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	Comments on: Medical roundup	</title>
	<atom:link href="https://www.overlawyered.com/2016/01/medical-roundup-38/feed/" rel="self" type="application/rss+xml" />
	<link>https://www.overlawyered.com/2016/01/medical-roundup-38/</link>
	<description>Chronicling the high cost of our legal system</description>
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	<item>
		<title>
		By: spodula		</title>
		<link>https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332348</link>

		<dc:creator><![CDATA[spodula]]></dc:creator>
		<pubDate>Wed, 20 Jan 2016 13:13:29 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=56911#comment-332348</guid>

					<description><![CDATA[In reply to &lt;a href=&quot;https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332331&quot;&gt;gasman&lt;/a&gt;.

I think its probably safer to say that the US malpractice system is &quot;Tilted in favor&quot; of the lawyers. Any benefit is gained by the healthcare providers, insurers or the patient is purely coincidental.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332331">gasman</a>.</p>
<p>I think its probably safer to say that the US malpractice system is &#8220;Tilted in favor&#8221; of the lawyers. Any benefit is gained by the healthcare providers, insurers or the patient is purely coincidental.</p>
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		<title>
		By: MattS		</title>
		<link>https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332342</link>

		<dc:creator><![CDATA[MattS]]></dc:creator>
		<pubDate>Wed, 20 Jan 2016 03:35:06 +0000</pubDate>
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					<description><![CDATA[In reply to &lt;a href=&quot;https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332331&quot;&gt;gasman&lt;/a&gt;.

&quot;So he personally tells 98% of folks they are shit out of luck in his world.&quot;

Consider the possibility that a significant portion of that 98% are seeking compensation that they genuinely do not deserve.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332331">gasman</a>.</p>
<p>&#8220;So he personally tells 98% of folks they are shit out of luck in his world.&#8221;</p>
<p>Consider the possibility that a significant portion of that 98% are seeking compensation that they genuinely do not deserve.</p>
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		<item>
		<title>
		By: gasman		</title>
		<link>https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332331</link>

		<dc:creator><![CDATA[gasman]]></dc:creator>
		<pubDate>Tue, 19 Jan 2016 21:52:27 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=56911#comment-332331</guid>

					<description><![CDATA[Re: Denmark and socialized no-fault malpractice.

The American lawyer says it all:
&quot;Scott Eldredge, ... said he is “completely opposed” to a compensation system like Denmark’s. Eldredge acknowledged that the U.S. malpractice system is “tilted in favor” of medical providers, and that most patients can’t get an attorney because their cases aren’t worth enough money. He said he turns down 98 out of 100 of cases he reviews.&quot;

So he personally tells 98% of folks they are shit out of luck in his world.  And that somehow justice for the 2% is fair enough in his book.]]></description>
			<content:encoded><![CDATA[<p>Re: Denmark and socialized no-fault malpractice.</p>
<p>The American lawyer says it all:<br />
&#8220;Scott Eldredge, &#8230; said he is “completely opposed” to a compensation system like Denmark’s. Eldredge acknowledged that the U.S. malpractice system is “tilted in favor” of medical providers, and that most patients can’t get an attorney because their cases aren’t worth enough money. He said he turns down 98 out of 100 of cases he reviews.&#8221;</p>
<p>So he personally tells 98% of folks they are shit out of luck in his world.  And that somehow justice for the 2% is fair enough in his book.</p>
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		<title>
		By: gasman		</title>
		<link>https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332328</link>

		<dc:creator><![CDATA[gasman]]></dc:creator>
		<pubDate>Tue, 19 Jan 2016 20:21:26 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=56911#comment-332328</guid>

					<description><![CDATA[Epidermal necrolysis is a rare idiotypic (occurs in individuals without any means of identifying who might be sensitive) response to many commonly used drugs.  Incidence is in the range of 1 per million people exposed to these drugs, most commonly sulfa based antibiotics, but also drugs from many other classes.  

Idiotypic responses are a crap shoot.  for the 999,999 out of a million people who do not react badly to ibuprofen, it is a wonder drug:  cheap, reliable, effective, wide therapeutic margin, and gets the job done for fever relief, and pain relief.  Many have a day of function restored due to non-steroidal analgesics, whether it is return to school for a kid with fever, eturn to work for a parent with a kid who is back in school, return to work for an adult with musculoskeletal pain or severe headache, or other regained productivity.  I can be certain that I have several days per year restored to me that would otherwise have been &#039;lost&#039; due to inability to adequately function.  

So is ibuprofen a good bet for the person who does not know if they are going to be the idiotypic responder (aka unlucky looser)?   
Drug taken by 1,000,000 people.  Assume conservatively only 1,000,000 days of life gained through improved function, and 25,000 days of life lost (70 years for one person).  That is the economist perspective on risk benefit analysis.  Same sensible group that tells us to take our lottery ticket money and invest in real savings versus a pipe dream.  

So, ibuprofen, good value, except for the rare one person who has the horrendous outcome.   
But is $100,000,000 to one unlucky person, with none to the other unlucky folks a good distribution?]]></description>
			<content:encoded><![CDATA[<p>Epidermal necrolysis is a rare idiotypic (occurs in individuals without any means of identifying who might be sensitive) response to many commonly used drugs.  Incidence is in the range of 1 per million people exposed to these drugs, most commonly sulfa based antibiotics, but also drugs from many other classes.  </p>
<p>Idiotypic responses are a crap shoot.  for the 999,999 out of a million people who do not react badly to ibuprofen, it is a wonder drug:  cheap, reliable, effective, wide therapeutic margin, and gets the job done for fever relief, and pain relief.  Many have a day of function restored due to non-steroidal analgesics, whether it is return to school for a kid with fever, eturn to work for a parent with a kid who is back in school, return to work for an adult with musculoskeletal pain or severe headache, or other regained productivity.  I can be certain that I have several days per year restored to me that would otherwise have been &#8216;lost&#8217; due to inability to adequately function.  </p>
<p>So is ibuprofen a good bet for the person who does not know if they are going to be the idiotypic responder (aka unlucky looser)?<br />
Drug taken by 1,000,000 people.  Assume conservatively only 1,000,000 days of life gained through improved function, and 25,000 days of life lost (70 years for one person).  That is the economist perspective on risk benefit analysis.  Same sensible group that tells us to take our lottery ticket money and invest in real savings versus a pipe dream.  </p>
<p>So, ibuprofen, good value, except for the rare one person who has the horrendous outcome.<br />
But is $100,000,000 to one unlucky person, with none to the other unlucky folks a good distribution?</p>
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		<item>
		<title>
		By: MattS		</title>
		<link>https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332326</link>

		<dc:creator><![CDATA[MattS]]></dc:creator>
		<pubDate>Tue, 19 Jan 2016 19:44:48 +0000</pubDate>
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					<description><![CDATA[In reply to &lt;a href=&quot;https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332313&quot;&gt;Allan&lt;/a&gt;.

&quot;This is one of those cases where our tort system does not completely cover realities. Society should take care of these tragedies and not leave them to impoverish individual, unlucky families.&quot;

Then society, not J&#038;J should be the ones to compensate them.]]></description>
			<content:encoded><![CDATA[<p>In reply to <a href="https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332313">Allan</a>.</p>
<p>&#8220;This is one of those cases where our tort system does not completely cover realities. Society should take care of these tragedies and not leave them to impoverish individual, unlucky families.&#8221;</p>
<p>Then society, not J&amp;J should be the ones to compensate them.</p>
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		<item>
		<title>
		By: Allan		</title>
		<link>https://www.overlawyered.com/2016/01/medical-roundup-38/comment-page-1/#comment-332313</link>

		<dc:creator><![CDATA[Allan]]></dc:creator>
		<pubDate>Tue, 19 Jan 2016 15:21:16 +0000</pubDate>
		<guid isPermaLink="false">http://overlawyered.com/?p=56911#comment-332313</guid>

					<description><![CDATA[Re: J&#038;J.

There seems to be a temporal problem.  The child got injured in 2003, but the FDA did not make a decision until 2005.  

That said.  I really don&#039;t think that a warning label would have helped.  Come on.  Do you think that a parent would have read it?  No!.  More likely, the parent would trust J&#038;J not to put out a dangerous product.  

This is one of those cases where our tort system does not completely cover realities.  Society should take care of these tragedies and not leave them to impoverish individual, unlucky families.]]></description>
			<content:encoded><![CDATA[<p>Re: J&amp;J.</p>
<p>There seems to be a temporal problem.  The child got injured in 2003, but the FDA did not make a decision until 2005.  </p>
<p>That said.  I really don&#8217;t think that a warning label would have helped.  Come on.  Do you think that a parent would have read it?  No!.  More likely, the parent would trust J&amp;J not to put out a dangerous product.  </p>
<p>This is one of those cases where our tort system does not completely cover realities.  Society should take care of these tragedies and not leave them to impoverish individual, unlucky families.</p>
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