The NP/PA communities should become a catalyst, and agents of change when pursuing real Tort Reform initiatives. By joining and endorsing the national trend of replacing our flawed and inefficient Tort System at the legislative level not only would we systematically level the field, but would also improve the legal access if not the representation of all patients aggrieved. It should be clear to us that the current system is biased toward mega verdicts & truthfully out of control.
As a Trier of fact (i.e.
medical reviewer, expert witness, etc) on alleged PA med-mal allegations for
the past 25 years I have seen the devastating professional & personal
effects our current “adversarial” system has had on many clinicians and
patients alike.
I have seen the
“stigmatized” (non-wrongdoing) PA struggle throughout their careers after their
insurer settled a case because it was cheaper than going to trial. Conversely, the reality also tells us of many patients who have been aggrieved, & yet
can not recover monetary compensation because their recovery will be minuscule
in the eyes of the plaintiff’s attorney(s). And while the Patient-Safety
Movement has raised awareness & eroded “the blame culture”, & capped
imposition on med-mal awards this has not provided much relief. The truth remains they
both still fall short of effectively reforming our judicial system. Yet,
despite the battles across the aisle, Health Courts appear as a much more
robust overlooked, and promising solution to this dilemma. Thus, leveling the odds better and establishing equity for
all involved.
Begrudgingly those with
self-serving agendas would love nothing more than to eliminate this enlightened
view of justice deliverance (Health Courts) or at the very least continue with
the status quo so their profit coffers don’t dwindle.
If we seek to be patient advocates then we can
no longer afford to be paternalistic nor disengaged, or indifferent to the
plight of our patients. We (PAs) should / must endorse & support the
establishment of a patient-centric judicial system. One where compassionate
& rational justice is delivered; one known as Health Courts where logic
supersedes hysterical emotions & political partisan interests.
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