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The medical malpractice insurance 'crises' and federal medical malpractice tort reform: Collection and analysis of bills passed by the United States House of Representatives from 1995--2005.

机译:医疗事故保险“危机”和联邦医疗事故侵权法改革:美国国会众议院从1995--2005年通过的法案的收集和分析。

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摘要

There have been three medical malpractice insurance "crises" in the United States over a time spanning roughly the past three decades (Poisson, 2004, p. 759-760). Each crisis is characterized by a number of common features, including rapidly increasing medical malpractice insurance premiums, cancellation of existing insurance policies, and a decreased willingness of insurers to offer or renew medical malpractice insurance policies (Poisson, 2004, p. 759-760). Given the recurrent "crises," many sources argue that medical malpractice insurance coverage has become too expensive a commodity---one that many physicians simply cannot afford (U.S. Department of Health and Human Services [HHS], 2002, p. 1-2; Physician Insurers Association of America [PIAA], 2003, p. 1; Jackiw, 2004, p. 506; Glassman, 2004, p. 417; Padget, 2003, p. 216).; The prohibitively high cost of medical liability insurance is said to limit the geographical areas and medical specializations in which physicians are willing to practice. As a result, the high costs of medical liability insurance are ultimately said to affect whether or not people have access to health care services.; In an effort to control the medical liability insurance crises---and to preserve or restore peoples' access to health care---every state in the United States has passed "at least some laws designed to reduce medical malpractice premium rates" (GAO, 2003, p.5-6). More recently, however, the United States has witnessed a push to implement federal reform of the medical malpractice tort system. Accordingly, this project focuses on federal medical malpractice tort reform. This project was designed to investigate the following specific question: Do the federal medical malpractice tort reform bills which passed in the House of Representatives between 1995 and 2005 differ in respect to their principle features? To answer this question, the text of the bills, law review articles, and reports from government and private agencies were analyzed. Further, a matrix was compiled to concisely summarize the principle features of the proposed federal medical malpractice tort reform bills. Insight gleaned from this investigation and matrix compilation informs discussion about the potential ramifications of enacting federal medical malpractice tort reform legislation.
机译:在过去大约三十年的时间里,美国发生了三起医疗事故保险“危机”(Poisson,2004年,第759-760页)。每次危机的特征都有许多共同特征,包括迅速增加的医疗事故保险费,取消现有的保险单以及保险公司提供或更新医疗事故保险单的意愿降低(Poisson,2004,p.759-760)。 。鉴于反复出现的“危机”,许多消息人士认为医疗事故保险已经变得太昂贵了,而这是许多医生根本买不起的(美国卫生与公共服务部[HHS],2002年,第1-2页) ;美国医师保险协会[PIAA],2003年,第1页; Jackiw,2004年,第506页; Glassman,2004年,第417页; Padget,2003年,第216页)。据说医疗责任保险的费用过高,限制了医生愿意从事的地理区域和医学专业。结果,医疗责任保险的高昂费用最终被认为会影响人们是否能够获得医疗保健服务。为了控制医疗责任保险危机,并维护或恢复人们获得医疗服务的机会,美国每个州都通过了“至少一些旨在降低医疗事故保险费率的法律”(GAO ,2003,第5-6页)。但是,最近,美国目睹了对医疗事故侵权制度进行联邦改革的推动。因此,该项目侧重于联邦医疗事故侵权法改革。该项目旨在调查以下特定问题:1995年至2005年在众议院通过的联邦医疗事故侵权法改革法案的主要特征是否不同?为了回答这个问题,对法案文本,法律评论文章以及政府和私人机构的报告进行了分析。此外,还汇总了一个矩阵,以简要总结拟议的联邦医疗事故侵权法改革法案的主要特征。从这项调查中收集到的见解和矩阵汇编为有关制定联邦医疗事故侵权法改革立法的潜在后果提供了讨论。

著录项

  • 作者

    Wesorick, Matthew H.;

  • 作者单位

    The University of Texas School of Public Health.$bPolicy & Community Health.;

  • 授予单位 The University of Texas School of Public Health.$bPolicy & Community Health.;
  • 学科 Law.; Health Sciences Public Health.; Health Sciences Health Care Management.
  • 学位 M.P.H.
  • 年度 2007
  • 页码 184 p.
  • 总页数 184
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 法律;预防医学、卫生学;预防医学、卫生学;
  • 关键词

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