Anesthesiologists and obgyns can pay well into six figures a year in medical malpractice premiums.

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Although the direct, measurable cost of malpractice premiums is small, the effect on physician behaviour is enormous.

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Defensive medicine includes all the extra tests and procedures performed to deter lawsuits and is separate and apart from spending on malpractice premiums, which add another 1 percent to health spending.

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They went so far as to go on record with the Texas Insurance Commissioner, promising that such a law would go a long way towards reducing the malpractice premiums they charged physicians, thereby reducing the cost of medical care to the consumer.

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The average award for medical malpractice has risen, as have liability premiums.

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Opponents of the bill warn of an avalanche of lawsuits and point out that premiums have already been escalating for years because of malpractice suits against doctors.

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