Lois A. Snowe-Mello, a Republican in the Maine Senate, recently sponsored a bill to limit a doctor’s liability when that doctor committed malpractice. To her surprise, the doctor’s lobby asked her to withdraw the bill.
The New York Time argues that this is because doctors are becoming more liberal. According to the New York Times, conservatives support tort reforms and liberals oppose it. The logic continues, conservatives are traditionally business owners while shift workers are traditionally liberal. The New York Times caps off this reasoning by arguing that because doctors are leaving private practice and becoming employees, they are becoming more liberal and hence are opposing tort reform.
The problem with the New York Times’ reasoning is that it simply labels people without analyzing their motivation. It is true that over the past 30 years or so, Republicans have supported tort reform while democrats have opposed it. Republicans have supported the chamber of commerce while Democrats have supported labor unions. Those labels assume that Republicans are conservative while democrats are liberal. In the real world, many Republicans are not conservative and many Democrats are not liberal. Unfortunately, in the real world, many politicians simply support themselves and effectively give their votes to whomever gives them the most support.
So what makes someone conservative or liberal? Conservatives believe in not changing the law to pander to the wishes of a minority, conservatives believe in self responsibility and conservatives believe in trial by jury. Tort reform is not a conservative ideal. Tort reform seeks to change laws that have existed for hundreds of years by giving doctors and businesses carte -blanche permission to hurt other people through their own carelessness because juries can’t be trusted to make good decisions.
So how did the Republican party (the conservative party) end up supporting such an unconservative movement?
Numerous polls have been done on tort reform. Interestingly, the polls show that the phrasing of the question is the most important indicator of what people believe. If people are asked, ”should doctors be responsible to help those that they carelessly hurt” the vast majority of conservatives answer yes. On the other hand, if a poll asks, “who do you support more, doctors or trial lawyers” the overwhelming majority support doctors.
Recently, the Utah State legislature passed a tort reform bill. It gives hospitals immunity for hiring and retaining bad doctors, even when the hospital knows the doctor has hurt numerous patients in the past. In speaking with Utah legislators, I discovered that the bill was pushed through by leadership with no real debate. Senator Adams, who also serves on a hospital board, sponsored the bill by claiming that the bill was meant to overturn a recent Supreme Court decision made by activist judges. The bill was never debated on its mertis. President Lockhart, a rigistered nurse, never allowed any real debate on the bill. Instead, in a closed Republican Caucus meeting, Republican leadership reiterated Senator Adams argument that the bill was meant solely to reign in activist judges.
Senator Adams understands the art of rhetoric. By pushing a bill through as a bill to restrain activist judges, he was able to get the support from the Republican legislature. If he had argued that the bill was necessary to protect the hospital, on whose board he served, because hospitals don’t trust the citizens of Utah to serve on juries and hold his hospital responsible when it knowningly hires and retains doctors with a track record of hurting people, I expect the bill would not have passed.
So why did the Maine doctors recently oppose tort reform? Perhaps because they are still conservative but looked at more than the surface of the argument. Why is it good for some doctors when bad doctors are held responsible for carelessly hurting patients? Well, I think its rather obvious, that good doctors might realize it is in their best interest, and the best interest of their patients, to hold bad doctors responsible. First, keeping bad doctors in the practice of medicine, increases competition faced by the good doctors. I have a relative who is a doctor. He is increasing frustrated by the pressure he is under to move from patient to patient. He believes the quality of care goes down when the amount of time spent with the patient goes down. Good doctors end up looking bad in the eyes of their employers when they can’t see as many patients in a day as a bad doctor. At least the threat of malpractice liability gives good doctors some cover to hold the line against their employers. Second, tort reform hurts patients who end up with bad results because bad doctors are not forced out of the profession. I believe that most doctors want to practice good medicine and they care deeply for their patients. It can be frustrating to good doctors to repeatedly see a bad doctor hurt patients yet continue to practice in the community because tort reform protects bad doctors. Third, giving doctors immunity for carelessly hurting others, brings the entire profession into disrepute.
I firmly believe that true conservatives would not support tort reform if they sit back and think about it. I was brought up being taught that if I carelessly break my neighbor’s window with a baseball, I’ve got to walk on over, fess