TY - JOUR AU - Lakdawalla,Darius N. AU - Seabury,Seth A. TI - The Welfare Effects of Medical Malpractice Liability JF - National Bureau of Economic Research Working Paper Series VL - No. 15383 PY - 2009 Y2 - September 2009 UR - http://www.nber.org/papers/w15383 L1 - http://www.nber.org/papers/w15383.pdf N1 - Author contact info: Darius N. Lakdawalla Schaeffer Center for Health Policy and Economics University of Southern California 3335 S. Figueroa St, Unit A Los Angeles, CA 90089-7273 Los Angeles, CA 90 Tel: 213/740-6012 E-Mail: dlakdawa@healthpolicy.usc.edu Seth Seabury RAND 1776 Main Street Santa Monica, CA 90407 Tel: 310-393-0411 x6261 Fax: 310-393-4818 E-Mail: Seth_Seabury@rand.org AB - Policymakers and the public are concerned about the role of medical malpractice liability in the rising cost of medical care. We use variation in the generosity of local juries to identify the causal impact of malpractice liability on medical costs, mortality, and social welfare. The effect of malpractice on medical costs is large relative to its share of medical expenditures, but relatively modest in absolute terms—growth in malpractice payments over the last decade and a half contributed at most 5.0% to the total real growth in medical expenditures, which topped 33% over this period. On the other side of the ledger, malpractice liability leads to modest reductions in patient mortality; the value of these more than likely exceeds the cost impacts of malpractice liability. Therefore, policies that reduce expected malpractice costs are unlikely to have a major impact on health care spending for the average patient, and are also unlikely to be cost-effective over conventionally accepted ranges for the value of a statistical life. ER -