Governor’s tort reform goes too far on nursing homes
12:22 AM, Mar. 20, 2011 |
“Personal responsibility” is the key term around which Gov. Bill Haslam has built his policy position on health care in Tennessee.
Insofar as that refers to how patients take steps to live as healthy as possible and avoid unnecessary care, the new governor appears to chart a sound course for the future of a state beset by high levels of obesity, smoking and diabetes.
However, when “personal responsibility” crops up as a rationale for including nursing homes in a proposed cap on medical malpractice lawsuits, a lot of Tennesseans can only shake their heads over the double standard that would be enshrined in Tennessee law.
Nursing home patients and their families will have to exercise personal responsibility, but what about nursing home operators, if they can easily afford any judgment against them for improper or inadequate care?
This proposal is doubly egregious because even as trial lawyers have worked with state officials to reduce the number of lawsuits and hold the line on the amount of awards, the number of Tennessee nursing homes that receive poor ratings for quality of care remains among the nation’s highest.
Nursing home companies already face far fewer lawsuits, but with this legislation the balance would tip completely against patients or their survivors who have valid grievances. It also would tie the hands of juries in Tennessee, which do not have a history of granting excessive awards and need the flexibility currently allowed under the law to do their jobs.
Frivolous lawsuits do occur, and a single overreaching award can be devastating to the staff and other patients at a reputable nursing home or assisted-living facility. Such cases must be deterred, and can be if all stakeholders work together to root out fraud while raising the care standards at all facilities.
But the current legislation goes too far, punishing those who can never afford the years of additional care that actual abuse causes or can never recover the loved one who died as a result and offering no incentive to the nursing home operator to change.
Advocacy organizations such as AARP are asking the governor to exempt nursing home cases from this bill, but that seems unlikely, given that Republican legislators, backed by some large nursing-home operators, have sought for years to set caps on these awards. They now control both House and Senate and have Haslam’s support for across-the-board tort reform.
But the AARP has proposed another compromise that is more than reasonable: Amend the legislation to require that the money saved on reduced awards, legal costs and insurance be used to hire adequate staff and raise the level of quality in Tennessee nursing homes. As AARP notes, nursing facilities that receive higher quality ratings, in Tennessee and in other states, are subject to far fewer patient lawsuits.
Improve care, reduce fraud, and create more health-care jobs — that would be a win-win-win.
BY TED RAYBURN
FOR THE EDITORIAL BOARD
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