Barack Obama believes we need a business and regulatory
landscape in which entrepreneurs and small businesses can thrive,
start-ups can launch, and all enterprises can compete effectively
while investors and consumers are protected against bad actors that
cross the line....
--"Barack Obama on technology and Innovation," at www.barackobama.com
Increasing medical malpractice
insurance rates are making it harder for doctors to practice
medicine and raising the costs of health care for everyone.
--"Barack Obama's Plan for a Healthy America," at www.barackobama.com
President-elect Obama, you argued forcefully as a candidate that
we need a regulatory and business landscape in which businesses,
entrepreneurs, and investors can thrive and consumers are
protected. You vowed to take action to make America's civil justice
system work for all Americans.
As you observed when you voted in favor of the Class Action
Reform Act, civil justice reform is a bipartisan enterprise that
brings together the interests of many disparate constituencies that
are affected by the operations of our courts.[1] There is a real risk
that special interests will seek to reverse progress made in recent
years to achieve their own narrow ends. Your Administration should
be vigilant to this threat while also seeking out opportunities to
advance the cause of legal reform.
We--and the American people--believe that continuing civil
justice reform is essential to America's long-term prosperity and
preserving our freedoms. It is particularly important during an
economic downturn when frivolous litigation and attempts to
regulate through litigation result in such high costs and liability
that our economic recovery is diminished or even reversed. Fully 83
percent of the American people believe that frivolous lawsuits are
a problem, and 79 percent agree that any expansion of the
opportunity to file such suits by Congress will have a negative
effect on the economy.[2]
The U.S. tort system costs our economy billions of dollars each
year: $246 billion, or $845 for every person, in 2003 alone.[3] U.S.
tort costs increased 35.4 percent from 2000 to 2003, and the growth
of tort costs has exceeded the growth in GDP by 2 to 3 percentage
points over the past 50 years.[4]
As you have noted, in just one important area alone, the huge
increase in medical malpractice insurance rates has contributed
significantly to the problems in our health care system, making it
difficult for doctors to provide care, encouraging the harmful
practice of "defensive medicine," and raising the costs of
obtaining quality health care for everyone. Open-ended liability
that is not checked by considerations of efficiency and fairness
inevitably leads to litigation abuse and these other kinds of
unintended consequences.
Protecting consumers and existing businesses and encouraging the
creation of new businesses are important to promoting the general
welfare and continued growth of the American economy. To achieve
that end, you will need to take certain basic steps to reform our
civil justice system:
- Discourage regulation through litigation.
Under our system of government and the constitutional doctrine of
"separation of powers," how and when commerce is regulated is
determined by Congress and state legislatures through the passage
of legislation. When courts, through litigation, overreach by
legislating from the bench instead of interpreting and applying
existing laws as they are written, they erode the democratic
principles of our government and usurp the rights of citizens and
their elected representatives to determine public policy. It is not
the courts that should determine what products and services are
available in our economy. The attempt to regulate through
litigation can also damage specific industries and retard the
growth of the economy. Worst of all, it undermines democratic
accountability, weakening the ability of elected officials such as
yourself, as well as their appointees, to govern.
As President, you should do everything you can to discourage
litigation that is outside the proper role of the courts. This
includes appointing judges who understand their proper role and
base their decisions on the rule of law, not empathy; directing
that federal law enforcement agencies act in a modest and
deliberative manner and ensuring that they are not used for
expansive political purposes or to circumvent congressional
lawmaking; and opposing legislation that opens the courthouse doors
to claims that make policy rather than resolve specific disputes.
These steps will help to ensure that Congress and your
Administration, not the courts, are the nation's primary
policymakers.
- Embrace preemption in areas subject to federal
regulation. When a federal agency's experts approve a
product or device based on its safety and effectiveness pursuant to
a federal regulatory program, that determination ought to be the
law of the land and not subject to reversal by state courts or
regulators seeking to impose their own standards. This doctrine is
known as "preemption," and it has been the subject of criticism by
those who disagree with federal regulatory determinations. But if
federal regulation is to be effective and businesses in regulated
industries are to comply with the law in a cost-effective manner,
preemption is often necessary. Congress and many federal agencies
have recognized this principle in a variety of domains, such as
product safety, medical devices, and tobacco regulation, and it is
a vital bulwark for effective policymaking at the federal
level.
Reversing the trend toward preemption in closely regulated
industries will increase legal uncertainty, undermine the ability
of federal regulators to protect the public, and impose a massive
burden on businesses across the economy. To prevent these
consequences, you should oppose legislation that would reverse
preemption and instruct your appointees that, as a matter of
policy, your Administration will not reverse agency positions on
preemption and will continue to intervene in legislation where
federal regulatory power is inappropriately called into question by
state laws. Without these steps, there is the risk that, in more
and more domains, federal regulations will come to be mere starting
points rather than recognized standards for safety and efficacy
determinations, giving state courts and the trial lawyers who sway
them the inappropriate power to make national regulation.
- Encourage arbitration as an alternative to
litigation. Arbitration serves as a beneficial alternative
to litigation because it provides a more expeditious and less
expensive resolution of disputes for the country's overburdened
civil justice system. Because of its lower costs, it also provides
consumers the ability to pursue lower-value claims where they would
ordinarily have a difficult time finding legal counsel. As
President, you should oppose any efforts to make arbitration
clauses unenforceable. Such a public policy would hurt consumers
since it would make it more difficult to obtain a lawyer and leave
the typical consumer without any remedy but a court remedy, the
cost and delays of which could consume the value of any eventual
recovery.
As the Supreme Court has recognized, arbitration provides a
cheaper, faster, and more effective forum for a variety of
disputes, and it provides an overall benefit to our economy in the
form of lower prices for goods and services. It would be a major
error to invalidate arbitration clauses in employment, consumer,
brokerage, and other contracts as has been proposed. Such action
would severely limit the many advantages gained by consumers
through a robust arbitration system.
- Oppose policies that encourage and facilitate lawsuit
abuse. Litigation is rarely the best way to settle
conflicts, and when it is necessary, it should serve as a fair and
efficient means to adjudicate controversies. Proposals that depart
from this norm--that increase the amount of contentious litigation
or that drive up the expense and difficulty of litigation--put a
damper on entrepreneurship and economic growth and put justice out
of reach for many individuals and businesses.
One example is the Sunshine in Litigation Act, which would
severely restrict voluntary confidentiality agreements in private
litigation. While this would be a boon to trial lawyers conducting
"fishing expeditions" and hoping to bring repetitive follow-on
lawsuits, it would actually disadvantage plaintiffs with legitimate
claims, who would find it more difficult to settle without
litigation and risk public disclosure of their personal
information. This is the kind of consequence that is often the
result of well-meaning but poorly conceived policies that
facilitate abusive litigation.
- Support medical liability reform while respecting the
role of the states. As you have pointed out, high premiums
for medical liability insurance in many states "are forcing
physicians to give up performing certain high-risk procedures,"[5]
stopping the practice of medicine, or moving their practices
entirely. Numerous physicians are also forced to engage in
"defensive medicine," ordering more procedures than are needed to
avoid malpractice litigation. Such practices combined with rapidly
increasing malpractice insurance premiums have sent health care
costs soaring, compromising the quality of and access to medical
care for patients.
Many states have passed legislation that caps non-economic damages
and limits attorney contingency fees. Such limits have helped to
speed the settlement of valid claims and have provided injured
patients with a greater share of recoveries. They have also reduced
medical malpractice premiums and eliminated or reduced the shortage
of physicians and medical facilities resulting from skyrocketing
medical liability costs.
Though the high costs of malpractice litigation are felt across
the nation's health care system, they are the result of individual
states' laws and can be addressed most directly at the state level.
As part of a broader health care agenda focused on state-level
flexibility and innovation, you should encourage states to reform
their malpractice systems with both proven strategies, like damage
caps, and new proposals, such as legal ethics reform and fee
disclosure requirements. You should be wary of federal solutions
that block state-level innovation or overrule good state
systems.
- Strengthen the SAFETY Act to make the private sector a
stronger partner in homeland security. In 2002, Congress
passed the SAFETY Act to limit liability for developers and
manufacturers of anti-terrorism technologies and provide federal
jurisdiction for lawsuits involving the deployment of those
technologies. The program was slow to get off the ground, and
only in the past two years have larger numbers of businesses begun
to apply for SAFETY Act certification and qualification.
The importance of this program is highlighted by the recent
attacks in Mumbai, which illustrate the importance of a robust
effort to detect, deter, and mitigate terrorism and terrorist
organizations. The federal government alone cannot provide for all
aspects of homeland defense, but too often the private sector is
deterred by the inherent legal risks. The SAFETY Act was a good
first step to reduce that risk and thereby encourage more
private-sector actors to produce and adopt anti-terrorism and
terrorism-response technologies.[6]
But legal risk remains, and implementation has been slower than
hoped for. Your Department of Homeland Security should make SAFETY
Act implementation a priority and work closely with technology
developers and their potential customers to identify opportunities
for improvement, especially regarding the speed of technology
review. You should also support sensible statutory reforms to
broaden the Act's coverage, clarify its applicability to foreign
attacks and insurance requirements, and increase
participation.
- Oppose changes in bankruptcy that undermine
credit. With mortgage defaults at high levels in recent
months and bankruptcy filings also growing, there has been some
pressure to modify the bankruptcy code to make it more
"consumer-friendly," particularly by undoing the reforms of the
Bankruptcy Abuse Prevention and Consumer Protection Act of 2005.
This would be a major mistake. That law tightened requirements for
consumers seeking discharge of their debts to prevent abuse of the
bankruptcy process. The result has been a channeling of more
individual filers into Chapter 13 bankruptcy, in which they are
required to pay down some of their debts over a period of up to
five years--a good compromise between the "fresh start" that
discharge provides and the need to avoid abuse and encourage
responsible behavior.
A step in the opposite direction, whether by specifically
repealing BAPCPA provisions or providing additional barriers to
mortgage foreclosure in bankruptcy, would serve the perverse effect
of discouraging lending to consumers with checkered credit
histories, making it more difficult for them to open businesses,
buy homes, and finance important purchases. Reversing course on
reform now would be shortsighted and, over the long term, very
detrimental to income mobility in America. Your Administration
should oppose any such proposals.
Conclusion
Civil justice reform is a key factor in the continued health of
our economy and our general welfare. As Justice Souter said
recently in an important decision on punitive damages, the United
States needs a legal system "whose commonly held notion of law
rests on a sense of fairness in dealing with one another."[7] And in
our tort system, we must "protect against the possibility (and the
disruptive cost to the legal system) of awards that are
unpredictable and unnecessary."[8]
You have the ability, in coordination with Congress, to achieve
the goal of promoting a legal system that is not unnecessarily
punitive and is both fair and just to all parties.
Hans A. Von
Spakovsky is a Visiting Legal Scholar, and Andrew M. Grossman is
Senior Legal Policy Analyst, in the Center for Legal and Judicial
Studies at The Heritage Foundation.
Show references in this report
[5]
Hillary Rodham Clinton and Barack Obama, "Making Patient Safety the
Centerpiece of Medical Liability Reform," New England
Journal of Medicine, May 25, 2006, p. 2205.
[6]
See Paul Taylor, We're All in This Together: Extending
Sovereign Immunity to Encourage Private Parties to Reduce Public
Risk, 75 U. Cin. L. Rev. 1695 (2007).
[7]
Exxon Shipping Company v. Baker, 128 S.Ct. 2605, 2627
(2008).