To litigate or settle out of court?
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Once the concept of strict liability was extended to cover defective product design, negligence was no longer truly an issue in a products liability case. The manufacturer must now design his product so that it will be "safe" when used for its intended purpose and must foresee any possible misuse that may be made of the product. As the doctrine of strict liability became prevalent throughout the United States, the cost of insuring against the potential of huge verdicts associated with products rose dramatically. The resultant increased costs borne by a manufacturer may eventually lead to fewer and fewer implantable devices being developed and placed on the market.
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After a decade of class action lawsuits, brought about by inadequate treatment and the assumption that psychiatric patients have no rights, the care and treatment of the mentally ill has improved, and their rights have been well defined.
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BACKGROUND: We sought to evaluate recent trends in the United States of America regarding malpractice awards for patients with carcinoma of the breast. STUDY DESIGN: A retrospective review was performed of 118 cases of purported malpractice in the diagnosis and management of patients with carcinoma of the breast and related problems. The information was tabulated from Westlaw Transmission, a computerized database. RESULTS: Gynecologists were the specialists most often sued and accounted for 47 percent of the physicians involved in lawsuits. Radiologists were cited in only 13 percent of the cases. Health maintenance organizations (HMOs) were cited in 5 percent of the cases. The most common complaint was delay in diagnosis, made by a plaintiff who detected her own breast mass (52 percent). In 15 percent of the cases, the plaintiffs complained that a mammogram was not obtained, and 9 percent complained that other diagnostic tests, such as ultrasound or fine-needle aspiration biopsy, were not performed. The average delay in diagnosis was 14 months. The average award to plaintiffs with carcinoma of the breast was $691,449. The average plaintiff's age was 44 years. CONCLUSIONS: Most malpractice complaints related to carcinoma of the breast are instituted by women under the age of 50 years who identified the breast mass by themselves and were assumed by their physicians to have fibrocystic disease of the breast. Complaints can be expected to increase regarding failure to order further diagnostic tests, such as ultrasound or fine-needle aspiration biopsy, despite a negative mammogram. Complaints against HMOs are now also being made, citing failure to properly diagnose or treat patients with carcinoma of the breast.
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