New Book Reveals Startling Medical Malpractice Findings

A new book, Medical Malpractice: By the Numbers, published by the Center for Justice & Democracy at New York University Law School, revels several startling findings regarding our healthcare system and medical malpractice.  According to the press release issued by Center for Justice & Democracy, among the many findings are:

  • Medical malpractice insurance companies are making twice the profit of the entire insurance industry.
  • On any given day, 1 in 25 U.S. hospital patients has at least one infection contracted during their hospital stay.
  • At least 8 doctors whose medical licenses were suspended or revoked collectively billed Medicare more than $7 million in 2012.
  • An average of 103,000 doctors, nurses, medical technicians and health care aides a year were abusing or dependent on illicit drugs.
  • Military hospitals are less safe than civilian hospitals.
  • Medical malpractice insurance premiums are not rising.
  • When newly trained New York state physicians were asked their main reason for leaving the state, “cost of malpractice insurance” was practically dead last, and the state’s liability laws was not even mentioned as a factor.

Interestingly, rising liability insurance premiums due to the high volume of medical malpractice lawsuits is frequently cited as a basis for instituting tort reform (laws that limit the right to sue, or that cap the amount of money injured patients can recover for their injuries).  According to this book’s findings, however, medical malpractice insurance companies are making twice the profit of the entire insurance industry, and malpractice insurance premiums are in fact not rising.  Moreover, constituents are often led to believe that physicians are leaving their state because of high insurance premiums or unfavorable liability laws.  At least in New York, this appears not be true.

End Distracted Driving Now

I was on a family vacation a few months ago and read a billboard that said, “If you want to speak with God, call Him.  If you want to meet Him, text.”  It was a pretty clever billboard, and I remember thinking, wow, even in Costa Rica? I sat at a traffic light on the way to work last week and counted 4 people talking in cells, and another two with their head and eyes staring into their laps.  I sat at that very same traffic light this morning and counted 3 cell phone talkers and a woman applying lipstick.  Granted we were all stopped at a red light, but let’s face it, those three calls were not going to miraculously end when the light turned green (they didn’t incidentally)

We have all read and seen the horrific stories in the news, and need only glance over at the cars around us to know that it is everywhere … even in Costa Rica!  Distracted driving takes many forms, whether it be tuning the radio, reaching for a fry, or talking and texting.  And whereas we don’t often hear about the accident caused when a parent reaches over to pick up a dropped sippy cup, we too often hear about the deadly crashes when a driver is texting (receiving or making).

From a legal standpoint, a distracted driver who causes property damage, personal injury and/or death is exposed to civil liability (monetary damages) and criminal liability (jail, probation, etc) depending on the circumstances and nature of the harm caused.  Whereas each case is different, each case also seems to have been avoidable.

Below is an informative website, EndDD.org (End Distracted Driving) and the Casey Feldman Foundation, established “to raise awareness and generate action against the epidemic of distracted driving.”  It was created by the parents of Casey Feldman, a college student, who was tragically struck and killed by a distracted driver in 2009.

If you or a loved one has been injured as a result of a distracted driver, contact Stark & Stark today for a free no obligation consultation.

Medicare’s 3-Day Rule

Many older patients, who are on Medicare or in a Medicare Advantage Plan, are shocked when they are hospitalized for less than 3 days only to find out that Medicare will not pay for nursing home coverage following this brief hospitalization.  These patients, who are technically admitted for “observation” for less than 3 full days, are in fact, being penalized for getting well faster than a Medicare patient who spends perhaps 4 or 5 days in the hospital.

Medicare is currently conducting pilot projects in hospitals across the country in which Medicare patients admitted to the hospital for less than 3 days, are permitted to continue their recovery in a nursing home, with payment made by Medicare.  The hope is that providers that drop the 3-day rule can reduce costs or keep them the same while improving the quality of care.  These pilot projects are conducted under a provision of the Affordable Care Act that created the Center for Medicare and Medicaid Innovations to develop ways of improving Medicare.  If you have any questions regarding the rules, contact Stark & Stark today.

Mode of Operation

A while back I blogged about “mode of operation,” the legal doctrine used in negligence cases, primarily slip and falls, against businesses whose “method of doing business create an inherent risk of injury” to its patrons.  Put another way, there are some businesses who, by the very nature of the way they are set up, are more apt to cause or contribute to the cause of an accident.

Traditionally in premises liability cases, a plaintiff must prove a defendant business had actual or constructive notice of a dangerous condition.  Generally a plaintiff must show that the business knew (notice) of the condition, and thereafter acted negligently, in either fail do anything to correct the condition, or by doing to make the condition worse.

Because some businesses are such that the mode in which they operate is more susceptible to accidents, the mode of operation serves as an exception to the traditional rules when it comes to having to prove notice.  Now, I am in no way sating a grocery store produce aisle is, in the traditional sense, more dangerous than a construction site.  I am merely suggesting, and the law provides, that when businesses derive a benefit (money) from the customers it invites in it stores, and permits them to hand pick fruit, vegetables, etc … and stuff these products fall to the floor, along with the ice and water usually keeping these items fresh …. Then it is not necessary for the plaintiff to prove a particular broccoli leaf, or carrot spear was the culprit. The next time you are in a grocery store, look at where they place their mats (if any).  You will see them in the frozen foods, produce, etc.  you will most likely NOT see them in the Hallmark card section, right?

The mode of operation line of cases (not cited here) are most typically associated with self-service grocery stores, for example, where plaintiff slips on a grape, or string bean, or ice chip, that falls from a self-service bin.  They can also be associated with injuries caused by the actual self-service itself, as when a customer is injured pulling a large or awkward product off a high shelf at a Home Depot or Lowes.  In 2001, our courts extended this doctrine to include common areas of a shopping malls, where someone is injured in an area where patrons were permitted to carry food and drink.  (Ryder v. Ocean County Mall).

The doctrine was again recently considered by our Appellate Court in Lebrio v. The Pier Shops at Caesar’s.  In Lebrio, plaintiff suffered injuries after a fall in the common area of the Pier Shops at Caesar’s in Atlantic City.

She had been walking in a common area on the second level of The Pier Shops when she slipped on a clear liquid and fell.  After falling she observed a cup and lid on the ground along with an area of (clear) wetness. She brought a negligence claim against the store owners and janitorial company.

After all discovery, defendants moved for summary judgment, claiming plaintiff failed to present any evidence that defendant had either actual or constructive notice of the spill, a pre-requisite to a premises liability case.  This motion was denied, and the matter tried to a jury.  At the close of the evidence the judge permitted the mode of operation (jury charge) against the defendant-owners.  The jury ultimately returned a substantial plaintiff’s verdict and defendants appealed.

On appeal, the Court found not error in this regard. The decision is attached.  In it the Appellate court gives a concise summary of New Jersey Premise liability, including:  a business owner owes to invitees a duty of reasonable or due care to provide a safe environment for doing that which is within the scope of the invitation and that a plaintiff bears the burden of proving that the premises owners breached that duty.  (citations omitted).

The court then discusses the notice requirement, including:  Owners of premises generally are not liable for injuries caused by defects for which they had no actual or constructive notice and no reasonable opportunity to discover; and ordinarily an injured plaintiff must prove the defendant had actual or constructive knowledge of the dangerous condition that caused the accident. (citations omitted).

The court next discusses the genesis of the mode of operation exception to the notice requirement, for cases “when the shopkeeper, through acts of its agents or patrons, creates a dangerous condition.” In these cases, as the trial court found in Lebrio, the plaintiff is relieved of showing actual or constructive notice of the dangerous condition and is entitled to an inference of negligence.  This in turn shifts the burden of production to the defendant, who can only avoid liability if it shows it acted reasonably under the conditions.

The court confirmed that not all premises liability cases warrant the mode of operation charge.  “To trigger mode-of-operation liability, a plaintiff must identify facts showing a nexus between the method or manner in which the business is operated when extending products or services to the public, and the harm alleged to have caused the plaintiff’s injury.” (citations omitted)

Finally, the court confirmed that the doctrine does not automatically apply merely because a defendant operates a specific type of business.  Rather, “the unifying factor in reported opinions is the negligence results from the business’s method of operation, which is designed to allow patrons to directly handle merchandise or products without intervention from business employees, and entails an expectation of customer carelessness.”

Stark & Stark has been successfully representing clients in slip and falls like the ones mentioned above for many years. If you or a loved one has been injured, contact us today for your free consultation.

 

Early Retirement and Investing

Many individuals take an early retirement, at age 62, the youngest age at which you can currently receive your Social Security retirement benefit, thinking that they can get a better return on their money by investing the amount they receive from Social Security.  Most retirement experts do not advise this course of action.  First of all, if you take your retirement benefits before age 66 (the current “full retirement age” for Social Security) you will receive a lower amount than if you wait until age 66.  In addition, you will be stuck at this lower amount as long as you receive benefits.  Any higher return you might anticipate receiving from investing in the stock or bond market, relative to the amount you receive from Social Security, is not without risk.  If you invest in a safe asset, such as a Treasury bill, you are unlikely to get more than the approximately 3% return that Social Security incorporates when it raises your benefits as a reward for delaying in taking them.

If you wait until age 70 to take your retirement benefit, your Social Security benefit will increase by 8% for every year between age 66 and age 70 that you postpone taking the benefit.  In addition, if you continue to work beyond age 66, you will continue to contribute to your retirement fund, thereby increasing the base amount of your monthly income benefit.

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