Time for the CMPA to reward malpractice-free MDs?
Online posting: February 13, 1997
Published in print: Mar. 15, 1997 (CMAJ 1997;156:761)
Re: GP/FPs and the delivery of babies, by Lynda Buske, Can Med
Assoc J 1997;156:144 [full text]
I read with great interest the conclusion of this article. The
author drew a correlation between the opening sentence and the
conclusion. None of us who continue to practice obstetrics have
seen a "significant enough" caseload to warrant paying the higher
Canadian Medical Protective Association dues. The caseload
fluctuates from year to year. The present fee structure of the
CMPA does not seem to reward or recognize those GP/FPs who have
had a clean record. In every other insurance scheme, only the
members with repeat convictions or claims face stiff heavy
penalty in their premiums. The CMPA's fee structure penalizes the
whole group en masse, so that all members are continually
paying for the errors of others. The CMPA should consider
introducing a "no-claim bonus" for members who have had a
litigation-free practice. The present system is very unfair and
will continue to deter new GP/FPs who wish to practise low-risk
obstetrics.
I. Dan Dattani, MB
Saskatoon, Sask.
dattani.dan@sk.sympatico.ca
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