Trial attorneys and Attorney General pose a deceptive threat to healthcare in California

Guest Column Guest Column


Guest Commentary
by David King

I have represented physicians, medical groups and Ambulatory Surgical Centers in matters of corporate, general business and regulatory compliance for the past ten years of my 17-year legal career. I am also a CPA who understands the unique profession of medicine, and I know that California’s excessive regulation diverts resources from patient care.

This 2014 election is a war between physicians on one hand, and the double-headed Orthrus of the plaintiffs’ Bar and Attorney General Kamala Harris on the other. Harris has enabled a ballot initiative which would repeal the Medical Injury Compensation Reform Act (“MICRA”) and thereby increase malpractice damages which may be recovered from doctors, hospitals, nurses, community clinics, firefighters, EMTs and other health workers. However, the repeal of MICRA is deceptively buried under the issue of “substance abuse.”

MICRA was passed in 1978 to solve a litigation-induced crisis in malpractice insurance. All subsequent efforts to modify the law have failed—because the law reduces healthcare costs. MICRA fairly compensates patients who are injured during medical care by providing unlimited compensation for past and future earnings, past and future medical care, and even punitive damages, while it reduces incentives to file meritless lawsuits.

“Total awards, the sum of economic and noneconomic damages, have significantly outpaced inflation in our state, so that injured patients today actually receive higher awards than in past years. What trial lawyers aren’t saying is that their payouts have also increased significantly,” according to Sacramento pediatrician Dr. Paul R. Phinney, former President of the California Medical Association (“CMA”).

Kamala Harris has repeatedly abused her powers as Attorney General to mislead voters on ballot initiatives, destroying the measures she disfavors, such as pension reform. She shamelessly misuses her authority to lay the foundation for her 2018 campaign for Governor. Medical doctors are only the latest victims of Harris’s political manipulation of Californians’ Constitutional rights of direct democracy.

Harris favors the repeal of MICRA, so she cloaks this unpopular initiative under a misleading summary. She has consistently positioned herself to the left of Jerry Brown and Gavin Newsom, building her base of support to run for Governor—trial attorneys fund campaigns.

Anyone who knows the law and its impact on the public understands the difference between taking action based on the law, versus being a politician and pandering about the way things ought to be. Kamala Harris and Jerry Brown are politicians who misuse their authority, not real lawyers. This type of manipulation erodes the rule of law, particularly California’s constitution.

By lowering healthcare costs, MICRA has improved Californians’ access to care. No less than 28 other states followed California’s example by limiting non-economic damage awards.

With the support of trial attorneys, Harris has sanctioned a misleading summary for the “Troy and Alana Pack Patient Safety Act of 2014.” The ballot summary which Harris approved states the following:

Requires drug and alcohol testing of doctors and reporting of positive test to the California Medical Board. Requires Board to suspend doctor pending investigation of positive test and take disciplinary action if doctor was impaired while on duty. Requires doctors to report any other doctor suspected of drug or alcohol impairment or medical negligence. Requires health care practitioners to consult state prescription drug history database before prescribing certain controlled substances. Increases $250,000 cap on pain and suffering damages in medical negligence lawsuits to account for inflation.


Voters are left with a false choice: opposing the initiative suggests they reject drug-testing and requiring a query of patients’ existing prescriptions prior to prescribing controlled medications. According to the American College of Emergency Physicians: “Make no mistake, this is about rolling back MICRA by more than quadrupling the current cap, with more increases for the foreseeable future. Unless defeated, the measure will be costly for consumers and taxpayers, and would reduce access to care for patients.”

Just last year, following our state legislature’s rejection of efforts to repeal MICRA, the CMA’s President Phinney demonstrated confidence that MICRA would remain in force: “Legislation this year or a ballot measure in 2014 were floated in the media by trial lawyers, yet nothing has shown up publicly, which shows this is the same posturing trial lawyers have been doing for decades.”

Contrary to Phinney’s 2013 expectations, the repeal of MICRA is underway but it does not “show up publicly.” Instead, deceptive trial attorneys and a complicit Attorney General seek to repeal MICRA through a misleading ballot initiative about physician substance abuse and over-prescribing controlled medications.

The U-T San Diego editorial board concluded, “Attorney General Kamala Harris intentionally deceived ballot signers by highlighting one of the fig leaves that trial lawyers attached to the measure to hide their real intent.”

The obvious flaws in the “drug prescription controls” included in the “Pack MICRA-Repeal Initiative” betray its underhanded purpose. “CURES” is a database searched by physicians prior to issuing patients prescriptions of certain controlled substances. The Pack MICRA-Repeal Act would require doctors to search the state’s CURES database prior to writing a prescription for such drugs.

However, the Pack MICRA-Repeal Act includes no requirement that physicians register to use the database. In a glaring omission, the Pack MICRA-Repeal Act does not require physicians to enter any information about the drugs they prescribe into the database. Thus, doctors would be required to search and rely upon a database which might have no record of the prescriptions other doctors have written. This bears all the wisdom of checking the mechanics of a car without opening the hood.

The Pack MICRA-Repeal Act is transparent. It is solely intended to raise medical malpractice damages.

The initiative would increase exponentially the number of malpractice lawsuits, raising insurance premiums, reducing the services offered by doctors, driving doctors out of California or into retirement. The Pack MICRA-Repeal Act would reduce Californians’ access to healthcare.

While Californians face this deceptive threat to healthcare, Attorney General candidate Phil Wyman floats aimlessly in the clouds. His ongoing attempt to redirect Californians’ attention to decades-old achievements in “aerospace,” “Barry Goldwater” and the “B-1 Bomber” demonstrate he is unfit for office. His so-called “quiet leadership” will fail to counter the challenges in California’s political status quo. Rather than engage in the changing needs of California and its citizens, Wyman freely makes inappropriate statements that reflect his rigid agenda—one which is far out of touch with Californians.

Addressing Sen. Leland Yee’s indictment, Wyman said in a news release and telephone interview that the “most egregious” abusers of their public office, if convicted, should be able to choose their method of death: “[l]et that person choose. That person’s been at the pinnacle of power. If he wants to be executed by firing squad, let him.” Wyman’s positions demonstrate his failure to separate his personal opinions from objective, intelligent leadership needed to mount a credible challenge to Kamala Harris.

Let’s not allow trial attorneys and Kamala Harris to further their own agendas, thereby increasing the costs of health insurance and patient care, as well as the costs imposed upon taxpayers and the immense burdens upon physicians, those who commit their lives to the care of others. California’s regulatory and litigation environment has strangled small business for decades. Let’s not add our most fundamental and crucial medical care of to California’s list of casualties.

The time has come to elect an Attorney General who is not a politician, but instead knows the law and its real impact on families and doctors.

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King is a Republican candidate for California Attorney General, a former auditor-CPA, an attorney with 17 years of experience in the public and private sector.