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Monday, July 07, 2003

SOUNDS LIKE A SCENE FROM THE GRAPES OF WRATH
Medpundit today has an exerpt from a column in the Charleston Gazette-Mail describing doctors fleeing from West Vriginia to Ohio. The remainder of the article describes public relations efforts by the coal industry and trial lawyers, and includes the parody. I did some of my training in West Virginia and the liability insurance problem is a big mess. The level one trauma center in Charleston had to downgrade itself to a level three because they could not get orthopedic coverage due to liabilty concerns. Surgeons have already staged a walkout which is credited with delivering passage of a tort-reform bill. West Virginia is a state with an aging and somewhat unhealthy population. With physicians in established practice leaving, and new physicians looking elsewhere to train and work the state cannot afford to lose physicians. Hopefully the tort reform will help.
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