ST. PAUL, Minn. - As health care reform gets hammered out in Washington, one element hasn't gotten much attention: What to do about the malpractice issue. Mike Bryant, who takes over as president of the Minnesota Association for Justice this month, thinks Minnesota's approach to malpractice would be a good model for the new system.

Minnesota is one 26 states that have no cap on malpractice awards, which Bryant says leads to better outcomes.

"Minnesota has low rates for doctors as far as malpractice insurance, and Minnesota has some of the best health care in the country. We also have one of the lowest numbers of filings for malpractice claims - in fact, the number of claims is going down in this state."

Other states without caps have not been as lucky. Some studies indicate they have higher insurance rates, although other studies are less conclusive.

Physicians and congressional Republicans insist that limiting jury awards in malpractice cases is the best way to curb malpractice insurance costs for doctors, which they say will then lower costs for patients. In proposing malpractice award caps in 2004, then-Vice President Dick Cheney offered the idea as a solution to what he termed "runaway litigation."

But Bryant says malpractice payouts, and the subsequent insurance premiums, account for just a fraction of overall health care costs.

"The malpractice part of the system is a very small part - I think it's a half of one percent of the whole, complete system - and unless you're going to say that no one has any right whatsoever to ever bring a claim, you're always going to have some part of the system cost that's due to malpractice because there is malpractice out there at times."

An analysis by the federal Congressional Budget Office determined caps on malpractice awards would lower health insurance premiums by only .4 percent. President Barack Obama has said he supports lowering malpractice insurance premiums for physicians, but does not support caps.



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A new study showed the flame retardants used in the seats of many cars emit toxic gases, and recommended the federal government reevaluate its flammability standards.

Researchers at Duke University and the Green Science Policy Institute in Berkeley studied the air and foam from 101 cars model year 2015 and newer, and found traces of two carcinogens on California's Prop. 65 list of harmful chemicals.

Robert Herrell, executive director of the Consumer Federation of California, called on the National Highway Traffic Safety Administration or state officials to act.

"We would hope that the relevant federal authorities would take a look at this," Herrell urged. "They have indicated that they're aware of this study, they're reviewing it. In some cases, California chooses not to wait necessarily for the feds to act, and we can try to act ahead of that."

The Alliance for Automotive Innovation, a trade group of dozens of auto manufacturers, did not immediately respond to a request for comment. The study, in the journal Environmental Science and Technology, found the chemicals are released into the air two to five times more often in the summer when the car is hot. It recommended people park in the shade, air out their cars before getting in and avoid using the recirculated air feature in their vehicles.

Herrell noted his group fought to get the government to require furniture manufacturers to phase out similar flame retardants.

"Historically, the auto industry has really lagged behind on safety and consumer protection issues," Herrell asserted. "More often than not, they've been sort of dragged kicking and screaming into the modern age."

The flame retardants at issue do not prevent burning but they slow a fire's progression. Many fires starting inside cars begin with a dropped cigarette, so some experts have suggested the feds update flammability standards with a new anti-smoldering requirement, which could be met without the use of these types of chemicals.


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Supply chain disruptions mean consumers who need prescriptions filled in Indiana and around the country are running into roadblocks.

Parents and caregivers have limited options, as the availability of generic medications is running low. There are several causes: Inoperable manufacturing plants cause production delays and back orders pile up. A key pharmaceutical ingredient needed to make a certain medicine has been discontinued, causing additional problems.

Veronica Vernon, assistant professor of pharmacy practice at Butler University, called the situation dire.

"We're seeing one of the worst cases of prescription drug shortages that we've seen in recent years," Vernon observed. "Unfortunately, this is a cause for concern because you go to the pharmacy and expect them to have the medication in stock, and they don't."

Vernon acknowledged pharmacists cannot guarantee patients when a certain medication will be delivered. She advised parents and caregivers to schedule refills up to two weeks in advance to make sure they will be ready on time, if the pharmacy can even get the medication.

According to Singlecare.com, atorvastatin, sold under the brand name Lipitor, was the most prescribed drug in Indiana last year. It's used to lower cholesterol.

The shortages affect both brand name and generic drugs. Vernon suggested keeping good lines of communication open with your pharmacist and asking if there are any negative health risks tied to taking a generic, if one is available.

"One of the most important things you can do is to always keep a list of your current medications with you," Vernon recommended. "And also keep a record of what you've tried in the past. When my patients experience a shortage, I'll say let's try this other medication that's in the same class is expected to have the same effect. Have you tried that before?"

Statista.com estimated the total market for generic drugs worldwide was estimated at $412 billion in 2022 and the figure is expected to increase to more than $600 billion by 2030.


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Just last month, a California man was sentenced to four years in prison for being the mastermind behind romance scams - in which he received hundreds of thousands of dollars from two elderly Arizona women - according to the Arizona Attorney General's Office.

One local group is sounding the alarm.

Dawn Alexander is a communications analyst with AARP Arizona, and wants to encourage all Arizonans to be mindful about who they're speaking to and how much information they're giving out.

"These romance scams, they'll start to ask for gift cards, they'll start to ask for money, and then they'll get more brazen," said Alexander. "A lot of times, it can easily turn into a money mule situation - which is basically they will eventually gain access to their bank accounts and start running money fraudulently through those."

Alexander added that while romance scams can start on dating apps, they can also start through less conventional avenues.

She added that romance scammers look to exploit the desire for love and companionship - and says warning signs can include professing love early on, someone who needs money to deal with an emergency, or an individual who makes plans to meet in person but never follows through.

Alexander contended that as technology and things such as artificial intelligence get more advanced, so do the scams.

She added that AI has enabled scammers to more easily produce things such as photos and videos which seem legitimate.

She said AARP has the AARP Fraud Watch Network, which is a free resource for both AARP members and nonmembers alike. She said if you're in doubt, there are those who are ready to help.

"They can reach out to AARP.org/fraudwatchnetwork or they can call a toll-free number, 1-877-908-3360," said Alexander, "and they will speak to an actual person who can assist them with any of their concerns."

Alexander said another tip is to never send money including wire transfers or cryptocurrency to a stranger or someone you met online, as she said they're wanting forms of payment to be what she calls "untraceable."