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January 12, 2012

Louisiana's Negligence Duty / Risk Analysis in a Nutshell

Establishing negligence under Louisiana law is accomplished via the following five prong duty / risk analysis:

I. Was the conduct in question a substantial factor in bringing about the harm to the plaintiff, i.e., was it a cause in fact of the harm?

-It is irrelevant in determining cause in fact whether the defendant's actions were lawful, unlawful, intentional, unintentional, negligent, or non-negligent. The inquiry is a neutral one, free of the entanglements of policy considerations - morality, culpability or responsibility-involved in the duty-risk analysis. Ask whether the defendant's conduct was a necessary antecedent of the accident, that is, but for the defendant's conduct, the incident probably would not have occurred.

-Is there a factual causal relationship between the defendant's actions and the plaintiff's injuries? Did defendant's actions have something to do with the injury the plaintiff sustained? Did the defendant's conduct appreciably enhance the chance of the accident occurring?

-Generally, cause in fact entails a "but for" inquiry: If the plaintiff probably would have not sustained the injuries but for the defendant's conduct, such conduct is a cause in fact. But, when multiple causes are present, cause in fact is found to exist when the defendant's conduct was a substantial factor in bringing about the plaintiff's harm.

II. Did the defendant owe a duty to the plaintiff?

-Duty is a question of law. Simply put, the inquiry is whether the plaintiff has any law - statutory or jurisprudential - to support his or her claim?

III. Was the duty breached?

-Did the defendant fail to conform to the legally imposed duty?

IV. Was the risk, and harm caused, within the scope of protection afforded by the duty breached?

-Regardless if stated in terms of proximate cause, legal cause, or duty, the scope of the duty inquiry is ultimately a question of policy as to whether the particular risk falls within the scope of the duty. The scope of protection inquiry asks whether the enunciated rule or principle of law extends to or is intended to protect this plaintiff from this type of harm arising in this manner. Although, the determination of legal cause involves a purely legal question, this legal determination depends on factual determinations of foreseeability and ease of association. The extent of protection owed by a defendant to a plaintiff is made on a case-by-case basis to avoid making a defendant an insurer of all persons against all harms.

-Substandard conduct does not render the actor liable for all consequences spiraling outward until the end of time. Ask whether too much else intervened - time, space, people, and bizarreness?

-Ease of association: in determining whether there is a duty-risk relationship, the inquiry is how easily the risk of injury to plaintiff can be associated with the duty sought to be enforced, or how easily does one associate the plaintiff's complained of harm with the defendant's conduct, or how easily the risk of harm can be associated with the rule which was breached. Is the purpose of the duty substantially related to the risk of harm?

-Although ease of ease of association encompasses the idea of foreseeability, it is not based on foreseeability alone. Ease of association melds policy and foreseeability into one inquiry: Is the harm which befell the plaintiff easily associated with the type of conduct engaged in by the defendant?

-Legal cause requires a proximate relation between the actions of a defendant and the harm which occurs and such relation must be substantial in character.

-Because legal cause analysis is so fact bound, other legal cause cases serve only as examples of the methodology and can only be analogized from when the facts bear a striking resemblance to the case to be decided.

V. Damages.

-Was the defendant's culpable conduct a cause of the plaintiff's harm?

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December 27, 2010

LAMMICO Pays Another Large Dividend to Louisiana Doctors--So Much for the Medical Malpractice Crisis We Keep Hearing About!!!

For the third time in four years, Louisiana's largest medical malpractice insurer, LAMMICO (Louisiana Medical Mutual Insurance Company) is issuing a large dividend of approximately $5.1 million to its Louisiana and Arkansas policyholders (including individual physicians and other health care professionals, groups & healthcare facilities). LAMMICO's Louisiana doctors will get back 10 percent of their written premiums, bringing the total amount of premiums returned to around $25.5 million. So much for the medical malpractice crisis we keep hearing about!!!!

November 1, 2010

Baton Rouge, Louisiana U.S. News Best Lawyers Best Law Firms

The Baton Rouge, Louisiana personal injury law firm of Due', Price, Guidry, Piedrahita & Andrews was selected for first tier (those firms that scored within a certain percentage of the highest scoring firms) inclusion in the 2010 inaugural rankings of U.S. News - Best Lawyers "Best Law Firms", in the practice areas of Personal Injury Plaintiffs and Product Liability Plaintiffs. "The selection involved surveying thousands of law firm clients; leading lawyers and law firm managers; partners and associates; and marketing officers and recruiting officers. Each were asked what factors they considered vital for clients hiring law firms, for lawyers choosing a firm to refer a legal matter to, and for lawyers seeking employment."

"Client and lawyer surveys collected mostly reputational data. Using a scale of 1 (weakest) to 5 (strongest), clients voted on expertise, responsiveness, understanding of a business and its needs, cost-effectiveness, civility, and whether they would refer another client to a firm. Lawyers voted on expertise, responsiveness, integrity, cost-effectiveness, and whether they would refer a matter to a firm and whether they consider a firm a worthy competitor."

January 7, 2010

LAMMICO Returns Dividend of $20.5 Million of Medical Malpractice Premiums to Health Care Providers

So much for the medical malpractice crisis in Louisiana. Louisiana doctors will receive a 10% dividend this year from Louisiana's largest medical malpractice insurer bringing the total amount of insurance premiums returned by the malpractice insurer to health care providers since 2008 to $20,500,000.

Thomas H. Grimstad, M.D., President / Chief Executive Officer of the Louisiana Medical Mutual Insurance Company (LAMMICO) announced on December 16, 2009 that the LAMMICO Board of Directors and the Louisiana Department of Insurance authorized a third consecutive dividend. The press release issued by LAMMICO states that: "A 10 percent dividend will be paid to individuals, groups and health care facilities holding a LAMMICO policy in force on December 9, 2009 (with the exception of medical student and tail policies). ...This dividend equals approximately $5.1 million. Dividend checks will be distributed during the first quarter of 2010. This development follows two previous dividends declared since 2008, totaling $20.5-million." The Advocate reports that Dr. Grimstad said in a prepared statement: "We declare this third dividend with confidence while maintaining a surplus level that ensures the reliable payment of claims over any cycle." Victims of medical malpractice in Louisiana should be pleased to know that Louisiana's largest medical malpractice insurer has sufficient money in its accounts to pay any and all medical malpractice claims that arise during any time period.

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November 14, 2009

Nursing Home Employees Accused of Hitting a Patient Arrested in Jackson, Louisiana

Two Villa Feliciana Medical Complex employees, accused of hitting a patient, were arrested on November 13, 2009, and booked into the East Feliciana Parish Jail.

Hitting a patient is considered an intentional tort or battery by Louisiana law, and any claim for injuries and damages suffered by the struck patient generally fall outside the Louisiana Medical Malpractice Act. Other types of abuse and neglect of the elderly in nursing home settings will generally fall within Louisiana Medical Malpractice Act.

The National Center for Elder Abuse estimates that between 1 and 2 million Americans age 65 or older have been injured, exploited, or otherwise mistreated by a caregiver. If that caregiver is a nursing home or other healthcare provider licensed by the State of Louisiana, a complaint should be filed with the Health Standards Section of the Louisiana Department of Health and Hospitals. The Health Standards Section will investigate any good-faith and timely complaint against the health care provider, and if the complaint is verified, appropriate action will be taken.

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