid by medical providers and the majority of the dollars in your link had nothing to do with malpractice. You know that, but it&#8217;s just an example of you doing exactly what you&#8217;re so incensed at her doing. I know, you&#8217;re shocked to find gambling in this establishment!</p>
]]></content:encoded>
	</item>
</channel>
</rss>
