title: A proposed model for managing cases of neurologically impaired infants.
abstract: The current mechanism for obtaining financial support for families with neurologically impaired infants is seriously flawed. It relies on payment awarded through the tort system based on a claim that medical negligence was responsible for the infant's condition. The system is extraordinarily inefficient and expensive, as well as being unfair to many families with affected children and to physicians who are unjustly accused of contributing to outcomes they could not have prevented. Furthermore, the exorbitant malpractice premiums necessary to support the system are threatening the future of obstetric practice in the United States. This article describes a two-pronged program designed to correct these inequities and to assess each case for the occurrence of medical negligence, which has been submitted to the New York State legislature as a proposed bill entitled the Neurologically Impaired Program for New York State (S7748).
authors.affiliation: From the Columbia University College of Physicians & Surgeons, New York, New York; University of Texas Medical Branch, Galveston Texas and American College of Obstetricians and Gynecologists Task Force on Neonatal Encephalopathy and Cerebral Palsy; American College of Obstetricians and Gynecologists District II/New York and Associates for Women's Medicine, Syracuse, New York; American College of Obstetricians and Gynecologists' Department of State Legislative & Regulatory Activities, Washington, DC; and American College of Obstetricians and Gynecologists District II/New York, Albany, New York.
authors.forename: Richard L
authors.initials: RL
authors.lastname: Berkowitz
authors.forename: Gary
authors.initials: G
authors.lastname: Hankins
authors.forename: Richard
authors.initials: R
authors.lastname: Waldman
authors.forename: Donna
authors.initials: D
authors.lastname: Montalto
authors.forename: Kathryn
authors.initials: K
authors.lastname: Moore
mesh_terms: D001925:Brain Damage, Chronic / Q000191:economics*; D018166:Health Care Reform / Q000191:economics / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D006801:Humans; D007223:Infant; D007351:Insurance, Liability / Q000191:economics / Q000331:legislation & jurisprudence; D016365:Liability, Legal / Q000191:economics; D008318:Malpractice / Q000191:economics* / Q000331:legislation & jurisprudence*; D017146:Models, Organizational; D009518:New York; D009774:Obstetrics / Q000191:economics / Q000331:legislation & jurisprudence