Thursday, December 14, 2017

Falls in Nursing Homes


Every year 1 in 4 people 65 years of age and older fall.  These equates to millions of people.  Most don’t tell their doctor and falling once doubles your chances of falling again (Centers for Disease Control and Prevention).
Nursing homes are obligated to provide a specific standard of care for their residents.  This standard of care extends to providing appropriate measures for preventing falls.  They have a responsibility to remove obstacles, provide railings and eliminate other hazards.

Often due to improper levels of staffing or insufficient training, perhaps more than half of all nursing home residents experience a fall at some point during their stay.
Falls Are Serious and Costly

·         One out of five falls causes a serious injury such as broken bones or a head injury.
·         Each year, 2.8 million older people are treated in emergency departments for fall injuries.
·         Over 800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture.
·         Each year at least 300,000 older people are hospitalized for hip fractures.
·         More than 95% of hip fractures are caused by falling,7 usually by falling sideways.
·         Falls are the most common cause of traumatic brain injuries.
·         In 2016 the direct medical costs for fall injuries, $31 billion annually.
Insufficient training and staffing are often the most common causes of preventable situations.  Improper staffing and training is negligence.  The consequences of nursing home abuse can be fatal.
What Can Happen After a Fall?
·         Falls can cause broken bones.
·         Falls can cause head injuries.  These can be very serious, especially if the person is taking medicines such as blood thinners.
·         Many people who fall, even if they’re not injured, become afraid of falling.  This fear may cause a person to be less active, which causes one to become weaker and this increases their chances of falling.
What Conditions Make You More Likely to Fall?
·         Lower body weakness.
·         Vitamin D deficiency.
·         Difficulties with walking and balance.
·         Use of medicines, such as tranquilizers, sedatives, or antidepressants.  Even some over-the-counter medicines can affect balance and how steady you are on your feet.
·         Vision problems.
·         Foot pain or poor footwear.
·         Home hazards such as broken or uneven steps, and throw rugs or clutter that can be tripped over.

Wednesday, December 6, 2017

Opiods and Civil Justice

Statue of Liberty
Normally at this time we highlight the year’s greatest victories for civil justice. Like forcing automakers to admit that they sold vehicles with exploding airbags or faulty ignition switches. Like holding accountable those who cover up the use of cancer-causing asbestos. Like shedding light on medical devices that fail or cause debilitating side affects.
Yes, those battles and many more continue, but 2017 might be remembered instead for several troubling reversals in the fight to protect the health, safety and legal rights of all Americans. You should know why.

BY THE NUMBERS

$12 Billion
The money returned to Americans by the Consumer Financial Protection Bureau (CFPB), which is under fire by Wall Street and Congress.

VIDEO BOOKMARK

Secret Arbitrations Hide Sexual Harassment
Former Fox News host Gretchen Carlson warns women about forced arbitration clauses in employment contracts.

THE DOCKET

HOSPITALS AND OPIOIDS

NPR investigates a growing movement to hold providers accountable for patient opioid addiction.

Monday, December 4, 2017

Elderly Man Beaten at Nursing Home

On his birthday, of all things, an 84 year old resident of the New Jewish Home of the Fordham section of the Bronx.  The assailant gained entry to the home by asking to use the bathroom.  Yelling anti-Semitic slurs, he assaulted the man.  NYPD have arrested this person.  He should never have been permitted entry.  The condition of the resident is understood to be good.

https://www.nbcnewyork.com/news/local/Elderly-Man-Attacked-at-Jewish-Nursing-Home-Bronx-NYPD---461666403.html

Wednesday, November 15, 2017

NutriBullet Exploding and Burns

Apparently, this high-powered gizmo acclaimed as blender for smoothies and sauces has an unhealthy and dangerous penchant to explode.

Injuries have been reported here at home, in the United Kingdom and even in Australia.


The NutriBullet is a popular blender made famous by the rising smoothie trend. Picture: Chris Pavlich
 
 
Hopefully, you have not been injured.  But please be very careful with this product. 

Monday, November 13, 2017

Medication and Malpractice


Medication Errors on the Rise, but They Can Be Prevented
Medication errors occur when a mistake is made in prescribing, dispensing or taking a drug. These errors are surprisingly common in America and are on the rise, as an estimated four out of every five adults use prescription medicines, over-the-counter drugs or dietary supplements during any given week. Medication errors can cause serious injuries and even death. And something else you should know: Medication errors are preventable.
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BY THE NUMBERS
1.5 Million
The number of preventable medication errors estimated to occur each year, according to a 2007 report from the Institute of Medicine.
 
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VIDEO BOOKMARK
Medication Safety Starts with YOU (and a List)
Why is an up-to-date, shared medication list so important to preventing medication errors? This doc shows you!
 
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MEDICINE MISTAKES DOUBLE AT HOME
The rate of serious medication errors that occur at home doubled from 2000 to 2012, a new study finds.

Wednesday, July 26, 2017

Concussions in Athletes

Risk:  Long term neurological injuries.

--

Findings  In a convenience sample of 202 deceased players of American football from a brain donation program, CTE was neuropathologically diagnosed in 177 players across all levels of play (87%), including 110 of 111 former National Football League players (99%).

http://jamanetwork.com/journals/jama/fullarticle/2645104

Tuesday, July 25, 2017

Too Many Lawsuits

Says who?  Not the Wall Street Journal.  (Facts Do Matter.)
---
The Wall Street Journal, 07/25/2017
COURTROOM SURPRISE: FEWER TORT LAWSUITS
Restrictions on filing, rising costs and a PR push discourage plaintiffs
BY JOE PALAZZOLO

Americans, reputed to be the most litigious people in the world, are filing far fewer lawsuits.
Fewer than two in 1,000 people—the alleged victims of inattentive motorists, medical malpractice, faulty products and other civil wrongs—filed tort lawsuitsin2015, an analysis of the latest available data collected by the National Center for State Courts shows. That is down sharply from 1993, when about 10 in 1,000 Americans filed such suits.

A host of factors are fueling the decline, including state restrictions on litigation, the increasing cost of bringing suits, improved auto safety and a long campaign by businesses to turn public opinion against plaintiffs and their lawyers.
The nationwide ebb in lawsuits, which confounds the public perception of courts choked with tort claims, has broad ramifications for businesses, doctors, patients, lawyers and the courts themselves.

Companies and insurers on the receiving end of such lawsuits welcome the decline of what they regard as a lawsuit culture in which lawyer-driven litigation increases costs to both business and consumers.
Trade groups that represent these firms have long pushed for laws to raise the bar for filing lawsuits and rein in damages, portraying a large chunk of tort litigation as a drag on the economy that burns scarce judicial resources.

Lisa Rickard, president of the U.S. Chamber Institute for Legal Reform, an arm of the U.S. Chamber of Commerce, says that while state measures have "weeded out some frivolous lawsuits," litigation abuse remains a problem. "The American public wholeheartedly agrees there are too many lawsuits in the country," she says.
At the same time, the falling number of tort filings, coupled with the broader decline in civil jury trials, has some judges concerned that Americans with garden-variety cases no longer see courts as an affordable way to seek redress for their injuries.

People are just not filing cases like they used to. They are not seeking trials like they used to," says Senior Judge Gregory Mize of the District of Columbia Superior Court, a local trial court. "It’s so expensive and time-consuming."
The Conference of Chief Justices, an association of state judicial leaders, has been working on tweaks to the civil justice system that officials hope will make many cases move more quickly and cost less. Judge Mize is assisting the committee studying the issue.

Torts are civil wrongs that cause someone to suffer loss or harm. Most tort lawsuits seek damages for negligence rather than deliberate injury and fall into one of three categories: auto cases, medical malpractice or product liability.

Contract cases rise
Tort lawsuits now account for less than 5% of all civi! l filings in state courts. Contract cases, including those fi! led by corporate plaintiffs such as debt collectors and banks foreclosing on homeowners, have increased in number and now represent about half of all civil cases.

Most civil cases are filed in state courts—more than 15 million in 2015, compared with 281,608 cases brought in federal courts that year, according to federal statistics and data collected by the National Center for State Courts, a research center for state courts.
Federal courts have seen an increase in some types of mass tort cases in recent years, but the reality in state courts, where about 98% of all cases are filed, contrasts sharply with public perception of civil dockets awash in tort lawsuits. An election-night poll last November by Public Opinion Strategies showed that 87% of voters agreed that there are "too many lawsuits filed in America."

Tort filings spiked in the 1980s, prompting the formation of groups like the American Tort Reform Association in 1986 and triggering a wave of legislation meant to impose new requirements for filing lawsuits or to reduce monetary awards to plaintiffs.
Tort cases declined from 16% of civil filings in state courts in 1993 to about 4% in 2015, a difference of more than 1.7 million cases nationwide, according to an analysis of annual reports from the National Center for State Courts. Those estimates are based on case percentages recorded by more than 20 states that track tort filings.

Contract cases—a category that includes debt collection, foreclosure and landlord-tenant disputes—grew from 18% of the civil docket to 51%, according to the center’s data.
Anthony Sebok, a torts professor at Benjamin N. Cardozo School of Law in New York, contends the public perception of tort filings has never matched reality. Even at peak growth in the mid-1980s, tort cases amounted to about 20% of civil filings in state courts, on average.

"We as a society seem to be OK with plaintiffs when they are debt collectors coming in and using the court system more than they used to, but we somehow instinctively think it’s a bad thing when victims of accidents come in and do the same thing," he says.
Ms. Rickard of the U.S. Chamber said an increase in single lawsuits bundled with multiple plaintiffs could be a factor in the decline in tort filings. Most courts don’t distinguish between lawsuits filed by individuals or by groups, counting both as one filing in their statistics.

A study last year by the National Center for State Courts found that nearly two-thirds of tort cases involve automobiles. Motor-vehicle deaths and hospitalizations from crash injuries have declined since the 1990s, likely contributing to fewer lawsuits, legal experts say.
Researchers at Northwestern University and the University of Illinois recorded a 57% nationwide decline in malpractice claims paid by doctors or their insurers between 1992 and 2012, and a similar drop in the number of malpractice lawsuits. Claims of less than $50,000 fell the most, perhaps because increasing litigation costs made many lower-value cases too expensive to pursue, the researchers said.

In Texas, the number of tort cases fell 27% between 1995 and 2014, according to another study. The decline for nonauto- accident tort cases over that period was 60%, the study said.
Stephen Daniels, a research professor at the American Bar Foundation who co-wrote the Texas study, says advocates of lawsuit restrictions have succeeded in making many tort cases economically impossible for trial lawyers to bring.

Plaintiffs’ lawyers typically front the cost of litigation and take their fees on the back end, usually one-third of whatever their clients recover.
In tort lawsuits, damages come in three varieties. Economic damages are meant to make the plaintiff whole. They cover lost wages, medical costs or other economic harms caused by others. Noneconomic damages ameliorate intangible harms such as pain and suffering, while punitive damages are meant to punish and deter.

More than 30 states have capped damages in medical malpractice or other cases since the 1970s, according to the Center for Justice & Democracy, a group that opposes such laws. In 2003, Texas capped damages in medical malpractice cases at $250,000.
Meanwhile, costs have increased for medical records and the expert witnesses often needed to testify about medical treatment, lawyers and legal experts say. Many states require medical-malpractice plaintiffs to file an expert report with or soon after their lawsuit. Total costs often reach thousands of dollars, trial lawyers say.

Economic damages are tied to lost wages and income. Plaintiffs’ lawyers told Mr. Daniels and co-researcher Joanne Martin they no longer could afford to represent retirees and stay-at-home parents as clients in medical-malpractice cases, or even unemployed people as clients in some auto accident cases, "because they wouldn’t get sufficient damages, and cases are expensive," Mr. Daniels says.
In Kansas, which moved to curb tort litigation, tort filings fell by 45% between 2000 and 2015, according to the National Center for State Courts.

Noneconomic damages have been capped by the state for decades, most recently at $300,000 under a 2014 law, and Kansas plaintiffs have to request permission from a judge to file for punitive damages. Other changes in litigation rules also have lowered damages in Kansas and elsewhere, lawyers and legal experts say.
Craig Kennedy, a Wichita lawyer who represents insurers, says his practice has shifted from litigation to mediation as more cases settle before a lawsuit. Legal costs have increased for insurers, too, he says, and both sides have a greater incentive to handle matters without litigation.

Mike Fleming, a plaintiffs’ lawyer at Kapke & Willerth LLC in the Kansas City area, says that as legal expenses have increased, insurers have gained an advantage in c! ases involving minor injuries that would normally lead to about $10,000 to $15,000 in damages.
"They play hardball with a lot of these smaller, soft-tissue claims," Mr. Fleming says, because insurers know trial lawyers will often balk at spending $5,000 or more to recover a relatively small sum. "They are going to offer $7,500, take it or leave it."

It’s unclear how often alleged torts are resolved outside courts, but data from the insurance industry show that the percentage of bodily-injury claims that lead to lawsuits has been declining since the 1990s.
Arbitration may be siphoning some tort cases from the courts. Judges have steered personal-injury claims out of court based on mandatory-arbitration clauses contained in contracts entered into by patients, employees, home buyers and others, according to Elizabeth Thornbu! rg, a law professor at Southern Methodist University in Dallas.!

Insurance company practices can also affect decisions about whether to sue.
Josh Johnson and Patricia Perryman wanted to sue the YMCA after their daughter nearly died, they say, from injuries sustained at a summer camp in Minnesota in 2014. A storm blew in the first night and toppled a tree onto the tent in which she was sleeping because the cabins were full, Ms. Perryman says. Their daughter suffered four broken ribs, a collapsed lung and nerve damage.

Mr. Johnson and Ms. Perryman wanted to recover their out-of-pocket expenses, including their insurance deductible, and future medical costs associated with their daughter’s injuries. Mr. Johnson says their insurer, Blue Cross Blue Shield, told them that any money they recovered from a lawsuit would first go to reimbursing the insurer for about $138,000 i! n medical costs it paid for their daughter’s treatment.
They would have to sue the YMCA, an organization that "does a lot of good," Mr. Johnson says, for hundreds of thousands of dollars to get enough to pay their attorney and make themselves whole. The Johnsons decided against it.

The YMCA declined to comment, and Blue Cross Blue Shield didn’t respond to requests for comment.
       PR campaign

The slump in tort filings coincides with dwindling membership in some state triallawyer associations. It follows a decadeslong public-relations campaign highlighting wrongdoing by trial lawyers, including a 2008 guilty plea by Mississippi plaintiffs’ lawyer Richard Scruggs on a charge of conspiring to bribe a judge.
In 1994, a jury awarded nearly $3 million to a 79-yearold woman who sued McDonald’s! after spilling coffee in her lap and burning herself badly. The verdict was reduced, and the parties eventually settled. The American Tort Reform Association portrayed the case as the embodiment of lawsuit abuse.

"Let’s do word association," says Sean Harris, a Columbus based plaintiffs’ lawyer and president-elect of the Ohio Association for Justice, a trial lawyer group. "What word comes to mind when I say ‘frivolous’?" "Lawsuit" is the word most people think, he says. "If we go to trial, we know that we are going to face a hostile jury."
A committee appointed by the Conference of Chief Justices recently concluded that state judicial systems are getting fewer cases because many disputes cost more to litigate than they are worth. A study conducted for the group found that 0.2% of civil cases resulted in judgments of more than $500,000, while most tort cases ended in judgments of $12,000 or less.

Friday, June 9, 2017

Playground Injuries

Kids Tire Swing

School’s out for summer, and kids are bursting to get outside and hit area playgrounds. No surprise then that June is a particularly dangerous month for playground injuries. Before you let those kiddos loose, learn how adults are the key to playground safety with tips on equipment, clothing and safe behavior.

BY THE NUMBERS

5 to 9
Children ages five to nine have the highest rate of emergency room visits among the more than 200,000 kids injured each year on playgrounds.

VIDEO BOOKMARK

Keep Your Kids Safe With the Danger Rangers
The first step to protecting young children from playground injury is to talk to them about safety. Before they hit the monkey bars, take a minute to watch this video with the kids in your life.

THE DOCKET

PLAYGROUND APP

Kids with disabilities have a hard time finding playgrounds that are safe and accessible, but this app may change all that.



http://letamericaknow.com/view_newsletter_ysk.php?memberid=28&orderid=39&issueid=1706

Tuesday, May 16, 2017

Distracted Driving

Elder Care

Bikers, Walkers Threatened By Increase In Distracted Driving

April showers have given way to May flowers, encouraging walkers and bicyclists to get out and enjoy the weather. Long walks and leisurely bike rides can be a perfect way to soak up the sun, but busy streets with distracted drivers can be an accident waiting to wreck a lovely day. Unfortunately, when drivers are distracted, pedestrians and bikers often pay the price. This month, you should know how to keep yourself safe while you enjoy the spring season.

BY THE NUMBERS

6,000
An estimated 6,000 pedestrians were killed in traffic accidents in 2016, an 11 percent increase from 2015.

VIDEO BOOKMARK

Are You Texting, Talking or Rockin’ While Walking?
Join the Moment of Silence campaign and stash your phone while crossing the street.



Teens 50% of All Child Pedestrian Deaths

Traffic deaths are up 6 percent since 2010, pushing U.S. road fatalities to the highest level in a decade. However, the percentage increase in pedestrian deaths is far outpacing those on the road, jumping 25 percent from 2010 to 2015. Walkers on smartphones, bicyclists ignoring traffic rules – coupled with distracted driving – are a deadly combination.

Teens, who are much more likely to walk distracted with a mobile device, make up 50 percent of all child pedestrian deaths. Our recommendation: Spend a few minutes together with your kids and the tips in this newsletter!

Tuesday, May 9, 2017

“The Spirit of America”

National Nursing Home Week (“NNHW”) is May 14 -20, 2017.  This year skilled nursing care centers will unite under the theme, “The Spirit of America”.   In harmony, the bond between staff, volunteers and residents will be recognized.

NNHW was established by the American Health Care Association (AHCA) in 1967.  It begins on Mother’s Day and provides an opportunity for residents and their loved ones, and for staff, volunteers, and surrounding communities to recognize the role of skilled nursing care centers in caring for America’s seniors and individuals living with disabilities.

Friday, April 21, 2017

From the Appeal by John Grisham


Trial lawyers, always a colorful and eclectic bunch. Cowboys, rogues, radicals, longhairs, corporate suits, flamboyant mavericks, bikers, deacons, good ole boys, street hustlers, pure ambulance chasers, faces from bill boards and yellow pages and early morning television. They were anything but boring. They fought among themselves like a violent family, yet they had the ability to stop bickering, circle the wagons, and attack their enemies. They came from the cities, where they feuded over cases and clients, and they came from the small towns, where they honed their skills before simple jurors reluctant to part with anyone's money. Some had jets and buzzed around the country piecing together the latest class action in the latest mass tort. Others were repulsed by the mass tort game and clung proudly to the tradition of tryfog legitimate cases one at a time. The new breed were entrepreneurs who filed cases in bulk and settled them that way, rarely facing a jury. Others lived for the thrill of the courtroom. A few did their work in firms where they pooled money and talent, but firms of trial lawyers were notoriously difficult to keep together. l\!Iost were lone gunmen too eccentric to keep much of a staff. Some made millions each year, others scraped by, most were in the $250,000 range.

A few were broke at the moment. Many were up one year and clown the next, always on the roller coaster and always willing to roll the dice.

If they shared anything, it was a streak of fierce independence and the thrill of representing David against Goliath.

On the political right, there is the establishment, the money, and big business and the myriad groups it finances. On the left, there are the minorities, labor unions, schoolteachers, and the trial lawyers.
Only the trial lawyers have money, and it's pocket change com pared with big business.

Though there were times when Wes wanted to choke them as a whole, he felt at home here. These were his colleagues, his fellow warriors, and he admired them. They could be arrogant, bullish, dogmatic, and they were often their own worst enemies. But no one fought as hard for the little guy.

Sunday, April 16, 2017

Polls Reveal Majority of Americans Against Limiting Non-Economic Damages in Medical Malpractice & Nursing Home Lawsuits

Public Policy Polling (PPP) recently released data from phone polls conducted in late March on the topic of H.R. 1215, a House bill that will be voted on in the next several weeks. H.R. 1215 seeks to limit non-economic damages to $250,000 in medical malpractice, nursing home abuse, prescription and OTC drug and medical device lawsuits. PPP asked the same set of questions to between 500-700 registered voters in 7 red (Republican) and purple states (those that have voted both Republican & Democratic in the past several elections). Polling only red & purple states was intentional, as Republicans have traditionally leaned towards tort reform, the act of limiting medical malpractice and nursing home abuse lawsuits in favor of protecting big corporations. PPP found that in the polled states of Florida, Georgia, Pennsylvania, Texas, Utah, Alabama and Arizona, support for H.R. 1215 was virtually non-existent, with over 60% of polled citizens in every state disagreeing with the bill.
 
Even more impressive was the percentage of voters in each state that believed nursing homes should be held accountable if acts of negligence caused the injury or death of a loved one. The amount of support for nursing home abuse and negligence lawsuits was 77% at its lowest (Florida), and 86% at its highest (Georgia).
 
Finally, each state’s opposition to H.R. 1215 grew stronger as the person conducting the phone interview gave more information on the bill to voters.
 
Poll Results by StateThe poll results for each state are as follows:
  1. Florida:
    • 63% against H.R. 1215
    • 77% believed nursing homes should be held accountable for negligence/abuse of loved one
  1. Georgia:
    • 68% against H.R. 1215
    • 86% believed nursing homes should be held accountable for negligence/abuse of loved one
  1. Pennsylvania:
    • 68% against H.R. 1215
    • 81% believed nursing homes should be held accountable for negligence/abuse of loved one
  1. Texas:
    • 70% against H.R. 1215
    • 85% believed nursing homes should be held accountable for negligence/abuse of loved one
  1. Utah:
    • 64% against H.R. 1215
    • 82% believed nursing homes should be held accountable for negligence/abuse of loved one
  1. Alabama:
    • 63% oppose H.R. 1215
    • 81% believed nursing homes should be held accountable for negligence/abuse of loved one
  1. Arizona:
    • 67% oppose H.R. 1215
    • 81% believed nursing homes should be held accountable for negligence/abuse of loved one
Lawmakers’ Re-Election Bids May Depend on H.R. 1215If lawmakers haven’t paid attention to the constant stream of H.R. 1215 opposition voicemails and emails coming from their constituents, they may want to start. PPP’s survey found that regardless of political party affiliation, 58% of voters would be less likely to vote for the re-election of their representative if he or she supported the bill.
 
The bottom line here is that voters have simply reached a point where it has become inexcusable to continue to allow big businesses to get away with oversight, negligence, and greed at the expense of the American people. Whether Democrat or Republican, PPP’s data shows that voters refuse to buy into the idea that non-economic damages don’t encourage corporations, hospitals, and other healthcare-related businesses to be BETTER. In this era of profits above all else, awarding non-economic damages in line with the injustice incurred sends a message that we deserve more as patients, nursing home residents, and people.
 
Link to H.R.1215 - Protecting Access to Care Act of 2017

Wednesday, March 29, 2017

How the GOP’s ‘Access to Care’ bill cuts down states’ rights

The GOP has long had the brand of being the party of states’ rights and minimalist federal government — it’s no wonder that Paul Ryan has been thinking about sending Medicaid back to the states since he was in college. Indeed, one of the reasons cited by House Republican leadership in the battle over the American Health Care Act for why Medicaid funding should be distributed to states in block grants with fewer federal requirements is that it empowers states to design Medicaid programs that meet each particular state’s needs.

But when it comes to the topic of placing sharp limits on lawsuits by individuals who’ve been injured by negligent or abusive nursing homes or defective drugs, the bill being pushed by Republican leadership (H.R. 1215, the Protecting Access to Care Act) embraces the view that’s what’s good for Medicaid isn’t good for civil justice.

Among other things, H.R. 1215 proposes placing a federal cap of $250,000 on the amount of noneconomic damages state-court juries can award and limits the scope of state-law suits in cases against healthcare and medical providers. But state courts, state law and limits on damages for state-law tort suits have always been very much in province of the state legislatures and courts. If enacted, H.R. 1215 would be an unprecedented intrusion into the operation of state law — the exact opposite of empowering states to design schemes that meet their needs.

Though $250,000 may seem like a large amount of money, is it enough to compensate you for never being able to walk or work or hug your child again? In Latracia Satterwhite’s case, the jury didn’t think so.

Ms. Satterwhite was a 33-year-old single working mom who underwent an hour-long relatively minor heart surgery in Mitch McConnell’s home state of Kentucky. The state’s Constitution prohibits the legislature from attempting to place caps on the damages that juries can award to injured persons. The heart surgery was technically a success, but in the process, the doctors misplaced a blood-carrying hose and failed to recognize the red flags indicating that something had gone terribly wrong. As a result of the doctors’ errors, Ms. Satterwhite suffered brain damage and lost the use of her arms and legs. Ms. Satterwhite’s life, and the life of her child, became forever altered.

After a full trial and hearing all the evidence, the jury awarded her several million dollars in non-economic damages, pale compensation for her preventable, permanent and devastating injuries. Under H.R. 1215, though, without hearing any of the evidence — it apparently doesn’t matter — and without respect to the principles of the Kentucky Constitution, the House Republican leadership would have limited Ms. Satterwhite to only $250,000 for her pain and her experience of not being able to use her arms and legs. Cases like Ms. Satterwhite’s are the reasons why states like Kentucky have declined to adopt those sorts of arbitrary caps.

But even if you agree with the policy behind H.R. 1215, that medical malpractice and other health-related claims are in need of reform — and we would disagree with you — there a couple of very serious problems with the way it takes a sledgehammer to state law.

First, the federal damages cap proposed by House Republican leaders would override and violate at least 18 state constitutions: in addition to Kentucky, states as diverse as Alabama, Arizona, New Hampshire, New York, Oklahoma, Washington, Wyoming and even Paul Ryan’s home state of Wisconsin. That’s right: Republican leadership wants to strip away your state constitutional rights. What a turnaround from the small-federal-government-states-rights party.

On the AHCA, a large number of Republican House members refused to follow the leadership where they believed it was not respecting core Republican principles. It will be interesting to see if many House Republican members will show a similar respect for the principle of limited federal intrusion into state laws and decisions.

Second, a number of states, including California, Colorado, Texas and Mike Pence’s home state of Indiana, have already enacted changes attempting to get at the same policy goals of H.R. 1215. But H.R. 1215 would partially override those states’ carefully crafted suite of laws, laws designed to balance each other out and address those state’s particular needs. H.R. 1215 gives no respect at all to those states’ lawmakers.

Whether we’re talking about marriage or Medicaid, the GOP has long been an enthusiastic waver of the states’ rights flag, loudly championing the ability of a sovereign state to decide what’s best for its own local community. These principles should apply with equal force to the civil justice system; the area of what state-court juries can award has long been particularly entwined with state law. H.R. 1215, though, would upend that bedrock Republican philosophy. Will House Republicans follow their leadership or their principles on this one?

http://thehill.com/blogs/pundits-blog/healthcare/326185-how-the-gops-access-to-care-bill-cuts-down-states-rights