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Physicians and Medicine in the Twenty-first Century

Medical Litigation Crisis



The technological revolution in medicine, which has dramatically increased life expectancy, has raised patient expectations, in some cases unrealistically, resulting in an explosion of malpractice litigation. This in turn has caused insurance premiums to rise to such an extent as to motivate some doctors to curtail or even completely give up their practices. Others have taken up “defensive” medicine, which can result in overtesting and consequently contributes to the alarming increase in health care costs.



An unfortunate side effect of “litigation fever” has been a decrease in the production of vaccines because of a fear of lawsuits arising from adverse reactions. Pharmaceutical companies apparently prefer to give up this aspect of their business rather than risk the cost of litigation.

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