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Protect Patients Now!
Protect Patients Now is a national grassroots organization sponsored by the Health Coalition on Liability and Access, and is dedicated to preserving patient access to care by reforming our nation's broken liability system.

Healthcare Crisis - Who's At Risk?
Issues ranging from health insurance, uninsured, managed care, medicare, long term & chronic care and tough questions we face today.

healthcare in crisis

Patient Access to Healthcare in Hawaii grows worse every year

Limited access to care has resulted in loss of life and limb. Delays in diagnoses may result in more serious illnesses. Delays in treatment may result in complications and extended recovery times. All of which frequently result in increased and unreimbursed medical expenses.

Doctors are leaving Hawaii at an alarming rate

There are few replacements for the many doctors who are leaving Hawaii due to escalating costs of malpractice insurance, low reimbursements and the rising rate of malpractice suits judged to be ‘without merit’.

As the number of doctors decreases, physician workloads increase drastically for those remaining. Patient consequences can be extended wait times for appointments and treatments. Physician consequences can be social, psychological and physical overload; reduced time with family, increased stress.

Most impacted specialties:

Obstetrics/Gynecology, Orthopedic Surgery, Neurosurgery, Neurology, Gastroenterology and ER physicians.

Neighbor Islands are critically impacted by this exodus

There are severe shortages of physicians on every island. Neighbor Islands are most impacted when many patients must travel to Oahu or Mainland for treatment.

Off-Island travel and lodging expenses (often unreimbursed) are added to healthcare costs. Extended time to treatment puts patient at greater risk of complications and extended recovery times.

you are paying the price!

High cost of malpractice insurance and low reimbursement rates force doctors to practice defensive medicine by ordering maximum number of tests to protect themselves against lawsuits. "Thus, the average American family pays an additional $1,700 to $2,000 per year in healthcare costs simply to cover the costs of defensive medicine". In Florida, $2,000 of the delivery cost, per baby, goes to pay the cost of the medical liability premium.

American Academy of Orthopedic Surgery NOW article, November 2008, Vol 2, Number 11, pg. 41 Medical Liability Reform

Medical Liability Reform

During this severe economic downturn, medical tort reform is an option that places no burden on the taxpayer. There are well-documented successes and increased numbers of doctors coming into states that have enacted these reforms.

Your inability to see a doctor when and where needed is healthcare rationing

Past efforts to stop this growing crisis through compromise tort reform and compensation bills have been consistently blocked by special interests.

The Hawaii State Legislature holds the key.


In most businesses, the increased cost of doing business is passed on to customers by charging higher prices.

Under the restrictions of government regulations and insurance company contracts it becomes difficult for healthcare practitioners and facilities to respond to market changes or industry challenges. Such restrictions prevent healthcare providers from passing the higher prices on to the consumers, the patients. Still, quality care must be provided and therefore these increased costs are absorbed by the doctor or the facility. If reimbursement continues to decline as healthcare costs continue to rise, facilities and practitioners may be forced to reduce services or declare bankruptcy and shut down.

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