Return to Virginia Business - February 2003

Malpractice strike not likely here

Fed up with high malpractice premiums, West Virginia doctors have been walking off the job. Could the same thing happen in the Old Dominion?

Not likely, says Ann Hughes, legislative affairs director of the Medical Society of Virginia. One reason for the West Virginia protest was to force the state to restrict settlements by plaintiffs suing doctors. Virginia, however, already has a cap on how much a plaintiff can win at trial — currently $1.65 million, rising to $2 million in 2008. Virginia’s cap was $1 million until 1999, when lobbyists for the state’s trial lawyers and doctors agreed to back a General Assembly bill for the gradual increase. “I don’t think we’re anywhere near as troubled as West Virginia is,” Hughes says. “We made some right decisions … which has helped put us in [a] relatively stable environment.”

The fear of high-dollar jury awards helps drive up rates, critics say. One West Virginia physician says his premium doubled this year to $73,000 and could top $100,000 next year. Only a handful of states have caps; in some states caps have been ruled unconstitutional.

Not all blame high jury verdicts for the problem. Despite the physician protest, a legislative panel in West Virginia refused to recommend any limits on damage awards and instead blamed insurers for not offering affordable coverage. Other critics say the insurance industry is hiking rates to make up for its weak investments, not because of unreasonable damage awards.

There’s no data on premium hikes for Virginia doctors — it varies by specialty with obstetricians, surgeons and emergency room doctors usually paying the most. Nationwide, the American Medical Association says a dozen states face problems similar to West Virginia, which has no malpractice award cap.

Virginia Business - February 2003