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A correction has been published: N Engl J Med 2003;349(10):1010.

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Volume 348:2281-2284 June 5, 2003 Number 23
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The New Medical Malpractice Crisis
Michelle M. Mello, J.D., Ph.D., David M. Studdert, LL.B., Sc.D., M.P.H., and Troyen A. Brennan, M.D., J.D., M.P.H.

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A major medical malpractice crisis is unfolding in the United States today. The American Medical Association has identified 18 states in which physicians and institutional health care providers are having grave difficulties obtaining affordable professional liability insurance. In the past two years, insurance premiums in these states have increased dramatically for physicians in high-risk specialties such as obstetrics, emergency medicine, general surgery, surgical subspecialties, and radiology (see Figure). Another 26 states are on "orange alert," with indicators suggesting a serious and worsening situation. Physicians in West Virginia, New Jersey, Florida, Pennsylvania, Mississippi, Illinois, Texas, and Missouri have held or . . . [Full Text of this Article]


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From the Harvard School of Public Health (M.M.M., D.M.S., T.A.B.), Harvard Medical School (T.A.B.), and Brigham and Women's Hospital (T.A.B.) — all in Boston.


Related Letters:

The New Medical Malpractice Crisis
Imperato J. P., Couper R. T.L.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:912, Aug 28, 2003. Correspondence

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