RT Journal A1 Bernstein, Joseph A1 MacCourt, Duncan A1 Abramson, Bruce D. T1 Topics in Medical Economics: Medical Malpractice JF The Journal of Bone & Joint Surgery JO The Journal of Bone & Joint Surgery YR 2008 FD August 1 VO 90 IS 8 SP 1777 OP 1782 DO 10.2106/JBJS.G.00951 UL http://dx.doi.org/10.2106/JBJS.G.00951 AB Our system of addressing medical malpractice is broken. We can say that the system is broken not so much because insurance premiums are high or because physicians are demoralized—though these features certainly are not assets either—but because the system fails to accomplish the very things for which it was built: to deter errors before they occur and to compensate the victims of errors that take place nonetheless. In today's broken system, some patients who are injured by malpractice are not compensated, whereas some of those who do receive payment have not truly suffered medical negligence. Because of this imprecision, verdicts lose their power to rebuke and deter. Compounding this is a third problem: the costs of litigation and the defensive medicine that it promotes exact a high price on an already overtaxed health spending budget.