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【共享】医疗纠纷风险：一位美国医生的困惑

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DR. COEN: Thank you, Mr. President and Mr. Secretary, for the opportunity to be here today. I appreciate the fact, Mr. President, you've kept your promise to help physicians take better care of patients by getting rid of the medical liability problem that we have in this country.

I am an obstetrician/gynecologist who can longer call herself an obstetrician. Three years ago, my partner, Dr. Susan Clark, and I stared a small practice called Generations Women's Health Care, in Norton, Ohio. We had the help of Barberton Citizen's Hospital for two years. At the end of two years, we were to be independent from the hospital and be operating on our own. At that time, we decided to look for medical liability insurance and were stunned to find that our premiums were going from $60,000 for our current space malpractice, to $118,000 for claims-made liability.

At that time, we had 110 pregnant women in the practice and had three weeks to tell they they had to find a new physician. Anyone who has ever had a baby understands the relationship between the obstetrician and that patient is so special. They're trusting you with their most precious possession, the life of that child. And it was awful to call those patients and tell them we couldn't take care of them. I got notes saying, "I promise I won't sue you, please deliver my baby." It was absolutely heartbreaking. Some people were due the next week. It's an awful system that needs to be reformed.

The things that bother me the most about the medical liability system in this country is the Trial Lawyers Association will come out and tell you that medical liability is only 1 to 2 percent of the health care cost every year. Well, when health care costs are $1.2 trillion, I think if you told anybody in this room "Your salary next year is going to only be 1 to 2 percent of the national health care cost," it would be a substantial raise, wouldn't it? I mean, I think we'd all be pretty excited to be getting that.

The other thing that bothers me is 80 percent of frivolous -- of lawsuits against physicians get thrown out. What if I was only right 20 percent of the time? What if that was the standard I was held to? I see 30 patients a day. What if I only got it right on six of them? What's going to happen to the other 24? I think we need to hold these people to a higher standard, the same standard that physicians are held to. And I appreciate the fact that you're all working on reforming the system. Thank you. (Applause.)

这是布什召开的诉讼法改革会议上的医生发言节选
http://www.whitehouse.gov/news/releases/2004/12/20041215-11.html

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2008-05-06 01:21 浏览 : 787 回复 : 0

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freelane 编辑于 2008-05-08 21:34

• 兰州兽医研究所疑似布病群体感染，官方回应来了！

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