Special interests have assaulted the right to a jury trial in civil cases for many years. In New York, the last successful assault came in 1985. Among other things, the legislature made a formula called “structured judgments.” This took a jury’s money award for a victim’s future damages over a lifetime, and reduced it to a “present value” number. Present value takes away the award and replaces it with a smaller sum of money to be invested over time. This is merely a tool to take away the jury’s last word.
Now, in 2011, brain-damaged babies are the target. Last week, under the cover of a new “budget”, the Governor and the Legislature slashed the rights of brain-damaged infants facing a life of disability caused by malpractice committed upon them at the time of their birth. These are children who suffer cerebral palsy or other profound neurological injury.
What happened in New York and how? The Governor convened a Medicaid Redesign Team (MRT), supposedly to address the New York budget by reducing Medicaid costs. The team consisted of industry insiders and no victim’s rights or public interest advocates. A new “Neurologically Impaired Infants Fund” will take away all rights to future money damages covering health care costs in a jury trial. This applies to all medical malpractice actions involving “birth related neurological injuries.” Instead, those infants who receive future medical costs through trial or settlement will be relegated to this Fund.
In the past, payment for medical expenses would be determined by the infants’ guardians and a judge. The money would come from their settlement or jury award, administered by a court appointed Trustee. Now, the infants with awards or settlements will have their monetary awards for future medical costs essentially ignored. They must apply for their care to a fund administrator, who can limit their reimbursement, and effectively, the quality of care they receive. Care will be decided based on low fees. Care can be delayed until the injured infant dies. This has been known to happen with Medicaid babies. This fund will be under-funded by design, causing the administrator to be as stingy as possible with the Fund.
How does this plan save the State money? In no discernible way. In fact, it costs the State money by the creation of a new fund and a bureaucracy. Who benefits? Only insurance companies and self-insured hospitals. Very serious questions should be asked as to why the Governor made helping insurance companies a priority in his first hundred days. One might ask who his political friends are for a start.
As a sop to critics, the bill adds some luke warm provisions about hospital safety studies and procedures. But it is clear that in this cruel world, insurance companies matter more than brain damaged infants. It is likely that the very people who warned that healthcare reform meant “death panels” will nonetheless applaud this latest “tort reform,” even though it suggests infant death panels.
Never think that the trial lawyers have all the money or influence. They fought this. But the trial lawyers, like many of their clients, remain the underdogs, trying to preserve the Civil Justice System under the Constitution, against cynical unprincipled assaults.
Know your rights….and protect them. Mitchell Kessler 212-268-2677