"If there is threat of lawsuit the care will be TOP NOTCH.."  I have to
disagree with that statement.  Just looking at the situation of
Obstetrics in the U.S. reveals that the threat of lawsuit does not mean
better outcomes. Last time I looked the U.S. ranked 25th in infant
mortality rates among industrialized nations.  One would think that we
would rank first or second.  I believe that the threat of lawsuits keeps
OBs practicing invasive and defensive medicine to the detriment of women
and their babies.  I believe that threats of lawsuits are ever-present.
It has created a climate of distrust, fear.  It has also created the
escalating insurance costs for HCPs.  Sadly, it often means that
creative answers to problems cannot be tried because of the risk of
lawsuit by deviating from the standards of care.  Valerie W. MCClain,
IBCLC

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