Struve Catherine T
University of Pennsylvania Law School, Philadelphia, USA.
Health Aff (Millwood). 2004 Jul-Aug;23(4):33-41. doi: 10.1377/hlthaff.23.4.33.
Critics charge that judges and juries are incompetent to address medical liability issues. Some advocate shifting authority away from ordinary judges and juries, either by appointing "expert" decisionmakers, such as "medical screening panels" or specialized "medical courts," or by instituting caps on damages. Problems with the tort liability system may weigh in favor of a shift to a no-fault administrative compensation system. If the current fault-based system is retained, however, policymakers should not adopt half-measures by creating "expert" panels or "expert" courts. Rather, they should better equip the existing decisionmakers to deal with liability and damages questions.
批评者指责法官和陪审团没有能力处理医疗责任问题。一些人主张将权力从普通法官和陪审团手中转移出去，要么通过任命“专家”决策者，比如“医疗筛查小组”或专门的“医疗法庭”，要么通过设定损害赔偿上限。侵权责任制度存在的问题可能有利于转向无过错行政赔偿制度。然而，如果保留当前基于过错的制度，政策制定者不应通过设立“专家”小组或“专家”法庭来采取折中的办法。相反，他们应该让现有的决策者更好地处理责任和损害赔偿问题。
