Should States Attorneys General Rethink Outsourcing Prosecution Of Mass Tort Civil Actions?

No. They can't afford to. Not in this economy. Not in any economy. It makes sense for states to outsource to avoid unnecessary overhead. California is issuing IOU's in lieu of checks to their vendors. If the Attorney General of the State of California approaches a trial lawyer for purposes of pursuing private litigation on behalf of California, are the citizens of California well served. You bet they are. Trial lawyers take on cases on a contingency fee basis, at great risk to themselves because there is no guarantee that they will be paid at the end of the case. Their financial success in the case is contingent on their successful litigation and trial of the case. They bear all the costs. The state typically pays none of the costs. Trial lawyers act as private regulators where the state legislature cannot or will not act, or where the state attorney general lacks the resources to prosecute. 

Pennsylvania Governor Ed Rendell has been bashed in the media of late, recently in the editorial page of the Wall Street Journal, for participating in this practice. The case involves Pennsylvania's hiring of a Houston law firm, Bailey, Perry & Bailey to litigate a case against Jansen Pharmaceuticals over the marketing of it's antipsychotic drug Risperdal. The Bailey firm contributed to the Governor's campaign. Certainly this is an unsavory fact, but not necessarily grounds for disqualification.

The Wall Street Journal editors are wrong, however when they state that the Pennsylvania Supreme Court's intervention before the litigation is concluded is "remarkable." Not so. The Court is responding to the defendant's request for an interlocutory appeal, which is encouraged by the Pennsylvania Rules of Civil Procedure to address issues which may have a bearing on other cases or which may curtail the litigation in the case at issue.

 

 

Why Doctors Practice Defensive Medicine

I can't say for sure because I'm a personal injury lawyer and not a doctor. But every time I've had an MRI of my knee, it's because the orthopod thought it was in my best interest to get another look inside the joint.

As fellow trial lawyer Ronald V. Miller Jr. has recently stated in his excellent blog post:

"Let us not pretend that there is no defensive medicine in this country. But we have to take out of the medical malpractice equation three kinds of defensive medicine: (1) tests and evaluation that are actually good for the patients, (2) additional treatment that is motivated, not by fear of lawsuits, but by fear of harm to the patient, and (3) patient induced defensive medicine (i.e. patient seeks tests doctor would not necessarily recommend)."

There is one more reason not mentioned in Mr. Miller's blog post which is also relevant.  The simple fact that medical testing equates to profits for doctors and hospitals is a real issue that we need to deal with when health-insurance reform is discussed. I'm not suggesting that doctors and hospitals shouldn't make money. They should.  And insurance companies are very stingy these days in reimbursing medical providers for the procedures that are billed. But more medical testing on  patients positively affects the bottom lines of medical providers and we, meaning consumers, politicians, and medical providers can't and shouldn't overlook that.

I have tremendous confidence in the orthopedic surgeon that repaired the ACL in my knee. All of the MRIs that I've had on my knee before and after the surgery were performed at a facility affiliated with his hospital.  It was convenient for me and profitable for the hospital that he works for.

 

 

400,000 Cribs Recalled

Bottom line: if you have a Simplicity drop side crib, it has been recalled.  Replace the crib. The risk to the infant is suffocation.

Abuse Of Public Trust: Vince Fumo Revisited

This is not another story about Vince Fumo. He's old news waiting for sentencing.

This a story of a former surgeon general of the United States appointed by President George H.W. Bush, Dr. Antonia Novello. Last week she pleaded guilty to a felony in a deal with prosecutors to avoid prison time for having New York State employees  perform personal chores for her when she was the State of New York Health Commissioner  from 1999-2006. The guilty plea requires Dr. Novello to perform 250 hours of community service at a health clinic, pay $22,500 in restitution and pay a $5,000 fine.  She also pleaded guilty to filing a false document pertaining to her description of one of her employee's duties.  She faced up to 12 years in prison if the plea had not been reached.

Novello had used state employees to provide free transportation for her on shopping trips and to perform various chores like moving furniture in her apartment.

Her lawyer said the prosecution was politically motivated.  I am sure she was appointed by  then President Bush because of her political leanings.  Nevertheless, when will politicians learn that they can't use public funds in any fashion for their own private means?

Dr. Novello was paid $256,000 per year in her job as health Commissioner. Unemployment presently stands at 9.5% nationwide.  $256,000 per year was not enough for her?