Tort Reform Unlikely to Cut Health Care Costs

By
Wednesday, August 19, 2009 at 6:00 am
iStockphoto

iStockphoto

Amid the obstructionists’ claims that health care reform is “socialist” or a means of speeding Grandma towards her deathbed, a large focus of the conservative position on health care reform has been that frivolous lawsuits drive up health care costs and require doctors to practice “defensive medicine” that’s costly and wasteful.

In a recent Washington Post op-ed, Charles Krauthammer put “tort reform” on the top of his wish-list for reducing the costs of the health care system. Gov. Rick Perry of Texas in the Washington Examiner boasts that Texas tort reform that capped injured patient’s damages was the answer to his state’s problems. And the American Medical Association has said it won’t support any health reform bill that doesn’t reduce liability for doctors. “If the bill doesn’t have medical liability reform in it, then we don’t see how it is going to be successful in controlling costs,” James Rohack, president-elect of the organization, told Politico in March. “Why spend the political capital and energy in passing a bill if it is not successful?”

Illustration by: Matt Mahurin

Illustration by: Matt Mahurin

So far Republicans have mostly focused on tearing apart any reform with a role for the federal government, portraying it as the government dictating how long old people get to live. But an undercurrent of those complaints is the insistence of doctors, hospitals, insurance companies and ideological conservatives that medical malpractice claims are out of control and a leading cause of rising health care costs.

The health economists and independent legal experts who study the issue, however, don’t believe that’s true. They say that malpractice liability costs are a small fraction of the spiraling costs of the U.S. health care system, and that the medical errors that malpractice liability tries to prevent are themselves a huge cost– both to the injured patients and to the health care system as a whole.

“It’s really just a distraction,” said Tom Baker, a professor at the University of Pennsylvania Law School and author of “The Medical Malpractice Myth.” “If you were to eliminate medical malpractice liability, even forgetting the negative consequences that would have for safety, accountability, and responsiveness, maybe we’d be talking about 1.5 percent of health care costs. So we’re not talking about real money. It’s small relative to the out-of-control cost of health care.”

Insurance costs about $50-$60 billion a year, Baker estimates. As for what’s often called “defensive medicine,” “there’s really no good study that’s been able to put a number on that,” said Baker.

Krauthammer cited a study by the Massachusetts Medical Society that found that five out of six doctors said they ordered additional tests, procedures and referrals to protect themselves from lawsuits. He also relies on a much-criticized study from the libertarian Pacific Research Institute on the civil justice system to conclude that “defensive medicine” wastes more than $200 billion a year.

Baker is skeptical, and makes the point that “defensive medicine” is not the same thing as wasteful medicine. “Like defensive driving, some defensive medicine is good,” he said. “To change behavior. When you drill down those studies, you see that what it means is, doctors are more careful with patient records. They spend more time with the patient. They’re more careful to say hello and goodbye to the patient. That’s good.”

Other health economists agree that “defensive medicine” is not the main driver of costs, and malpractice liability reform is not a panacea.

“If you were to list the top five or ten things that you could do to bring down health care costs that would not be on the list,” said Michelle Mello, a professor of Law and Public Health at Harvard.

Still, that doesn’t mean the medical liability system we now have is a good one. Mello estimates the costs of so-called “defensive medicine” to be far less than Krauthammer does — around $20 billion a year. “So there’s some savings to be had and frankly the health reform package has not come up with a lot of ideas for major savings.”

President Obama at a recent town hall meeting said he wants to reduce doctors’ insurance premiums, but that, based on his conversations with health care experts, “the evidence at least is that that is a very small, maybe not even a measurable factor in the reason that health care costs are going up.”

“He gets it,” said Baker.

Although damage award caps could slightly limit the future growth of liability insurance premiums – about 6 to 13 percent over time, says Mello, “it tends to be oversold as a solution and it’s pretty unfair to patients.”

Annual jury awards and legal settlements involving doctors amounts to “a drop in the bucket” in a country that spends $2.3 trillion annually on health care, Amitabh Chandra, another Harvard University economist, recently told Bloomberg News. Chandra estimated the cost of jury awards at about $12 per person in the U.S., or about $3.6 billion. Insurer WellPoint Inc. has also said that liability awards are not what’s driving premiums.

And a 2004 report by the Congressional Budget Office said medical malpractice makes up only 2 percent of U.S. health spending. Even “significant reductions” would do little to curb health-care expenses, it concluded.

A study by Bloomberg also found that the proportion of medical malpractice verdicts among the top jury awards in the U.S. declined over the last 20 years. “Of the top 25 awards so far this year, only one was a malpractice case.” Moreover, at least 30 states now cap damages in medical lawsuits.

The experience of Texas in capping damage awards is a good example. Contrary to Perry’s claims, a recent analysis by Atul Gawande in the New Yorker found that while Texas tort reforms led to a cap on pain-and-suffering awards at two hundred and fifty thousand dollars, which led to a dramatic decline in lawsuits, McAllen, Texas is one of the most expensive health care markets in the country. In 2006, “Medicare spent fifteen thousand dollars per person enrolled in McAllen, he finds, which is almost twice the national average — although the average town resident earns only $12,000 a year. “Medicare spends three thousand dollars more per person here than the average person earns.”

Still, many health policy experts don’t believe the current malpractice liability system is either efficient or fair. Mello and others favor an alternative compensation system that takes the issue away from courts and juries and gives it instead to a panel of independent experts to judge whether malpractice occurred and what compensation should be provided. That’s unlikely to bring about significant cost savings, though, because it would encourage many more claims to be filed. Currently, only about two of every 100 patients injured by malpractice ever receive compensations. “The new system would make it a lot easier to file claims,” said Mello, and would reduce the uncertainty doctors complain about from jury awards.

Such a system implemented at a hospital could mean the hospital pays for malpractice insurance, with premium costs tied to the number of claims. The hospital then has an economic incentive to ensure its doctors are providing good care. Currently, Mello says, most insurance is not “experience-rated”, meaning premiums aren’t tied to the number of claims filed against the doctor.

But Mello, who has advised the Obama administration on malpractice reform, doesn’t expect to see such proposals coming out of Congress or the White House anytime soon. “Trial lawyers don’t embrace proposals that would remove their role in the malpractice system,” she said. And they have a lot of influence with Democrats in Washington.

You can follow TWI on Twitter and Facebook.

Comments

377 Comments

The Washington Independent » Tort Reform Unlikely to Cut Health … | health
Pingback posted August 19, 2009 @ 7:00 am

[...] Here is the original:  The Washington Independent » Tort Reform Unlikely to Cut Health … [...]


The Washington Independent » Tort Reform Unlikely to Cut Health …
Pingback posted August 19, 2009 @ 7:15 am

[...] See the original post here: The Washington Independent » Tort Reform Unlikely to Cut Health … [...]


Cstraining - Daily Healthy News Blog » Blog Archive » The Washington Independent » Tort Reform Unlikely to Cut Health …
Pingback posted August 19, 2009 @ 7:27 am

[...] the original post:  The Washington Independent » Tort Reform Unlikely to Cut Health … Tags: economy, government, health, health-care, home, law, politics, science, texas, tort-reform, [...]


The Washington Independent » Tort Reform Unlikely to Cut Health … « AdsBidWorld
Pingback posted August 19, 2009 @ 8:00 am

[...] Amid the obstructionists’ claims that health care reform is “socialist” or a means of speeding Grandma towards her deathbed, a large focus of the conservative position on health care reform has been that frivolous lawsuits drive up … View post: The Washington Independent » Tort Reform Unlikely to Cut Health … [...]


Progressive Nation » Blog Archive » Tort Reform Unlikely to Cut Health Care Costs
Pingback posted August 19, 2009 @ 9:00 am

[...] Arti­cle: Tort Reform Unlikely to Cut Health Care Costs — Wash­ing­ton Independent Share and [...]


The Washington Independent » Tort Reform Unlikely to Cut Health …
Pingback posted August 19, 2009 @ 9:57 am

[...] See more here:  The Washington Independent » Tort Reform Unlikely to Cut Health … [...]


The Washington Independent » Tort Reform Unlikely to Cut Health …
Pingback posted August 19, 2009 @ 10:39 am

[...] More: The Washington Independent » Tort Reform Unlikely to Cut Health … [...]


The Washington Independent » Tort Reform Unlikely to Cut Health … | My Health and Lifestyle
Pingback posted August 19, 2009 @ 12:02 pm

[...] care reform has been that frivolous lawsuits drive up … See the original post here:  The Washington Independent » Tort Reform Unlikely to Cut Health … Share and [...]


The Washington Independent » Tort Reform Unlikely to Cut Health … | kozmom news
Pingback posted August 19, 2009 @ 12:24 pm

[...] post: The Washington Independent » Tort Reform Unlikely to Cut Health … google_ad_client = "pub-3658190228035086"; google_ad_slot = "1112917537"; google_ad_width = [...]


ascpgh
Comment posted August 19, 2009 @ 12:15 pm

Tort reform in the airline industry has capped awards at the same as a soldiers group life insurance payout for a line of duty death; $250,000.

That seems like an intrusive limitation except that it gave the airlines an opportunity to continue to exist instead of being fiscally decimated by the first accident and subsequent uncapped awards.

Why this view is absent in discussions on healthcare? It suggests intact influence by those who continue to reap rewards from medical lawsuits (lawyers).

After all, why shouldn't we have some protective limits to the cash extractions healthcare is exposed to since it affects everyone treated after the gavel falls?


DavidHarlow
Comment posted August 19, 2009 @ 1:37 pm

I wrote recently that tort reform is a red herring in the health reform debate. http://bit.ly/1aXJb4 One key issue requiring more attention is prevention, and we need to focus more on comparative effectiveness research so that screenings (as part of prevention) can be better-tailored to populations and conditions for which screenings and related intervantions will be most valuable.


chenlifeng0810
Comment posted August 19, 2009 @ 3:00 pm

Only One word to characterize such a great post “WOW” that was a very interesting read
a href=”http://www.victoriaclassic.com”>Links of London Jewellery

Everything dynamic and very positively!
a href=”http://www.victoriaclassic.com”>Links of London Jewellery

I think I will try to recommend this post to my friends and family, cuz it’s really helpful.
a href=”http://www.victoriaclassic.com”>Links of London Jewellery

Just wanted to say great job with the blog, today is my first visit here and I’ve enjoyed reading your posts so far
a href=”http://www.victoriaclassic.com”>Links of London Jewellery

Thanks for article. Everytime like to read you.
a href=”http://www.victoriaclassic.com”>Links of London Jewellery


strangely_enough
Comment posted August 19, 2009 @ 4:09 pm

From the article:
'And a 2004 report by the Congressional Budget Office said medical malpractice makes up only 2 percent of U.S. health spending. Even “significant reductions” would do little to curb health-care expenses, it concluded.”'


The Washington Independent » Tort Reform Unlikely to Cut Health … | Cat care new online
Pingback posted August 19, 2009 @ 6:01 pm

[...] upbeat tending improve has been that featherbrained lawsuits intend up … Read more here:  The pedagogue Independent » Tort Reform Unlikely to Cut Health … Posted in Health, Law, Uncategorized | Tags: a-towards-her, Law, life-for, may-boost, [...]


The Washington Independent » Tort Reform Unlikely to Cut Health … | AlternativeInsuranceGuide
Pingback posted August 19, 2009 @ 6:32 pm

[...] Go here to see the original: The Washington Independent » Tort Reform Unlikely to Cut Health … [...]


The Washington Independent » Tort Reform Unlikely to Cut Health … | Alternative health online
Pingback posted August 19, 2009 @ 6:36 pm

[...] tending improve has been that featherbrained lawsuits intend up … Read the example post: The pedagogue Independent » Tort Reform Unlikely to Cut Health … Posted in Uncategorized, health | Tags: -care-reform, grandma, has-been, health, large-focus, [...]


ahoffmanCJD
Comment posted August 19, 2009 @ 9:17 pm

Michelle Mello estimates the cost of so-called “defensive medicine at “around $20 billion a year,” presumably basing that number on general estimate of the CBO's finding that such costs totaled “less than 2 percent of [healthcare] spending (estimated at 2.2 trillion in 2007). However, it is worth pointing out that the CBO went on to find “[S]ome so-called defensive medicine may be motivated less by liability concerns than by the income it generates for physicians or by the positive (albeit small) benefits to patients….” so the actual number is likely to be even lower. Moreover, the CBO also found, “Limiting tort liability would have no significant impact on health care spending.” http://tinyurl.com/l2ow8z

Meanwhile, medical malpractice premiums are less than one-half of one percent of the country’s overall health care costs; and medical malpractice claims are a mere one-fifth of one percent of health care costs. And in over 30 years, premiums and claims have never been greater than 1% of our nation’s health care costs. http://tinyurl.com/m4qnug

As Tom Baker so aptly pointed out, preoccupation with malpractice-related costs is really just a “distraction” from discussing far more significant cost drivers such as the costs associated with the hundreds of thousands of patients who are killed or injured by preventable medical errors each year. http://tinyurl.com/kv2fh

Finally, Mello's advocacy for alternative adjudicative systems is equally disturbing, as it raises, among other things, significant Constitutional and additional cost concerns. http://tinyurl.com/ntzguf


adt
Comment posted August 19, 2009 @ 9:33 pm

Obama’s health-care promises are being exposed by the details of the actual legislation, and we WILL see costs rise. Support the goal of covering all individuals through private health insurance! http://www.friendsoftheuschamber.com/issues/ind…


Texas Health Insurance - Healthcare, Texas PUC, deregulation - Fort Worth Star-Telegram « Texas Health Insurance
Pingback posted August 19, 2009 @ 11:18 pm

[...] Tort Reform Unlikely to Cut Health Care Costs – The Washington Independent.comAmid the obstructionists’ claims that health care reform is “socialist” or a means of speeding Grandma towards her deathbed, a large focus of the conservative position on health care reform has been that frivolous lawsuits drive up health care [...]


Swami_Binkinanda
Comment posted August 19, 2009 @ 11:41 pm

Any caps should be tied to more strict and transparent reviews of the outcomes in health care cases where doctors, nurses, and hospitals have been negligent and more severe punishments where there is cause. A doctor or nurse not washing their hands for surgery, as noted in a recent Atlantic piece, resulted in death as surely as if they had run him over with a car. How many cases of surgical instruments left inside a patient, children getting neutered on accident, or surgeons removing the wrong leg does it take before there is some punishment? How many Porsche dealers would be harmed if no caps were enacted?


Anonymous
Comment posted August 20, 2009 @ 2:33 pm

How does this square with the reports I hear from doctors that their malpractice insurance premiums are on a par with their take-home pay? If that's true, it's hard to see how that could be on the order of 2% of healthcare spending. Is that phenomenon limited to specific practice areas, like obstetrics? It seems like a huge problem there, even apart from the cost control issue, just because of existing doctors abandoning that practice area, and new doctors steering clear.


Mike
Comment posted August 20, 2009 @ 3:12 pm

You're mangling statistics here, to some degree. While it may be true that malpractice premiums are “only 2 percent” of the bill, that number is not uniform. Hospitals have proportionally low malpractice premiums while, for OB-Gyn practices, malpractice insurance is their largest single expense.

I am also highly dubious of these studies that claim there is no such thing as defensive medicine. Such analyses are extremely dependent on your incoming assumptions. If a doctor orders a test or procedure that has medical justification, that may not be counted. But it is often defensive nevertheless. As an example, some of the unnecessary “end of life” costs that our President is trying to reign in happen because of the fear of being sued (and sometimes an explicit threat) for not doing everything possible to save the patient's life.

I have personally had trouble with the malpractice environment. My wife and I want to have a second child but we can not find an OB. Our last one quit doing OB because the liability. Three more moved out of the state to better tort environments. I lived in Texas and I've lived in states with far more lawyer-friendly environments. The difference in healthcare is between night and day.

In short, these studies are at variance with everything I hear on the ground from people within and without medicine. And I notice that they are from parties that do not work in medicine and do not know the climate of fear that exists. Do we really think the opinions of Professors of Law are more telling than those of practicing physicians?

This smells to me, once again, of the legal industry trying to muddy the waters to keep the gravy train flowing.


danblaker
Comment posted August 20, 2009 @ 4:04 pm

The reason a single accident could ruin an airline is that a single accident could kill 400 people. No medical malpractice incident could create that kind of risk for a hospital or practice. Please try a different argument.


jolleytime
Comment posted August 20, 2009 @ 7:57 pm

Great article, Daphne. You cite the Massachusetts Medical Society's study (found here http://twurl.nl/j52mp1) that found that “five out of six doctors said they ordered additional tests, procedures and referrals to protect themselves from lawsuits.” Price Waterhouse Coopers and the Health Research Institute released the findings of a 2008 study of wasted dollars in health care (covered here by CNNMoney http://twurl.nl/cy0f2w) The number one contributor? Overtesting, costing $210 billion annually (twice the cost of the current reform proposal).

Some people focus primarily on jury damage awards and malpractice insurance costs when calculating the impact of tort reform and don't consider the larger costs of defensive medicine.

These increasing costs are reflected in our health insurance premiums, primarily paid for by employers and the government. For the more than 27 million people who buy their own private health insurance, they can make sure they're not overpaying and getting the most affordable health insurance possible on websites like http://www.insuremonkey.com or ehealthinsurance.com. But employers don't have this option and increasing costs impact everyone.

Let's agree it is an area that needs to be addressed, has unnecessary cost implications that get passed to the consumer, and needed changes can improve the overall system without compromising patient safety.


jodigirl1478
Comment posted August 21, 2009 @ 2:18 pm

Frankly – Regardless of whether or not malpractice cases cause an increase in the total health care costs in the US, it is clearly an unfair set-up. People use our courtrooms as another form of winning the lottery, leaving doctors, hospitals and even insurance companies as big targets.

I am not against people having the right to have their day in court. I am against people having a right to a day in court about something that should never have gotten to court. I think the focus should be on reducing frivolous suits. Perhaps requiring all medical malpractice cases to be pre-screened by a panel of doctors who are considered experts in the area of the malpractice complaint. Leaving the screening process up to lawyers who will pay a doctor large sums of money to be on their side, is like leaving the wolf in charge of the hen house.


Tort Reform
Pingback posted August 21, 2009 @ 7:46 pm

[...] [...]


The Latest Republican Non-Issue: Tort Reform « Submitted to a Candid World
Pingback posted August 24, 2009 @ 8:33 am

[...] tort reform could, at most, shave 9% off of a patient’s bill, but that’s a paltry sum, not nearly enough to effect the real change that’s needed. There’s a certain ideological inconsistency there, too: if the free market is the response [...]


Dickies Scrubs
Comment posted August 24, 2009 @ 8:35 am

health care tort report helps in new invention


Burke
Comment posted August 24, 2009 @ 8:40 pm

Personally, I tend to believe Krauthammer. Taking the current cost of the insurance and dividing it by the total costs of health care is absurd. Let's take the simple case of buying a car. The cost of insurance varies based on the type of care I am purchasing, my driving history, the region in which I live, etc. If I want to live within a budget I weigh these factors before purchasing the car and insurance. In the health care industry, the type of practice that I will set up, the procedures by which I drive my practice determine the cost of malpractice insurance. Malpractice costs have been a primary driver in the move to specialization. The procedures and tests that doctors perform limit their risks and keep their malpractice insurance down. Doctors do not try to limit the cost of providing health care to the customer because government has limited market forces. Doctors minimize their costs not ours due to the structure of the current system.

At present there really is not a health care debate. We are arguing who is to pay. Health insurance is not directly responsible for the high cost of health care. This is because people generally confuse price and cost. Price is the about charged to cover costs. Insurance is simply a means for handling the actuarial risk of having to pay the price of health care costs. Adding more people to the system does not lower these costs. In fact, due to supply and demand, it should increase them. Likewise, the companies that have advocated for the President's health care bill are all on the cost side of the equation. A simple cost-benefit analysis equation for the GE's and drug companies tells you that they are avid supporters of having more sales at slightly reduced prices. They will not reduce the cost of health care.

The interstate insurance argument puts some of the focus back on costs. How can the costs be so different over short geographical distances? The probable health care needs of two people divided by the Pennsylvania and New Jersey boarder can not be that different. The actuarial needs, however, discount the costs based on their probability. So the only difference is the cost between states. If the geographical boarder is relevant to cost, then it must be government that is driving up the costs. If government is driving up the costs, then why would cede them greater control? Shouldn't their role decrease to save costs?


dennismccracken
Comment posted August 28, 2009 @ 4:33 pm

While I agree that it is unlikely that the cost of malpractice insurance is a significant factor in health care cost, I do believe, as a matter of principle, that punitive damages should not be allowed in malpractice suits. In fact, I think that they should probably be disallowed in all law suits. If someone needs to be punished (that's what “punitive” means) they should be punished by the entire society. Tried and fined and I doubt that their insurance would want to pay the fine. It is illogical that one person is punished and another is enriched. Malpractice awards should be limited to actual damages.


Name
Comment posted August 28, 2009 @ 11:23 pm

My experience has been that doctors consistently avoid tests because they're afraid the insurance company wont pay if the test, x-ray or MRI, for example do not reveal the cause of the symptoms.


ginabecker
Comment posted August 30, 2009 @ 1:29 pm

Tort reform is a distraction and doesn't drive at the heart of the problem. The problem with health costs is that everybody is eating at a buffet that's already paid for, and which has enormously expensive items on it. It's typically paid for by “the government” or “the company,” and people don't internalize that it's really paid for by US, the people. There's no incentive for the patient or doctor to consider costs much. To correct this, we have to put the money back into the hands of the people and make all health care providers (insurance, pharmaceutical, hospitals) work for our dollar, convincing US (not super-rich, bribable, foolish congresspeople on the health care committees) that we should take a pill that cost $$, or a surgery that costs $$$$$. For the poor, we should give vouchers, so they too have the power of a real consumer. Doing this will make health care costs come down, and will bend health care to what our real needs and wants are, as sure as a law of nature. Then the people would put social pressure on lawyers and on unreasonable clients who were driving up prices via greedy practices.

Just think what the price of big screen TVs would be if the government had decided they were a “human right” back when they came out at $10,000. There'd be a contract, where the government “saved” us a huge amount of money by using their bargaining power to set a price at $9,000 for the next 5 years. There'd be programs, where the government would buy them for some people and penalize people who go outside the “approved” suppliers list. No company would be foolish enough to scramble in the free market, cutting costs and working hard to provide features the consumer wanted for a shrinking margin, when they could spend all their effort getting on the “approved” list.


Aaron
Comment posted August 31, 2009 @ 4:36 pm

Most states do have some form of prescreening requirement, such as having to submit an “affidavit of merit” from a medical expert attesting to the merits of a case before it can be filed.

When you talk about lotteries and frivolous lawsuits, you reveal that you have heard a lot of insurance company propaganda but haven't actually looked at the facts. The New England Journal of Medicine published an analysis that took a hard look at the facts, and here's what it found:

“The profile of non-error claims we observed does not square with the notion of opportunistic trial lawyers pursuing questionable lawsuits in circumstances in which their chances of winning are reasonable and prospective returns in the event of a win are high. Rather, our findings underscore how difficult it may be for plaintiffs and their attorneys to discern what has happened before the initiation of a claim and the acquisition of knowledge that comes from the investigations, consultation with experts, and sharing of information that litigation triggers.”

The University of Michigan Medical Center has developed a program that takes the opposite approach to the standard “delay, deny, defend” tactic that forces the litigation of borderline cases, sharing rather than hiding the facts, and has reported considerable cost savings as a result.

The study concluded,

“Our findings suggest that moves to curb frivolous litigation, if successful, will have a relatively limited effect on the caseload and costs of litigation. The vast majority of resources go toward resolving and paying claims that involve errors. A higher-value target for reform than discouraging claims that do not belong in the system would be streamlining the processing of claims that do belong.”


jodigirl1478
Comment posted August 31, 2009 @ 5:12 pm

Pre-screening by a medical expert hired by the personal injury lawyer is not appropriate. The pre-screening needs to happen by doctors not being paid by a lawyer who has a financial interest in the outcome of the screening.

The less than 2% total costs from liability reform the CBO came up with in 2004, they said, would be around $24 billion dollars, at that time when total costs were lower. Today, total health care costs of $2.2 trillion – even a half percent savings would be roughly $11 billion dollars ANNUAL savings – not including the indirect costs of liability, which are impossible to truly measure. For some reason, annual savings like that are scoffed at, while $80 billion dollar savings from drug companies over 10 years is praise-worthy.


jodigirl1478
Comment posted August 31, 2009 @ 5:14 pm

Well said Mike.


jodigirl1478
Comment posted August 31, 2009 @ 5:20 pm

Even only a HALF of a percent of total costs of the most recent $2.2 Trillion dollars from 2007 would be roughly $11 billion dollar savings ANNUALLY, and that number is excluding the indirect costs of liability as those costs are impossible to truly measure. This administration scoffs at the possibility of $11 billion dollar annual savings from tort reform, yet praises the drug companies $80 billion dollar savings over 10 years?


jodigirl1478
Comment posted August 31, 2009 @ 5:33 pm

Furthermore – The drug companies GOT something in exchange for their $80 billion dollars over 10 years. Doctors like cardiologists who have to go in during the middle of the night, perhaps more than once, to put in a catheter to save someone from a heart attack, or round on weekends and holidays on patients in intensive care, or miss their kids Christmas morning because they are in the cath lab, not only do they get to keep their high liability jobs, but they also get more annual reimbursement cuts from Medicare and future headaches with a new government run public option, while the costs to provide their care continue to rise.

No wonder doctors tell their kids not to go into medicine these days.


jodigirl1478
Comment posted August 31, 2009 @ 5:33 pm

Furthermore – The drug companies GOT something in exchange for their $80 billion dollars over 10 years. Doctors like cardiologists who have to go in during the middle of the night, perhaps more than once, to put in a catheter to save someone from a heart attack, or round on weekends and holidays on patients in intensive care, or miss their kids Christmas morning because they are in the cath lab, not only do they get to keep their high liability jobs, but they also get more annual reimbursement cuts from Medicare and future headaches with a new government run public option, while the costs to provide their care continue to rise.

No wonder doctors tell their kids not to go into medicine these days.


thomas_nguy
Comment posted August 31, 2009 @ 10:49 pm

Still, many health policy experts don’t believe the current malpractice liability system is either efficient or fair.

“Trial lawyers don’t embrace proposals that would remove their role in the malpractice system,” she said. And they have a lot of influence with Democrats in Washington.

I have to at least give Daphne credit for casting an objective spotlight on the litigation burden on healthcare which is has been so glaringly, conveniently absent in the arguments of the supporters of HR3200. I know a few doctors however who would strongly disagree that Tort reform would not help, at least in part, to lower cost. They will also maintain that while malpractice awards themselves aren't the only driver of cost…its the resulting practice of 'Defensive Medicine' – the conducting of numerous medically unnecessary tests to avoid the potential of costly litigation – which is part of the corrosion on the quality of care and affordability in the system.

Which is what this administration and the authors of HR3200 don't get. GinaBecker's previous post did a good job of summarizing the other cost driver which a government-run plan would not have the expertise or impetus to control. This 'Buffet' mentality is known in the Healthcare Industry as 'RATE OF UTILIZATION'.

The 'Rate of Utilization' is worst in states such as New York which mandates HMOs bear the cost (no question ask) for numerous medically non-essential services like acupuncture and expensive infertility treatments (think Octo mom). Perhaps Daphne could also do a follow up piece on how legislators at the state level are complicit making healthcare unaffordable with their idiosyncratic legislations.


Julie
Comment posted August 31, 2009 @ 11:51 pm

My primary care physician, who is also a teacher, believes this is necessary. He is seeing young medical students go into other specialties instead of general practice partially because of the cost of insurance. My doctor works 90 hours a week or more to cover his expenses and pay his staff of 9. He loves what he does or he would quit.

Similarly, trying to find an obstetrician in some states is getting more and more difficult.

If you had more of both, you would have fewer people making expensive emergency room visits. So yes, over time it would cut cost and improve care.


the joke's on us
Comment posted September 1, 2009 @ 7:32 pm

thomas_nguy writes: “They will also maintain that while malpractice awards themselves aren't the only driver of cost…its the resulting practice of 'Defensive Medicine' – the conducting of numerous medically unnecessary tests to avoid the potential of costly litigation – which is part of the corrosion on the quality of care and affordability in the system.

Which is what this administration and the authors of HR3200 don't get.”

What I don't get is why doctors are so paranoid about being sued when it's clear that malpractice costs account for less than 2% of health care spending, and that malpractice cases have actually declined over the years.

I also don't get how anyone in their right mind would want doctors to stop practicing “defensive” medicine, especially since there is no way to quantify how much of this is non-necessary to spotting a real problem.


the joke's on us
Comment posted September 1, 2009 @ 7:47 pm

But you don't address at all the study's conclusions that most of these cases do indeed involve medical error. Surely that's not just a minor detail to you, is it??

Again, the evidence just isn't bearing out that our courts are clogged with frivolous medical malpractice cases, so your insistence that everything hinges on who is doing the pre-screening is just wrong.

Maybe this will give you a different perspective: Trying a medical malpractice case is incredibly, incredibly expensive for the plaintiff's attorney. It typically costs tens of thousands of dollars at least. He or she must pay all these costs out of pocket, with no guarantee of a win or settlement on behalf of their client. As such, they are very selective about the cases they take. That is probably one of the most powerful economic incentives against frivolous lawsuits that we have.


jmach11
Comment posted September 6, 2009 @ 6:13 am

A law school professor does not believe that tort reform will reduce health care costs. What a surprise. The bottom line is that abulance-chasing lawyers have Congress in their back pocket!


sidbarrett
Comment posted September 7, 2009 @ 2:45 am

“Insurer WellPoint Inc. has also said that liability awards are not what’s driving premiums.”
It seems to me that this admission alone should remove tort reform from the table.


Skeptical
Comment posted September 7, 2009 @ 4:46 pm

Love this paragraph:

“The experience of Texas in capping damage awards is a good example. Contrary to Perry’s claims, a recent analysis by Atul Gawande in the New Yorker found that while Texas tort reforms led to a cap on pain-and-suffering awards at two hundred and fifty thousand dollars, which led to a dramatic decline in lawsuits, McAllen, Texas is one of the most expensive health care markets in the country. In 2006, “Medicare spent fifteen thousand dollars per person enrolled in McAllen, he finds, which is almost twice the national average — although the average town resident earns only $12,000 a year. “Medicare spends three thousand dollars more per person here than the average person earns.””

What an exercise in illogic – trying to connect “tort reform” legislation at the state level with the experiences in McAllen, TX, as though it were “tort reform” that failed. But what clearly fails is “Medicare” (for some reason, they single out Medicare when, based on the income numbers, clearly most residents are using “Medicaid” – an altogether different system. And if government-run health insurance program has proven to be *so* inefficient in controlling costs — tell me again why we think we should expand it dramatically??

Rather funny that you think the facts supports one position, when it actually is diametric to what you're selling …

Really, just a sloppy collection of facts, pretending they're all connected, and hoping no one will notice your argument is composed of papier-mache. If you'll lie so badly about one fact …

C+


woody21
Comment posted September 9, 2009 @ 4:44 pm

This article is terribly flawed. One of two things is happening here. Either Ms Eviatar is just using the venue to espouse her personal agenda, or she didn't do the minimum in terms of research. She tipped her hand, as she fails to cite the Price Waterhouse analysis. In fairness, perhaps there is a third explaination, in that she does not completely understand the issue. Anyway, this piece seeks to influence rather than inform.


AmericanInsurgent
Comment posted September 9, 2009 @ 11:32 pm

So, just because you say this article is flawed, we're supposed to believe you. Funny how you don't link to this study you claim supports your rightard position. Is the CBO wrong? If you have proof, then let's see it.

I thought you righties were all about state's rights. Tort reform is clearly a state law issue and so-called tort reform in the states has done nothing to reduce medical malpractice insurance rates. Most states have already enacted so-called tort reform and it has not reduced healthcare costs. Facts are stubborn things.
http://open.salon.com/blog/mahabarbara/2009/08/…

Tort reform is just another red herring from the insurance company whores. It's time to call them on it. They are owned by big pharma and the insurance industry. There is a reason we are the only industrialized nation w/o universal healthcare: our political system is run by rich lobbyists and the media is controlled by these same rich corporatists spreading the corporate lies.

The truth is out there but most Americans are too lazy to think for themselves.


Tort Reform Myth #1 - Tort Reform Will Cut Health Costs | Colorado Personal Injury Lawyers
Pingback posted September 10, 2009 @ 7:24 pm

[...] economists and legal experts assert that it’s not medical malpractice lawsuits that are driving up the cost of healthcare, but the medical errors that medical malpractice lawsuits try to prevent that take a toll on not [...]


dx
Comment posted September 10, 2009 @ 8:31 pm

A perfect example of twisted statistics to justify one's position. Great example is that in McAllen, Texas, “… the average town resident earns only $12,000 a year.” Site your source! This is virtually inpossible, the entire population (or at least 80-90%) would have to be under the poverty level. At best, I'm willing to bet the $12,000 number is the “per capita income” from something like census info (i.e., Total income per EVERY man, woman and CHILD in McAllen), which is a complete distortion of real Per family/household income number. The atuhor wanted to claim an outrageous comparison, why bother with real facts.

With that kind of obvious deception (either intentional or out of stupidity), why should a reader beleive anything the author has to say?!


Dr_JDR
Comment posted September 13, 2009 @ 8:12 pm

Really, so why not include tort reform in the package, along with more nonprofit hospitals, lower drug costs, and limits on greed in the drug, insurance, and hospital costs rewarding investors and CEOs? If the Post Office, Social Security, Medicare, Education, and the Military are such huge successes, then why the claims of all the waste government cannot contain? The common sense “Duh” factor does not pass the muster test in your claim for goverment-run health care for everyone.


Doctor
Comment posted September 14, 2009 @ 3:39 am

I am a doctor who recently entered practice. Let me explain defensive medicine. I spent 15 years in higher education, countless hours aways from my family, and have 180,000 in school debt. I make 180,000 per year. I see a young woman with a headache in the ER. Chances are it's a migraine. The odds of a brain tumor causing the symptoms are 1:1000. The choice…do I use my medical training to selectively order tests and run the risk that when I miss the 1:1000 patient with cancer I will have a malpractice claim. In the court room they will not mention the art of medicine or the other 999 patients I accurately diagnosed. I will lose because juries are not comprised of physicians. They are made up of citizens who will feel sorry for this tragic case of a young productive person whose diagnosis was either delayed or missed. I will be demonized in the court room for being a bad doctor. I will suffer a career ending malpractice case that will haunt me forever. Therefore, I order 1000 consecutive CT scans however improbable the diagnosis. This is defensive medicine. Can the American public deal with saving healthcare dollars and taking the risk that you will be the 1:1000?


Traveling Hypothesis » Who’s side are you on?
Pingback posted September 17, 2009 @ 8:19 pm

[...] for his price tag, and there are many more experts who disagree with him. The Washington Post cites quite a few in this piece, where they also mention the estimated $2.3 trillion that Americans spend on health care each year. [...]


mrotisablock
Comment posted September 18, 2009 @ 5:49 pm

If you read the whole article you would notice that it does not address overall costs – simply the cost of malpractice insurance. The cost of defensive medicine is not addressed.

So, just because you say that “they” are 'owned by big pharma and insurance industry' we're supposed to believe you? Funny, you don't link to anything that supports your claim.

By demanding tort reform across the US does not mean that it is a demand that is being made of Congress. Tort reform at the individual state level is a necessary part to reduce health care costs. I would also suspect that reforming the obscene pricing abuses that Medicare forces on private enterprise would ultimately lower overall costs, too. As well as reform of the FDA 3-ring drug approval circus, too.

It is easy to have an opinion – informed or otherwise. It is another to have an opinion, a closed mind and a partisan chip on your shoulder. We may not agree but at least we can be respectful of the difference in opinion.


Blue Cross of Alabama and the invisible hand « Training Family Doctors
Pingback posted September 20, 2009 @ 5:54 pm

[...] be accused of missing something.”  A story in the Washington Independent on the other hand quotesTom Baker, a law school professor at Penn as saying that eliminating the ability to sue would only [...]


realgrassroots2
Comment posted September 24, 2009 @ 6:34 pm

I find it interesting that the McAllen TX, a community with an extraordinary population of seniors, was selected to to show that Medicare costs were not lowered as a result of Tort Reform. Many Seniors from other states go there to “wiinter”. Local average income is listed as $12,000. Does this include the “snowbirds” ? How about a study of Dallas or Austin?


realgrassroots2
Comment posted September 24, 2009 @ 6:50 pm

The article appears to quote statistics designed to support a pre-conceived outcome. Data is not supported by sources, or explanation as to method of study or what is actually being compared(sort of an apples to oranges argument). It is difficult to trust any of the conclusiions. That being said, even if the saving from tort reform is ONLY $20 Billion, that is a significant savings, maybe not as a percentage of total, but in dollars. Add up several of this “unsignificant” savings and you are on the road to making a real difference. particularly since you still have to add in the savings from overtesting to prevent law suits.
Just now listening to C-Span,,Senate proceedings..regarding dollars saved last year by “finally” cracking down on some fraud and abuse in Medicare…it all counts. A private business could not stay in business the way Government operates. A private business looks at outcomes for the customer and goes after every savings that will improve outcomes or lower cost to customer. That is how we stay in business. Government just taxes more.


ltstone
Comment posted September 25, 2009 @ 6:31 pm

The reason there is so much mayhem in the health care reform debate in our family is the confusion as to what it actually means. An insurance company’s premiums are determined by the cost of coverage. Simple logic tells us that in the same neighborhood and similar construction it would cost twice as much to insure a $200,000 house as it would a $100,000 house.

And doesn’t’ the risk to the insurance industry and premiums rise proportionally as the cost of housing goes up? This reasoning does not escape a health care insurance industry. Putting the emphasis on the rising cost of health insurance premiums instead of the actual cost of medical care and hospitalization is like comparing famine to eating out.

The solution cannot simply be transferring health care insurance to the government – for they will incur the same, identical risks and possibly even greater costs. The only savings therefore would be the profits derived by the insurance industry that is now providing Americans with health care insurance.

We can find no references from pundits and legislators in newspaper and magazine articles, radio and TV programs identifying the margin of profit, if in fact the profits of the private insurance industry could, or should be eliminated from health care.

Is that margin 1%, 2%, 5%, 10% of the total cost of health care in America? And isn’t this what the current debate should be all about – what the government could actually do with those funds – who they could and would adequately insure and how many?

Proponents of a ‘Public Option’ are fond of bringing up enormous sums of money in the billions and trillions without elucidation. Before we (my family) can support President Obama in his point of view, he needs to equate the impact in terms of dollars, or at least a percentage of savings resulting in his determination to create national health care – not theory.

It seems to me that a national health care plan would exacerbate health insurance claims and spike what America is already spending on health care immeasurably. Besides my personal religion, my first obligation is to my family and then to my country. We don’t belong to a political party. We don’t participate in ‘mudslinging’ and name calling.

We are just one of the average middle-income families across America facing some difficult times. It saddens us to see our nation so divided and becoming weaker and weaker as the result of year-after-year of legislative wrangling.

We are not very smart. However, if the medical costs in America are robbing us blind – why don’t President Obama and Congress just ‘freeze’ those costs at every level until they can get to the source of it all and provide a remedy? There is certainly enough previous legislation in our country’s history for such an action.


Real helath care reform - Political Forum
Pingback posted October 7, 2009 @ 12:15 am

[...] [...]


Obama Holds Doctors' Summitt - Page 11 - Political Forum
Pingback posted October 7, 2009 @ 12:19 am

[...] [...]


Tort Reform Unlikely to Cut Health Care Costs « The Washington Independent | Insurance Related Pages
Pingback posted October 7, 2009 @ 5:24 pm

[...] Link: Tort Reform Unlikely to Cut Health Care Costs « The Washington Independent [...]


Dave
Comment posted October 7, 2009 @ 8:42 pm

Doesn't that depend on the costs of catching the tumor early as opposed to try and diagnose and treat the cancer at a later stage? Being a Dr you can't seriously believe that if a patient is sick, they better not be seriously sick, else they should die and die quickly?


MorpheusLV
Comment posted October 7, 2009 @ 9:12 pm

Sooo… if a person has to get one leg amputated.. and the doctors amputate the wrong leg… they aren't entitled to “pain and suffering damages”? If someone goes in to have a biopsy of some brain tissue done, and the doctor leaves behind a surgic sponge that causes an infection and partial paralysis.. that person is just entitled to monetary damages? I don't think a less than 1% savings in overall health care costs is worth the ,money that would be saved by giving these people some compensation for the injury caused to them that is above and beyond the medical expenses and loss of salary.


raledbetter
Comment posted October 8, 2009 @ 3:58 pm

Defensive medicine costs $200 billion dollars a year

Krauthammer is rarely wrong on his calls

This is no small canof peanuts

In Georgia,where I live,the state has malpractice limits and the doctore still practice defensive medicine.

So malpractice limits is no panacea for reducing healthcare costs,but it's better than no limits at all


Rich
Comment posted October 9, 2009 @ 12:16 pm

The analysis of medical costs in a modern, state of the art hospital in McAllen, Texas demonstrates the other side of the “defensive medicine” debate. It also could be called churning. Physicians, medical labs, imaging providers, etc. get paid for all those tests and marginally appropriate surgeries and other procedures.

One of the most important elements in the proposed health care reform bill before Congress is the establishment of an office of comparative medicine to assess the efficacy of alternative medical procedures and drugs.


Brian K
Comment posted October 10, 2009 @ 4:36 am

Sure, “experts” hired by the Trial Lawyers Association don't agree. Unfortunately for them (and you) the CBO does. Here I quote: “CBO now estimates that implementing a typical package of tort reform proposals nationwide would reduce total U.S. health care spending by about 0.5 percent (about $11 billion in 2009).”
See for yourself at http://www.cbo.gov/ftpdocs/106xx/doc10641/10-09…

As a practicing physician I would argue that this is an enormous underestimate. If you think that only 0.3% of medical spending is Defensive, I can assure you the number is far greater. This is derived from states where typical tort reform packages have been enacted.

It will take a generation of new doctore who have not grown up under the cloud of leagl peril to see the full impact of these efforts. Nevertheless, we'll take it. Saving $11 Billion/year is significant in the current environment and will help finance needed reform.

Does it not bother your readers that all the quots denying the importance are from Lawyers? Next time ask them why in the average malpractice settlement “Administrative Costs” (read lawyers fees and expert witness fees) consume 65% of the total award. Bet they would call this unimportant too….


Brian K
Comment posted October 10, 2009 @ 4:41 am

I apologize for the typo's

Readers whould know that studies do exist estimating the costs at ~$200B/year. They are difficult to quantify, but they are very real. The number one catagory is unnecessary (CYA) radiologic studies (MRI, CT). It doesn't take many of these to add up to the figures cited.

Trial lawyers stand to lose big $$ if we get wise as a society. They are sparing no expense to keep the issue muddied and the public in the dark. Please ask yourselves this: who do you trust, the doctors who are telling you it's a problem, or the lawyers (who get rich off the status quo) telling you it's not?


Brian K
Comment posted October 10, 2009 @ 4:49 am

Wikipedia lists United Health (nation's largest insurer) as covering 70 million people with revenue of $81.186 billion and at a profit of $2.977 billion. This calculates crudely to a return on capital of 3.6%. Not great for a major company, however given the stickiness apparantly sufficient.

Hope that helps


cheryhl
Comment posted October 13, 2009 @ 6:27 pm

Medical malpractice the most you can get is 250,000 in California. I had my breast implants removed and replaced, the doctor let me bleed, tried to cover up an infection, had me go through six months of pumping me up with antibiotics when I had a breast implant which was a foreign object and the infection wasn't going anywhere. I tried to get other medical care and nobody wanted me because I was bleeding and had infection. So I had to go back to him. Then he had to clean out my breast cavity because of the blood and infection and told me I would be fully medicated. Tied me down and did breast surgery while I was wide awake and felt it. I was tortured for almost three hours. He didn't have a same size implant so I walked out with two diffent size breasts. Still no doctor wanted me and told me to go back to him. Then he had to remove the implant because the infection wasn't leaving my body and the gig was up. He had given me a double mastectomy and I had no breast tissue. They want me to settle for 50,000 and not a penny more and that includes legal fees and costs. The insurance company calls this a frivolous lawsuit.


cheryhl
Comment posted October 13, 2009 @ 6:36 pm

Defense lawyers for the medical profession get paid their full hourly fee while plaitniff lawyers fees are on a sliding scale. Insurance companies can get a hugh defense team against a lawyer whole works alone or in a small firm. There is a complete imbalance when it comes to legal fees. Not only that there is no safety net for patients. There are bad doctors/surgeons who should not be practicing and are being protected by the insurance companies. The one that hurt me has had many suits against him and has butchered many and his butcher shop remains open.


andrew78
Comment posted October 17, 2009 @ 3:08 pm

This is ridiculous, why not have tort reform. Everyone wants cheaper healthcare but if anything goes wrong, they still want their millions and allow lawyers to make millions on these suits. This is country is turning into a joke. Everyone complains about insurance company CEOs making from 10 to 25 million a year, but it is ok for an actor/actress to make 20million for one movie that only takes 3 months to make, an athlete makes 10 million for half the year, singers making tens of millions and these three jobs any high school drop out can accomplish. In addition, lawyers are making millions. Average surgeon salary is $340,000 and THEY'RE SAVING LIVES, go through 8 years of school, and usually a 5 year residency.


andrew78
Comment posted October 17, 2009 @ 8:00 pm

Cheryhl,
I am just curious, how did he try to cover up the infection if he put you on six months of antibiotics? Also, what do you mean plaintiffs have one lawyer? They can have a whole scale of lawyers. Here's what's ridiculous is every single lawsuit, legit or not, the insurance and drug companies have to hire attorneys. Plaintiffs do not have to pay anything unless they win, they have nothing to lose. Then what the lawyers collect is garbage. THIS IS AMERICA, SINCE WHEN DID EVERYONE WANT CAPS ON WHAT SOME PEOPLE MAKE, BUT NOT OTHERS? OH, THAT'S RIGHT OBAMA IS PRESIDENT NOW!


markknowspolitics
Comment posted November 20, 2009 @ 3:23 pm

How can you possibly say that limiting the amount of money that people are allowed to sue for in court, would not cost insurance companies less money? When insurance companies give out more money to people for law suits, it costs us more money. 2+2=4 They openly state it would save $20 billion a year but that is not enough to make a difference… lol OMG why wont people use common sense!! LIBERALISM IS A MENTAL DISORDER!!!!!!!!!!!!!!!


edudik
Comment posted November 21, 2009 @ 1:29 am

I don't normally use extreme language in political debates, but Daphne, for all your citations, this is an unbelievably uninformed article. If you want at least to try to be intellectually honest a little, download the McKinsey Global Institute report on the US Healthcare system.

Look at your article on McAllen, TX. It is nothing but a non-sequitur. The fact that one town in Texas has extremely high Medicare costs while there is tort reform in the entire state does not vitiate the proposition that tort reform can lower costs. What you needed to do was to find out what the difference in malpractice premiums is in Texas versus say New York.

Come on, even a journalism major can follow this logic!

Start thinking, please


Chris Matthews Allows Haley Barbour to Tout Mississippi as a Model for Health Care Reform
Pingback posted November 23, 2009 @ 8:47 am

[...] costs, which is nothing but a distraction and right wing talking point as Daphne Eviatar does a nice job of summing up here. Digby took note of why allowing the likes of Haley Barbour to tout Mississippi as a model for [...]


scheng1
Comment posted December 5, 2009 @ 10:39 pm

It is far better to prevent mistakes from occurring in healthcare sector, rather than tort reform.
If there are lesser mistakes, there are less malpractice lawsuits.


sickovit
Comment posted December 11, 2009 @ 9:56 am

You're asking lawyers to study if they're at fault! You are a fool to think the report they come up with would agree to that! That's like asking a rotten compost pile if it stinks!


Nelson says he'll support healthcare bill - Page 3
Pingback posted December 19, 2009 @ 4:11 pm

[...] [...]


Obamacare - why aren't Pharmaceutical companies mentioned any more? - Page 3 - Sherdog Mixed Martial Arts Forums
Pingback posted December 20, 2009 @ 11:17 pm

[...] WellPoint Inc. has also said that liability awards are not what’s driving premiums. Tort Reform Unlikely to Cut Health Care Costs The Washington Independent __________________ "We still live in a world in which a significant fraction of people, [...]


Health Care – What it should be « Responsibility in Government
Pingback posted December 27, 2009 @ 10:26 pm

[...] care. Insurance companies would like you to believe that, but I don’t see the connection. Less than 2% of health care costs can be attributed to liability claims. In fact, medical malpractice itself [...]


Health Care – What it should be « Misfeasance
Pingback posted December 28, 2009 @ 12:09 am

[...] care. Insurance companies would like you to believe that, but I don’t see the connection. Less than 2% of health care costs can be attributed to liability claims. In fact, medical malpractice itself [...]


hgh36
Comment posted January 6, 2010 @ 7:14 pm

What a bunch of crap. The first priority should be to remove lawyers from the equation.


hgh36
Comment posted January 6, 2010 @ 7:15 pm

You assumed that risk when you made the decision to get breast implants …


cheryhl
Comment posted January 7, 2010 @ 10:32 am

They always tell you to research your doctor but in the State of California if you call the Medical Board they tell you nothing. Complaints against a doctor are not public. They only thing they will tell you is if the Attorney Generals office files an accusation against a doctor or if the doctor agrees to a letter of reprimand to be public. Considering the amount of Complaints filed that amounts to less than 5%. The AMA is all for protecting the doctors and not the patients. We in California are not protected because complaints against a doctor are kept confidential. Even if you went to the Superior Court to see what is public there in the way of civil lawsuits, sometimes the doctor asks for part of the file to be purged. Then any and all settlements, they make you sign confidential agreements or they will sue you. Our State Legislature is not protecting the consumer in the way of medicine.


cheryhl
Comment posted January 7, 2010 @ 10:40 am

The doctor that butchered me laughed in my face. What are you going to do sue me, ha ha. Honey, it's called “bad outcome.” My staff will protect me because they like their paychecks and you just had a “bad outcome.” Deal with it. Called the Medical Board and they will be any and all complaints against doctors in California are kept confidential. Information is not public. I asked how do you check up on a doctor when chosing one I was told, Pray or maybe you'll get lucky. Complaints against a doctor is not public, corry.


cheryhl
Comment posted January 7, 2010 @ 11:17 am

Lawyers have Congress in their back I don't think so. If they did then all complaints filed with the Medical Board would be public and the 250 limit would be higher and lawyers fees would not be on a sliding scale. In California lawyers don't want med mal cases unless there are batteries attached to them. Doctors are so protected here in California. Forget about researching your doctors so you can choose which one. Everything is not for the public to know. California protects the doctors and the hell with the patients. A doctor will laugh in your face and say “bad outcome” so what, you can't sue me for that. Everything is a risk and a “bad outcome” will never hold in court. ha ha ha.


cheryhl
Comment posted January 7, 2010 @ 11:22 am

There are a lot of doctors who butcher people and are not stopped. We patients have no other recourse to stop them. Until you have a major mess up you just won't get it. I had a surgeon who did almost three hours of breast surgery on me and I was suppose to be sleeping and he KNEW I was wide awake and tortured me. Then laughed in my face and said what are you going to do sue me. ha ha ha. Bad outcomes is not illegal.


cheryhl
Comment posted January 7, 2010 @ 11:28 am

To make it to court you as a plaintiff have to have a doctor support your claims.


andrew78
Comment posted January 9, 2010 @ 12:33 am

Everyone wants cheaper health care, but if anything goes wrong you still want your lawyer to make millions. What hypocrites.


NikAmi
Comment posted January 14, 2010 @ 11:28 pm

I'm sure that I am not the only one to call “bullshit” on this comment. If a doctor ever “tied you down” and operated on you while fully conscious, that would be criminal assault and wouldn't even need to go to civil court. He'd be arrested and sent to jail. Trial lawyers are using every dirty trick in the book, including having articles written by geniuses like this author, to trick and scare people into fighting against tort reform. The fact of the matter is that these cases should not be brought in front of juries as they, more often than not, are not qualified or capable of making sound decisions on these matters. Also, doctors should not be penalized for accidents that occur. The human body is not like a car or a computer. Every single one is different and will react differently to stimuli. Thus, if a physician is found to have acted under best practices, he should not be liable for what happens to a patient. I fully support the plan to set up health care courts which would be similar to bankruptcy court where the judge becomes the arbitrator and decider.


Rich
Comment posted January 15, 2010 @ 7:38 am

“Thus, if a physician is found to have acted under best practices, he should not be liable for what happens to a patient.”

Currently, in order to prevail in a malpractice suit, a plaintiff must prove in most jurisdictions that the physician deviated from the standard of care customary in his/her community and the deviation was the cause of the bad outcome. The relevant standard of care, the deviation and the causal relationship must be established by expert testimony. A bad outcome, per se, is not sufficient to prove liability on the part of the physician. The law does not provide damage recovery for bad outcomes under circumstances where the physician followed prevailing standards of care. The law fully recognizes that a physician cannot guarantee success in every procedure.

The advocacy for a “safe harbor” for physicians adhering to “best practices” is a suggestion that the current customary local practices standard or reasonably prudent physician standard be replaced a national set of criteria for practice. It simply establishes a national standard of care in malpractice suits. That may help smooth out geographic variations in standards but it doesn't really change the basic issues in liablity, i.e., deviation from an acceptable standard of care causing harm to the patient.

The real issue in medical malpractice is the value that juries place on life. It is as simple as that. A lifetime of pain and suffering from the negligence of a physician evokes great sympathy and monetary compensation from a jury of peers. That is why the crux of tort reform is in the capping of non-economic rewards, usually at about $250,000.00. There is no other real issue.


Why is there no tort reform in the new health care bill | Dr. Blog M.D.
Pingback posted January 16, 2010 @ 9:44 pm

[...] I think the new bill will cut ciosts but without tort reform we will miss a big opportunity to cut real costs. http://washingtonindependent.com/55535/tort-reform-unlikely-to-cut-health-care-costs [...]


HB 1068 : la Casquette les Prix de Malversations Médicaux à 100$ K | Temps de Madville
Pingback posted February 3, 2010 @ 4:36 pm

[...] Les malversations médicales inventent 1.5 % à 2 % de dépense de santé américaine. [...]


NOW! Blog » The Chamber says “get healthcare right” by giving the insurance industry what it most wants - the status quo
Pingback posted February 9, 2010 @ 2:55 pm

[...] in states that have already capped damages show that tort reform does nothing to rein in costs. Texas is a prime example: Contrary to Perry’s claims, a recent analysis by Atul Gawande in the New Yorker found that while [...]


ohara
Comment posted February 9, 2010 @ 3:59 pm

High School dropouts can be CEOs, as well. It's really not genius work. Just a highly overcompensated private club.


andrew78
Comment posted February 9, 2010 @ 4:25 pm

If someone doesn't have what it take to get through high school, what make you think they can run a company? What high school drop out is the CEO of a major corporation? This might of happened several decades ago, but not in this day in age. So it's ok for these leeches, I mean lawyers, to make millions, but CEOs can't. What's your basis for your opinion?


A Republican Health Insurance Plan? | Rants & Reasons
Pingback posted February 10, 2010 @ 1:56 am

[...] California, the home of Anthem Blue Cross, has capped medical malpractice claims since 1975. And research shows that that capping medical malpractice claims in other states has had no effect on insurance rates. [...]


Medical Error, Liability, and Murtha | TheWorldPolitics
Pingback posted February 10, 2010 @ 1:00 pm

[...] including a greater reliance on evidence-based care. Removing medical liability–already a minor contributor to out-of-control system costs–would likely come at a high cost for patient [...]


Why I Support a Public Option. - US Message Board - Political Discussion Forum
Pingback posted February 11, 2010 @ 10:42 am

[...] must offer? Quote: Get tort reform in there. Get the shyster Lawyers out of our medical costs. Tort Reform Unlikely to Cut Health Care Costs The Washington Independent Quote: Eighty percent of malpractice claims involve significant disability or death, a 2006 [...]


Anthem Blue Cross raises premiums 39% - Page 10 - US Message Board - Political Discussion Forum
Pingback posted February 13, 2010 @ 2:13 am

[...] agree to anything that would actually reduce costs. Tort Reform Unlikely to Cut Health Care Costs Tort Reform Unlikely to Cut Health Care Costs The Washington Independent __________________ Sarah "Twitter Quitter" is a retard. I say this satirically of [...]


Congressional Republicans Not Interested in Reform, Just Obstruction Even After Dems Incorporate Their Ideas | Top Stories
Pingback posted February 23, 2010 @ 10:39 am

[...] ails our broken health care system is tort reform. Never mind the efficacy of so-called tort reform as a cost savings measure (it’s not actually a cost-driver in our hyper-inflated health care system), or that so-called [...]


NOW! Blog » White House Health Care Summit Morning Wrap Up - Tort Reform, Insurance Costs, and Republican Ideas
Pingback posted February 25, 2010 @ 12:18 pm

[...] Washington Independent has a great rundown of the issue: Annual jury awards and legal settlements involving doctors amounts to “a drop in the bucket” [...]


health talks coverage?
Pingback posted February 25, 2010 @ 2:59 pm

[...] about real money. It’s small relative to the out-of-control cost of health care.” http://washingtonindependent.com/555…lth-care-costs Reply With Quote   + Reply to Thread « Previous Thread | [...]


motorfingaz
Comment posted February 26, 2010 @ 3:29 pm

Why not remove insurance companies? They are the ones driving costs up!


motorfingaz
Comment posted February 26, 2010 @ 8:29 pm

Why not remove insurance companies? They are the ones driving costs up!


Red Herring « From Pine View Farm
Pingback posted March 4, 2010 @ 5:17 pm

[...] practice, but the effects of malpractice insurance, suits, and settlements on costs are minimal: “It’s really just a distraction,” said Tom Baker, a professor at the University of Pennsylvani…   « “An Armed Society Is a Polite Society” | [...]


ecthompson
Comment posted March 11, 2010 @ 5:45 pm

Outstanding article.


retireddoc
Comment posted March 14, 2010 @ 1:52 pm

Texas:
I am a retired surgeon with an MBA in Health Care Administration. Someone is not looking at the right data. This is the reality. Tort reform in Texas has definitely caused a dramatic drop in the number of malpractice suits (at least 50% in most counties), a dramatic drop in the amount doctors have to pay for malpractice insurance (tens of thousands of dollars), thousands of doctors have moved to Texas, eliminated frivolous malpractice lawsuits and definitely lowered the amount of money recoverable in a malpractice case- if your child or parent dies because of negligence, it is only worth $250,000. When the tort reform battle was fought here 7 years ago, we were also promised that health care costs would drop and health care quality would rise. If anyone has bothered to look, Texas now has the highest rate of uninsured people in the country (maybe #2). In addition, we have the largest and fastest rise in health care premiums in the country and pay more for the same medical care than almost any other state. Yes, it seems logical that tort reform would bring down costs, but it has actually made our costs go up faster and higher. There were actually people who believed, logically, that if doctors had to pay less for their malpractice, they would pass the savings on to the citizens in Texas. How silly! If you say something loud enough and often enough and with enough conviction, you can actually fool people that it is true. The Commonwealth Fund rated states based on 32 indicators, including access, quality, cost, insurance, preventive care, potentially avoidable hospital visits, and premature death (death before age 75). The bottom five states are Nevada, Arkansas, Texas, Mississippi, and Oklahoma. The benefits of tort reform are limited to the doctors and insurance companies, not the citizens. When doctors are asked about defensive medicine, they all say it is because of fear of lawsuits and if there was tort reform, they would not order so many needless tests. This is just the repetition of the party line. We have had tort reform in Texas for 7 years and the doctors in Texas still say they order too many tests because of fear of lawsuits. REALLY?? There is a major discrepancy here that everyone keeps sweeping under the rug. We have tort reform; but in Texas, our costs have sky rocketed faster than anyone else. Tort reform DID NOT LOWER the costs of health care. What it did do was minimize the penalties for doctors who commit malpractice. That's why tens of thousands of doctors moved here- harder to hold them responsible for mistakes. Let's keep the truth in the argument. Texas topped the nation in the percentage of residents who avoid physicians because they can't afford it and ranked 49th for adults without a regular doctor” (Dunham and Burton, 10/15).Not only does the Lone Star State lead the nation in its uninsured population, adults and children alike, but the percentage of residents without health coverage could balloon from 27.5 percent to as much as one-third of the population in the next 10 years, a new study by the Robert Wood Johnson Foundation and the Urban Institute predicts. Another gloomy report, issued by the Commonwealth Fund, ranked Texas among the 10 worst states for health-care access, prevention of disease, medical treatment, avoidable hospital use and inequality of health care between rich and poor. Texas topped the nation in the percentage of residents who avoid physicians because they can't afford it and ranked 49th for adults without a regular doctor” (Dunham and Burton, 10/15).Employees in Houston will pay an average of $4,791 next year for insurance premiums and out-of-pocket expenses such as deductibles and co-payments, nearly 10 percent more than this year, according to the worldwide human resources consulting firm Hewitt Associates. That's several hundred dollars more than the U.S. average of $4,023, now also poised to jump 10 percent in 2010. The spike – the highest since the 13 percent jump in 2007 – is coming at a time when overall consumer prices have fallen 1.3 percent compared with a year ago” (Sixel, 10/15). This is what really happens when you pass tort reform. After reading your white paper, I am having trouble with your goals. Are you recommending that doctors never be held personally responsible for their mistakes? We eliminated frivolous lawsuits in Texas. Do you think there is less malpractice occurring or is it just too expensive to file a lawsuit if the potential for recovery in less than $100,000? ER doctors in Texas can't be held liable unless they are grossly negligent, which is practically impossible to prove. Yet they continue to respond to the defensive medicine question the same as everyone else. They order too many tests because they are afraid of being sued. Either they are lying, they don't know about the tort reform passed in 2003, or they are really making money for the hospitals, labs or radiology centers they partially own and don’t want to let on that's how they make money. There is also another problem with the “studies” where doctors say the costs are all driven by fear of lawsuits. There are significant problems in the sampling and questioning techniques. Were any doctors asked if they owned facilities where they refer patients? Were doctors in Texas asked if you are paying $20-30,000 a year less in malpractice premiums if they are charging less for their services? Did anyone ask what their incomes were? Defensive medicine is also what you do to figure out what is going on when you don't know for sure. One of the commonly repeated defensive medicine responses is the over-evaluation of back pain. When someone hurts their back and you don't see anything on the x-ray, you don't automatically send them home with pain pills and muscle relaxants- you do get a CT or MRI. X-rays only show the bony injuries; they don't show the soft tissue, disc or nerve problems. But, this is one of the most mentioned and repeated examples of defensive medicine.


Rich
Comment posted March 14, 2010 @ 2:39 pm

Finally, an intelligent analysis of the tort reform effect: negligible. As long as medical and ancillary services are payed on a fee for service basis, why would anyone be surprised that providers will order as many services/tests as the market will bear. The economic incentive is clear: the more you test, the more you make.


frankcarbone
Comment posted March 19, 2010 @ 11:09 am

the ignorance of insurance companies by the general public is appalling. Insurance Companies do not drive up health care costs! First off across the country insurance companies average a 2.2 % net return on profit. The mighty Exon's, IBM and others who average close to 6% are all in front!(and there is nothing wrong with that either). Learn one thing, insurance companies buy risk, they do not provide Health Care!


Democratic Diva » Is Trent Franks smarter than a 5th grader? I think not.
Pingback posted March 20, 2010 @ 9:00 pm

[...] BZZZZT!! Thanks for playing but, no. [...]


Lovenox
Comment posted March 22, 2010 @ 6:59 pm

Did you read where they are ordering test not as an incentive for more income but to cover themselves in cases of lawsuits?


vessel sink
Comment posted March 23, 2010 @ 9:42 am

The libertarian Pacific Research Institute on the civil justice system to conclude that “defensive medicine” wastes more than $200 billion a year while the law procedure should be made some what liberal.


Deborah
Comment posted March 24, 2010 @ 10:02 pm

What you write makes sense and I understand it…Thank you for taking the time to write such an intelligent analysis.


Deborah
Comment posted March 24, 2010 @ 10:04 pm

What?


Sophocles
Comment posted April 8, 2010 @ 8:19 am

Stop whining, some lawyers are leeches, but many, specifically state attorneys do a lot of good. Get over it. CEOs are the scumbags that have destroyed our economy and have nearly sent this country into bankruptcy. By the way, average IQs of lawyers are far higher than CEOs, should anyone really be surprised?


angryyoungdoc
Comment posted April 9, 2010 @ 3:22 am

Rich, you're an IDIOT if you think I as a physician would be making money from ordering chemistry tests or an EKG or a Chest X Ray.

You're a freaking moron. Go back and get me my coffee. I'm sure you're not past college.


tuscany villas
Comment posted April 19, 2010 @ 11:21 am

“defensive medicine” is not the same thing as wasteful medicine. “Like defensive driving, some defensive medicine is good” while i have experience it on my way.


wolfdog1985
Comment posted April 23, 2010 @ 10:10 am

Keeping in sync with the louis vuitton trend of oversized, soft tanks louis vuitton sunglasses millionaire currently hot now, louis vuitton speedy 35 Mahina collection louis vuitton speedy 25 presents an oboe simplistic design louis vuitton speedy 35 replica with a discreet monogram perforated leather combined


EducatingMyself
Comment posted April 27, 2010 @ 3:00 am

I came here to read an objective, but differing viewpoint. I read the first three words (“Amid the obstructionists’ claims”) and stopped. Sorry, but I'm not wasting any time reading an article where the aurhor can't make it a full sentence without name calling.


dog fences
Comment posted May 1, 2010 @ 10:55 am

Annual jury awards and legal settlements involving doctors amounts to “a drop in the bucket” in a country that spends $2.3 trillion annually on health care, Amitabh Chandra, another Harvard University economist which has more accurate data tp prove it.


Turning-IN The 1%ers!!!!! - Page 3 - US Message Board - Political Discussion Forum
Pingback posted May 8, 2010 @ 10:14 am

[...] would generate.. asshole hypocrites. I don't know who They are (that you're referring-to), but….Tort Reform has always been a bogus-issue….except to "conservatives" who're (typically) plugged-into the ol' [...]


mbt shoes
Comment posted May 10, 2010 @ 12:43 am

DO you like it?


nile cruises
Comment posted May 17, 2010 @ 8:24 am

The medical errors that malpractice liability tries to prevent are themselves a huge cost– both to the injured patients and to the health care system as a whole while i think the insurance is going to cover it.


The Medical Malpractice Myth | Accident & Injury Law in Texas
Pingback posted May 25, 2010 @ 6:12 pm

[...] If you're new here, you may want to subscribe to my RSS feed. Thanks for visiting!Here’s a great article about how tort reform is unlikely to cut health care costs. [...]


mbt sandals
Comment posted June 2, 2010 @ 2:18 pm

thank you for your sharing


mbt sandals
Comment posted June 2, 2010 @ 3:54 pm

so cool!


weight loss pills
Comment posted June 4, 2010 @ 6:49 am

The health economists and independent legal experts who study the issue, however, don’t believe that’s true is good to carry on.


jordan shoes
Comment posted June 10, 2010 @ 3:20 am

Demonstrate a unique new concept;Thereforejordan shoes|michael jordan shoes|cheap jordan shoesboth dressed in fashionable taste therelinks of london|air jordan 23|air jordan 11|air jordan 13So,air jordan 12this is the dress of a good choice!air jordan 21|air jordan 14|air jordan 16|At the same time,also has a super-powerful visual force;air jordan 17|air jordan 19|air jordan 18|This is a pretty good article!


yuregininsesi
Comment posted June 23, 2010 @ 12:57 am

Very informative and trustworthy blog. Please keep updating with great posts like this one. I have booked marked your site and am about to email it to a few friends of mine that I know would enjoy reading


vibram shoes
Comment posted June 25, 2010 @ 1:59 am

I like the nike shox shoes very much! I thinks it is a great website!


Smilesusam
Comment posted June 30, 2010 @ 9:06 am

Wow – really powerful post. Thanks for taking time to share this personal perspective that not only we as individuals should heed, but organizations as well. http://www.uggclassicboots.org


Smilesusam
Comment posted June 30, 2010 @ 9:07 am

Thank you again for all the knowledge you distribute . http://uggboots.be


Smilesusam
Comment posted June 30, 2010 @ 9:09 am

Wow – really powerful post. Thanks for taking time to share this personal perspective that not only we as individuals should heed, but organizations as well. http://www.uggclassicboots.org


Smilesusam
Comment posted June 30, 2010 @ 9:10 am

Thank you again for all the knowledge you distribute . http://uggboots.be


vibram shoes
Comment posted July 2, 2010 @ 9:10 am

Thanks for sharing !So nice to see you !I will buy a wallet for my best friend!


Seslisohbet
Comment posted July 4, 2010 @ 1:21 am

The health economists and independent legal experts who study the issue, however, don’t believe that’s true is good to carry on..


SesliChat Siteleri
Comment posted July 6, 2010 @ 2:11 am

You assumed that risk when you made the decision to get breast implants.


Is it too soon to say Obama is ineffective? « How Joe Sees Things
Pingback posted July 8, 2010 @ 9:38 pm

[...] as that remains a pet peeve of theirs. Even though there is plenty of evidence that shows tort reform does little to control health care costs, the President is trying to compromise to get reform when Republicans don’t want reform. He [...]


Laser Cutting Leather
Comment posted July 9, 2010 @ 9:14 pm

Oh!…that's great helpful, it's so right to me! Million thanks for the article,


Joneandtang
Comment posted July 10, 2010 @ 12:55 am

p90xp90x p90x

cheap ed hardy clothing [url=http://www.cheap-ed-hardy.com/]cheap ed hardy clothing[/url] cheap ed hardy clothing


Vibram Five Fingers
Comment posted July 20, 2010 @ 12:49 am

Well said. I never thought I would agree with this opinion, but I’m starting to view things from a different view. I have to research more on this as it seems very interesting. One thing I don’t understand though is how everything is related together.http://www.vibramfivefinger.info vibram bikila


InceptingReality
Comment posted July 22, 2010 @ 6:04 pm

I'm not sure exactly what the benefits of this health reform will be, I hope something is done about Doctors struggling against lawsuits. As I understand it Washington DC dentists won't be effected so much by this proposed reform which is a very good thing.


earth4energy reviews
Comment posted July 28, 2010 @ 11:19 am

Malpractice liability costs are a small fraction of the spiraling costs of the U.S. health care system, and that the medical errors that malpractice liability tries to prevent are themselves a huge cost– both to the injured patients and to the health care system as a whole to be considered at all.


Pizza
Comment posted August 5, 2010 @ 3:54 pm

What's your basis for your opinion?


Kozan City
Comment posted August 10, 2010 @ 8:19 pm

Thanks for sharing.


Louis Vuitton Delightful
Comment posted August 20, 2010 @ 9:07 am

The advocacy for a “safe harbor” for physicians adhering to “best practices” is a suggestion that the current customary local practices standard or reasonably prudent physician standard be replaced a national set of criteria for practice. It simply establishes a national standard of care in malpractice suits. That may help smooth out geographic variations in standards but it doesn't really change the basic issues in liablity, i.e., deviation from an acceptable standard of care causing harm to the patient.


Purplelin17
Comment posted August 24, 2010 @ 3:38 am

good post.i like it


Akdenizli
Comment posted August 27, 2010 @ 8:51 pm

Defense lawyers for the medical profession get paid their full hourly fee while plaitniff lawyers fees are on a sliding scale. Insurance companies can get a hugh defense team against a lawyer whole works alone or in a small firm.
sesli chat There is a complete imbalance when it comes to legal fees. Not only that there is no safety net for patients. There are bad doctors/surgeons who should not be practicing and are being protected by the insurance companies. The one that hurt me has had many suits against him and has butchered many and his butcher shop remains open.


Michael Jordan Shoes
Comment posted September 4, 2010 @ 2:21 am

We would like to thank all of our jordan retro 1,
AIR JORDAN II,
jordan retro 3,
jordan retro 4,awesome customers for helping to Our website Grow up. To show our appreciation we are throwing our jordan retro 5,
AIR JORDAN 6(VI),Air Jordan 7,Air Jordan 8 (VIII),Air Jordan 9 (IX),Sale and have most shoes on sale for only $58.98 . We have added new Diesel, Christian Audigier, Casare Paciotti,Jordan Retro X,
Nike Air Jordan Retro XI,
Nike Air Jordan 12,
Air Jordan 13 (XIII),
Air Jordan 14 (XIV), Ed Hardy and many more shoes. We have added new Evisu & Red Monkey Jeans, along with new Air Force 1's Air Jordan XVI Shoes,
Air Jordan 17,
Air Jordan XXI Shoes,
Air Jordan 22 Shoes,
Air jordan spike,
Nike air Jordan 12 air fore 1,& Air Dunks! New kid's shoes. New Designer men's shoes. Hundreds of new tracking numbers added! Air Jordan XXIII,
Nike air jordan 5 air force 1,
Air jordan 23 mix with air fore 1,
Air fore mix with jordan III,We are constantly updating our site, adding new products, and always getting orders shipped out!Now Air jordan XVIII,
Air jordan 9.5,
size 14 and 15 jordan shoes,
Air jordan XV,
Air fore 1 air jordan 1,Helping Our Customers Through E-mail And AOL Instant Messager Only. Right now all our shoes and most Air fore 1 air jordan 7,
Air jordan 6 rings,
Air jordan 13,
air jordan 23,
Air fore 1 air jordan 8,
Air Jordan XIX,
Air force 1 air jordan 3,of our products are only $58.98 with fast WORLD WIDE SHIPPING! New Tracking Information Added! New Everything! New Women's Gucci & Other Designer Shoes! We have added over 750 new products including new Air fore 1 air jordan 9,
Air fore 1 jordan 20,
Air fore 1 air jordan 6,
Air fore 1 jordan 9,
air jordan 23,
Air jordan 7.5,handbags, belts, DSqaured shoes, Louis Vuitton shoes, Dolce & Gabbana shoes, over 800 new Air Jordans, new Bape hoodys, air fore1 air jordan 11,
Air force 1 air jordan 2.5,
Air jordan 10.5,
Jordan true flight,
air force 1 air jordan 25,
Jordan_2_5_Team,new BBC Ice Cream hoodys, new Evisu jeans, new Red Monkey jeans, new Coogi jeans!!! We have also added over 850 new trackingAir jordan 1.5,
Air jordan 3,
Air jordan 5,
Air Jordan 25,
Air jordan 11,
Air jordan 12, numbers, and will continue to add new tracking numbers every day! We are simply the best! We now haveNike Air force 1 air jordan 23,
air jordan 24,
Air Jordan 6 (Six) Rings,
Air Jordan Fusion 4 (IV),
Air Jordan 6 Rings &AF1,
nike air jordan fusion 13, a complete selection of all sizes 8 – 13 with half sizes too! We beleive in selling only the very best nike air jordan flight 45 shoes,
Air Flight Condor Basketball Shoes,
aj11,
nike sharkley,
Air force 1 Air jordan 14,quality products and doing anything less for our customers is unacceptable. We know you work hard Air Force 1,
Air Jordan 22,
Air Force 1,
Air Jordan 17.5,
Jordan 60,for your money and when purchasing a product you deserve to receive exactly what you ordered, because we beleive in givingJordan 1257,
Air Jordan Flight 45,
Jordan 12,
Jordan_Trunner_Q4,
Air Force 1,
Air Jordan 3.5, our customers only the best. Now accepting Paypal(the secure &easy payment way to checkout! NewJordan Q4,
Jordan 16.5,
Jordan OL School III,
Air Force 1,
Nike Air Jordan Flight 45,
Air Force 1, Bape & BBC Ice Cream Hoodys!!! New Air Jordan XI!!! New SB Dunks, Air Jordans & Jeans! Air Force 1,
Air Jordan 10,
Air Jordan Retro,
Air Force 1+Air Jordan 2,
Air Jordan 20,
Air Jordan 10.5,We have added new Gucci shoes & Prada boots. We've got Nike Air Jordans I-XX3, Air Dunks, Air Force 1's, Bapes, LRG, BBC & Bape Hoodies, Red Monkey Jeans, Coach Handbags, Chanel sun glasses, Cheap Nike Air Jordan B'Loyal,
nike Air jordan 16.5,
Nike Jordan 3.5 online sale,
Air Jordan 6 Rings,
Air Jordan 13,New Era fitted caps & much much more, all at rediculously low prices, Customer Service – What is itAir Jordan True Flight,
Air Jordan 7.5,
Air Force 1,
Air Jordan 4.5,
Air Jordan XXIV,
Air Force 1, worth to you? You can email us 24×7! Our represnetative. will reply you in 24 hours. You can check our tracking page, Air Jordan 6.5,
Jordan Pro Classic,
Air Jordan 3,
Air Jordan 9,
Air Yeezy,
Air Jordan 6,and see hundreds of orders which we have delivered.Now you can Google most of these other places and see they have histories Air Jordan 25,
Air Jordan 6,
Air Jordan Casual Shoes,
Air Jordan 22,
Air Jordan 8,
Air Jordan Motor Shoes,of not providing products or having terrible customer service. if you buy from us you are buying from a reputable company,Air Jordan 2010 Shoes,
Air Jordan XXVIII,
Air Jordan Fusion 5,
Air Jordan 12, which has a proven reputation for delivering products, correctly and quickly, and we have live customer support. Air Jordan 13,
Air Jordan CP3,
Air Jordan 8,
Air Jordan 25,In short when buying from kicksfly.com, you are not only buying exclusive shoes & clothing at a reasonable price, you are buying security & peace of mind, something that no one can put a price on. NIKE78 is an Air Jordan 13,
2010 Jordan NIKE Portfolio,
Air Jordan 21.5,
Air Jordan 13,exciting new project created by Paul Jenkins and inspired by NIKE. Creatives involved will receive a brand new pair of NIKE shoes and will be asked to use sport as inspiration to challenge their function. The project will be documented on this website [Nike 78] and after the shoes have been collected, an exhibition showcase is planned for the London Design Festival 2010. This is a unique project featuring some of the most talented creative individuals, studios and other organizations.


knockoff handbags
Trackback posted September 7, 2010 @ 12:03 pm

Want to following you…

Good blog! I really love how it’s easy on my eyes and also the facts are well written. I am wondering how I might be notified whenever a new post has been made. I have subscribed to your rss feed which need to do the trick! Have a nice day!…


Swiss Replica Watches
Comment posted September 10, 2010 @ 6:52 am

Today’s jobs report marks another step forward for our middle class, working families, and small businesses, but it is not enough. We must do more to strengthen our private sector, support our small businesses, and keep our economy moving in the right direction.


Republican Policies Costlier « Incline Left!
Pingback posted September 15, 2010 @ 2:54 pm

[...] 2009 article by Washington Independent writer Daphne Eviatar contains this passage regarding medical malpractice [...]


Belstaffsale
Comment posted September 16, 2010 @ 3:30 am

Belstaff|Belstaff Jackets|Belstaff Leather|Belstaff Sale|outlet Belstaff|Belstaff Clothing

Belstaff,Belstaff Jackets,Outlet Belstaff,Belstaff Leather,Belstaff Clothing,belstaff Sale 60%-80% – Belstaffonsale.com


Ugur y?l
Comment posted September 17, 2010 @ 11:43 pm

There are significant problems in the sampling and questioning techniques. Were any doctors asked if they owned facilities where they refer patients? Were doctors in Texas asked if you are paying $20-30,000 a year less in malpractice premiums if they are charging less for their services? Did anyone ask what their incomes were? Defensive medicine is also what you do to figure out what is going on when you don't know for sure. One of the commonly repeated defensive medicine responses is the over-evaluation of back pain. When someone hurts their back and you don't see anything on the x-ray, you don't automatically send them home with pain pills and muscle relaxants- you do get a CT or MRI. X-rays only show the bony injuries; they don't show the soft tissue, disc or nerve problems. But, this is one of the most mentioned and repeated examples of defensive medicine.


Dsa
Comment posted September 24, 2010 @ 3:33 pm

tst


penis extender
Comment posted October 1, 2010 @ 10:30 am

“If you were to list the top five or ten things that you could do to bring down health care costs that would not be on the list” said Michelle Mello which is best to share in the blog also there better option to be taken care.


mens nike air 97
Comment posted October 13, 2010 @ 6:56 am

Grey nike air max for men happens that they are not above supporting themselves by dishonest mens nike air 97 means. Which should be more disreputable. Cultivate poverty men air max shoes like a garden herb like sage. Do not trouble yourself much to get new things whether clothes or women air max shoes friends Turn the old return to them. Things do not change; we change. Sell your clothes and keep your thoughts. Today we have higher nike air max white buildings and wider highways but shorter temperaments and narrower points of nike red air max 2009 view. However mean your nike air max 2010 mens life is meet it and live it; Do not shun it and call it hard names. It is not so bad nike air max 2010 as you are. It looks poorest when you are richest. The nike max 2009 on sale faultfinder will find faults in paradise. Love your new nike air max 2009 life poor as it is. You may perhaps have some pleasant thrilling glorious air max 95 black hours even in a poorhouse. The setting sun is reflected from the blue airmax 95 windows of the alms-house as brightly as from the rich man's blue air max 90 for women abode; the snow melts before its door as early in the spring. I do not see but a quiet mind may nike air max 90 live as contentedly there and have as cheering cheap air max 180 thoughts as in a palace. The town's poor seem to me often to live the most independent air max classic womens shoes lives of any. May be they are simply great nike air max enough to receive without misgiving. http://www.sellnikeairmax.com/ XYZ


Medical Negligence Awards
Comment posted October 13, 2010 @ 9:27 am

Interesting Post. I like to read this.


jeux pas cher
Comment posted October 15, 2010 @ 8:33 pm

are u sure ?


Andrea Lyon: Partisan Justice
Pingback posted October 21, 2010 @ 12:13 pm

[...] come down on the idea of limiting medical malpractice awards (and, by the way, these awards are not the reason health care is so expensive). Spending money in this way, and being dishonest about what you are [...]


Andrea Lyon: Partisan Justice « In The News « Obama America
Pingback posted October 21, 2010 @ 1:24 pm

[...] come down on the idea of limiting medical malpractice awards (and, by the way, these awards are not the reason health care is so expensive). Spending money in this way, and being dishonest about what you are [...]


louis vuitton shoes
Comment posted November 5, 2010 @ 3:49 am

Good article! Thank you so much for sharing this post.


Tort Reform Unlikely to Cut Health Care Costs | HealthCareDaily.info
Pingback posted November 7, 2010 @ 1:19 am

[...] Originally posted here: Tort Reform Unlikely to Cut Health Care Costs [...]


JACK
Comment posted November 7, 2010 @ 7:19 am

Microsoft Windows 7 Exam exam is designed to measure your ability to manage and maintain Network+ certification a Microsoft Windows Server 2003 environment. Upon passing this test you will become a free exam papers Certified Professional (MCP). Passing this test will MCITP certification also help you in achieving the MCDBA,free Microsoft practice questionsandA+ Exams.


welcome to 2 years of nothing getting done - Page 4 - Snowboarding Forum - Snowboard Enthusiast Forums
Pingback posted November 7, 2010 @ 1:17 pm

[...] that talks about tort reform and how the GOP is overstating the issue for political gain…. tort-reform-unlikely-to-cut-health-care-costs I totally understand your points and could even side with them if I thought your perception was [...]


yiwu agent
Comment posted November 8, 2010 @ 2:16 am

More content need! I want to see other things ,and please look at dollar items,maybe its helpful to you.


Tort Reform No Cure For What Ails Our Health Care System | Voices
Pingback posted November 15, 2010 @ 2:43 pm

[...] recent Washington Independent article took issue with the push to promote tort reform as a health care panacea. The piece, entitled [...]


Tort Reform Not a Panacea for Decreasing Health Care Costs | Lansing Personal Injury Lawyer
Pingback posted November 15, 2010 @ 3:07 pm

[...] far critics have mostly focused on tearing apart health care reform by portraying it as “socialist” or as a “Nazi” agenda with a federal [...]


Texas Tort Reform: A Good National Model? | San Antonio Personal Injury Lawyer
Pingback posted November 15, 2010 @ 4:23 pm

[...] 2003, the Texas Legislature passed medical liability reforms that capped non-economic damages for injured patients at $250,000, and brought the number of [...]


Health Care Shouldn’t Be Politics As Usual | St. Cloud Personal Injury Lawyer
Pingback posted November 15, 2010 @ 6:53 pm

[...] care. Less accountability will never mean better health care. Forty-six states have already passed some kind of tort reform, and costs continue to skyrocket. It clearly doesn’t [...]


Is it too soon to say Obama is ineffective? | Full Speed Ahead
Pingback posted November 15, 2010 @ 8:17 pm

[...] as that remains a pet peeve of theirs. Even though there is plenty of evidence that shows tort reform does little to control health care costs, the President is trying to compromise to get reform when Republicans don’t want reform. He [...]


cheap nfl jerseys
Comment posted November 16, 2010 @ 3:12 am

thank you for sharing


President Obama just doesn't get it... - Page 8 - Political Wrinkles
Pingback posted November 18, 2010 @ 10:40 am

[...] and is often brought up by opponents of the bill, is tort reform. But I was surprised to read this Tort Reform Unlikely to Cut Health Care Costs The Washington Independent and find that tort reform might not significantly impact healthcare costs: [...]


Why Does Health Care in the U.S. Cost So Much? - US Message Board - Political Discussion Forum
Pingback posted November 21, 2010 @ 9:53 pm

[...] they get. Makes for bad premium increases and richer lawyers. End of story. Sorry, Granny……that's STILL Bullshit….same as it's ALWAYS been. Get back…TO WHERE YOU BELONG…….. __________________ Quote: [...]


Those "Poor" Doctors - US Message Board - Political Discussion Forum
Pingback posted November 26, 2010 @ 1:18 pm

[...] because of doctors practicing "defensive medicine" – ordering every conceivable test to shield themselves from malpractice lawsuits down the line. A review of physicians' incomes suggests that specialists – who have more [...]


Injuries Board Book of Quantum
Comment posted December 8, 2010 @ 5:56 am

The Injuries Board Book of Quantum was introduced under Section 22 of the Civil Liability and Courts Act 2004 for use by both the Injuries Board Ireland and the Courts in Ireland to assess the level of damages to be awarded in a claim for compensation where injuries have been sustained by a claimant in a scenario created by a negligent party – the defendant.


wireless headsets
Comment posted December 27, 2010 @ 10:07 am

I think they already have done it..


Nick D.
Comment posted December 28, 2010 @ 1:53 pm

too much to digest as of right now. the american public needs more facts.


You'll Repeal HC Reform Over My Dead Body - Page 11 - U.S. Politics Online: A Political Discussion Forum
Pingback posted January 3, 2011 @ 12:24 pm

[...] Liability isn’t even the tail on the cost dog. It’s the hair on the end of the tail. Tort Reform Unlikely to Cut Health Care Costs | The Washington Independent “It’s really just a distraction,” said Tom Baker, a professor at the University [...]


Ringo
Comment posted February 3, 2011 @ 2:49 am

But that “drop in the bucket” is not the right measure! The key question is how much malpractice reform would reduce unnecessary and wasteful medical care? The insurance premiums and payouts don’t include all the testing and care performed because doctors are worried that their patient is that person with a rare disease which, if missed, will lead to a lawsuit. From this article, it sounds as though we really don’t know how much malpractice reform will reduce defensive medicine….so it’s all opinion!


Inowa
Comment posted February 11, 2011 @ 5:50 pm

Well I would need to know more first.
wickelkommode günstig


Affordable Care Act Under Fire: The Constitutionality and Fairness of Health Care | Penn Political Review
Pingback posted February 12, 2011 @ 11:47 am

[...] health care costs point to the defensive medicine that doctors are compelled to practice. Others believe that 2.4 percent is too insignificant a percentage and policymakers should focus on other defects [...]


tütüne son
Comment posted February 18, 2011 @ 3:52 pm

More content need! I want to see other things ,and please look at dollar items,maybe its helpful to you.


medical negligence ireland
Comment posted February 25, 2011 @ 7:35 am

very interesting post and useful with full of stuff. Thanks for share. Some instances of proving medical negligence in Ireland would appear more obvious – misdiagnosing an illness, a failure to act on test results or an error in administering treatment or drugs, for example. However, for a claim of medical negligence in Ireland to be successful, a registered medical practitioner must be judged to have demonstrated poor professional performance – whether a lack of skill or a failure to apply that skill.


medical malpractice
Comment posted March 1, 2011 @ 6:22 am

If you or a member of your family has suffered from medical malpractice, i think solicitor will be able to provide helpful and practical advice for the steps that you can take – in total confidentiality.


Girlsmbt
Comment posted March 4, 2011 @ 10:53 am

Good article! Thank you so much for sharing this post.


MBT Shoes On Sale
Comment posted March 4, 2011 @ 10:54 am

Good article! Thank you so much for sharing this post.


Bill Chemnick
Comment posted March 5, 2011 @ 3:17 am

http://washingtonmedicalnegligence.com/2011/03/04/the-truth-about-medical-negligence-claims.aspx is a link to an article describing the real challenges medical negligence victims face when they try to bring their cases.


air max sale
Comment posted March 19, 2011 @ 3:01 am

Thank you for sharing to us.Please one more post


gucci shoes for men
Comment posted March 19, 2011 @ 3:03 am

Good article! Thank you so much for sharing this post.


How long can republicans keep up the charade? - Page 6 - US Message Board - Political Discussion Forum
Pingback posted March 23, 2011 @ 9:16 am

[...] the White Wingers are gettin' desperate, when they resort to exhuming THAT dead-horse. Quote: Tort Reform For Dummies/'Baggers __________________ Quote: "The man of great wealth owes a particular obligation to the [...]


Charley Mann
Comment posted March 26, 2011 @ 11:37 am

If people want more information about tort reform, I host a podcast called How Law Works with Virginia attorney Ben Glass. You can find it on iTunes here: http://itunes.apple.com/us/podcast/how-law-works/id424015297

It’s one of those topics that a lot of people talk about, but they’re not entirely sure how it would affect them. It’s eye-opening.


coach replica handbags
Comment posted March 30, 2011 @ 1:23 am

I would bet it is unlikely that their credit history is outstanding.


Property Solicitors
Trackback posted March 31, 2011 @ 9:04 pm

Property Solicitor…

[...]the time to read or visit the content or sites we have linked to below the[...]…


Conveyancing Solicitor
Trackback posted April 3, 2011 @ 6:46 am

Conveyancing Solicitors…

[...]below you’ll find the link to some sites that we think you should visit[...]…


Hermes Garden Party Bag
Comment posted April 16, 2011 @ 5:56 am

asdsad


work injuries ireland
Comment posted April 18, 2011 @ 4:10 am

Most employers would be genuinely horrified that one of their employees has sustained work injuries due their lack of care.


Oakley sunglasses
Comment posted May 11, 2011 @ 2:14 am

Oakley sunglasses start with sculptural physics and our unique three-point fit. Peer through Cheap Oakley sunglasses and see the veast array of performance treatments and lens tints that take the elements out of play. And rest Oakley Sunglasses Saleassured: industry-best protection from the sun or flying objects. Get a clear view with High Definition Optics in Cheap Ray Ban Sunglasses – wherever the world takes you.


Oakley sunglasses
Comment posted May 16, 2011 @ 3:16 am

Mens Oakley sunglasses are the most popular brand in Sunglasses today! Oakley sunglasses wholesale make the perfect gift for the men on your shopping list! Valentines  Day and Birthdays are a special time and you can present your loved ones with  the perfect gift with a pair of cheap Oakley sunglasses on  sale!    Buy a pair of Cheap Oakley sunglasses today and put a smile on your mans face from ear to ear! Oakley  Sunglasses, they are the best you can buy in sunglasses!
 


nordstrom wedding dresses
Trackback posted May 17, 2011 @ 3:33 pm

nordstrom dresses…

I was curious if you ever considered changing the layout of your site? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text f…


Anonymous
Comment posted May 23, 2011 @ 2:19 am

The stylish Coach sling bags are the first choice for you in 2011. The wide variety of colors and styles make Coach bags trendy throughout the year.Discount Coach Sling BagsCoach Hobo Bag are excellent quality and durable in use,coach sling bag chocolate with black straps  chic and snug. A range of Coach Bags are showed on our website,Coach Tote choose a right one for you! come on to the coach outlet online!
 


Oakley Sunglasses
Comment posted May 24, 2011 @ 3:03 am

Cheap  Oakleys. Established in 1975 and acquired by Luxottica in 2007, Oakley is  one of the leading sports performance brands in the world. The holder of over  500 patents, Oakley Glasses is  continually seeking problems, solving them with inventions and wrapping those  inventions in art. This philosophy has made Oakley Outlet one of the most  iconic and inimitable brand on the market and in turn made Oakley Sunglasses some of the most sought after.  The company is famed for its insuperable lens technologies such as High  Definition Optics (HDO) which it incorporates into all of its Oakley Sunglasses On Sale and ski  goggles.


replica oakleys
Comment posted May 29, 2011 @ 2:37 am

so many new style replica oakley sunglasses online up to 65% off. they enjoy oakley sunglasses discount at wholesale price, and cheap oakleys and oakley sunglasses sale now.


Suzi Chin
Comment posted June 7, 2011 @ 1:37 am

This is one of the best post that I have seen on this subject. Suzi
  Chin Dresses
.
Suzi Chin
  Maggy Boutique

Suzi
  Chin Plus Size Dresses

Suzi Chin
  Ruched Dresses

Suzi Chin Silk
  Chiffon Empire Waist Dress

Thanks again for the post.


55680354
Comment posted June 7, 2011 @ 10:00 am

In chloe handbags wholesaleFrench Dior is burberry handbags for sale“god” and “gold” combination, aureate later became the most common Dior brand colours. In 1947, Christian Dior sir introduced the first fashion series, to the French fashion after the second world war brought shock. Enlighten abstruse eyes immediately by women establish noble elegant taste. In 1959, the second generation designer Christian dior toward Moscow will smack, and introduction of “trapezoid line” fashionable new series. In 1989 by Italian designer Christian dior brand chanel handbags 2010FeiLei presided over the arrival of burberry handbags 2009design, wholesale burberry handbagshe is exaggerated for dior traditional, romantic style into new rigorous and elegance. In 1995,new chanel handbags princess Diana carry new Dior “handbags are caused by” craze agitation. Nowadays, Dior brand scope besides high fashion, have already expanded to the perfume, PI cao, the knitting garment, underwear, cosmetics, black chanel handbagsjewelry chloe handbags 2009and shoes, etc.


medical malpractice
Comment posted June 8, 2011 @ 11:35 am

Interesting post..Great stuff..thank,  A lawyer that knows about medical problems & medical laws is needed to help a claim reach the courts in the fastest, accurate, and most complete way possible. A   medical malpractice lawyer will work with the hospital system & medical law system to find out what your rights and legal options are. While you or someone you know gets better or recovers from your medical mistake or injury, the medical malpractice attorney will fight for your legal rights.


Chenzoujieyan
Comment posted June 25, 2011 @ 2:13 am

Glare from sunlight would make seeing difficult for that brightness can upset the attention and obscure particulars unknown at the rear of this. Running Barefootset up with polarized contacts can effectively filter unwanted sunlight glare. It’s extensively known which automobile windshield tinting is employed to shield a driver inside the sunlight. Oakley Sunglasses purpose similarly by incorporating one more protective layer that permits only vertical waves to feed.


Chenzoujieyan
Comment posted June 25, 2011 @ 2:13 am

Glare from sunlight would make seeing difficult for that brightness can upset the attention and obscure particulars unknown at the rear of this. Running Barefootset up with polarized contacts can effectively filter unwanted sunlight glare. It’s extensively known which automobile windshield tinting is employed to shield a driver inside the sunlight. Oakley Sunglasses purpose similarly by incorporating one more protective layer that permits only vertical waves to feed.


Eric S Brown
Trackback posted August 21, 2011 @ 3:45 am

Awesome website…

[...]the time to read or visit the content or sites we have linked to below the[...]……


home health
Trackback posted August 21, 2011 @ 9:54 am

You should check this out…

[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]……


Start on the road to Financial Freedom
Trackback posted August 21, 2011 @ 2:32 pm

Check this out…

[...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……


Eric S Brown Garage
Trackback posted August 22, 2011 @ 2:17 am

Superb website…

[...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]……


night vision riflescopes
Trackback posted August 22, 2011 @ 3:04 am

Related……

[...]just beneath, are numerous totally not related sites to ours, however, they are surely worth going over[...]……


BMW Used Cars
Trackback posted August 22, 2011 @ 4:20 am

Used BMW…

Hey! Would you mind if I share your blog with my facebook group? There’s a lot of folks that I think would really appreciate your content. Please let me know. Thanks…


Stephen Molinari
Trackback posted August 22, 2011 @ 7:05 pm

Great website…

[...]we like to honor many other internet sites on the web, even if they aren’t linked to us, by linking to them. Under are some webpages worth checking out[...]……


trade in value for games
Trackback posted August 23, 2011 @ 7:49 am

You should check this out…

[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]……


online income
Trackback posted August 23, 2011 @ 9:37 am

Cool sites…

[...]we came across a cool site that you might enjoy. Take a look if you want[...]……


oakland car auction
Trackback posted August 23, 2011 @ 1:51 pm

oakland car auction…

This design is spectacular! You definitely know how to keep a reader amused. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Excellent job. I really loved what you had to say, and more than that, how you…


Washington DC Earthquake 2011
Trackback posted August 23, 2011 @ 3:44 pm

Websites worth visiting…

[...]here are some links to sites that we link to because we think they are worth visiting[...]……


Cannabis
Trackback posted August 23, 2011 @ 5:20 pm

Gems form the internet…

[...]very few websites that happen to be detailed below, from our point of view are undoubtedly well worth checking out[...]……


Mercosur USA
Trackback posted August 23, 2011 @ 6:14 pm

Superb website…

[...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]……


Degenerative Joint Disease
Trackback posted August 24, 2011 @ 5:03 am

Gems form the internet…

[...]very few websites that happen to be detailed below, from our point of view are undoubtedly well worth checking out[...]……


how to make money on youtube
Trackback posted August 24, 2011 @ 6:43 am

Great website…

[...]we like to honor many other internet sites on the web, even if they aren’t linked to us, by linking to them. Under are some webpages worth checking out[...]……


cell phone spy
Trackback posted August 24, 2011 @ 9:26 am

Awesome website…

[...]the time to read or visit the content or sites we have linked to below the[...]……


diamond anniversary rings for women
Trackback posted August 24, 2011 @ 10:19 am

Links…

[...]Sites of interest we have a link to[...]……


How To Make Phone Applications
Trackback posted August 24, 2011 @ 11:52 am

Websites you should visit…

[...]below you’ll find the link to some sites that we think you should visit[...]……


Find The Latest Here
Trackback posted August 24, 2011 @ 3:32 pm

Blogs ou should be reading…

[...]Here is a Great Blog You Might Find Interesting that we Encourage You[...]……


Teaching jobs in Korea
Trackback posted August 25, 2011 @ 7:46 am

You should check this out…

[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]……


Offroad
Trackback posted August 25, 2011 @ 7:59 am

Cool sites…

[...]we came across a cool site that you might enjoy. Take a look if you want[...]……


Aspartalone
Trackback posted August 25, 2011 @ 9:14 am

Recommeneded websites…

[...]Here are some of the sites we recommend for our visitors[...]……


Cheap Hotel
Trackback posted August 25, 2011 @ 9:29 am

Related……

[...]just beneath, are numerous totally not related sites to ours, however, they are surely worth going over[...]……


Budget hotel
Trackback posted August 25, 2011 @ 2:55 pm

Websites we think you should visit…

[...]although websites we backlink to below are considerably not related to ours, we feel they are actually worth a go through, so have a look[...]……


Eric S Brown Parking
Trackback posted August 26, 2011 @ 4:28 am

Recommeneded websites…

[...]Here are some of the sites we recommend for our visitors[...]……


buy used cell phones
Trackback posted August 26, 2011 @ 5:47 am

Sources…

[...]check below, are some totally unrelated websites to ours, however, they are most trustworthy sources that we use[...]……


Best Online Auction Sites
Trackback posted August 26, 2011 @ 6:18 am

Great website…

[...]we like to honor many other internet sites on the web, even if they aren’t linked to us, by linking to them. Under are some webpages worth checking out[...]……


454 casull
Trackback posted August 26, 2011 @ 6:22 am

Related……

[...]just beneath, are numerous totally not related sites to ours, however, they are surely worth going over[...]……


Mauritius Holiday Villas
Trackback posted August 26, 2011 @ 7:13 am

Online Article……

[...]The information mentioned in the article is some of the best available [...]……


Car Body Kit
Trackback posted August 26, 2011 @ 7:25 am

Blogs ou should be reading…

[...]Here is a Great Blog You Might Find Interesting that we Encourage You[...]……


konferencja
Trackback posted August 26, 2011 @ 7:57 am

Blogs ou should be reading…

[...]Here is a Great Blog You Might Find Interesting that we Encourage You[...]……


free blackberries
Trackback posted August 26, 2011 @ 8:48 am

Visitor recommendations…

[...]one of our visitors recently recommended the following website[...]……


Nationwide Car shipping
Trackback posted August 26, 2011 @ 9:04 am

Recent Blogroll Additions……

[...]usually posts some very interesting stuff like this. If you’re new to this site[...]……


24 hour payday loans
Trackback posted August 26, 2011 @ 9:21 am

Recent Blogroll Additions……

[...]usually posts some very interesting stuff like this. If you’re new to this site[...]……


ipad movie
Trackback posted August 26, 2011 @ 10:04 am

Cool sites…

[...]we came across a cool site that you might enjoy. Take a look if you want[...]……


spy on mobile
Trackback posted August 26, 2011 @ 10:35 am

Websites worth visiting…

[...]here are some links to sites that we link to because we think they are worth visiting[...]……


ipad movies
Trackback posted August 26, 2011 @ 11:28 am

Websites worth visiting…

[...]here are some links to sites that we link to because we think they are worth visiting[...]……


Healthy Vending
Trackback posted August 26, 2011 @ 2:26 pm

Sources…

[...]check below, are some totally unrelated websites to ours, however, they are most trustworthy sources that we use[...]……


iPad Movies
Trackback posted August 27, 2011 @ 3:34 am

Read was interesting, stay in touch……

[...]please visit the sites we follow, including this one, as it represents our picks from the web[...]……


mobile business
Trackback posted August 27, 2011 @ 6:39 am

Recent Blogroll Additions……

[...]usually posts some very interesting stuff like this. If you’re new to this site[...]……


flight simulator download
Trackback posted August 27, 2011 @ 7:42 am

Sources…

[...]check below, are some totally unrelated websites to ours, however, they are most trustworthy sources that we use[...]……


videos on ipad
Trackback posted August 27, 2011 @ 8:15 am

Awesome website…

[...]the time to read or visit the content or sites we have linked to below the[...]……


weight loss reviews
Trackback posted August 27, 2011 @ 12:13 pm

Websites you should visit…

[...]below you’ll find the link to some sites that we think you should visit[...]……


Suntrust Online Logon
Trackback posted August 27, 2011 @ 2:27 pm

You should check this out…

[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]……


Snow Removal 47406
Trackback posted August 27, 2011 @ 11:12 pm

Online Article……

[...]The information mentioned in the article are some of the best available [...]……


how to mount a rifle scopes
Trackback posted August 28, 2011 @ 4:56 am

Check this out…

[...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……


hcg diet reviews
Trackback posted August 29, 2011 @ 12:52 pm

Sites we Like……

[...] Every once in a while we choose blogs that we read. Listed below are the latest sites that we choose [...]……


buy argan oil|argan oil
Trackback posted August 29, 2011 @ 2:11 pm

Related……

[...]just beneath, are numerous totally not related sites to ours, however, they are surely worth going over[...]……


Cisco Smartnet
Trackback posted August 29, 2011 @ 10:59 pm

Check this out…

[...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……


BMW Rims
Trackback posted August 29, 2011 @ 11:40 pm

Blogs ou should be reading…

[...]Here is a Great Blog You Might Find Interesting that we Encourage You[...]……


Forex Trading
Trackback posted August 30, 2011 @ 2:09 am

Gems form the internet…

[...]very few websites that happen to be detailed below, from our point of view are undoubtedly well worth checking out[...]……


Cheap Scrubs
Trackback posted August 30, 2011 @ 3:19 am

Check this out…

[...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……


Fight Club Workout
Trackback posted August 30, 2011 @ 3:58 am

Websites worth visiting…

[...]here are some links to sites that we link to because we think they are worth visiting[...]……


Nintendo Wii
Trackback posted August 30, 2011 @ 3:59 am

Websites worth visiting…

[...]here are some links to sites that we link to because we think they are worth visiting[...]……


Neil Dorval
Trackback posted August 30, 2011 @ 4:18 am

Sites we Like……

[...] Every once in a while we choose blogs that we read. Listed below are the latest sites that we choose [...]……


Jujitsu
Trackback posted August 30, 2011 @ 5:04 am

Check this out…

[...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……


MMA
Trackback posted August 30, 2011 @ 5:33 am

Sites we Like……

[...] Every once in a while we choose blogs that we read. Listed below are the latest sites that we choose [...]……


las vegas computer repair
Trackback posted August 30, 2011 @ 6:50 am

Great website…

[...]we like to honor many other internet sites on the web, even if they aren’t linked to us, by linking to them. Under are some webpages worth checking out[...]……


Betting Exchange
Trackback posted August 30, 2011 @ 10:12 am

Links…

[...]Sites of interest we have a link to[...]……


Kettlebell
Trackback posted August 30, 2011 @ 11:52 pm

Check this out…

[...] that is the end of this article. Here you’ll find some sites that we think you’ll appreciate, just click the links over[...]……


Engagement Rings
Trackback posted August 31, 2011 @ 12:25 am

Online Article……

[...]The information mentioned in the article are some of the best available [...]……


X5 Suspension
Trackback posted August 31, 2011 @ 12:48 am

Superb website…

[...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]……


Car Accident Lawyer Phoenix
Trackback posted August 31, 2011 @ 1:24 am

Awesome website…

[...]the time to read or visit the content or sites we have linked to below the[...]……


Car Accident Lawyer
Trackback posted August 31, 2011 @ 3:06 am

Awesome website…

[...]the time to read or visit the content or sites we have linked to below the[...]……


Carpet Los Angeles
Trackback posted August 31, 2011 @ 3:55 am

Read was interesting, stay in touch……

[...]please visit the sites we follow, including this one, as it represents our picks from the web[...]……


Lego Sets
Trackback posted August 31, 2011 @ 4:31 am

Visitor recommendations…

[...]one of our visitors recently recommended the following website[...]……


Quilt Patterns
Trackback posted August 31, 2011 @ 7:19 am

You should check this out…

[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]……


Gift Delivery
Trackback posted August 31, 2011 @ 7:57 am

Awesome website…

[...]the time to read or visit the content or sites we have linked to below the[...]……


jeux gratuits iphone
Trackback posted August 31, 2011 @ 8:34 am

Websites we think you should visit…

[...]although websites we backlink to below are considerably not related to ours, we feel they are actually worth a go through, so have a look[...]……


Best Laptop 2011
Trackback posted August 31, 2011 @ 8:51 am

Recent Blogroll Additions……

[...]usually posts some very interesting stuff like this. If you’re new to this site[...]……


Top Laptops for 2011
Trackback posted September 1, 2011 @ 9:45 am

Cool sites…

[...]we came across a cool site that you might enjoy. Take a look if you want[...]……


Check Out The Latest Articles
Trackback posted September 1, 2011 @ 10:40 am

Websites worth visiting…

[...]here are some links to sites that we link to because we think they are worth visiting[...]……


Eric S Brown Parking
Trackback posted September 2, 2011 @ 1:34 am

Websites you should visit…

[...]below you’ll find the link to some sites that we think you should visit[...]……


Eric S Brown Parking
Trackback posted September 2, 2011 @ 6:29 am

Superb website…

[...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]……


business coach
Trackback posted September 2, 2011 @ 9:50 am

Online Article……

[...]The information mentioned in the article are some of the best available [...]……


land park homes for sale
Trackback posted September 2, 2011 @ 10:54 am

You should check this out…

[...] Wonderful story, reckoned we could combine a few unrelated data, nevertheless really worth taking a look, whoa did one learn about Mid East has got more problerms as well [...]……


dating website
Trackback posted September 2, 2011 @ 12:15 pm

Links…

[...]Sites of interest we have a link to[...]……


uk shopping blog
Trackback posted September 2, 2011 @ 1:28 pm

Links…

[...]Sites of interest we have a link to[...]……


Property Search
Trackback posted September 2, 2011 @ 3:01 pm

Related……

[...]just beneath, are numerous totally not related sites to ours, however, they are surely worth going over[...]……


penny auctions tip
Comment posted September 2, 2011 @ 8:13 pm

Wow that was strange. I just wrote an incredibly long comment but after I clicked submit my comment didn’t show up. Grrrr… well I’m not writing all that over again. Anyway, just wanted to say fantastic blog!


weight loss foods
Comment posted September 2, 2011 @ 9:03 pm

I am really loving the theme/design of your site. Do you ever run into any web browser compatibility problems? A small number of my blog visitors have complained about my site not operating correctly in Explorer but looks great in Safari. Do you have any advice to help fix this problem?


hino nac
Trackback posted September 3, 2011 @ 4:03 am

In Mozilla Firefox how do you customize the toolbars to different colors and styles?…

In Firefox you have the standard silver toolbars where the address bar and file/edit bars are there is the silver background. How do you customize and change that around?….


hcg diet weight loss maintenaning
Comment posted September 3, 2011 @ 6:20 am

Good day! This is kind of off topic but I need some guidance from an established blog. Is it very difficult to set up your own blog? I’m not very techincal but I can figure things out pretty quick. I’m thinking about creating my own but I’m not sure where to begin. Do you have any ideas or suggestions? Thank you


learn to trade the forex
Trackback posted September 3, 2011 @ 8:18 am

Awesome website…

[...]the time to read or visit the content or sites we have linked to below the[...]……


hcg diet inspiration
Comment posted September 3, 2011 @ 8:37 am

Hmm is anyone else having problems with the pictures on this blog loading? I’m trying to figure out if its a problem on my end or if it’s the blog. Any suggestions would be greatly appreciated.


electronic cigarette video
Comment posted September 3, 2011 @ 3:20 pm

I was curious if you ever thought of changing the page layout of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or 2 pictures. Maybe you could space it out better?


hodowla psow, hodowla psów rasowych,katalog hodowli,katalog storn,darmowy katalopg stron
Comment posted September 4, 2011 @ 4:28 am

Nice post. I was checking continuously this blog and I am impressed! Very useful information particularly the last part :) I care for such info much. I was looking for this certain information for a long time. Thank you and best of luck.


fett verbrennen
Comment posted September 4, 2011 @ 5:34 am

I absolutely love your blog and find a lot of your post’s to be exactly I’m looking for. Does one offer guest writers to write content for you? I wouldn’t mind producing a post or elaborating on a few of the subjects you write with regards to here. Again, awesome weblog!


Jana Arrance
Comment posted September 4, 2011 @ 11:56 am

With havin so much written content do you ever run into any problems of plagorism or copyright violation? My blog has a lot of completely unique content Ive either created myself or outsourced but it seems a lot of it is popping it up all over the web without my permission. Do you know any techniques to help prevent content from being stolen? Id genuinely appreciate it.


Brittaney Swadling
Comment posted September 4, 2011 @ 4:08 pm

I know this if off topic but I’m looking into starting my own blog and was wondering what all is needed to get set up? I’m assuming having a blog like yours would cost a pretty penny? I’m not very web smart so I’m not 100% positive. Any tips or advice would be greatly appreciated. Kudos


david nicholson
Trackback posted September 5, 2011 @ 7:48 am

Links…

[...]Sites of interest we have a link to[...]……


Short films
Trackback posted September 5, 2011 @ 7:58 am

Recommeneded websites…

[...]Here are some of the sites we recommend for our visitors[...]……


xinwei
Comment posted September 5, 2011 @ 4:14 pm

Ill do this if require to as a lot as I hope that’s not too far off the track.


156225
Comment posted September 5, 2011 @ 9:17 pm

156225 beers on the wall. sck was here


xinwei
Comment posted September 6, 2011 @ 1:13 am

I am glad to be among the visitors on this great web site (:, thanks for posting .


Cheap Jordan shoes,Nike air max shoes,Supra Shoes,UGG Boots,CL pumps,Polo,Lacoste t-shirts,True Religion Jeans,LV,Coach handbags,brand name sunglasses,NFL,NHL,MLB,NBA Jerseys
Comment posted September 6, 2011 @ 2:26 am

Nice post. I was checking constantly this blog and I’m impressed! Very useful information specially the last part I care for such information much. I was looking for this particular information for a long time. I will keep the attention of your blog. Thank you and good luck.


Online Survey
Trackback posted September 6, 2011 @ 2:46 am

Great website…

[...]we like to honor many other internet sites on the web, even if they aren’t linked to us, by linking to them. Under are some webpages worth checking out[...]……


Cheap Jordan shoes,Nike air max shoes,Supra Shoes,UGG Boots,CL pumps,Polo,Lacoste t-shirts,True Religion Jeans,LV,Coach handbags,brand name sunglasses,NFL,NHL,MLB,NBA Jerseys
Comment posted September 6, 2011 @ 3:16 am

Great post. I was checking continuously this blog and I am impressed! Very helpful info particularly the last part I care for such information a lot. I was seeking this particular information for a long time. I will keep the attention of your blog. Thank you and have a nice day.


Dwayne Monce
Comment posted September 6, 2011 @ 3:19 am

The Zune concentrates on being a Portable Media Player. Not a web browser. Not a game machine. Maybe in the future it’ll do even better in those areas, but for now it’s a fantastic way to organize and listen to your music and videos, and is without peer in that regard. The iPod’s strengths are its web browsing and apps. If those sound more compelling, perhaps it is your best choice.


Self Publishing Companies
Trackback posted September 6, 2011 @ 3:39 am

Links…

[...]Sites of interest we have a link to[...]……


Inter Bedrooms
Comment posted September 6, 2011 @ 4:25 am

very nice put up, i definitely love this web site, keep on it


hotels in dewsbury
Comment posted September 6, 2011 @ 4:38 am

I am writing to let you be aware of of the magnificent experience my princess developed studying yuor web blog. She learned so many details, including how it is like to possess a great teaching nature to let certain people clearly gain knowledge of certain hard to do subject areas. You undoubtedly did more than my expected results. Thank you for showing the important, dependable, edifying and cool guidance on that topic to Kate.


new penny auction
Comment posted September 6, 2011 @ 4:51 am

Hi there, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam responses? If so how do you reduce it, any plugin or anything you can advise? I get so much lately it’s driving me mad so any help is very much appreciated.


new penny auction
Comment posted September 6, 2011 @ 5:06 am

Hi there! Someone in my Myspace group shared this site with us so I came to check it out. I’m definitely loving the information. I’m bookmarking and will be tweeting this to my followers! Excellent blog and great design and style.


aggregator
Comment posted September 6, 2011 @ 5:17 am

I needed to post you a bit of remark in order to say thank you the moment again for these exceptional suggestions you’ve discussed in this case. It has been quite generous with people like you giving freely what most people might have offered for sale for an ebook to help with making some dough for their own end, primarily now that you might have done it in the event you considered necessary. The techniques additionally served like the good way to understand that many people have the identical eagerness just like mine to learn more in regard to this condition. I’m sure there are several more pleasurable situations ahead for individuals who looked over your website.


Columbus Angelo
Comment posted September 6, 2011 @ 6:21 am

Random Google results can occasionally lead to excellent blogs like this. You are doing a good job, and we share lots of views.


Ultras shop
Comment posted September 6, 2011 @ 6:37 am

The best hooligans shop


opticians herefordshire
Comment posted September 6, 2011 @ 7:06 am

That is the correct weblog for anyone who desires to search out out about this topic. You notice a lot its nearly exhausting to argue with you (not that I truly would need…HaHa). You definitely put a new spin on a topic thats been written about for years. Great stuff, simply great!


solicitors southampton
Comment posted September 6, 2011 @ 9:35 am

I just wanted to write down a small note to appreciate you for those pleasant ideas you are placing here. My considerable internet search has at the end been recognized with good quality points to share with my family members. I would declare that most of us site visitors are quite lucky to dwell in a magnificent community with very many lovely individuals with very beneficial secrets. I feel pretty happy to have encountered the web pages and look forward to so many more exciting moments reading here. Thank you once more for a lot of things.


XXX Movies
Comment posted September 6, 2011 @ 9:43 am

I believe this internet site contains really superb composed articles posts .


hotele
Comment posted September 6, 2011 @ 10:21 am

Im not going to say what everyone else has already said, but I do want to comment on your knowledge of the topic. Youre truly well-informed. I cant believe how much of this I just wasnt aware of. Thank you for bringing more information to this topic for me. Im truly grateful and really impressed.


how mount riflescopes
Trackback posted September 6, 2011 @ 10:22 am

Superb website…

[...]always a big fan of linking to bloggers that I love but don’t get a lot of link love from[...]……


digitaljournal.com
Comment posted September 6, 2011 @ 11:04 am

What I discover difficult is to find a weblog that may capture me for a minute but your blog is different. Bravo.


tinnitus cure
Comment posted September 6, 2011 @ 11:10 am

Today, I went to the beachfront with my kids. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She put the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is entirely off topic but I had to tell someone!


jacob
Comment posted September 6, 2011 @ 11:11 am

Now you’ve your new web page and you’re keen to start making some sales! But, how are you going to make gross sales when you would not have excessive volumes of holiday makers to your website?


this page
Comment posted September 6, 2011 @ 11:21 am

hey all, I used to be simply checking out this weblog and I actually admire the idea of the article, and don’t have anything to do, so if anyone would like to to have an engrossing convo about it, please contact me on AIM, my identify is heather smith


attract women
Comment posted September 6, 2011 @ 11:28 am

Congratulations on possessing definitely one in all probably the most subtle blogs Ive arrive across in some time! Its simply superb how much you’ll be capable to take into account away from a thing mainly simply due to how visually stunning it is. You’ve place collectively a terrific blog website area –nice graphics, motion pictures, layout. This is actually a must-see website!


celebrity interviews pavlina
Comment posted September 6, 2011 @ 11:47 am

Thanks for sharing superb informations. Your website is very cool. I’m impressed by the details that you’ve on this website. It reveals how nicely you perceive this subject. Bookmarked this web page, will come back for more articles. You, my friend, ROCK! I found simply the information I already searched all over the place and just could not come across. What an ideal web-site.


tinnitus remedies
Comment posted September 6, 2011 @ 12:01 pm

Wow that was odd. I just wrote an very long comment but after I clicked submit my comment didn’t appear. Grrrr… well I’m not writing all that over again. Anyway, just wanted to say excellent blog!


Diet Solution
Comment posted September 6, 2011 @ 12:28 pm

The urge to gamble is so universal and its practice so pleasurable, that I assume it must be evil. – Heywood Broun


how to pick up women
Comment posted September 6, 2011 @ 12:51 pm

I’m still studying from you, but I’m enhancing myself. I actually love reading every little thing that’s written in your blog.Keep the tales coming. I beloved it!


free amateur sex tube
Comment posted September 6, 2011 @ 12:55 pm

Quite usefull blog. i will follow this blog. keep up the very good function.


asking her out over text
Comment posted September 6, 2011 @ 12:59 pm

What I discover tough is to find a weblog that may seize me for a minute but your blog is different. Bravo.


armagh tyre company
Comment posted September 6, 2011 @ 1:24 pm

Needed to compose you this little word to help say thanks a lot yet again for your unique things you’ve discussed on this website. It has been so remarkably generous of people like you to supply without restraint what exactly most people could have made available as an e-book to help with making some money for their own end, principally considering the fact that you could possibly have done it in the event you considered necessary. The smart ideas in addition worked as the easy way to know that the rest have the same eagerness just as my very own to learn great deal more on the subject of this problem. Certainly there are many more fun periods ahead for people who read carefully your blog.


site hoster check
Comment posted September 6, 2011 @ 1:33 pm

I always was interested in this topic and still am, thank you for posting.


platinum property partners review
Trackback posted September 6, 2011 @ 2:33 pm

Sites we Like……

[...] Every once in a while we choose blogs that we read. Listed below are the latest sites that we choose [...]……


Corrective eye surgery Colorado springs
Comment posted September 6, 2011 @ 2:46 pm

I’ve recently started a blog, the information you provide on this website has helped me greatly. Thanks for all of your time & work.


Smog check yorba linda
Comment posted September 6, 2011 @ 2:58 pm

Great write-up, I am normal visitor of one’s site, maintain up the nice operate, and It’s going to be a regular visitor for a lengthy time.


port wine glass
Comment posted September 6, 2011 @ 4:20 pm

Thanks for your own effort on this website. My mother take interest in participating in research and it is obvious why. We learn all regarding the dynamic means you create both useful and interesting information through the blog and as well cause participation from other ones on the issue so our own girl is without a doubt learning so much. Have fun with the remaining portion of the new year. You have been conducting a fabulous job.


MBT Sandals Shoes
Comment posted September 6, 2011 @ 4:25 pm

The following time I read a blog, I hope that it doesnt disappoint me as a lot as this one. I imply, I know it was my choice to learn, but I actually thought youd have something fascinating to say. All I hear is a bunch of whining about one thing that you may fix should you werent too busy in search of attention.


Toronto
Comment posted September 6, 2011 @ 4:46 pm

Thanks for sharing this information, I definitely appreciate the operate and time you may have consider to write these news. Sustain the good operate and I might just like to say that following I arrive residence from perform I genuinely look ahead to reading your ideas and views on these matters. I’ll be subscribing in your web site, many thanks yet again.


Replica Watches
Comment posted September 6, 2011 @ 6:46 pm

Along with Replica A.Lange & Sohnethe whole thing that appears to be developing within this specific area, all your points of view are somewhat exciting. Nonetheless, I appologize, because I do not subscribe to your entire plan, all be it refreshing none the less. It would seem to me that your remarks are actually not entirely validated and in fact you are generally your self not thoroughly confident of the argument. In any event I did enjoy reading it.


Hiram Lacasse
Comment posted September 6, 2011 @ 7:23 pm

Your blog was tweeted by a friend the other day. Decided I’d take a look. Best decision ever.


ottawa tutoring
Trackback posted September 6, 2011 @ 7:24 pm

Gems form the internet…

[...]very few websites that happen to be detailed below, from our point of view are undoubtedly well worth checking out[...]……


faith
Comment posted September 6, 2011 @ 7:56 pm

Very interesting info !Perfect just what I was looking for! “One man’s folly is another man’s wife.” by Helen Rowland.


Replica Watches
Comment posted September 6, 2011 @ 8:09 pm

I do love the way you have presented this particular concern plus it does supply me some fodder for thought. On the other hand, coming from what precisely I have personally seen, I just trust when other remarks pack on that people today stay on point and in no way get started upon a tirade of some other news du jour. Anyway, thank you for this outstanding point and though I can not really go along with this in totality, I respect your perspective.


bilo weekly ad
Comment posted September 6, 2011 @ 9:25 pm

Pretty nice post. I just stumbled upon your weblog and wished to mention that I’ve truly enjoyed surfing around your blog posts. After all I?ll be subscribing for your rss feed and I am hoping you write again soon!


Girls from Facebook
Comment posted September 6, 2011 @ 9:29 pm

I really like your writing style, good information, regards for posting :D. “Faith is a continuation of reason.” by William Adams.


hcg diet drop
Comment posted September 6, 2011 @ 9:39 pm

Wonderful blog! I found it while surfing around on Yahoo News. Do you have any suggestions on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! Cheers


http://www.sellgold-online.com
Comment posted September 6, 2011 @ 10:31 pm

For the past 9years I have been walking to a refiner to sell our gold braclets and I never came out with more than $190. Imagine my surprise when I tried sellgold-online and they wrote me a money order for $360 for lessgold! That’s quitiple what the pawn shop sent me!


Convert pdf to epub
Comment posted September 6, 2011 @ 10:55 pm

Thank you for the sensible critique. Me & my neighbor were just preparing to do a little research on this. We got a grab a book from our local library but I think I learned more clear from this post. I am very glad to see such fantastic information being shared freely out there.


celebrity
Comment posted September 6, 2011 @ 11:49 pm

I conceive you have observed some very interesting points , appreciate it for the post.


merson thorpe
Comment posted September 7, 2011 @ 1:23 am

I really appreciate this post. I’ve been looking everywhere for this! Thank goodness I found it on Bing. You have made my day! Thanks again!


android applications
Comment posted September 7, 2011 @ 1:39 am

Wohh just what I was looking for, appreciate it for posting.


notAnnota
Comment posted September 7, 2011 @ 4:01 am

[url=http://www.spyderoutlet-usa.info/contact_us.html]spyder hat[/url]
[url=http://www.spyderoutlet-usa.info/spyder-ski-trousers-men-black-p-399.html]spyder monterosa jacket[/url]
[url=http://www.spyderoutlet-usa.info/specials.html]spyder monterosa jacket[/url]


karpacz
Comment posted September 7, 2011 @ 6:04 am

I simply wanted to say thanks all over again. I do not know what I would’ve carried out without these opinions shared by you about such a topic. It had become a frightful concern in my view, nevertheless coming across a new professional avenue you processed that made me to leap with gladness. I’m just thankful for the information and as well , pray you are aware of an amazing job you were undertaking educating the others via a blog. More than likely you’ve never encountered any of us.


Zandra Dunaway
Comment posted September 7, 2011 @ 6:24 am

I like the items you put in here. Very applicable information. Consider yourself book marked.


Evelyne
Comment posted September 7, 2011 @ 6:40 am

You’ve got an excellent site. :) I really enjoyed to visit it. I thank you for all that you share with us here. I’ll come again and again to see what’s new.


Mariella
Comment posted September 7, 2011 @ 7:57 am

Definitely, the article is truly the freshest on this deserving field. I concur with each of your ideas and will desperately expect your upcoming up-dates.


tasco target varmint scopes
Trackback posted September 7, 2011 @ 8:31 am

Blogs ou should be reading…

[...]Here is a Great Blog You Might Find Interesting that we Encourage You[...]……


caudalimetro
Comment posted September 7, 2011 @ 10:26 am

I got what you mean , thanks for putting up.Woh I am delighted to find this website through google. “You must pray that the way be long, full of adventures and experiences.” by Constantine Peter Cavafy.


unable to open connection to server
Comment posted September 7, 2011 @ 10:53 am

Very interesting points you have observed , regards for putting up. “The unspoken word never does harm.” by Kossuth.


turkish personals
Trackback posted September 7, 2011 @ 11:05 am

Sites we Like……

[...] Every once in a while we choose blogs that we read. Listed below are the latest sites that we choose [...]……


tall girls
Comment posted September 7, 2011 @ 11:26 am

I’m really enjoying the theme/design of your site. Do you ever run into any web browser compatibility problems? A small number of my blog readers have complained about my website not operating correctly in Explorer but looks great in Chrome. Do you have any ideas to help fix this issue?


tarot visa
Comment posted September 7, 2011 @ 11:44 am

Sorry for the huge review, but I’m really loving the new Zune, and hope this, as well as the excellent reviews some other people have written, will help you decide if it’s the right choice for you.


home security systems chicago
Trackback posted September 7, 2011 @ 12:16 pm

Sources…

[...]check below, are some totally unrelated websites to ours, however, they are most trustworthy sources that we use[...]……


RSS feed for comments on this post.

Sorry, the comment form is closed at this time.