The administration will tackle malpractice reform -- which many conservatives have been calling for in the health care debate -- away from the legislative process, with President Obama asking Health and Human Services Secretary Kathleen Sebelius today to give grants to governments and organizations that develop alternatives to the current system.
"The President thinks we should do this right now," Sebelius told reporters this morning, adding that reform can get done faster if it's not part of the larger health care reform debate in Congress.
Sebelius has 30 days to announce grants to states, local governments and health care organizations for developing, practicing and evaluating alternatives to the current medical liability system, according to a memo the President sent today.
She said there's never been a scientific look at what's effective, only "anecdote battles" over the past 30 years. "A lot of states have bits and pieces of the puzzle," she said.
The HHS department has had the power to support such demonstration projects since 1999. The President announced at his address to Congress last week that this program would start shortly.
The goal is to find a balance between lowering the cost of malpractice insurance for doctors and ending frivolous lawsuits while still allowing patients to seek compensation for medical errors.
Conservatives have touted "tort reform" as the best way to lower health care costs, and have accused the administration of being too close to trial lawyers.

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bmags
September 17, 2009 12:23 PM
Is tort reform really bending over backwards?
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Schmed
September 17, 2009 12:24 PM
In ballooning, this is known as dumping ballast.
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numediaman
September 17, 2009 12:27 PM
I'm with bmags, the headline goes too far.
I have no problem with tort reform other than it is always used as an excuse by the right to shoot down health care reform.
In fact, I've always held that it is a good idea to introduce tort reform into the negotiations as a way of luring more doctors onboard.
Tort reform? Yes, as long as the public option is approved, as well.
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TBender
September 17, 2009 12:39 PM in reply to numediaman
Bingo.
It's marginally effective, but a big plank of the opposition. Put it in, include something big on your side (public option) and Voila! Compromise.
Then hammer the above every time the opposition whines about the lack of bipartisanship. Include the dictionary definition of compromise as needed.
You won't get any more votes on the Congress floors, but you'll increase the odds of getting more votes on Election Day.
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johnnydoughey
September 17, 2009 12:28 PM
"Sebelius has 30 days to announce grants to states, local governments and health care organizations for developing, practicing and evaluating alternatives to the current medical liability system..."
Wouldn't it be easier and more cost effective to just read the results of the many studies done already these past twenty years?
It seems as though half of all our taxes are now going to support grant writers, agencies wanting more funding for their employees, and university professors who would rather do research than actually teach their students...
Seems as though, as much as we would like some substantial change... as long as we continue to elect the two major parties, we will just continue our deccine... IMHO
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Chris
September 17, 2009 12:30 PM
And you still won't get a vote.
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AdAbsurdum
September 17, 2009 12:47 PM in reply to Chris
True, most likely not a single vote from the Republicans will be earned by this gesture. However, public perception will increasingly be one of the President and the Democrats reaching across the aisle while the Republicans are increasingly seen as partisans and wackos interested only in undermining reform and the president at any cost.
If with every rebuff the Republicans paint themselves further into their marginalized corner, then why not offer them further opportunities to do so?
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Shrubbit
September 17, 2009 1:17 PM in reply to Chris
It's not for Republican votes in Congress, it's for centrist/Independent voters in middle America who've been force-fed the tort mantra for 3 decades.
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theWalrus
September 17, 2009 12:34 PM
Don't you mean bending of forwards?
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JohnW1141
September 17, 2009 12:39 PM
If Obama and the Dems OK tort reform will it imediately or sometime in the future be tort reform for all business interests?
I think this is a conduit for the Republicans to get the entire business community insulated from lawsuits.
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ns
September 17, 2009 12:41 PM
What's wrong with the tort reform?
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pirate jenny
September 17, 2009 12:51 PM in reply to ns
it hasn't been shown to make any appreciable difference in the cost of healthcare.
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ns
September 17, 2009 1:36 PM in reply to pirate jenny
That's not exactly wrong.
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pirate jenny
September 17, 2009 1:46 PM in reply to ns
http://prescriptions.blogs.nytimes.com/2009/08/31/would-tort-reform-lower-health-care-costs/
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Juble
September 17, 2009 12:43 PM
How much more disgusting can it get to see a Prez almost stooping in shit to appease his opposition.Weak,weak,weak.
The Prez is doin a disservice to the Dem party & shinning the point most made by the GOP "the Dems are weak".
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Mr. Conspiracy
September 17, 2009 12:49 PM
What's wrong with tort reform is that a medmal lawsuit really the only option you the patient have if you are harmed by a doctor or hospital because doctors and hospitals refuse to police themselves.
I'm in favor of tort reform when doctors get serious about pulling the license of incompentant and dangerous doctors. I'm in favor of tort reform when more doctors get brought up on manslaughter or criminally negligent homicide charges when they accidentally kill somebody. But these things rarely happen, so people have one solution - a civil trial. Tort reform would take even that away.
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ns
September 17, 2009 1:38 PM in reply to Mr. Conspiracy
That depends on what kind of reform it will be. FWIW, what we have now is a remarkably inefficient way to rectify medical mistakes. These do happen, and the victims do need to be taken care of.
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lyleleander
September 17, 2009 12:51 PM
And where are the Con party leaders saying, 'If Obama seriously addresses tort reform, we'll do X as result.'? This is a 'negotiation', right?
Yeah, the same place they've been through this whole fiasco... AWOL with their pants around their ankles bending over backwards and showing us a full moon
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EastWest
September 17, 2009 12:52 PM
Ooohhh, here's a surprise. Obama is giving in to the repubs. Who'da thunk it?
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Mr. Conspiracy
September 17, 2009 12:53 PM
Amen, Juble. It's pathetic.
Digby (or was it Dday) nailed it when she (or he) said Obama is desperate for bipartisan coverage because he never had any intention of passing a good bill. But he can't pass the crappy insurance giveaway he always wanted on Democratic votes alone, because if he does Democrats will get slaughtered. He needs Republican coverage and they refuse to give it to him. Thank God.
Wouldn't it be funny if Republican obstinancy force the Democrats to write a decent reform bill instead of a corporate giveaway?
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MNPundit
September 17, 2009 3:08 PM in reply to Mr. Conspiracy
Ah, so Digby is now openly saying Obama is a Corporatist Blue Dog type?
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Mr. Conspiracy
September 17, 2009 4:01 PM in reply to MNPundit
May have been DDay. I don't remember.
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screaminmeme
September 17, 2009 12:58 PM
Please define "tort reform". Then, please show ONE example of how "reforms" have (a) saved taxpayers or policy holders money, (b) brought down health care providers' insurance rates, (c) uncovered fraud that an otherwise impartial jury has not, (d) improved health care delivery or service, or (e) done anything to lower the rate of death caused by preventable error (estimated at between 90,000 and 195,000 annually in the U.S., depending on which study one looks at). Anyone? I didn't think so.
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pirate jenny
September 17, 2009 1:03 PM
malpractice lawsuits are basically the healthcare version of the repub's "voter fraud": http://prescriptions.blogs.nytimes.com/2009/08/31/would-tort-reform-lower-health-care-costs/
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chigger
September 17, 2009 1:15 PM
That's not bending over backwards--it's bending over forwards, grabbing ankles, taking The Position, getting ready to be screwed.
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chigger
September 17, 2009 1:19 PM
Oops, sorry theWalrus, I see you already said that.
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MNPundit
September 17, 2009 3:07 PM
I don't know, Tom Baker's The Medical Malpractice Myth seems to actually have done a lot of good solid work on showing that the results will be well, nothing.
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Elizabeth2
September 17, 2009 3:21 PM
Don't you get tired of confirming people's impression about "knee-jerk liberals"? I can almost hear it: "Look here, Rush, watch this. Just push this button and they start screaming, mainly at each other. Works every time. Just beautiful!"
#1 - A demonstration project does not equal taking jus compensation out of the hands of seriously injured victims of malpractice. Even if Obama was being coldly cynical about this (which I don't think he is .... entirely), agreeing to fund some pilot projects certainly takes a big stick out of the hands of the Republicans at little or no cost and maybe even sways some of them to his side. This is a bad result?
#2 - Don't be so quick to assume that tort reform in this area is necessarily something the conservatives *really* want .. or wou;d make the progressives and (more important) the patients suffer. As a genuine, down to my bones liberal who has worked for decades in the courts, I can assure you that there are MANY aspects of the malpractice liability system that could, and perhaps should, be changed .. and it wouldn't ruffle the hair of a single progressive if they were.
There are two groups primarily responsible for, and benefiting from, the current mess of malpractice litigation: the attorneys (yes, I'll admit it) and the insurance companies. It's really very simple: the insurance companies make a practice of settling even frivolous lawsuits ("cheaper than going to court") and when that happens, the result is -- guess what? --- MORE and more frivolous claims!! The attorneys, you see, get 1/3 of the recovery whether its a good case or a bad case, and bad cases that the ins. co will settle don't require very much work at all .... so they keep on bringing them in. AND because they are having to pay out on claims (rather than fighting the frivolous claims and letting the attorneys know that that cow isn't there to be milked any more), the insurance companies are *forced* (sniff, sniff) to raise their premiums, bringing in much more than they paid out to close those frivolous suits. That, of course, means the doctors raise their fee for services, which, of course, means that Guess Who gets screwed once again.
Here's a really big hint that maybe "tort reform" is something the Right just wants use to work up the crowds, and keep around as a sure button to get all those Leftist knees jerking up and down -- but really have no interest in accomplishing. Look at this sentence from the story:
"The HHS department has had the power to support such demonstration projects since 1999. The President announced at his address to Congress last week that this program would start shortly."
Now, let's see .... who was it that was in power and could have DONE something about tort reform in the years between 1999 and now?
Trust me, there is a great deal in this area that should be reformed and that it would please progressives just fine if it was reformed. A cap on recovery (the big scary bugaboo that springs up whenever "tort reform" is mentioned) is about the least likely change that would be put in -- it goes smack against centuries of common law and could well be be found unconstitutional in the end as well.
There are, however, a lot of things that would put a spoke in the current ins. co/attorney money train -- things like immediate review of cases by an independent board to asses merit - or tinkering with the American system for payment of attorney fees, going more toward the one used in Britain - or, as suggested, specialized courts (which would save untold amounts of time and expense).
In truth, I'm itching to try to find out how I could possibly get involved with one of the pilot projects or study groups. (Does anyone have any idea?)
Seriously, if the Right is accomplished at anything it's crowd manipulation -- we've gotta stop being such a predictable "crowd" for them to manipulate.
PS While it's true that liability expenses have remained a fairly constant proportion of overall medical costs --- those costs have skyrockted, right?, so the "take" from the same proportion gets bigger. A significant part of the increase in medical costs, which doesn't show up as a liability expense, is precisely what Pres. Obama mentioned in his speech: practicing "defensive medicine." Frivolous or not, every lawsuit filed against a doctor results in one doctor, and probably a lot of his/her friends, having heart palpitations and vowing to do whatever it takes to make they are NEVER sued again.
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Mr. Conspiracy
September 17, 2009 4:29 PM in reply to Elizabeth2
Frivolous medmal lawsuits?
Where?
Not where I live. You can hardly find a lawyer who will take medmal. I know of a woman in Louisiana who had an ORGAN removed, by mistake, and she can't find anyone to take her case. I think frivolous medmal is an urban myth, mainly because I have relatives who work on both sides of the issue - law and medicine. The doctors scream about it, but don't seem to be especially suffering from it or spending all their time in court defending themselves. But they all know somebody who knows somebody who got sued into bankruptcy because of a busted stitch yada yada. Meanwhile, the lawyers won't even take a case unless they know beyond a shadow of a doubt they can win it.
The people who bring medmal cases usually have no political power. Therefore, whenever anyone starts talking about tort reform, it's almost a guarantee that they will "improve" the system in favor of those with political power, specifically the AMA. The only thing that has kept tort reform from sweeping the nation and making doctors virtually invulnerable to any fuckup, no matter how heinous, are the greedy MFing lawyers that everybody loves to hate. Without them, there'd be a lot more tweaked surgeons with delusions of godhood in our operating rooms today.
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