Vice Presidential Debate -- Question Fourteen
Case Western Reserve University - Cleveland, OH - October 5, 2004
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IFILL: OK, then we'll move on to the next question.

This one is for you, Mr. Vice President. President Bush has derided in John Kerry for putting a trial lawyer on the ticket. You yourself have said that lawsuits are partly to blame for higher medical costs. Are you willing to say that John Edwards, sitting here, has been part of the problem?

(LAUGHTER)

CHENEY: Well, Gwen...

IFILL: Mr. Vice President?

(LAUGHTER) CHENEY: First of all, I'm not familiar with his cases. My concern is specifically with what's happened to our medical care system because of rising malpractice insurance rates, because we failed to adequately reform our medical liability structure.

I was in New Mexico the other day and met with a group of OB/GYN docs.

And they were deeply concerned because they were fearful that there'd be another increase in malpractice insurance rates as a result of what they believe are frivolous lawsuits and that that would put them out of business.

And one doctor indicated that her rates have gone up so much that she's now to the point where she is screening patients. She won't take high-risk patients anymore because of the danger that that will generate a lawsuit, and a lawsuit will put her out of business.

This has had a devastating impact in a lot of communities. My home state of Wyoming, we've lost the top insurer of malpractice insurance in the state. The rates for a general practitioner have gone from $40,000 a year to $100,000 a year for an insurance policy.

We think this has a devastating impact on the quality of health care.

As I say, high risk patients don't get covered anymore. We've lost one out of eleven OB/GYN practitioners in the country. We think it can be fixed, needs to be fixed.

Now, specifically, what we need to do is cap non-economic damages, and we also think you need to limit the awards that the trial attorneys take out of all of this. Over 50 percent of the settlements go to the attorneys and for administrating overhead.

We passed medical liability reform through the House of Representatives. It's been blocked in the Senate. Senator Kerry's voted 10 times against medical liability reform, and I don't believe Senator Edwards supports it, either, not the kind that would be meaningful.

IFILL: Senator Edwards?

EDWARDS: Yes. Well let me say, first of all, I'm proud of the work I did on behalf of kids and families against big insurance companies, big drug companies and big HMOs.

We do have too many lawsuits. And the reality is there's something that we can do about it.

John Kerry and I have a plan to do something about it. We want to put more responsibility on the lawyers to require, before a case, malpractice, which the vice president just spoke about, have the case reviewed by independent experts to determine if the case is serious and meritorious before it can be filed; hold the lawyers responsible for that, certify that and hold the lawyer financially responsible if they don't do it; have a three-strikes-and-you're-out rule so that a lawyer who files three of these cases without meeting this requirement loses their right to file these cases.

That way we keep the cases out of the system that don't belong in the system. They talk about frivolous cases. We believe cases that don't belong in the system should never be in the system.

But we don't believe that we should take away the right of people like Valerie Lakey, who was the young girl who I represented, five years old, severely injured for life, on a defective swimming pool drain cover.

It turns out the company knew of 12 other children who had either been killed or severely injured by the same problem. They hid it. They didn't tell anybody. They could have fixed it with a 2-cent screw. That's wrong.

John Kerry and I are always going to stand with the Valerie Lakeys of the world, and not with the insurance companies.