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Re: Tort reform for obstetricians fails in the Senate - OBs are 'special'From: Don Miller (DrMiller@eNATAL.com)Wed Mar 3 08:39:33 2004
>> Why should it be limited to OB-GYN's?
> why are Picking low-hanging fruit is sometimes the best strategy rather than holding out for something that's not ever going to happen, e.g. "Perfect is the enemy of the good." AND, Obstetrics *IS* "special" (from a liability perspective as well). First of all, what other specialty incurs liability for two patients at once, especially when one of those patients is a minor where liability is extended for at least 18 more years? What other area of medicine are clinicians literally liable for the health and perfection of a clump of a few hundred cells (or as others call the "clump" - a baby) as the baby grows into billions of cells (even though clinicians can influence almost nothing)? What other specialty is there when you see a patient the first time, you KNOW that you'll eventually meet the patient again at the hospital sometime in the next 8 months, at any hour of the day or night, occasionally in life-threatening situations, and chances are at least 1 out of 4 or better that you'll have to perform major surgery (e.g. C/S)? What other specialty has a liability pool of about 4 million women EVERY year at the most perilous and emotional times of their lives (other than *their* birth), not to mention the other millions of relatives and loved ones who know lawyers? I know I am preaching to the choir, but maybe the pagans will even understand that obstetrics is different than other areas of medicine especially when it comes to liability. Hooray for whoever had the insight to propose this as a first step, even it is a patch on a broken system.
-- Donald W. Miller, Jr., MD, FACOG eNATAL, LLC http://www.eNATAL.com
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