Despite recent improvements in the health of the workers' compensation system, pressures continue to challenge this line of insurance.

We first need to consider those issues that could have a major impact on workers' comp in 2006 and the foreseeable future. These include the soaring cost of medical care and prescription drugs, the impact of judicial rulings on workers' comp laws, and the looming threat of another catastrophic terrorism loss.

Following that, we need to examine what steps can be taken to respond to trends in these and other areas, particularly by creating a culture of safety in the workplace and in getting all stakeholders in the system more politically active to keep workers' comp healthy and viable for all.

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