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Re: Las Vegas From: Harrison Sheld (hsheld@anv.net) Wed Jul 2 16:46:07 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jeffrey W. Clemens: "SUI" Previous message: ENDODOK@aol.com: "Re: bicornuate uterus, desires ablation" Maybe in reply to: Richard Chudacoff, MD: "Las Vegas" Next in thread: art fougner, md: "Re: Las Vegas" Reply: art fougner, md: "Re: Las Vegas" Reply: Jafar6: "Fri+2: Literary insults." This is not a happy story. A referendum was passed by the electorate last year supporting a statute much like California malpractice law. It must be passed one more time by the electorate before it can become law. One of the insurers just yesterday requested a 10.6% raise in premiums this go round. Requests for increases from other insurers as policies need renewal are likely. The number of malpractice cases filed in Clark County (Las Vegas) has significantly increased after the last emergency session of the legislature discontinued the Malpractice Screening Panel that was a disincentive for frivolous suits while putting caps on awards with so many exceptions as to make them worthless. Insurance premiums are only one of three negative influences on the practice of medicine. Factor in the reduced reimbursement from managed care and federalization in the form of HIPPA, OSHA, ADA, and CLIA and we are coming ever close to going over the edge. The model of medical practice as we have known it, is no longer viable. In view of the tragic story of one of our posters a few days ago, it would be wise for all to have an exit strategy. Right now docs are moving to venues with more favorable tort laws. How many refugees these "Warsaw ghettos" (no offense meant, it's just an appropriate metaphor) can handle is unknown. Exit strategy. Exit strategy. Exit strategy. Think about it. Jafar6 wrote: > > on 7/1/03 8:23 PM, RModugno@aol.com at RModugno@aol.com wrote: > > In a message dated 7/1/2003 7:44:46 PM Eastern Standard > Time, apgar10@montanadsl.net writes: > > And don't draw on on inside straight. > > Gary Kleinman > > So Gary, what's it really like for OB/GYNs in Vegas now? > > Robert Modugno MD MBA FACOG > Marietta, GA > http://www.novaobgyn.yourmd.com > > Robert, > > I moved to CT about 4 years go, from LV. I only know what both you and > I have read. The malpractice crisis hit NV as hard as did anywhere > else. Harrison Sheld might be able to tell you more. > > Gary Kleinman, MD > Bridgeport, CT Next message: Jeffrey W. Clemens: "SUI" Previous message: ENDODOK@aol.com: "Re: bicornuate uterus, desires ablation" Maybe in reply to: Richard Chudacoff, MD: "Las Vegas" Next in thread: art fougner, md: "Re: Las Vegas" Reply: art fougner, md: "Re: Las Vegas" Reply: Jafar6: "Fri+2: Literary insults."

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