Many view the health care industry as the most poorly managed business sector in America today. Not only is the cost of quality care a serious problem, but more than 44 million Americans are without medical insurance.

In the meantime, there are steps that can be taken to improve care and reduce costs, especially in states such as New York, Pennsylvania and New Jersey, where skyrocketing medical malpractice insurance rates are causing older doctors to retire and younger ones to move away.

In addition, fear of malpractice litigation prompts the practice of “defensive medicine,” resulting in relatively unproductive treatments to protect the practitioner. The additional cost of defensive medicine attributable to the medical liability system is estimated to range from 3-to-7 percent, which equates to $12 billion at the low end of that estimate.

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