TAILIEUCHUNG - Confronting the New Health Care Crisis: Improving Health Care Quality and Lowering Costs By Fixing Our Medical Liability System

Several inadequacies are responsible for suboptimal pain care. At present, conditions do not exist to 1) thoroughly and completely educate and train pain medicine physicians for managing the complexities of pain, for developing standards for the medical care of pain, and for teaching medical students; 2) strategi- cally integrate medical specialties for providing comprehensive treatment; 3) expedite the response to increasing patient demand for improved outcomes; 4) effectively and safely satisfy the treatment needs for the growing volume of patients with pain; 5) reduce costs for the patient, payer, and provider; and 6) substantially advance the knowledge of pain medicine. Each of. | Confronting the New Health Care Crisis Improving Health Care Quality and Lowering Costs By Fixing Our Medical Liability System July 24 2002 Prepared by . DEPARTMENT OF HeAlTH and human services Office of the Assistant Secretary for Planning and Evaluation Confronting the New Health Care Crisis Improving Health Care Quality and Lowering Costs By Fixing Our Medical Liability System American health care is the envy of the world but with rapidly rising health care costs reforms are needed to make high-quality affordable health care more widely available. These include new approaches to making employer-provided coverage more affordable new initiatives to help states expand Medicaid and S-CHIP coverage for lower-income persons and new policies including health insurance credits for persons who do not have access to employer or public health insurance. A critical element for enabling all of these reforms to provide real relief and to help all Americans get access to better and more affordable health care is curbing excessive litigation. Americans spend proportionately far more per person on the costs of litigation than any other country in the world. The excesses of the litigation system are an important contributor to defensive medicine --the costly use of medical treatments by a doctor for the purpose of avoiding litigation. As multimillion-dollar jury awards have become more commonplace in recent years these problems have reached crisis proportions. Insurance premiums for malpractice are increasing at a rapid rate particularly in states that have not taken steps to make their legal systems function more predictably and effectively. Doctors are facing much higher costs of insurance and some cannot obtain insurance despite having never lost a single malpractice judgment or even faced a claim. This is a threat to health care quality for all Americans. Increasingly Americans are at risk of not being able to find a doctor when they most need one because the doctor has .

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