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	<title>
	Comments on: N. H. med-mal: &#8220;early offers,&#8221; with a side of loser-pays	</title>
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	<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/</link>
	<description>Chronicling the high cost of our legal system</description>
	<lastBuildDate>Mon, 09 Jul 2012 15:30:05 +0000</lastBuildDate>
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		<title>
		By: Welcome New York Post readers - Overlawyered		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-167882</link>

		<dc:creator><![CDATA[Welcome New York Post readers - Overlawyered]]></dc:creator>
		<pubDate>Mon, 09 Jul 2012 15:30:05 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-167882</guid>

					<description><![CDATA[[...] first-in-the-nation &#8220;early offers&#8221; experiment in malpractice reform. Earlier here, etc. Note also that Christopher Robinette at TortsProf has added to his illuminating series of [...]]]></description>
			<content:encoded><![CDATA[<p>[&#8230;] first-in-the-nation &#8220;early offers&#8221; experiment in malpractice reform. Earlier here, etc. Note also that Christopher Robinette at TortsProf has added to his illuminating series of [&#8230;]</p>
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		<title>
		By: PointOfLaw Forum		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-166501</link>

		<dc:creator><![CDATA[PointOfLaw Forum]]></dc:creator>
		<pubDate>Tue, 03 Jul 2012 16:43:24 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-166501</guid>

					<description><![CDATA[&lt;strong&gt;Medical malpractice reform in New Hampshire...&lt;/strong&gt;

Recently the New Hampshire legislature voted to override the veto of Gov. John Lynch and enact an &quot;early offer&quot; system for medical malpractice cases. As Walter Olson describes, the law incentivizes &quot;defendants to make offers early in the litigation ...]]></description>
			<content:encoded><![CDATA[<p><strong>Medical malpractice reform in New Hampshire&#8230;</strong></p>
<p>Recently the New Hampshire legislature voted to override the veto of Gov. John Lynch and enact an &#8220;early offer&#8221; system for medical malpractice cases. As Walter Olson describes, the law incentivizes &#8220;defendants to make offers early in the litigation &#8230;</p>
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		<title>
		By: Max Kennerly		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-166021</link>

		<dc:creator><![CDATA[Max Kennerly]]></dc:creator>
		<pubDate>Sun, 01 Jul 2012 14:24:48 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-166021</guid>

					<description><![CDATA[I had read it: fact is, blinded person receives $0 for loss of &quot;earning capacity.&quot; I know &lt;i&gt;you&lt;/i&gt; are reluctant to concede (or to defend) the re-defining of &quot;economic loss&quot; to specifically exclude &quot;earning capacity,&quot; but it&#039;s right there on the face of the bill. Also on the face of the bill is the $0 for future damages in every early offers; what you get after that is a screwy, partial version of workers&#039; comp that includes all the problems of workers&#039; comp with few of the benefits. Courts can and do suddenly discontinue lost wages, under reasoning like, for example, &quot;The probability that he would still be working at a given date is constantly diminishing.&quot; Jones &#038; Laughlin Steel Corp. v. Pfeifer, 462 US 523 (1983). That&#039;s why lump-sum is usually preferable for plaintiffs.

It&#039;s not a question of encouraging litigation. It&#039;s of ensuring compensation for seriously injured victims and of discouraging frivolous litigation. The NH bill does the opposite; there&#039;s no circumstance under which a seriously injured person should use it and yet, if one does, they&#039;re effectively precluded from suit; and, the system strongly favors throwing meritless cases at the early offer system. If they had this in PA, I would dump 75% of my medmal intake into it, because the claims are arguably meritorious but not really worth the risk of real litigation. What good does that do anybody?

This argument is what happens when there&#039;s a weekend heat wave in the northeast. Short story is: all you&#039;ve going to get out of NH&#039;s system is cheating a couple good cases bamboozled into the system and then a huge burden for everybody with hundreds of claims with minimal injuries or unprovable negligence. I don&#039;t think that advances the ball for anybody except negligent doctors and troll plaintiff&#039;s lawyers, the two groups none of us want to support.]]></description>
			<content:encoded><![CDATA[<p>I had read it: fact is, blinded person receives $0 for loss of &#8220;earning capacity.&#8221; I know <i>you</i> are reluctant to concede (or to defend) the re-defining of &#8220;economic loss&#8221; to specifically exclude &#8220;earning capacity,&#8221; but it&#8217;s right there on the face of the bill. Also on the face of the bill is the $0 for future damages in every early offers; what you get after that is a screwy, partial version of workers&#8217; comp that includes all the problems of workers&#8217; comp with few of the benefits. Courts can and do suddenly discontinue lost wages, under reasoning like, for example, &#8220;The probability that he would still be working at a given date is constantly diminishing.&#8221; Jones &amp; Laughlin Steel Corp. v. Pfeifer, 462 US 523 (1983). That&#8217;s why lump-sum is usually preferable for plaintiffs.</p>
<p>It&#8217;s not a question of encouraging litigation. It&#8217;s of ensuring compensation for seriously injured victims and of discouraging frivolous litigation. The NH bill does the opposite; there&#8217;s no circumstance under which a seriously injured person should use it and yet, if one does, they&#8217;re effectively precluded from suit; and, the system strongly favors throwing meritless cases at the early offer system. If they had this in PA, I would dump 75% of my medmal intake into it, because the claims are arguably meritorious but not really worth the risk of real litigation. What good does that do anybody?</p>
<p>This argument is what happens when there&#8217;s a weekend heat wave in the northeast. Short story is: all you&#8217;ve going to get out of NH&#8217;s system is cheating a couple good cases bamboozled into the system and then a huge burden for everybody with hundreds of claims with minimal injuries or unprovable negligence. I don&#8217;t think that advances the ball for anybody except negligent doctors and troll plaintiff&#8217;s lawyers, the two groups none of us want to support.</p>
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		<title>
		By: Walter Olson		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-166017</link>

		<dc:creator><![CDATA[Walter Olson]]></dc:creator>
		<pubDate>Sun, 01 Jul 2012 14:06:03 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-166017</guid>

					<description><![CDATA[Max, I know you&#039;re reluctant to concede that you misread the statute at first, and I know you&#039;re eager to tout the advantages of litigation (we&#039;ll get you a lump sum now!&quot;) over the particular package of benefits afforded by the N.H. statute (to pretend that the monthly lost-wage check must be begged for every time is about as realistic as pretending that private disability insurance coverage -- which also fails to cover future improvements in earning capacity -- requires you to take the insurer to court each month for the check.) As Prof. Robinette explains in his thoughtful exposition, there are individual cases in which he as a former plaintiff&#039;s lawyer would advise claimants to refrain from exercising the early-offer option because of their particular circumstances. But that&#039;s very different from what you wrote above: &quot;If you’re blinded by malpractice and so can’t work, the loss in income to you is valued at $0.&quot; When you wrote that comment, had you read s. 519-C:5?]]></description>
			<content:encoded><![CDATA[<p>Max, I know you&#8217;re reluctant to concede that you misread the statute at first, and I know you&#8217;re eager to tout the advantages of litigation (we&#8217;ll get you a lump sum now!&#8221;) over the particular package of benefits afforded by the N.H. statute (to pretend that the monthly lost-wage check must be begged for every time is about as realistic as pretending that private disability insurance coverage &#8212; which also fails to cover future improvements in earning capacity &#8212; requires you to take the insurer to court each month for the check.) As Prof. Robinette explains in his thoughtful exposition, there are individual cases in which he as a former plaintiff&#8217;s lawyer would advise claimants to refrain from exercising the early-offer option because of their particular circumstances. But that&#8217;s very different from what you wrote above: &#8220;If you’re blinded by malpractice and so can’t work, the loss in income to you is valued at $0.&#8221; When you wrote that comment, had you read s. 519-C:5?</p>
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		<title>
		By: Max Kennerly		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-166013</link>

		<dc:creator><![CDATA[Max Kennerly]]></dc:creator>
		<pubDate>Sun, 01 Jul 2012 13:46:07 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-166013</guid>

					<description><![CDATA[Indeed — and everybody who claimed the early offers include &quot;economic loss&quot; should update their posts to &quot;patients will be offered a settlement for past economic loss, but zero compensation for future losses. They will then be turned into paupers who have to beg weekly for any wage losses that accrue, except for loss to earning capacity, which is specifically excluded by statute and so will never be available. Also, that weekly begging process will at some point fail for reasons completely outside of the patient&#039;s control.&quot; 

Doesn&#039;t sound nearly as inviting that way, does it? Not one person advocating for this bill mentioned that &quot;economic loss&quot; in it means something completely different from &quot;economic loss&quot; in the law and in the English language.]]></description>
			<content:encoded><![CDATA[<p>Indeed — and everybody who claimed the early offers include &#8220;economic loss&#8221; should update their posts to &#8220;patients will be offered a settlement for past economic loss, but zero compensation for future losses. They will then be turned into paupers who have to beg weekly for any wage losses that accrue, except for loss to earning capacity, which is specifically excluded by statute and so will never be available. Also, that weekly begging process will at some point fail for reasons completely outside of the patient&#8217;s control.&#8221; </p>
<p>Doesn&#8217;t sound nearly as inviting that way, does it? Not one person advocating for this bill mentioned that &#8220;economic loss&#8221; in it means something completely different from &#8220;economic loss&#8221; in the law and in the English language.</p>
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		<title>
		By: Walter Olson		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-165997</link>

		<dc:creator><![CDATA[Walter Olson]]></dc:creator>
		<pubDate>Sun, 01 Jul 2012 11:51:40 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-165997</guid>

					<description><![CDATA[I agree that readers who want to find out whether Max or I are right should read Robinette&#039;s two posts and the cited comment, and above all read the actual text of the bill and its s. 519-C:5 itself (defendant &quot;shall&quot; pay future wages).]]></description>
			<content:encoded><![CDATA[<p>I agree that readers who want to find out whether Max or I are right should read Robinette&#8217;s two posts and the cited comment, and above all read the actual text of the bill and its s. 519-C:5 itself (defendant &#8220;shall&#8221; pay future wages).</p>
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		<title>
		By: Max Kennerly		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-165936</link>

		<dc:creator><![CDATA[Max Kennerly]]></dc:creator>
		<pubDate>Sun, 01 Jul 2012 05:13:58 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-165936</guid>

					<description><![CDATA[Walter: you are wrong. The NH specifically excludes earning capacity entirely. 

What it leaves is &quot;lost wages&quot; that can be sought over and over again — on a weekly basis, talk about being &quot;overlawyered&quot; — until, at the hearing examiner&#039;s discretion, they&#039;re reduced or discontinued. What are the lost wages of a woman on maternity leave? Of a college senior? Of a law student on graduate day? Of a 17 year old? Of someone who just retired? Of a self-employed business person who just founded a new business that&#039;s not yet profitable? Zero, zero, zero, zero, zero, zero.  

Sure, plaintiff&#039;s lawyers will fight like hell to cram everything they can into &quot;lost wages as they accrue,&quot; but wait until you see the first appellate court decisions come down pointing to the specific exclusion of &quot;earning capacity.&quot; 

Here&#039;s a bigger question: if, as you say, &quot;earning capacity&quot; will be incorporated in lost wages as they accrue, why specifically exclude &quot;earning capacity&quot; at all? Why do you personally think this is a good idea? Why not include loss in &quot;earning capacity&quot; among the economic damages, as all rational people do?

Nonetheless, anyone interested in chasing down the rabbit hole of torts law should read Robinette&#039;s post (and, naturally, my comments there).]]></description>
			<content:encoded><![CDATA[<p>Walter: you are wrong. The NH specifically excludes earning capacity entirely. </p>
<p>What it leaves is &#8220;lost wages&#8221; that can be sought over and over again — on a weekly basis, talk about being &#8220;overlawyered&#8221; — until, at the hearing examiner&#8217;s discretion, they&#8217;re reduced or discontinued. What are the lost wages of a woman on maternity leave? Of a college senior? Of a law student on graduate day? Of a 17 year old? Of someone who just retired? Of a self-employed business person who just founded a new business that&#8217;s not yet profitable? Zero, zero, zero, zero, zero, zero.  </p>
<p>Sure, plaintiff&#8217;s lawyers will fight like hell to cram everything they can into &#8220;lost wages as they accrue,&#8221; but wait until you see the first appellate court decisions come down pointing to the specific exclusion of &#8220;earning capacity.&#8221; </p>
<p>Here&#8217;s a bigger question: if, as you say, &#8220;earning capacity&#8221; will be incorporated in lost wages as they accrue, why specifically exclude &#8220;earning capacity&#8221; at all? Why do you personally think this is a good idea? Why not include loss in &#8220;earning capacity&#8221; among the economic damages, as all rational people do?</p>
<p>Nonetheless, anyone interested in chasing down the rabbit hole of torts law should read Robinette&#8217;s post (and, naturally, my comments there).</p>
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		<title>
		By: Walter Olson		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-165907</link>

		<dc:creator><![CDATA[Walter Olson]]></dc:creator>
		<pubDate>Sun, 01 Jul 2012 01:45:30 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-165907</guid>

					<description><![CDATA[Robinette has a further post on the distinction between lost future wages (which are covered) and loss of damages based on arguments that one would have held better jobs down the road: http://lawprofessors.typepad.com/tortsprof/2012/06/does-early-offers-cover-future-lost-wages-yes.html]]></description>
			<content:encoded><![CDATA[<p>Robinette has a further post on the distinction between lost future wages (which are covered) and loss of damages based on arguments that one would have held better jobs down the road: <a href="http://lawprofessors.typepad.com/tortsprof/2012/06/does-early-offers-cover-future-lost-wages-yes.html" rel="nofollow ugc">http://lawprofessors.typepad.com/tortsprof/2012/06/does-early-offers-cover-future-lost-wages-yes.html</a></p>
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		<title>
		By: Walter Olson		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-165897</link>

		<dc:creator><![CDATA[Walter Olson]]></dc:creator>
		<pubDate>Sun, 01 Jul 2012 00:59:32 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-165897</guid>

					<description><![CDATA[Max is simply wrong to assert that a blinded person would recover $0 for injury to earning capacity. When he made the same claim in comments at TortsProf, Christopher Robinette pointed out (see third comment) &quot;Section 519-C:5 requires payment of future economic losses as they accrue. Specifically, II(b) requires future lost wages to be paid weekly and it includes a mechanism for wages to keep up with inflation.&quot;

http://lawprofessors.typepad.com/tortsprof/2012/06/early-offers.html]]></description>
			<content:encoded><![CDATA[<p>Max is simply wrong to assert that a blinded person would recover $0 for injury to earning capacity. When he made the same claim in comments at TortsProf, Christopher Robinette pointed out (see third comment) &#8220;Section 519-C:5 requires payment of future economic losses as they accrue. Specifically, II(b) requires future lost wages to be paid weekly and it includes a mechanism for wages to keep up with inflation.&#8221;</p>
<p><a href="http://lawprofessors.typepad.com/tortsprof/2012/06/early-offers.html" rel="nofollow ugc">http://lawprofessors.typepad.com/tortsprof/2012/06/early-offers.html</a></p>
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		<title>
		By: Max Kennerly		</title>
		<link>https://www.overlawyered.com/2012/06/n-h-med-mal-early-offers-side-loser-pays/comment-page-1/#comment-165836</link>

		<dc:creator><![CDATA[Max Kennerly]]></dc:creator>
		<pubDate>Sat, 30 Jun 2012 18:36:22 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=30888#comment-165836</guid>

					<description><![CDATA[I&#039;ll find other areas to practice in, so it&#039;s funny to think of me being frustrated and nervous and looking for other work. 

For the malpractice victims, they&#039;re just out of luck. When you think about the 100,000 preventable malpractice deaths every year, and the $20 billion in economic damage alone caused by malpractice, well, it just isn&#039;t nearly as funny. 

By the way, do you think the rest of your working life is worth something? Because under NH&#039;s early offer law, injury to your earning capacity isn&#039;t factored into &quot;economic loss.&quot; If you&#039;re blinded by malpractice and so can&#039;t work, the loss in income to you is valued at $0. I know, funny, right?]]></description>
			<content:encoded><![CDATA[<p>I&#8217;ll find other areas to practice in, so it&#8217;s funny to think of me being frustrated and nervous and looking for other work. </p>
<p>For the malpractice victims, they&#8217;re just out of luck. When you think about the 100,000 preventable malpractice deaths every year, and the $20 billion in economic damage alone caused by malpractice, well, it just isn&#8217;t nearly as funny. </p>
<p>By the way, do you think the rest of your working life is worth something? Because under NH&#8217;s early offer law, injury to your earning capacity isn&#8217;t factored into &#8220;economic loss.&#8221; If you&#8217;re blinded by malpractice and so can&#8217;t work, the loss in income to you is valued at $0. I know, funny, right?</p>
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