Medical Malpractice: Feeding the Sharks in NJ

By blackhedd Posted in Comments (4) / Email this page » / Leave a comment »

Just when you thought it couldn't get any weirder, it does.

New Jersey enacted a law in 2004 providing for subsidy payments to physicians facing high malpractice insurance premiums. The first subsidies, up to $11,000 each, have just been paid out. Like a lot of places, New Jersey faced a shortage of providers in certain specialties under particular pressure from the plaintiff bar, as physicians chose to retire early or move to other states.

Now faced with a critical situation like this, wouldn't you suppose that the people of New Jersey would enact some intelligent restrictions on the behavior of predatory lawyers? Well, no. What they did instead was fund a program from fees on all doctors and most businesses in the state, that makes disbursements to doctors so they can buy malpractice insurance.

It's as if New Jersey's lawyers have found a way to keep their shark tank stocked with fresh, tasty morsels. Am I the only one here who thinks this is exactly the wrong way to address the problem? The doctors have no objection, since it's no skin off their nose if the citizens of the state are springing for the subsidies. The plaintiff bar is showing itself yet again for a no-value-added parasite. But how can we fix that, as long as state legistlatures are full of lawyers, and Democratic Party coffers are full of their campaign contributions?

And of course whenever this topic comes up here, someone always trots out the red-herring study showing that plaintiff-bar parasitism only increases the cost of health insurance by one or two percent. The real costs are indirect, as providers overprescribe diagnostics and procedures designed more to insulate themselves from malpractice awards than from improving outcomes for patients, and decline to provide certain services at all.

The taxpayers of NJ did not contribute a dime to this fund. The Legislature taxed all physicians and lawyers 75 dollars to go to the slush - excuse me- subsidy fund. While most doctors paid, the  attornies are actually suing the state to get out of paying the fee. Also, 35% of the money did not go to the doctors. It went to fund charity care reimbursement for hospitals.

As Luke50 has stated, none of the money used in the "subsidy fund" came from the public.  It came out of the pocket of working physicians.  Most lawyers have sued so as to be exonerated from having to pay.  Doctors have been incensed!  First of all many physicians may not have the exorbitant malpractice premiums that neurosurgeons and obstetricians have, but then they also likely don't generate equivalent revenue.  In essence they are all finding it increasingly hard to pay their bills.  Taking from one to pay another is simplistic and unfair.  Second, it is unrealistic to think that an $11,000 subsidy is going to do anything at all to help a physician who's malpractice premium is over $100,000.  In addition, 35% of the subsidy fund was taken and distributed to hospitals for "charity care".  That is the same charity care that physicians do for nothing, zero, zilch, nada!  Now they pay for the privilege of caring for those who can not pay.  Before they simply did the work for free. It won't stop here.  Physicians have been unable to reverse this tax.  They also realize that it is likely to increase with each passing year.

Well by jsteele

you can always count on lawyers to do the right thing. And the legal profession wonders why they are held in such high regard?

As I understand it by blackhedd

there is also a mandate placed on New Jersey businesses of $3 per employee per year. That was my basis for saying that the cost of the fund is borne by the public. I recognize that tax dollars from individuals are not part of the fund.


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