Abstract

Concern about liability for medical malpractice pervades our health care delivery system. A national data bank mandated by Congress now tracks all paid malpractice claims against physicians as well as information about disciplinary actions. When the Physician Payment Review Commission seeks to reform Medicare fees for physicians, an integral task is computing increments for reimbursing liability insurance premiums. Liability issues can affect medical decisions from obstetrical choice of delivery methods at the beginning of life to a determination whether to withdraw artificial life support at its end.

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