Both Malpractice Measures Defeated

Summary

Voters sank competing measures in a medical malpractice campaign that set a record for statewide initiative spending, likely sending the battle back to the state Legislature.

Story Published: Nov 8, 2005 at 7:36 PM PDT

Story Updated: Aug 31, 2006 at 2:07 AM PDT

OLYMPIA - A record-setting spending blitz couldn't convince voters to overhaul Washington's medical malpractice system, and trial lawyers and doctors looked to the Legislature for another round in their bitter battle.

Voters rejected the state medical association's attempt to limit jury awards and lawyers' fees in malpractice cases on Tuesday. A rival measure supported by trial lawyers that focused on problem doctors fared no better.

With 62 percent of the expected vote counted in unofficial returns, doctor-backed Initiative 330 failed 46 percent to 54 percent, 502,517 votes to 589,470 votes. The trial lawyers' Initiative 336 went down 41 percent to 59 percent, 441,245 votes to 639,220 votes.

Taken together, the campaigns raised about $15 million and set a state record for initiative spending. The old mark was about $7 million spent on both sides of Microsoft Corp. co-founder Paul Allen's successful bid for a new NFL stadium in Seattle.

Washington State Medical Association chief executive Tom Curry said it was money well spent despite the loss of I-330.

"The physicians drove their message home," Curry said. "They ran a great campaign and the margin of victory for the other side was less than what it might have been otherwise."

I-336 spokesman Dylan Malone had mixed feelings but was heartened that I-330 was defeated.

"The stage is now set for getting real patient safety measures through in Olympia," he said. "Heck, a year ago, nobody even knew what the medical disciplinary boards were."

Doctors, hospitals, insurers and drug companies waged a combined campaign to pass I-330 and defeat I-336.

Trial lawyers split their efforts into separate committees, but the pro-336 effort took a back seat to defeating I-330.

I-330 would have capped pain-and-suffering jury awards and plaintiff's lawyer fees in malpractice cases. It also would have allowed doctors to refuse treatment if patients declined to resolve malpractice claims out of court.

Supporters argued that the changes were needed to rein in expensive jury awards they claimed had driven up insurance rates, pricing doctors out of risky specialties.

I-336 focused on disciplining problem doctors and would have revoked the license of any who lost three malpractice verdicts in 10 years. It also would have established a state-run supplemental insurance pool and increased the number of public representatives on a state watchdog panel.

Opponents of I-330 denied that malpractice rates were out of control and said limiting court awards would not ease insurance rate hikes.

After casting her ballot at a church in Tacoma, Judy Gann, 54, said she followed doctors' advice by voting for I-330 and against I-336.

"I'm so sick of these lawyers. Even though they represent you, they take a big cut out of what you get," Gann said.

Emmett Linton Sr., 58, of Tacoma, disagreed, saying he voted against I-330 because capping patients' damage awards seemed unfair.

"If you're going to limit what I can get for my injuries, you're limiting what life itself is worth," Linton said.

Some influential voices - including state Insurance Commissioner Mike Kreidler - urged voters to reject both initiatives.

Kreidler was a particularly staunch critic, calling both measures "fatally flawed" and citing studies by his agency that indicated there was no malpractice insurance crisis in the state.

Kreidler's opposition to both measures centered on a belief that the Legislature should resolve the question, although lawmakers' reluctance to do so in recent years eventually drove the battle onto the ballot.