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Medical Liability: Comparing Compensation Systems
Book chapter

Medical Liability: Comparing Compensation Systems

Karl Harald Søvig and Barry Furrow
The Oxford Handbook of Comparative Health Law
29 Jul 2021

Abstract

Comparative Law compensation systems healthcare system Medical and Healthcare Law negligence-based culpability patient compensation funds patient injury provider culpability Scandinavian compensation system system responsibility tort doctrine US compensation system
This chapter presents a comparison of liability/compensation systems across countries, which can be challenging because of substantial differences in tort doctrine, judicial systems, and administrative compensation mechanisms. It approaches the problem of patient injury in a healthcare system from the dual (and dueling) perspectives of system responsibility and provider culpability. The basic question that the chapter asks is this: Who should bear the economic costs of medical adverse events? The US system remains solidly anchored in the tort liability system, with its emphasis on negligence-based culpability in medical malpractice cases—but with timid moves toward enterprise liability and statutory communication and resolution programs. By contrast, the Scandinavian systems have publicly funded patient compensation funds.

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