Medical-legal issues always reside in the back of the mind of any provider whether the fear is realistic or not.
In the article, A Failed experiment: Health Care in Texas Has Worsened in Key Respects Since State Instituted Liability Caps in 2003, it states that the evidence proves that medical testing does not decrease even in a provider friendly malpractice environment.
Attempts at reform include caps of pain and suffering, full-disclosure programs, provider education, provider education with the malpractice statistics have not fundamentally changed the "Adversarial Relationship" that providers have with attorneys. Physicians are unable to internalize this as a "cost of doing business". The long-term psychological effects on the defendants are real but hard to quantitate.
A plan of action is to adopt the New Zealand no-fault workers' compensation type system that eliminates the blame game and hopefully makes the patient whole. The best solution to a malpractice suit is never to be named at all.
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