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Public Health Law Map - Beta 5 - Medical and Public Health Law Site

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$150,000 to fight a case that could be settled for $25,000, if the defendant was<br />

negligent.<br />

The most disturbing consequence of trial costs is that they allow a very well- funded<br />

party to punish an opponent, irrespective of the merits of the case. A wealthy surgeon<br />

can use litigation to force colleagues on a peer review panel to back down from<br />

limiting his or her privileges. A tobacco company can devote unlimited resources to<br />

fighting persons who sue for injuries caused by smoking.<br />

1. Contingent Fees<br />

Except for large businesses <strong>and</strong> wealthy individuals, most potential plaintiffs do not<br />

have the money to pay the costs associated with litigation. There are third- party<br />

payers in law, but they are insurance companies, which usually limit their payments<br />

to defense lawyers. Since few people have the resources to hire an attorney on an<br />

hourly basis, persons with valid personal injury claims would be denied their day in<br />

court if this were the only payment system. This would be an injustice. The solution<br />

adopted in the United States is the contingent fee contract. In this arrangement,<br />

attorneys take a percentage of the winnings as their fee. The clients make their<br />

claims, the attorneys have a chance to earn a fee, <strong>and</strong> the contingency aspect gives<br />

attorneys added incentive to work hard for their clients.<br />

If the lawyer works for a contingent fee, the fee must cover three costs of litigation.<br />

The first is the out-of-pocket costs <strong>and</strong> the salaries for the support personnel in the<br />

lawyer’s office. Out-of-pocket costs include filing fees, court reporters, expert<br />

witness fees, copying charges, <strong>and</strong> payments for other goods <strong>and</strong> services necessary<br />

to prosecute a case. The second is the value of the attorney’s time. In a contested<br />

malpractice case, the attorney may invest hundreds of hours of work that will never<br />

be paid for if the suit is unsuccessful. The third component is economic value of<br />

accepting the uncertainty <strong>and</strong> delay in litigation.<br />

The contingent fee contract provides that the fees will be paid out of the money<br />

received from the defendant when a case is won or settled. Most contracts also<br />

provide that the attorney will loan the client the money to pay the out-of- pocket<br />

expenses of the case. Although the money for these expenses is styled as a loan, few<br />

attorneys attempt to collect it from the client if the recovery is less than the expenses<br />

in the case. The attorney’s fee is based on a percentage of the gross recovery, without<br />

regard to the number of hours actually worked on the case. The fees are typically<br />

staged—perhaps 33% if the case is settled without filing a lawsuit, 40% after a<br />

lawsuit is filed, <strong>and</strong> 45% if the case must be defended on appeal. Most cases are<br />

settled after the filing of a lawsuit but before the rendering of a judgment by a court.<br />

Under this schedule, the attorney would receive 40% of the settlement <strong>and</strong> would be<br />

reimbursed for expenses out of the client’s share.<br />

2. Problems with Contingent Fees<br />

Contingent fees are unfair because plaintiffs are not allowed to recover the cost of<br />

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