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Asian Bioethics Review

, Volume 11, Issue 1, pp 81–93 | Cite as

The need for healthcare reforms: is no-fault liability the solution to medical malpractice?

  • Shivkrit RaiEmail author
  • Vishwas H. Devaiah
Original Paper

Abstract

Healthcare reforms in India have been a much-debated issue in the recent past. While the debate has focused mainly on the right to healthcare, another by-product that has evolved out of the debate was the current problem of medical malpractice and the healthcare law. The last decade has seen an increase in the healthcare facilities in the country. This, however, has come with a bulk of medical error cases which the courts have entertained. According to reports, there has been an increase in medical litigation cases by 400% in the last decade. There are about 5.2 million cases of medical error in the country every year. While there exists a standard legal system in the country which entertains such complaints of medical malpractice, the attempt by regulators and medical practitioners should be to reduce these cases. This paper seeks to analyze the extent to which medical malpractice cases affect consumers (patients). It analyzes the existing medical liability system which has mainly evolved through the jurisprudence laid down by the English courts and critiques it. It also looks into the major reasons for such medical mishaps. Authors argue that a “No-Fault” system may give better outcomes. They analyze this by looking at the no-fault liability model implemented in New Zealand. Narratives of no-fault liability being implemented in India have also been used. These are showcased from instances of Motor Vehicles Act, 1988, and Clinical Trial regulations. It is also argued that a by-product of a no-fault liability system is stringent regulations which are used to reduce the possibility of medical mishaps altogether. Lastly, the possible problems of the no-fault liability system are discussed in the paper.

Keywords

Medical liability Medical malpractice No-fault system India 

Notes

References

  1. Aggrawal, Anil, and Kabir Sardana. 2014. Medicolegal aspects of lasers in dermatological practice. In LASERS in Dermatological Practice, edited by Kabir Sardana and V.K. Garg, 441–454. New Delhi: Jaypee.Google Scholar
  2. Akhter, Shahid. 2016. 5.2 million medical errors are happening in India annually: Dr Gyani J. Girdhar. The Economic Times, 2 August 2016. http://health.economictimes.indiatimes.com/news/industry/5-2-million-medicalerrors-are-happening-in-india-annually-dr-girdhar-j-gyani/53497049. Accessed 15 May 2018.
  3. Anderson, S.L. 1969. The Woodhouse report on compensation for personal injury in New Zealand. Auckland University Law Review 1 (2): 1–15.Google Scholar
  4. Arlen, Jennifer H. 2013. Economic analysis of medical malpractice liability and its reform, in Research Handbook on the Economics of Torts, edited by Jennifer H. Arlen, 33–68. Cheltenham: Edward Elgar Publishing.Google Scholar
  5. Bal, B. Sonny. 2009. An introduction to medical malpractice in the United States. Clinical Orthopaedics and Related Research 467 (2): 339–347.  https://doi.org/10.1007/s11999-008-0636-2.CrossRefGoogle Scholar
  6. Bhatt, Ramesh. 1996. Regulating the private health care sector: The case of Indian consumer protection act, health policy and planning. Health Policy and Planning 11 (3): 265–279.  https://doi.org/10.1093/heapol/11.3.265.CrossRefGoogle Scholar
  7. Bhatt, Malak. 2009. Medicine and the law. Indian Journal of Medical Ethics 6 (3): 158–159.  https://doi.org/10.20529/IJME.2009.034.Google Scholar
  8. Bismark, Marie, and Ron Paterson. 2006. No-fault compensation in New Zealand: Harmonizing injury compensation, provider accountability, and patient safety. Health Affairs 25 (1): 278–283.CrossRefGoogle Scholar
  9. Boccara, Steve. 2009. Medical Malpractice. In Tort law and economics, encyclopedia of law and economics, ed. Michael Faure, 2nd ed., 341–365. Northampton MA: Edward Elgar Publishing.Google Scholar
  10. Bolam v. Friern Hospital Management Committee. 1957. 1 WLR 582.Google Scholar
  11. Bolitho v. City and Hackney Health Authority. 1997. 4 All ER 771.Google Scholar
  12. Burstin, Helen R., William G. Johnson, and Stuart R. Lipsitz. 1993. Do the poor sue more? A case-control study of malpractice claims and socioeconomic status. Journal of American Medical Association 270 (14): 1697–1701.  https://doi.org/10.1001/jama.1993.03510140057029.CrossRefGoogle Scholar
  13. Danzon, Patricia. 1994. Tort reform: The case of medical malpractice. Oxford Review of Economic Policy 10 (1): 84–98.  https://doi.org/10.1093/oxrep/10.1.84.CrossRefGoogle Scholar
  14. Dr. Balram Prasad & Ors. v Dr. Kunal Saha & Anr. 2014. 1 SCC 384.Google Scholar
  15. Dute, Jos, Michael Faure and Helmut Koziol. 2004. No-fault compensation in health care sector. Tort and insurance law, volume 8. Vienna: Springer Vienna.Google Scholar
  16. Gupta, Yogendra Kumar, Arun Kumar Pradhan, Aman Goyal, and Prafull Mohan. 2014. Compensation for clinical trial-related injury and death in India: Challenges and the way forward. Drug Safety 37(12): 995–1002.  https://doi.org/10.1007/s40264-014-0230-3.
  17. India Brand Equity Foundation. 2018. Healthcare sector growth trend. https://www.ibef.org/industry/healthcare-india.aspx. Accessed 15 May 2018.
  18. Jacob Mathew v. State of Punjab. 2005. 6 SCC 1.Google Scholar
  19. Jha, Durgesh Nandan. 2017. Medical negligence cases rising in India: Study. The Times of India, 27 March 2017. http://timesofindia.indiatimes.com/city/delhi/medical-negligence-cases-rising-study/articleshow/57844510.cms. Accessed 15 May 2018.
  20. Kaushik, Preetam. 2015. Medical profession losing its aura of sanctity with the rising cases of malpractice and negligence. Business Insider, 25 March 2015. http://www.businessinsider.in/Medical-profession-losing-its-aura-of-sanctity-with-the-rising-cases-of-malpractice-and-negligence/articleshow/46688610.cms. Accessed 16 May 2018.
  21. Krishnan, Vidya. 2013. Medical negligence: Will the Anuradha Saha case set a precedent? Live Mint, 6 November 2013. http://www.livemint.com/Politics/rYITtOKCr3IO0iexKbvc6K/Medical-negligence-Will-Anuradha-Saha-case-set-precedent.html. Accessed 20 May 2018.
  22. Law Commission of India. 1980. 85 th report on claims for compensation under chapter 8 of the motor vehicles act, 1939. Ministry of Law and Justice, Department of Legal Affairs: Government of India.Google Scholar
  23. Manjusri Raha v. B.L.Gupta, AIR. 1977. SC: 1158.Google Scholar
  24. Manning, Joanna M. 2017. Does the law on compensation for research-related injury in the UK, Australia, and New Zealand meet ethical requirements? Medical Law Review 25 (3): 397–427.  https://doi.org/10.1093/medlaw/fwx019.CrossRefGoogle Scholar
  25. Mathieson, D.L. 1968. Royal Commission of Inquiry: Compensation for personal injury in New Zealand. The Modern Law Review 31 (5): 544–549.  https://doi.org/10.1111/j.1468-2230.1968.tb01210.x.CrossRefGoogle Scholar
  26. McLaren Transport Ltd. v. Somerville. 1996. 3 NZLR 424.Google Scholar
  27. Ministry of Health and Family Welfare. 2012. Good clinical practices: guidelines for clinical trials on pharmaceutical products in India. Ministry of Health and Family Welfare, Government of India. http://unpan1.un.org/intradoc/groups/public/documents/apcity/unpan009867.pdf. Accessed 22 May 2018.
  28. Mishra, Abhinav. 2017. Doctors in court: A brief analysis of medical negligence. South Asian Journal of Multidisciplinary Studies 3 (4): 186–194.Google Scholar
  29. Mondal, Swadhin, and Dinesh Abrol. 2015. Clinical trials industry in India: A systematic review. Institute for Studies in Industrial Development Working Paper 179: 1–22. http://isid.org.in/pdf/WP179.pdf.
  30. Montgomery v Lanarkshire Health Board [2015] SC 11 [2015] 1 AC 1430.Google Scholar
  31. Mukherjee, Shoibal. 2012. Compensation conundrum. Perspectives in Clinical Research 3 (1): 4–7.  https://doi.org/10.4103/2229-3485.92300.CrossRefGoogle Scholar
  32. Pandit, M.S., and Shobha Pandit. 2009. Medical negligence: Coverage of the profession, duties, ethics, case law, and enlightened defense - a legal perspective. Indian Journal of Urology 25 (3): 372–378.  https://doi.org/10.4103/0970-1591.56206.CrossRefGoogle Scholar
  33. Paschim Banga Khet Majdoor Samity v. State of West Bengal. 1996. SCC (4) 37.Google Scholar
  34. Poonam Verma v. Ashwin Patel & Ors. 1996. 4 SCC 332.Google Scholar
  35. Pt. Parmanand Katara v. Union of India. 1989. AIR 2039.Google Scholar
  36. PwC. 2012. Healthcare infrastructure and services financing in India: operation and challenges. PricewaterhouseCoopers, 15 September 2012. https://www.pwc.in/assets/pdfs/publications-2012/healthcare_financing_report_print.pdf. Accessed 25 June 2018.
  37. Rao R., Sunitha. 2017. Medical negligence: Only 33 doctors proven guilty in Karnataka since 2012. The Times of India, 6 July 2017. https://timesofindia.indiatimes.com/city/bengaluru/medical-negligence-only-33-doctors-proven-guilty-in-karnataka-since-2012/articleshow/59467958.cms. Accessed 17 May 2018.
  38. Saha, Kunal. 2014. Are large compensation payouts for medical negligence good? The Economic Times, 1 September 2014. https://economictimes.indiatimes.com/articleshow/41280942.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst. Accessed 16 May 2018.
  39. Schuck, Peter H. 2008. Tort reform, kiwi-style. Yale Law and Policy Review 27 (1): 187–203.Google Scholar
  40. Sebastian, Manu. 2017. Limited liability of insurer in motor vehicles amendment bill 2016 – A retrograde step. LiveLaw.in, 3 September 2017. http://www.livelaw.in/limited-liability-insurer-motor-vehicles-amendment-bill-2016-retrograde-step/. Accessed 22 May 2018.
  41. Sekhar, M. Sonal, and N. Vyas. 2013. Defensive medicine: A bane to healthcare. Annals of Medical and Health Sciences Research 3 (2): 295–296.  https://doi.org/10.4103/2141-9248.113688.CrossRefGoogle Scholar
  42. Sharma, Sanchita. 2017. India’s public healthcare system in crisis: Too many patients not enough doctors. Hindustan Times, 29 August 2017. https://www.hindustantimes.com/india-news/public-health-system-in-crisis-too-many-patients-not-enough-doctors/story-39XAtFSWGfO0e4qRKcd8fO.html. Accessed 21 May 2018.
  43. Singh, Jerome Amir. 2013. India’s regulatory reforms on compensation for clinical trial injuries and deaths: Urgent need for revisiting. Indian Journal of Medical Ethics 10 (3): 195–197  https://doi.org/10.20529/IJME.2013.057.Google Scholar
  44. Singh, Shakti. 2016. Alarming rise in medical negligence litigation: Study. The Times of India, 18 November 2016. https://timesofindia.indiatimes.com/city/nagpur/Alarming-rise-in-medical-negligence-litigation-Study/articleshow/55484635.cms. Accessed 18 May 2018.
  45. Skandia Insurance Co. Ltd v. Kokilaben Chandravadan & Ors. 1987. AIR 1184.Google Scholar
  46. Thakur, Savita. 2017. Demand for fast track courts in medical negligence cases medical dialogues. Medical Dialogues, 31 March 2017. http://medicaldialogues.in/demand-for-fast-track-courts-in-medical-negligence-cases/. Accessed 22 May 2018.
  47. The Economic Times. 2015. Many Indian doctors under pressure to meet revenue targets. The Economic Times, 4 September 2015. https://economictimes.indiatimes.com/nri/working-abroad/many-indian-doctors-under-pressure-to-meet-revenue-targets/articleshow/48807934.cms. Accessed 24 May 2018.
  48. The Economic Times 2016. Punjab tops chart in clearing medical negligence cases. The Economic Times, 12 March 2016. https://health.economictimes.indiatimes.com/news/hospitals/punjab-tops-chart-in-clearing-medical-negligence-cases/51370489. Accessed 17 May 2018.
  49. The Hindu. 2014. India’s illiterate population largest in the world, says UNESCO report. The Hindu, 30 January 2014. http://www.thehindu.com/news/national/indias-illiterate-population-largest-in-the-world-says-unesco-report/article5631797.ece. Accessed 18 May 2018.
  50. United India Insurance Co. v. Sunil Kumar. 2014. 1 SCC 680.Google Scholar
  51. Wallis, Katherine. 2013. New Zealand’s 2005 ‘no-fault’ compensation reforms and medical professional accountability for harm. The New Zealand Medical Journal 126 (1371): 33–44.Google Scholar

Copyright information

© National University of Singapore and Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Jindal Global Law SchoolO.P. Jindal Global UniversitySonipatIndia

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