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Senators Santorum and Frist Attack Victims of Medical Negligence to Garner Campaign Cash from Insurance Industry

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Medical Malpractice News

(Thursday, June 1, 2006 -Washington DC)— Sen. Rick Santorum (R-Pa.) and Sen. Bill Frist (R-Tn.) are at it again, reprising the medical malpractice myths in the Scranton, Pennsylvania area today to fill their pockets with campaign contributions while ignoring mounting evidence that lawsuits intended to hold hospitals and nursing homes accountable for gross negligence have nothing to do with insurance premiums.

The incidence of medical malpractice lawsuits is declining in Pennsylvania and elsewhere while payouts in medical malpractice cases nationwide continue to plummet. The Senate just last month rejected the claims circulated by proponents of civil justice restrictions like Frist and Santorum, but apparently the two lawmakers found the lure of campaign contributions from the insurance lobby so great that they are willing to limit the rights of their constituents.

“The unfair one-size-fits-all cap on non-economic damages does nothing but enrich insurance companies to the detriment of everyone else,’’ said Ken Suggs, president of the Association of Trial Lawyers of America.

“Senator Santorum took the hypocritical oath with Dr. Frist today – while Santorum’s wife sued her chiropractor for medical negligence, he is working overtime to limit the ability of other Pennsylvanians to do the same,” said ATLA head Jon Haber.

As usual, Frist and Santorum have ignored proof that insurance industry price gouging is responsible for high medical malpractice insurance premiums, not lawsuits filed by patients indelibly harmed by the gross negligence of health care providers. The medical malpractice insurance firm that is owned by the Frist family has proved to be one of the worst price gougers of all.

The Institute of Medicine found that between 44,000 and 98,000 patients die each year as a result of preventable medical errors. As the Institute noted, "[e]ven using the lower estimate, preventable medical errors in hospitals exceed attributable deaths to such feared threats as motor-vehicle wrecks, breast cancer, and AIDS."

“Health care providers need to be held accountable for their instances of gross negligence and the civil justice system serves as an incentive to ensure the best care possible,’’ Suggs said.

In May, ATLA Political Action Committee ran television ads in the Harrisburg and Scranton media markets aimed at educating Pennsylvanians as to U.S. Senator Rick Santorum’s efforts to restrict the rights of women with his ill-conceived medical malpractice bill. ATLA also staged a web campaign, placing ads on dozens of Pennsylvania political and media web sites and launched a web site, www.trickyrickysantorum.com to further highlight the hypocrisy of Santorum’s proposal.

Below is information that neither Frist nor Santorum is likely to mention:

More Half-Truths and Exaggerations Expected at the Frist-Santorum Medical Malpractice “Reform” Event

Today, Bill Frist will be campaigning with Rick Santorum in Pennsylvania. In addition to raising money for the Santorum campaign, Frist and Santorum will hold a public event to call for medical malpractice “reform.” If their past comments are any guide, today’s event will be filled with half-truths and exaggerations. Here are the facts that won’t hear from either Senator today:

Pennsylvania Courts Released Statistics This Year Showing that the State has Seen a “Sustained Decline” in Medical Malpractice. On April 25, 2006, the Administrative Office of Pennsylvania Courts released data on medical malpractice case filings and verdicts for 2005 that showed “a sustained decline in the number of med mal lawsuits filed statewide.” According to the data, between 2000 and 2005, the number of medical malpractice case filings dropped 35 percent – from 2,632 in 2000 to 1,698 in 2005. [Administrative Office of Pennsylvania Courts data, http://www.courts.state.pa.us/Index/MedicalMalpractice/2005StatewideFilings.pdf; “Latest Medical Malpractice data shows sustained decline in case filings,” Administrative Office of Pennsylvania Courts press release, 4/25/06, http://www.courts.state.pa.us/Index/MedicalMalpractice/4-25-06%20Med%20Mal%20stats%20for%202005.pdf]

  • Frist & Santorum Appearing in Lackawanna County Pennsylvania, Where the Number of Medical Malpractice has Been Cut in Half Since 2000. According to the Supreme Court of Pennsylvania, the number of medical malpractice case filings has decreased in Lackawanna County, Pennsylvania from 71 cases in 2000 to 35 cases in 2005 – a decrease of 50%.

The Government Accountability Office: Malpractice Cases Have Not Widely Affected Access to Health Care. The Government Accountability Office (GAO, formerly the General Accounting Office) found that “many of the reported provider actions taken in response to malpractice pressures were not substantiated or did not widely affect access to health care … some reports of physicians relocating to other states, retiring, or closing practices were not accurate or involved relatively few physicians.” [“Medical Malpractice: Implications of Rising Premiums on Access to Health Care,” GAO, 9/29/03, www.gao.gov/cgi-bin/getrpt?GAO-03-836]

Study Shows that Skyrocketing Premiums Are Actually the Result of Medical Malpractice Insurers Price-Gouging Doctors. A 2005 study conducted by former Missouri Insurance Commissioner Jay Angoff found that insurance companies have been price-gouging doctors by drastically raising their insurance premiums, even though claims payments have been flat, or in some cases decreasing. According to the annual statements of the 15 largest insurance companies, the amount malpractice insurers collected in premiums increased by 120.2 between 2000 and 2004, while their claims payouts rose by only 5.7 percent. Thus, they increased their premiums by 21 times the increase in their claims payments. [“Falling Claims and Rising Premiums in the Medical Malpractice Insurance Industry,” Jay Angoff, 7/05; http://www.centerjd.org/ANGOFFReport.pdf ]

  • Insurer with Ties to Frist is One of the Worst Offenders; Dramatically Increased Premiums, Even As Claims Payments Have Dropped. Among the 15 insurance companies included in the Angoff study, Health Care Indemnity, Inc. (HCI) was one of the worst offenders. According to HCI’s annual financial statements, the company increased its net premiums by $173 million, or 88 percent, between 2000 and 2004, even though its claims payments fell by $74.2 million, or 32 percent. HCI is the medical malpractice insurance subsidiary of The Hospital Corporation of American (HCA) – a multi-billion healthcare services company founded by Senator Frist’s brother and father. Frist’s brother, Thomas still remains with the company, acting as Chairman Emeritus. [“Falling Claims and Rising Premiums in the Medical Malpractice Insurance Industry,” Jay Angoff, 7/05; http://www.centerjd.org/ANGOFFReport.pdf; “Directors and Officers,” HCA website, http://phx.corporate-ir.net/phoenix.zhtml?c=63489&p=irol-governance]

Payouts in Medical Malpractice Cases Have Dropped Over Last Four Years; The Number of Payments Over $1 Million Has Dropped 56 Percent Since 1991. According to a 2005 study by Public Citizen, malpractice payouts have remained flat for more than a decade and have actually dropped over the last four years. Among the finding of the study, which looked medical malpractice payout trends between 1991 and 2004:

  • The number of malpractice payments paid on behalf of doctors fell 13.6 percent between 2001 and 2004.
  • Adjusted for inflation, malpractice payments saw an average annual increase of only 0.8 percent between 1991 and 2004.
  • Adjusted for inflation, the median payment from judgments grew from $125,000 in 1991 to $146,000 in 2004 – only a 1.2 percent average annual increase.
  • The percentage of payments over $1 million dropped from 2.25 percent in 1991 to just 1 percent in 2004. Adjusted for inflation, this represents a 56 percent drop.

[“Medical Malpractice Payout Trends 1991 - 2004: Evidence Shows Lawsuits Haven’t Caused Doctors’ Insurance Woes,” Public Citizen, May 2005, http://www.citizen.org/documents/Malpracticeanalysis_final.pdf]

According to Insurance Industry Officials, Medical Malpractice / Tort “Reform” Bills – Like Senate Bills 22 & 23 – Will Not Result in Lower Insurance Rates. A number of officials from the insurance industry, and their allies, have admitted that medical malpractice “reform” will not lead to lower insurance rates:

  • AIA Suggested Prices Will Continue to Rise, Even with Tort “Reform.” Dennis Kelly of the American Insurance Association has said, “We have not promised price reductions with tort reform.” In addition, an AIA press release stated: “Insurers never promised that tort reform would achieve specific premium savings...” [The Chicago Tribune, 1/3/05; American Insurance Association press release, 3/13/02]
  • President of the Physician Insurers Association of America & the General Counsel to the American Tort Reform Association: Premiums Increased, In Part, to Make Up for Lost Investments. Lawrence Smarr, president of the Physician Insurers Association of America, admitted to the Detroit News that premiums are in part rising to make up for lost investment income. Similarly, Victor Schwartz, general counsel to the American Tort Reform Association, suggested that premiums increased when the insurance companies’ investment income began to decline: “Insurance was cheaper in the 1990s because insurance companies knew that they could take a doctor’s premium and invest it, and $50,000 would be worth $200,000 five years later when the claim came in. An insurance company today can’t do that.” [The Detroit News, 7/8/05; Honolulu Star-Bulletin, 3/20/03]
  • President of First Professional Insurance Company: “Responsible” Insurers Can’t Cut Rates After a Medical Malpractice “Reform” Bill Passed. According to Bob White, President of First Professional Insurance Company, the largest medical malpractice insurer in Florida, “[n]o responsible insurer can cut its rates after a [medical malpractice tort ‘reform’] bill passes.” [Palm Beach Post, 1/29/03]

The Methodology Used to Calculate the Cost of “Defensive Medicine” Has Been Debunked by CBO, GAO. According to Congressional Quarterly Weekly, the statistics used to cite the cost of so-called “defensive medicine” are “[b]ased on an estimate from the Department of Health and Human Services (HHS) in a report that extrapolated from a narrower study of the costs of treating Medicare heart patients before and after states approved certain caps on damages and other changes. The Congressional Budget Office tried to apply that study’s methodology to a broader set of ailments and reported no evidence that restrictions on tort liability reduced medical costs.” In 1999 the GAO wrote, “[b]ecause this study was focused on only one condition and on a hospital setting, it cannot be extrapolated to the larger practice of medicine. Given the limited evidence, reliable cost savings estimates cannot be developed.” Other key factors to note about the study include:

  • The study was published in 1996 and the data used was from 1984, 1987 and 1990;
  • The study only looked at one type of heart procedure performed only on Medicare patients; and
  • HHS took the limited, out-dated data and extrapolated the results to the entire health care industry

["Tort Reform Battle: A Simple Case of Complexity," CQ Weekly, 1/31/05; “Medical Malpractice: Effects of Varying Laws in the District of Columbia, Maryland and Virginia,” Page 5, United States Congress General Accounting Office, 10/99; “Do Doctors Practice Defensive Medicine?” http://papers.nber.org/papers/w5466, February, 1996]

As Many As 98,000 Patients Die Each Year as a Result of Preventable Medical Errors. According to a landmark report released by the Institute of Medicine, between 44,000 and 98,000 patients die each year as a result of preventable medical errors. As the Institute noted, "[e]ven using the lower estimate [44,000], preventable medical errors in hospitals exceed attributable deaths to such feared threats as motor-vehicle wrecks, breast cancer, and AIDS."The Institute’s report also estimated that these medical errors cost between $17 billion and $29 billion per year, which includes expenses for additional care needed as a result of the errors, lost income and household productivity, and disability. ["Medical errors still claiming many lives," USA Today, 5/18/05; "To Err is Human: Building a Safer Health System [summary]," Institute of Medicine, 11/99, http://www.iom.edu/Object.File/Master/4/117/ToErr-8pager.pdf]


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