[Congressional Record Volume 152, Number 55 (Tuesday, May 9, 2006)]
[Senate]
[Pages S4205-S4207]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]
VOTE EXPLANATION
Mr. DURBIN. Mr. President, yesterday, the Senate voted on two motions
to invoke cloture to proceed to legislation regarding medical
malpractice. Due to a mechanical problem with the plane on my flight
from Chicago, I was necessarily absent for this debate and the first
vote. Had I been present for that vote, I would have voted against the
motion to invoke cloture, and I did vote against the second motion.
Since 2003, the last time Congress considered this issue, 34 States
have passed malpractice legislation. Four additional States have
pending legislation in this year.
AMA counts 21 States as ``crisis'' States. Of those 21 States, 16
States passed legislation in the past 2 years, and two are currently
considering bills.
Instead of considering ways to cap pain and suffering damages for
injured patients, Congress should be working on other health care
priorities.
Neither S. 22 nor S. 23 do anything to address medical errors, the
underlying reason for medical malpractice lawsuits.
According to the Institute of Medicine, medical errors have caused
more American deaths per year than breast cancer, AIDS and car
accidents combined. It is equivalent to a jumbo jet liner crashing
every 24 hours for 1 year.
When I sat on the Government Affairs Committee, Dr. Carolyn Clancy,
Director of the Agency for Healthcare Research and Quality, testified
about patient safety.
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She called medical errors ``a national problem of epidemic
proportions.'' She went on to say that Congress and HHS need to make
sure that health care professionals work in systems that are designed
to prevent mistakes and catch problems before they cause harm.
These bills will do nothing to reach that goal.
The most far-reaching study of the extent and cost of medical errors
in our hospitals was published in the Journal of the American Medical
Association, the authors of the study analyzed 7.45 million records
from 994 hospitals in 28 States, a sample representative of about 20
percent of U.S. hospitals.
They concluded that medical injuries in hospitals ``pose a
significant threat to patients and incur substantial costs to society''
and ``are a serious epidemic confronting our health care system.''
The study found that injuries in U.S. hospitals in 2000, just 1 year,
led to approximately 32,600 deaths, at least 2.4 million extra days of
patient hospitalization and additional costs of up to $9.3 billion.
These injuries did not include adverse drug reactions or malfunctioning
medical devices.
What do these bills do about these medical errors? Nothing.
Instead, these bills place an arbitrary, one-size-fits-all cap on
noneconomic damages, forfeiting the right of a jury to decide the
appropriate level of compensation for an injured person.
The answer to this problem is not to have Congress deciding what
injured patients should receive. America has judges and juries who make
those decisions. One hundred Senators do not have all the facts and
should not place a blanket cap on all cases.
Proponents of this bill are saying it is a ``new'' medical
malpractice proposal because a patient could receive up to $750,000 in
pain and suffering as opposed to the $250,000 cap we considered in
2003.
However, the cap is still $250,000 for a doctor, a hospital or other
provider. If a patient is injured at three hospitals or by three
doctors, he or she could receive a total $750,000, but the cap is still
$250,000 per provider.
Ten years ago, Donna Harnett arrived at a hospital in Chicago, IL, in
labor with her first child. She waited nearly 5 hours before being
admitted. Following an initial examination, her doctor decided that her
labor was not progressing quickly enough and prescribed a drug to help
induce more contractions.
Later, when Donna's labor still was not progressing, her doctor broke
her water and found that it was abnormal. Rather than consider a C-
section, Donna's doctor decided to continue administering the drug, in
hopes that the labor would progress.
Six hours later, Donna still hadn't delivered, but her son's fetal
monitoring system began alarming, indicating that the baby was in
serious respiratory distress. The doctor finally decided that it was
time to perform an emergency C-section, but it was another hour before
Donna was taken into the operating room.
During that time, the doctor failed to administer oxygen or an IV to
help the baby breathe. After Martin was born, he remained in the
intensive care unit for 3 weeks. Examinations have since revealed that
Martin has substantial brain damage and cerebral palsy--a direct result
of the doctor's failure to respond to indications of serious oxygen
deprivation and deliver in a timely manner.
Donna's doctor told her never to have more children because there was
a serious problem with her DNA, which could result in similar mental
and physical disabilities in any of her future children.
Donna has since given birth to three perfectly healthy sons. Donna
sued the doctor responsible for Martin's delivery and received a
settlement, but this doctor is still licensed and practicing medicine
in Illinois--despite several other cases that have been filed against
him.
Donna is thankful that she has money from a malpractice settlement to
help cover the costs associated with Martin's care that are not covered
by health insurance--such as the used, wheelchair-accessible van that
she purchased for $50,000, and the $100,000 for renovating the new home
she purchased to make it accessible for Martin.
If the law we are debating today had been in place when Donna filed
her malpractice suit against the doctor who delivered Martin, she
doubts that she would have been able to keep him out of an institution,
because as someone who sustained permanent injuries as a newborn,
Martin would not have been eligible for an economic damage award.
The problem with malpractice premiums is a cyclical insurance
problem. We had a crisis during the 1970s and again in the 1980s.
Dozens of States have passed tort reform. Yet we find ourselves faced
with the same problems. That is because we haven't looked closely at
insurance companies.
Property casualty insurers had a record year in 2005.
The property casualty insurance industry made $43 billion in profit
last year.
The difference between the cost of the policies offered to doctors
and hospitals, and the payouts from lawsuits is enormous. Payouts have
remained steady while premiums have skyrocketed.
Wonder where that money is going?
Jeffry Immelt, the CEO of GE, made $19.23 million last year.
Martin Sullivan, CEO of American International Group, made $11
million.
Stephen Lilienthal, CEO of CNA Financial Corporation, made $3.2
million.
A. Derrill Crowe, CEO of ProAssurance, made $1.5 million.
This bill completely ignores the role of insurers in this problem.
Between 1993 and 2003, the annual premiums Americans paid for their
health insurance increased by 79 percent and employer contributions to
their employee insurance increased by 90 percent.
We need to be looking at the underlying reasons for rising health
costs, and these bills do nothing to achieve that goal.
In fact, a new CBO report, published last Friday concluded that ``the
estimated effect of implementing a package of previously proposed tort
limits is near zero.''
In other words, capping pain and suffering for patients will not
bring down health insurance costs.
Proponents of limiting pain and suffering claim frivolous lawsuits
are at the root of the problem, but these bills do nothing to cut down
on the number of lawsuits. They only punish those who have legitimate
cases.
The people whose cases make it to jury verdicts have surmounted many
hurdles. Cases without merit are thrown out before they ever reach the
jury. Why would we want to limit pain and suffering for those whose
cases make it through the system?
Medical malpractice is a complicated and multifaceted problem that
requires a variety of solutions.
First, we must improve patient safety. Medicare is starting to
embrace something called Pay for Performance that will go a long way
toward improving quality.
The idea of Pay for Performance is to pay doctors based on whether
they fulfill certain quality standards and use the best treatment
methods, rather than simply reimbursing for all services performed.
Under a Medicare pilot program, doctors can qualify for bonuses if
they provide services like vaccines and cancer screening, and eliminate
unnecessary procedures.
Here is an example of how it can improve quality.
Hackensack University Medical Center in New Jersey signed up for the
program. It agreed to report its performance on a variety of measures.
Right away, the hospitals noticed some problem areas. Under clinical
guidelines, a patient who has had orthopedic surgery should be taken
off IV antibiotics after 24 hours. Longer use of the drugs don't
prevent infection, they cost money, and they can lead to greater
antibiotic resistance.
Hackensack hospital found that 25 percent of their surgery patients
were being kept on IV antibiotics longer than 24 hours. Within one week
of the launch of the Pay for Performance program, 94 percent of
patients were taken off the drugs on time.
Second, we must improve oversight. We have something called the
National Practitioner Data Bank, which was set up to allow licensing
boards and employers to check on doctors' records before they are hired
so problem doctors could not move from state to state.
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This data bank is not working. According to the federal Department of
Health and Human Services, nearly 54 percent of all hospitals have
never reported a disciplinary action to the data bank.
Federal law requires that hospitals and medical boards be penalized
if they don't report to the data bank. But no fine or penalty has ever
been levied.
Further, hospitals sometimes agree not to report doctors they are
forcing from their staffs to smooth their departure. Also, physicians'
names are removed from malpractice settlements to keep them out of the
data bank.
The failings of the data bank create problems like the one faced by
Gwyneth Vives. Three hours after giving birth to a healthy boy in 2001,
Vives, a scientist at Los Alamos National Laboratory in New Mexico,
suffered a complication and bled to death.
The OB/GYN who tended to Ms. Vives had a troubled history. She had
previously been forced to leave a job at Duke University Medical Center
in North Carolina when questions arose about her surgical skills and
her complication rate.
According to the New Mexico Medical Board, she lied to get her New
Mexico license, saying she had never lost hospital privileges.
After Ms. Vives died, the OB/GYN went to Michigan and got a license.
We must improve the national practitioner database system so the few
doctors who are causing medical injuries cannot simply move to another
State.
Contrary to popular belief about frivolous lawsuits, 95 percent of
people who are injured by a doctor do not sue.
Studies have shown that the most significant reason people sue is
because they feel their doctor or hospital did not acknowledge the
problem, or apologize. In other words, they are angry.
Based on this data, a program called ``Sorry Works'' has been
launched. Under the program, doctors and hospital staff conduct
analyses after every patient injury, and if a medical error caused the
problem, the doctors and hospital staff apologize, provide solutions to
fix the problem, and offer upfront compensation to the patient, family,
and their attorney.
This approach helps alleviate anger and actually reduces the chances
of litigation and costly defense litigation bills. The program has
worked successfully at hospitals such as the University of Michigan
Hospital system, Stanford Medical Center, Children's Hospitals and
Clinics of Minnesota, and the VA Hospital in Lexington, Kentucky.
I am proud to say that Illinois is the first State to enact a Sorry
Works pilot program statewide.
My colleague from Illinois, Barack Obama, has introduced a bill in
the U.S. Senate to facilitate federal funding for apology programs.
The insurance industry has a blanket exemption from Federal antitrust
laws. Using their exemption, insurers can collude to set rates,
resulting in higher premiums than true competition would achieve--and
because of this exemption, enforcement officials cannot investigate any
such collusion.
There was an article in the Washington Post last Friday about Hank
Greenberg, the former chairman of one of the largest malpractice
insurers in the country, American Continental Group.
Mr. Greenberg has been sued by New York Attorney General Eliot
Spitzer for fraudulent transactions aimed at manipulating the insurer's
financial statements and deceiving regulators and investors.
If Congress is serious about controlling rising medical malpractice
premiums, we must revoke this blanket exemption created in the
McCarran-Ferguson act.
I am a cosponsor of a bill introduced by Senator Leahy called the
Medical Malpractice Insurance Antitrust Act. Our bill modifies the
McCarran-Ferguson Act for the most pernicious antitrust offenses: price
fixing, bid rigging, and market allocations.
Who could object to a prohibition on insurance carriers' fixing
prices or dividing territories for anticompetitive purposes. After all,
the rest of our Nation's industries manage either to abide by these
laws or pay the consequences.
We need to stop insurers from gouging doctors and hospitals and this
bill is a step in the right direction.
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