Hole-y Hegemony, Dr. Killcourts!

by: Paul Rosenberg

Sat Oct 17, 2009 at 08:00


98000reasons.org says:

According the the Institute of Medicine, 98,000 people die every year from preventable medical errors--and this number doesn't include those seriously injured.  This is the sixth leading cause of death in America, equivalent to two 737s crashing every day.

Trial attorneys see first-hand the effects medical errors have on patients and their families. The best way to have fewer medical maslpractice cases is to reduce the number of medical errrors. If less people need to seek legal recourse, that means patients are getting safer.  Patients that are safer also means lower costs to the health care system..  Everyone can support this.

They ask you to contact Congress opposing "tort reform" being included in health care reform.  Takes about a minute.

On the other hand, here's a verrrrry interesting poll from Clarus Research Group on "Health Care Reform and the Legal System"--interesting because it shows how successful a 30-year-or-so campaign for "tort reform" can be, and still leave a wide-open gapping hole.  There's 18 questons overall, and I provide a quick look and comment to half of them.

To start things off, here are two broad-spectrum questions, which show the general success of the conservative war on courts:

Too Quick To Sue?

It's a core article of faith of the conservative war on courts that folks are just too litigious--even though it's corporations that file far more and bigger lawsuits.

Better or Worse?

And, of course, lawsuits are ruining the country!  ("Leave the corporations and the police state alone!")

Paul Rosenberg :: Hole-y Hegemony, Dr. Killcourts!
Judges Throw Cases Out?

What could be more populist than giving over absolute gatekeeper power to an elitist judge?

Throw Juries Out, Too!

If you're going to be a populist elitist, why mess around?

Health Courts

In which case, this:

is simply the next logical step!

And a good thing, too, given that people still have funny traditional values when it comes to:

Jury Discretion

No juries?  No problem!

Done Quick! Done Right!

Gosh, I wonder how they would have answered if the question asked was this:

DO YOU AGREE OR DISAGREE WITH THIS STATEMENT: As part of any health care reform plan, Congress needs to change the medical malpractice system so that cases are resolved quicker, and more reliably, on behalf of those who are in the wrong.

Questionable question design, much?  Ya think???

And finally, the whole point of this long exercise:

Defensive Medicine--That's The Evil!

But This One Just Doesn't Fit!

Hole-y Hegemony! What's that you say?  By better than 2-1 people think that legitimate lawsuits are not being heard, because the court system just makes it too difficult?

That certainly doesn't sound like it belongs in the same universe as all those other answers.  In fact, it sounds like this question just happened to ask about how people really feel on a fundamental aspect of civil justice that hasn't been the focus of intense conservative "attitude adjustment".  After all, in our collective state of cognitive dissociation how people answer this very revealing question doesn't seem to affect much of anything that conservatives are trying to accomplish.  So why waste time trying to brainwash people over this?

Once again, a friendly little reminder that movement conservatism is the enemy of rational thought.  Not to mention, their health care plan really is "Die quickly." Followed by, "Don't sue."


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Totally Consistent (0.00 / 0)
If you assume that people trust judges and experts more then lawyers and their fellow citizens, and that they want to reduce complexity.

Not Exactly (4.00 / 1)
It's the sort of consistency in which all the children are above average.

Which is precisely what hegemonic discourse aims for.

"Senate passes expanded GI bill despite Bush, McCain opposition"


[ Parent ]
Dr Pronovost's Keystone Project needs to be expanded (4.00 / 1)
Dr Pronovost has testified before Congress about his success in reducing Intensive Care Unit infections by a very simple set of steps. This Wiki biog lists them and goes on to say that the doctors don't like to follow checklists nor to be monitored to be sure they take the precautions that lower the infection rate to zero. The links at the bottom provide testimony and background, even a short video from Johns Hopkins that gives an idea of how a quality improvement programs depends on easy-to-follow steps that fit in with each hospital culture, as they do differ.

http://www.youtube.com/watch?v...


I'll say it again. . . (4.00 / 2)
We already have a legislative and executive branch that have proven themselves unresponsive and frankly unconcerned about the general populace. The courts are essentially the only recourse people have left to seek a little justice. And we have a constitutional right to seek redress of grievances in a court of law. Such a right is the cornerstone of a stable society. The more that right is whittled away, and the more people are denied their right to seek redress in court, the more likely people will seek satisfaction in other, less civil, and more dangerous ways.


But What Could Be More Conservative Than Destroying The Courts? (4.00 / 2)
And what could be more patriotic than secession?

"Senate passes expanded GI bill despite Bush, McCain opposition"

[ Parent ]
CBO caused this... (4.00 / 1)
There would not have been a big push to include malpractice in HCR, but now there will be thanks to the shoddy report from CBO "estimating" $54 billion in savings. CBO did not have sufficient data to make this extrapolation and therefore should have declined to speculate.

you mean the 0.5% savings? (4.00 / 1)
http://cboblog.cbo.gov/?p=389

holy huge savings!

such an incredibly huge amount will provide free health coverage to all americans!

mary landrieu is already drafting the bill!


[ Parent ]
aren't lawsuits a way of increasing insurance company profits? (0.00 / 0)
i'm not saying that that makes them necessarily bad, but most of the doctors i know support expanding and improving healthcare coverage and at the same time complain about massive malpractice insurance costs.  

in the absence of a decent health care system, people shoudl rightfully sue the s$h9it out of any isnstitution that misserves them, but it would be idea to eventually develop a better system rather than endorsing what i think (?) is probbaly a symptom of dysfunction more than an effective long-run remedy.

but i'm very biased on this - i know a lot of doctors.


Personally (0.00 / 0)
I think that lawsuits are significantly symptomatic of a broken system, and would decrease if we were to switch to a single-payer system.  But I'm not aware of any research on the subject, so I wouldn't hazard a guess as to how much this impact would be.

My interest in posting this was narrowly focused on how a broad hegemonic effort over a long period of time translates into a more specific policy battle, and yet leaves gaping holes, precisely because of the nature of its manufacture.

"Senate passes expanded GI bill despite Bush, McCain opposition"


[ Parent ]
Deregulate AND prevent lawsuits (4.00 / 3)
The big corporations want it both ways.  On the one hand they want deregulation so government can't prevent problems and harms in advance.  On the other hand they want to prevent lawsuits after they have caused problems or harms.

Just just want to be able to do anything they want, and then get away with it.


Pretty Much (4.00 / 1)
not to mention getting handed an extra 30 million customers or so.

You know, if we can't get a public option, maybe we could get the Mafia to compete with them.

"Senate passes expanded GI bill despite Bush, McCain opposition"


[ Parent ]
this is my favorite (4.00 / 1)

holy stupidity!


and thanks for the very good diary paul (0.00 / 0)


[ Parent ]
this quote says it best (4.00 / 1)
found this from one of the 'morning no' links this week

There are 98,000 reasons to oppose what the right-wing calls "tort reform".  One of them is that the reason for malpractice suits, first and foremost, is malpractice.
http://sideshow.me.uk/soct09.h... from http://www.openleft.com/diary/...

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