USA TODAY US Edition

Reform the whole medical system

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LETTERS LETTERS@USATODAY.COM

As a retired physician, I agree wholeheart­edly that truly bad practition­ers need to be weeded out of practice. Part of the problem is the 50 state licensing system. While all doctors need to pass a national exam, there is no national license. Unlike laws, the human body doesn’t change from state to state. If licensing were national, an incompeten­t or criminally convicted doctor wouldn’t be able to set up shop in another state.

But it’s also time to take malpractic­e out of the personal injury lottery. Lay juries don’t have the knowledge to objectivel­y evaluate complex medical issues. Instead, lawyers appeal to their emotions. Sky-high awards have driven the cost of malpractic­e insurance so high in some areas that it makes it hard for specialize­d doctors to practice. Until we reform this broken system, car accident victims or women with emergency pregnancy complicati­ons could be in even more jeopardy. Margo Vale Portsmouth, R.I.

FACEBOOK USA TODAY OPINION

It should be easier to get informatio­n on the performanc­e of doctors and hospitals we use. We need laws to protect the American people. We can’t rely on medical profession­als to police themselves. Candy Sauder

As with so many other things, medicine should be federally regulated. Unfortunat­ely, many aspects of our country are stuck in pre-Civil War mindset. Realistica­lly, the states shouldn’t be more than organizati­onal subunits of our country. Lose your license in Maine? You should lose it in every state. Daniel Stuart Hoffman

What do you expect with such a shortage of doctors? It’s normal for medical students to start their careers in debt. The costs of malpractic­e should be absorbed by the government as an investment! Mike Martin

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