| Proposed Comprehensive Plan for Medical Malpractice Civil Litigation and Insurance Reform in New York State
 The leadership of the New York State Chapter sent the following letter to Richard Daines, MD, Commissioner, and to Eric Dinallo, Superintendent, New York State Insurance Department
The New York State Chapter of the American College of Cardiology strongly supports the implementation of a comprehensive plan for medical malpractice civil litigation and insurance reform in New York State. We believe that problems in these areas are jeopardizing medical care in New York State; that physicians, hospitals, and medical malpractice insurers are in increasingly difficult financial situations; that the current medical malpractice civil litigation system is not responsive to the needs of either plaintiffs or defendants; that the relationship between physician and patient is being compromised; and that the current liability environment does not improve patient outcomes or enhance the process of providing care and, in fact, often inhibits these processes.
We believe that immediate and systemic remedies for these problems are needed. The New York State Chapter of the American College of Cardiology supports the comprehensive plan for reform that has been presented by the Medical Society of the State of New York, which addresses the following issues and solutions:
Establishment of health courts permitting medical malpractice issues to be removed from civil litigation as we know it today
Vigorous pursuit of an incrementally developed no-fault system
Establishment of a reasonable cap on non-economic damages. It is our belief that without a solution which provides real relief, caps will have to be part of the discussion
Mandatory expert witness disclosure and ability to depose expert witnesses
Require expert witnesses to be board certified in the specialty of the defendant
Require plaintiffs to obtain a signed affidavit from a consulting physician to accompany the certificate of merit concluding that there is a reasonable basis for a medical malpractice lawsuit
Establishment of penalties against attorneys and plaintiffs who bring frivolous lawsuits
Make inadmissible at trial all statements of remorse, fault, or explanation made by a health care professional
The introduction of financial relief proposals, provided that they have the desired impact of reducing medical malpractice premiums
Establishment of quality and outcome improvement measures C particularly the development of peer-reviewed, clinically based and medical specialty quality/outcome measures; and improved access to continuing medical education for all physicians
It is our hope that a solution will be reached that is in the interest of the health of all New Yorkers.
Sincerely yours,
Harry C. Odabashian, MD, FACC
President
New York State Chapter of the
American College of Cardiology
Paul Kligfield, MD, FACC
President
The New York Cardiological Society
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