On Feb 9, 2007, a Providence, RI, jury returned a $21.5M wrongful death verdict for the plaintiff in Thomas Noel O’Sullivan et al v. Newport Emergency Physicians Inc. and Charles L. Stengel M.D. With interest, the award is expected to come to $28M.
The following report in Providence Business News breaks down the award as follows:
- $9M to the husband (Thomas O'Sullivan), for loss of his wife
- $4M to each of the 3 children, for loss of their mother
- $500M to the estate of (Julia) Mary O'Sullivan, for pain and suffering
According to a report from a local news station, William F. White, Attorney for the Defense, in responding to the award was quoted:
"(This verdict shows a) systemic problem with asking a jury to decide non-economic, emotionally charged issues without any meaningful guidelines."
So the defense is taking issue with the non-economic damages component. Understood. (I would also like to point out that the sum of those damages above is $21.5M, so I do not know where the actual economic damages award are.)
Implicit in the defense attorney's comment is a call for tort reform, presumably to place a cap on non-economic damages. I have seen similar sentiment before, enacted into legislation right here in Texas. The trouble with this "solution" is that it puts a barrier in front of the injured to seek remedy at court. Ostensibly, that's what the tort reformers want: to weed out the non-meritorious cases from coming to trial. The problem it generates is that some of the truly injured now have a disincentive to seek remedy at law. And second, such a system seems to provide a disincentive to medical care givers to provide their best possible care. More troubling, is such a barrier to judicial remedy something that we as a society want to encourage?
The argument you will hear time and again from the Tort Reform ilk goes something like, "It costs too much in malpractice premiums to be a doctor." And then the variant goes something like, "I cannot afford to practice medicine!" Or, "I'm moving someplace else where the medmal insurance premiums are more affordable."
Regarding the first, I've not seen too many doctors in line at the soup kitchen.
Regarding the second, yes, tort reform has created this problem. However, the transaction costs of moving and setting up a new practice, finding new patients, developing a reputation in a new region, etc. serves as an impediment to "doctor flight."
We all need doctors, on this I am sure we all agree. My personal belief is that doctors should not be unjustly targeted. That said, shouldn't we trust the legal process to filter the wheat from the chaffe? I would expect non-meritorious cases to be flushed out, and the cases with true injury to make it through to the end game. Even so, my understanding is that the judges have the discretion to mark down these jury judgments, and often do so. So, perhaps a long-run effect of this whole process would be for juries to gross-up damages awards to compensate for the coming judicial mark-down. Game theory, and whatnot.
Regardless, I believe in accountability. If you are held accountable, then you will work with care. As everyone should, doctor and non-doctor alike.
