The Amtrak engineer at the controls of a speeding train that derailed in Philadelphia last year, killing eight people, was distracted in the moments before the accident.

The difference between a carrier winning 65% of its cases versus 50% can translate into millions of dollars in recovery.

One of the foremost experts in this line offers his perspective on what changes need to occur in order to keep pace with changing demographics and injury exposures, from bureaucracy and waiting periods to state variations.