[Congressional Record Volume 141, Number 70 (Monday, May 1, 1995)]
[Senate]
[Pages S5857-S5859]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
MEDICAL MALPRACTICE AMENDMENT
Mr. KYL. Mr. President, I would like to address for a few minutes the
legislation which will be pending very shortly today, and specifically
the amendment relating to medical malpractice that is before Members.
I speak, of course, of the legislation to reform our product
liability tort system and the amendment which would also reform the
medical malpractice component of that civil tort litigation system.
Some have said that we have, in effect, a tort tax in this country, a
tax on all citizens by virtue of the increased costs of the products
and the services, and in particular, I am speaking of medical services,
that result from the fact that our tort system has become very
expensive.
The costs of operating that system have had to be folded into the
costs of the products and the costs of the services in order to pay for
the liability insurance, the lawyers' fees and the other expenses that
fund this tort system of ours. That tort tax ends up being a tax on all
Americans.
[[Page S5858]] In the Los Angeles Times, Thursday, April 27, Majority
Leader Bob Dole wrote an article, and it was published on this date,
the title of which is ``Ignore the Lawyers, Help the People.''
Mr. President, I ask unanimous consent that this article be printed
at the conclusion of my remarks this morning.
The PRESIDING OFFICER. Without objection, it is so ordered.
(See exhibit 1.)
Mr. KYL. Mr. President, in this article, the majority leader, I
think, makes a very powerful point; among them, points that are in
support of the amendment that is currently pending before the Senate,
which I offered on Thursday afternoon, an amendment which would put
some reasonable caps on attorney's fees.
As the majority leader notes in this article, the people who suffer
the most from our current litigation system are, as he puts it, the
little guy. He quotes a survey from the National Federation of
Independent Business in a couple of States, Texas and Tennessee, which
found that one-third to one-half of small businesses have been either
sued or been threatened with suit to punitive damages.
Because of this kind of lawsuit abuse, the majority leader notes that
the Girl Scout Council, for example, in Washington, must sell 87,000
boxes of cookies each year just to pay for liability insurance. The
average Little League's liability insurance jumped 1,000 percent in a
recent 5-year period.
Just a couple of examples of the fact that we are all paying the
costs of this litigation system, the tort taxes, if you will.
If you are a woman and you need to go see your OB/GYN on January 2,
be aware that on January 1, before that physician can even open the
doors to see anyone, that physician is going to be paying medical
malpractice premiums of probably a minimum of $30,000 and in many cases
far more than that.
Neurosurgeons are up in the $60-$70,000 range or higher. In other
words, before most physicians can even begin to treat us, at the
beginning of the year, they have had to shell out in medical
malpractice premium costs more money than most Americans make in a
year.
The cost of those premiums is--just as the cost of the liability
insurance premiums paid for by the Girl Scouts or the Boy Scouts or
other organizations--the cost of those premiums is borne by everyone of
us in the products that we buy, in the services that we receive.
The majority leader goes on to point out in this article that there
are three myths, all of which get to the basic point that the person
who suffers is the little guy, as he noted. And the persons who make
out in this litigation lottery are the lawyers. I must say at the
outset, I practiced law for 20 years and I have a deep and abiding
respect both for my fellow lawyers and for our legal system. But in the
past, where there have been changes that have required action to
compensate, where it has gotten out of balance, the legal profession
has been pretty well able to restore balance to the system. That has
not been possible with respect to this litigation lottery. You have a
large group of lawyers who make their living by charging contingency
fees to clients and then recovering very large--sometimes enormously
large--sums of money as a result of the cases that they settle or that
they bring to trial.
One of the myths that the majority leader notes is that the trial
lawyers protect the consumers. But the fact of the matter is that over
half of the money recovered by the plaintiffs in these cases goes to
the lawyers. As a matter of fact, let me cite--this is not just one or
two studies. There are several different studies that make this point.
For example, one of the studies was done by the Department of Commerce
just last year, a 1994 study, which stated that 40 cents of each dollar
expended in litigation is paid in attorney's fees.
On a recent edition of ABC's ``20/20,'' John Stossel reported that
some trial lawyers are earning contingency fees that pay them the
equivalent of $300,000 an hour. Think of that, Mr. President, $300,000
an hour. So this is not a matter of lawyers being properly compensated
for taking cases. This is literally a matter of hitting the jackpot. It
is not plaintiff who hits the jackpot, it is plaintiff's lawyer.
A 1994 study by the Hudson Institute found that 50 cents out of each
litigation dollar went to attorney's fees. That, by the way, was
reported on in the June 1994 article in the Wall Street Journal.
A study of the Rand Corporation also found that 50 cents out of each
liability dollar goes to lawyers and transaction costs, rather than to
injured victims. There are others.
The point I am making here is that study after study after study has
made the point that about half of all of the recoveries go to the
lawyers. That is not fair to the victims. That is not fair to the
plaintiffs. And what the amendment which I have offered and is
currently pending before us will do is to ensure that the victim, the
claimant, plaintiff recovers his or her fair share of whatever recovery
is obtained. Effectively, that means something in the order of 75
percent of it. I think most Americans would find it astonishing that we
would even be having a debate about whether or not the person who is
injured, who actually suffers, should be receiving on the order of 75
percent of what the jury has awarded to that individual. Yet that is
what this is all about. Our amendment simply limits the attorney's fees
to approximately 25 percent of the recovery.
I also note, when we talk about this first myth that the majority
leader noted that the trial lawyers are just protecting consumers, one
other example of the costs that get passed on. The American Tort Reform
Association notes that half of the cost of a $200 football helmet goes
to lawsuit-driven liability insurance. This is just one example of
products in our society which have been the subject of these suits and
which, therefore, are either not on the market or are on the market at
a greatly increased cost, simply because of the litigation lottery.
Myth No. 2, trial lawyers protect workers and the poor. But as the
majority leader notes in his article, the current system victimizes no
group more than the working poor and disadvantaged. Lawsuits add a
$1,200 litigation tax on every consumer in America. That is the cost we
are all paying as a result of this litigation lottery. The trial
lawyers, through contingency fees, as I said, can effectively earn
$300,000 an hour in some cases. So I do not think it is true to say
that trial lawyers protect workers, just workers and the poor.
Myth No. 3 that the majority leader points out is that the trial
lawyers are the champions of safety; if they did not bring these
lawsuits that, somehow, very dangerous products would still be on the
market. There is some truth to the fact that high profile cases have
helped to remove unsafe products from the market. But that exception to
the rule should not be the basis for this lottery, this jackpot which
results when people find they can recover astronomical sums for some
perceived damage. It often, in fact, makes our lives less safe rather
than more safe. One only has to look at the drugs that do not reach the
market because the pharmaceutical companies are afraid if they produce
some new drug without 30 years of testing on people that somebody might
have an adverse reaction to it, sue the drug manufacturer, and make
millions in punitive damages.
It is not just drugs. It is also designs of all kinds of new products
which manufacturers have said over and over again they are reluctant to
change because, if they do, there will then be the inevitable lawsuit
that that change resulted in some harm to someone as a result of which
there will be a new lawsuit.
All three myths, I think, need to be exploded. The bottom line of all
three, as I said in the beginning, is that the lawyers are using this
process not so much to create safety or protect the little guy--the
little guy is the person who is actually hurt--but rather to earn a
living which is far beyond what is necessary to protect the public. And
that then gets to the amendment I have introduced and that is before us
right now.
Very briefly, my amendment will be actually criticized as being too
generous to the trial lawyers because we start with the premise that
the underlying legislation, the McConnell-Kassebaum-Lieberman
amendment, already
[[Page S5859]] provides for lawyer's fees for the economic damages
suffered. So a lawyer can recover either 33 percent of the first
$150,000 and 25 percent of everything thereafter with no limit for the
economic damages. So you can have a very large attorney fee just for
the economic damage component of a lawsuit.
Then you have the noneconomic damage component. This is the pain and
suffering that is supposed to go to the person who suffered the pain
and suffering. All we say in my amendment is that the lawyer would be
entitled to no more than 25 percent of the first $250,000 of that pain
and suffering. So that is an additional up to $60,000-plus in
attorney's fees for the pain and suffering component of the suit.
Then, if it is a suit in which punitive damages are sought and the
lawyer believes that he should be entitled to a percentage of that as
well, he may petition the court to have a percentage of the punitive
damage award. The court would have to make that award based on what is
reasonable and ethical. It should be based upon the amount of time the
attorney put in; 25 percent would be presumed to be a reasonable fee
but all of this is up to the court.
So you see, this is a limitation but it is a limitation which will
enable attorneys to receive multithousands and tens of thousands and
even hundreds of thousands of dollars in fees for the kind of case that
would warrant it. So there is no question there would be an incentive
for anybody who has a claim--be it a little claim or a larger claim--to
have that case brought to trial because a lawyer would have an
incentive to do so. But what it provides is a cap so the lawyer does
not have a lottery here, so the lawyer does not have an incentive to
bring these cases just to see if that lawyer can hit the jackpot and
earn literally hundreds and hundreds of thousands of dollars or
millions of dollars in attorney's fees when we think that money should
go to the plaintiff or the claimant, the victim in the case. That is
what it is all about. We are going to be voting on that shortly after
11 o'clock tomorrow morning.
I just urge all of my colleagues to view this issue in the light of
what is best for the claimant, for the plaintiff, the injured party,
and to view it in the light of what is best for the American people,
who are paying a very large sum of money so that a lot of lawyers can
get very rich. As I say, some people criticize this as not being tough
enough on the lawyers. That is not what we are here for. We are not
here to bash lawyers, but to put a cap on the big bonanza kind of
recovery that we have all been reading about.
Finally, I want to take a minute to say that at shortly after noon, I
will be offering a second amendment. This is an amendment which will
put a cap on the noneconomic damages--so-called pain and suffering--in
these medical malpractice cases. It will put a cap of $500,000 on these
medical malpractice cases.
A lot of our colleagues have said the cap discussed earlier--a
quarter of a million dollars--is just not quite big enough for that
really exceptional case. In response to that, I think a lot of people
have said, ``OK. We will provide for up to half a million dollars.''
Bear in mind that this is after the economic damages--after all of the
bills have been paid, after all of the economic losses have been
accounted for--there is the pain and suffering part of it. It does not
relate to the punitive damages. There will be a different kind of
treatment for that. This is just to say with respect to that
noneconomic damage component, there will be a cap of half a million
dollars.
So I will be proposing that amendment and asking support from my
colleagues for that amendment, as well.
Mr. President, I yield the floor.
Exhibit 1
[From the Los Angeles Times, Apr. 27, 1995
Ignore the Lawyers, Help the People
(By Bob Dole)
During the current Senate debate over legal reform, you
will hear from the trial lawyers and their allies that legal
reform is nothing more than a boost to big business.
But the facts suggest otherwise. Who is hurt by lawsuit
abuse? It's the little guy, according to recent surveys by
the National Federation of Independent Businesses in Texas
and Tennessee, which found that one-third to one-half of
small businesses have been sued or been threatened with suit
for punitive damages. Because of this kind of lawsuit abuse,
the Washington-area Girl Scout council must sell 87,000 boxes
of cookies each year just to pay for liability insurance, and
the average local Little League's liability insurance jumped
1,000% in a recent five-year period. These are just a few
examples of a problem that is big and getting bigger.
Who profits from lawsuit abuse? The trial lawyers.
As the Senate considers legislation to reform lawsuit
abuses, the buzzing sound you hear is the trial lawyers
swarming to the defense of their hive of honey: The lawsuit
lottery.
This picture, needless to say, is not the one trial lawyers
would paint. According to them, they are the best (perhaps
only) friends of the poor, consumers and women. They have one
of the most effective public-relations efforts going. It is a
costly exercise, characterized by millions in contributions
to politicians and judges. Now they are mounting a $20-
million campaign to stop lawsuit reform in the U.S. Senate.
Why? Lost in the fog of propaganda is a fact well-
understood by most Americans: Our legal system costs too much
for everybody (except the trial lawyers) and has turned into
a lottery where even the threat of outrageous damages with
little or no connection to fault extorts money and time from
charitable organizations, small businesses, blood banks and
volunteer groups. But, like any effective gambling operation,
the house always wins. And the house in this case is the
trial lawyers and the system they so ardently defend.
We need a system that ensures that those harmed by someone
else's wrongful conduct are compensated fully. And we need to
ensure that the system is not twisted in ways that deter
folks from engaging in activities that we ought to encourage.
That's why I have offered an amendment that would extend the
protections against outrageous punitive damages now being
considered for manufacturers to include volunteer and
charitable organizations, small businesses and local
governments.
These reforms are an attempt to restore fairness and
integrity to a system that has gone awry. But, given the
distortions from the trial-lawyer lobby, it is clearly time
to confront a few of their most cherished myths.
Myth No. 1: Trial lawyers protect consumers. The California
Trial Layers Assn. recently changed its name to the Consumer
Attorneys of California. Some consumer Attorneys of
California. Some consumer champions. Across the nation,
abusive lawsuits drive up the costs of all kinds of goods. As
noted by the American Tort Reform Assn., half of the cost of
a $200 football helmet goes to lawsuit-driven liability
insurance.
Myth No. 2: Trial lawyers protect workers and the poor. The
current system victimizes no group more than the working poor
and the disadvantaged. Lawsuit add a $1,200 litigation tax on
every consumer in America.
Meanwhile, some trial lawyers through contingency fees
effectively earn $300,000 per hour.
The poor also pay in jobs. A RAND Corp. study estimates
that wrongful termination suits have reduced the hiring
levels in just one state by as many as 650,000 jobs.
Myth No. 3: Trial lawyers are champions of safety. Personal
injury lawyers put out literature informing us that Americans
live in the safest society in the world because of our civil
justice system. The reality is that our legal system long ago
crossed a critical threshold: It often makes our daily lives
less safe. Lawsuits not only stop pharmaceutical research and
new drugs. They cause industrial engineers to avoid safety
improvements for fear that current designs, by comparison,
will be interpreted as defective. They make all organizations
fearful of the new--because in the hands of personal injury
lawyers, ``new and improved'' has come to mean ``new and open
season for lawsuits.''
Part of our heritage as a free people is a legal system
where justice, not the search for a windfall, is the goal.
Over the past 40 years, we have strayed from that path. The
powerful trial-lawyer lobby must not be allowed to kill
reform with a campaign of disinformation, distortion and
delay. I am determined that this is the year that civil-
justice reform will pass the Senate.
Mr. GRAMS addressed the Chair.
The PRESIDING OFFICER. Under the previous order, the Senator from
Minnesota [Mr. Grams] is recognized to speak for up to 15 minutes.
The Senator from Minnesota is recognized.
Mr. GRAMS. Thank you very much, Mr. President.
____________________