Siskind F B
Risk Anal. 1987 Mar;7(1):59-69. doi: 10.1111/j.1539-6924.1987.tb00969.x.
The potentially huge financial liability due to asbestos product suits and the resulting filings for reorganization in bankruptcy by Manville, UNR Industries, Inc., and Amatex, has become a major public policy concern. In response to the problem several bills have been introduced in the Congress to provide compensation for asbestos (and other occupational disease) victims. This paper estimates the cost of compensating asbestos victims under the provisions of the "Occupational Disease Compensation Act of 1983," introduced by Congressman George Miller. Utilizing fatality projections from studies by Enterline, Selikoff, and Walker, and assumptions regarding likely claims filing and success rates, duration and degree of disability, and medical expenses, first year costs for this legislation are estimated to range from a low of $131 million to a high of $ billion. Present value cost estimates at a 2% real discount rate range from $3 billion to $56 billion. The paper also estimates the impact of possible modifications to the compensation provisions of the legislation. Reducing medical payments by the amount received from medicare would lower costs by 3-4%. Providing survivors with a 3-year lump sum benefit rather than a 5-year lump sum payment would save 20-25% as would offsetting the 5-year lump sum by expected social security old age and disability benefits. Combining all of these changes would reduce costs by almost 50%.
因石棉产品诉讼可能产生的巨额财务负债,以及由此导致的曼维尔公司、UNR工业公司和阿马特克斯公司申请破产重组,已成为一项重大的公共政策问题。针对这一问题,国会已提出多项法案,为石棉(及其他职业病)受害者提供赔偿。本文估算了根据众议员乔治·米勒提出的《1983年职业病赔偿法》条款赔偿石棉受害者的成本。利用恩特林、塞利科夫和沃克研究中的死亡率预测,以及关于可能的索赔申请和成功率、残疾持续时间和程度以及医疗费用的假设,该立法的第一年成本估计在1.31亿美元至数十亿美元的高位之间。以2%的实际贴现率计算,现值成本估计在30亿美元至560亿美元之间。本文还估算了对该立法赔偿条款可能进行修改的影响。将医疗保险支付的金额从医疗费用中扣除,将使成本降低3 - 4%。为幸存者提供3年期一次性福利而非5年期一次性支付,将节省20 - 25%,通过预期的社会保障老年和残疾福利抵消5年期一次性支付也能节省同样比例。综合所有这些变化将使成本降低近50%。